This study examined the association between self-identification as a sex worker (SW) and perceived access to pharmacologic and non-pharmacologic HIV prevention methods among MSM in France, Russia, and Türkiye amidst the COVID-19 pandemic. Globally, 17,250 MSM recruited through a geosocial networking smartphone application completed the COVID-19 disparities survey, which was administered between October and November 2020. Approximately 38% of survey respondents were identified as living in France (n = 1269), Russia (n = 3882), and Türkiye (n = 3141) at the time of survey completion. Given the diverse sociodemographic factors and attitudes toward both MSM behavior and commercial sex work in these countries, we conducted a secondary analysis of survey data exploring the relationship between SW status and perceived access to pharmacologic and non-pharmacologic HIV prevention methods during the COVID-19 pandemic. Among respondents in Russia and France, MSM SW status was associated with a reduction in perceived access to condoms/lubricants (p = .001 in Russia, p < .001 in France). MSM SW in France were less likely to report never using PrEP as compared to non-SW peers (RR = 0.40, p = .005). Our findings highlight the disparities in access to HIV prevention for MSM SW living in these three countries during the COVID-19 pandemic. Based on our findings, COVID-19 may have exacerbated pre-existing inequities in HIV prevention among populations experiencing intersecting stigmas.

本研究调查了在 COVID-19 大流行期间，法国、俄罗斯和土耳其的 MSM 自我认同为性工作者 （SW） 与感知获得药物和非药物 HIV 预防方法之间的关联。在全球范围内，通过地理社交网络智能手机应用程序招募的 17,250 名 MSM 完成了 COVID-19 差异调查，该调查于 2020 年 10 月至 11 月期间进行。在调查完成时，大约 38% 的调查受访者被确定居住在法国 （n = 1269）、俄罗斯 （n = 3882） 和土耳其 （n = 3141）。鉴于这些国家对 MSM 行为和商业性工作的不同社会人口因素和态度，我们对调查数据进行了二次分析，探讨了 SW 状态与在 COVID-19 大流行期间感知到获得药物和非药物 HIV 预防方法之间的关系。在俄罗斯和法国的受访者中，MSM SW 状态与感知到获得避孕套/润滑剂的机会减少相关（俄罗斯 p = .001，法国 p < .001）。与非 SW 同龄人相比，法国的 MSM SW 报告从未使用 PrEP 的可能性较小 （RR = 0.40，p = .005）。 我们的研究结果强调了在 COVID-19 大流行期间生活在这三个国家的 MSM SW 在获得 HIV 预防方面的差异。根据我们的研究结果，COVID-19 可能加剧了遭受交叉耻辱感的人群中 HIV 预防方面先前存在的不平等。