The Impact of the COVID-19 Pandemic on Sexually Transmitted Infection/Human Immunodeficiency Virus Testing Among Adolescents in a Large Pediatric Primary Care Network

Bonett, Stephen; Petsis, Danielle; Dowshen, Nadia; Bauermeister, José A.; Wood, Sarah

doi:10.1097/olq.0000000000001427

Cited by 32 publications

(30 citation statements)

References 14 publications

(24 reference statements)

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“…Findings that showed sustained decreases in the reported number of sex partners and substance use among MSM during the COVID-19 pandemic corroborate some prior studies [ 10 , 21 , 23–26 , 28 ] and contrast others that found declines in sexual behaviors early in the pandemic followed by increases over time [ 10 , 28 ]. Our findings also confirm prior work showing decreased STI testing during the pandemic [ 5 , 8 , 9 ]; however, we observed a rebound to pre-pandemic levels in STI testing in late 2020. Findings from prior studies may not be directly comparable with the findings herein.…”

Section: Discussionsupporting

confidence: 92%

“…Another study of at-home STI testing in 1 New York City PrEP clinic reported chlamydia and gonorrhea positivity similar to our findings and no change in pre- and during-pandemic positivity [ 36 ]. Three studies reported increased chlamydia and 2 reported increased gonorrhea positivity during the pandemic, but these increases were in the context of decreased testing volumes, and increased positivity may be an artifact of shifts toward testing symptomatic individuals [ 8 , 9 , 37 ].…”

Section: Discussionmentioning

confidence: 99%

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Sexually Transmitted Infection Transmission Dynamics During the Coronavirus Disease 2019 (COVID-19) Pandemic Among Urban Gay, Bisexual, and Other Men Who Have Sex With Men

Schumacher¹,

Thornton²,

Wagner³

et al. 2022

Clinical Infectious Diseases

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Background The impact of coronavirus disease 2019 (COVID-19) mitigation measures on sexually transmitted infection (STI) transmission and racial disparities remains unknown. Our objectives were to compare sex and drug risk behaviors, access to sexual health services, and STI positivity overall and by race during the COVID-19 pandemic compared with pre-pandemic among urban sexual minority men (MSM). Methods Sexually active MSM aged 18–45 years were administered a behavioral survey and STI testing every 3-months. Participants who completed at least 1 during-pandemic (April 2020–December 2020) and 1 pre-pandemic study visit (before 13 March 2020) that occurred less than 6 months apart were included. Regression models were used to compare during- and pre-pandemic visit outcomes. Results Overall, among 231 MSM, reports of more than 3 sex partners declined(pandemic-1: adjusted prevalence ratio 0.68; 95% confidence interval: .54–.86; pandemic-2: 0.65, .51–.84; pandemic-3: 0.57, .43–.75), substance use decreased (pandemic-1: 0.75, .61–.75; pandemic-2: 0.62, .50–.78; pandemic-3: 0.61, .47–.80), and human immunodeficiency virus/preexposure prophylaxis care engagement (pandemic-1: 1.20, 1.07–1.34; pandemic-2: 1.24, 1.11–1.39; pandemic-3: 1.30, 1.16–1.47) increased. STI testing decreased (pandemic-1: 0.68, .57–.81; pandemic-2: 0.78, .67–.92), then rebounded (pandemic-3: 1.01, .87–1.18). Neither Chlamydia (pandemic-2: 1.62, .75–3.46; pandemic-3: 1.13, .24–1.27) nor gonorrhea (pandemic-2: 0.87, .46 1.62; pandemic-3: 0.56, .24–1.27) positivity significantly changed during vs pre-pandemic. Trends were mostly similar among Black vs. non-Black MSM. Conclusions We observed sustained decreases in STI risk behaviors but minimal change in STI positivity during compared with pre-pandemic. Our findings underscore the need for novel STI prevention strategies that can be delivered without in-person interactions.

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Section: Discussionsupporting

confidence: 92%

Section: Discussionmentioning

confidence: 99%

Sexually Transmitted Infection Transmission Dynamics During the Coronavirus Disease 2019 (COVID-19) Pandemic Among Urban Gay, Bisexual, and Other Men Who Have Sex With Men

Schumacher¹,

Thornton²,

Wagner³

et al. 2022

Clinical Infectious Diseases

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“…However, all those measures have had a profound impact on sexual health and behavior of individual [4]. As reported by Bonett, Stephen et al [31] the disruptions in sexually [33] it is very important that in the event of major pandemics, medical resources should be reasonably allocated. When managers strengthening pandemic control, the medical aid resources for STDs should be protected from damage, to prevent increasing heavier burden of social diseases in the long-term process.…”

Section: Discussionmentioning

confidence: 99%

Impact of COVID-19 Pandemic on the Epidemiology of STDs in China: Based on the GM (1,1) Model

Yan

Zhou

2022

Preprint

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Background: It has been reported that COVID-19 pandemic has greatly impacted on the epidemiological trend of Sexually Transmitted Diseases (STDs) in many countries. However, relevant researches are limited in China. We aimed to analyze the extent of COVID-19 pandemic impact on STDs in China.Methods: The incidence of HIV infection, syphilis and gonorrhea in China from 2008 to 2020 was collected. But only data of these three STDs from 2013 to 2018 were used to establish the Grey Model (1,1) considering about the impact of policies of China. Then we calculated the predictive incidence of each STD in 2019, 2020 and 2021 by the established Model. And then we estimated the extent of the impact of COVID-19 on the epidemiological changes of STDs by analyzing the difference between the absolute percentage error (APE) of the predictive incidence and actual rate in 2019 and 2020. Results: The incidence of HIV infection and syphilis showed an increasing trend from 2008 to 2019 in China, but that for gonorrhea was fluctuant. Of note, the incidence of these three STDs decreased significantly in 2020 compared with that in 2019. The APE of HIV infection, syphilis and gonorrhea in 2020 (20.54%, 15.45% and 60.88%) were about 7 times, 4 times and 2 times of that in 2019 (2.94%, 4.07% and 30.41%). The incidence of HIV infection, syphilis and gonorrhea would be 5.77/100,000, 39.64/100,000 and 13.19/100,000 in 2021 based on our model.Conclusions: Our analysis revealed that the epidemiological trend of STDs in China was significant influenced by COVID-19 pandemic. The result highlights the critical need for transformative strategies in STDs control in the context of the long-term effects of COVID-19 pandemic in the future.

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“…In addition to the devastating morbidity and mortality arising directly from COVID-19, 29,30,[34][35][36] there have been indirect negative effects on various health outcomes. 20,21,26,28 In the case of asthma, however, COVID-19erelated public health measures during the initial months of the pandemic reduced disease burden.…”

Section: Discussionmentioning

confidence: 99%

COVID-19 Pandemic–Related Reductions in Pediatric Asthma Exacerbations Corresponded with an Overall Decrease in Respiratory Viral Infections

Sayed

Diwadkar

Dudley

et al. 2022

The Journal of Allergy and Clinical Immunology: In Practice

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What is already known about this topic? Although respiratory viruses, air pollutants, and aeroallergens are implicated in worsening pediatric asthma symptoms, the interplay between these factors and asthma exacerbations is not well understood. Asthma exacerbations decreased significantly during the coronavirus disease 2019 pandemic, allowing for the investigation of these asthma triggers relative to asthma activity.What does this article add to our knowledge? The sustained reductions in viral infections and acute asthma activity we observed during the coronavirus disease 2019 pandemic support a strong link between respiratory virus infections and pediatric asthma exacerbations.How does this study impact current management guidelines? Our findings suggest that viral respiratory infections are a primary driver of pediatric asthma exacerbations and that preventive measures taken to control exposure to these viruses may help limit exacerbating asthma symptoms BACKGROUND: Respiratory viruses, air pollutants, and aeroallergens are all implicated in worsening pediatric asthma symptoms, but their relative contributions to asthma exacerbations are poorly understood. A significant decrease in asthma exacerbations has been observed during the coronavirus disease 2019 pandemic, providing a unique opportunity to study how major asthma triggers correlate with asthma activity. OBJECTIVE: To determine whether changes in respiratory viruses, air pollutants, and/or aeroallergens during the coronavirus disease 2019 pandemic were concomitant with decreased asthma exacerbations. METHODS: Health care utilization and respiratory viral testing data between January 1, 2015, and December 31, 2020, were extracted from the Children's Hospital of Philadelphia Care Network's electronic health record. Air pollution and allergen data were extracted from US Environmental Protection Agency public databases and a National Allergy Bureauecertified station, respectively. Pandemic data (2020) were compared with historical data. RESULTS: Recovery of in-person asthma encounters during phased reopening (June 6 to November 15, 2020) was uneven: primary care well and specialty encounters reached 94% and

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The Impact of the COVID-19 Pandemic on Sexually Transmitted Infection/Human Immunodeficiency Virus Testing Among Adolescents in a Large Pediatric Primary Care Network

Cited by 32 publications

References 14 publications

Sexually Transmitted Infection Transmission Dynamics During the Coronavirus Disease 2019 (COVID-19) Pandemic Among Urban Gay, Bisexual, and Other Men Who Have Sex With Men

Sexually Transmitted Infection Transmission Dynamics During the Coronavirus Disease 2019 (COVID-19) Pandemic Among Urban Gay, Bisexual, and Other Men Who Have Sex With Men

Impact of COVID-19 Pandemic on the Epidemiology of STDs in China: Based on the GM (1,1) Model

COVID-19 Pandemic–Related Reductions in Pediatric Asthma Exacerbations Corresponded with an Overall Decrease in Respiratory Viral Infections

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