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We examined the association between COVID-19 disruptions to HIV service use and behavioral intention of peer HIV communication among SGE individuals enrolled in an HIV prevention trial in Kazakhstan, using data from the first 6 months of COVID-19 disruptions assessment (May\u2013October 2020). Among 455 participants retained in the clinical trial during this period, 101 (22%) reported any COVID-19-induced disruption to HIV service use and 212 (47%) fell in the low-range intention of peer HIV communication. Being in the low-range intention was positively associated with reporting HIV service use disruptions, especially among SGE individuals living with HIV. Study findings warrant efforts of to address pandemic disruptions when promoting and sustaining peer HIV communication among MSM and TSM in Kazakhstan.<\/jats:p>","DOI":"10.1177\/10901981251362813","type":"journal-article","created":{"date-parts":[[2025,8,17]],"date-time":"2025-08-17T11:36:08Z","timestamp":1755430568000},"page":"92-97","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":0,"title":["COVID-19-Related Diminished Peer HIV Communication Intentions Among Sexual and Gender Expansive Individuals in Kazakhstan"],"prefix":"10.1177","volume":"53","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-5838-3337","authenticated-orcid":false,"given":"Yong Gun","family":"Lee","sequence":"first","affiliation":[{"name":"The University of Hong Kong, Hong Kong"},{"name":"Columbia University Global Health Research Center of Central Asia, Almaty, Kazakhstan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Vitaliy","family":"Vinogradov","sequence":"additional","affiliation":[{"name":"Columbia University Global Health Research Center of Central Asia, Almaty, Kazakhstan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4702-1944","authenticated-orcid":false,"given":"Gaukhar","family":"Mergenova","sequence":"additional","affiliation":[{"name":"Columbia University Global Health Research Center of Central Asia, Almaty, Kazakhstan"},{"name":"Asfendiyarov Kazakh National Medical University, Almaty, Kazakhstan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Emily Allen","family":"Paine","sequence":"additional","affiliation":[{"name":"Columbia University Irving Medical Center, New York, NY, USA"},{"name":"New York State Psychiatric Institute, New York, NY, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7304-9943","authenticated-orcid":false,"given":"Caitlin I.","family":"Laughney","sequence":"additional","affiliation":[{"name":"Columbia University Irving Medical Center, New York, NY, USA"},{"name":"New York State Psychiatric Institute, New York, NY, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6088-5854","authenticated-orcid":false,"given":"Kelsey","family":"Reeder","sequence":"additional","affiliation":[{"name":"Columbia University School of Social Work, New York, NY, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2084-9741","authenticated-orcid":false,"given":"Alissa","family":"Davis","sequence":"additional","affiliation":[{"name":"Columbia University Global Health Research Center of Central Asia, Almaty, Kazakhstan"},{"name":"Columbia University School of Social Work, New York, NY, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sholpan","family":"Primbetova","sequence":"additional","affiliation":[{"name":"Columbia University Global Health Research Center of Central Asia, Almaty, Kazakhstan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4067-1998","authenticated-orcid":false,"given":"Assel","family":"Terlikbayeva","sequence":"additional","affiliation":[{"name":"Columbia University Global Health Research Center of Central Asia, Almaty, Kazakhstan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4253-3430","authenticated-orcid":false,"given":"Elwin","family":"Wu","sequence":"additional","affiliation":[{"name":"Columbia University Global Health Research Center of Central Asia, Almaty, Kazakhstan"},{"name":"Columbia University School of Social Work, New York, NY, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2025,8,17]]},"reference":[{"key":"e_1_3_3_2_1","doi-asserted-by":"crossref","unstructured":"Ashley F. 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