The Impact of the SARS-CoV-2 Pandemic on Human Immunodeficiency Virus and Bacterial Sexually Transmitted Infection Testing and Diagnosis in Oregon

Menza, Timothy W.; Zlot, Amy; Garai, Jillian; Humphrey, Sarah; Ferrer, Josh

doi:10.1097/olq.0000000000001385

Cited by 20 publications

(31 citation statements)

References 8 publications

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“…Similar decreases in reported STIs during stay at home orders have been observed in other jurisdictions in the United States, 17 – 19 and the COVID-19 pandemic has impacted every aspect of STI diagnosis and control, including public health practices. Although King County typically has a robust behavioral surveillance framework in place, as in many other jurisdictions, 11 PHSKC staff deployments to the COVID-19 response impacted the completion of partner services interviews for STI cases.…”

Section: Discussionsupporting

confidence: 64%

Decreases in Reported Sexually Transmitted Infections During the Time of COVID-19 in King County, WA: Decreased Transmission or Screening?

et al. 2021

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Section: Discussionsupporting

confidence: 64%

Decreases in Reported Sexually Transmitted Infections During the Time of COVID-19 in King County, WA: Decreased Transmission or Screening?

et al. 2021

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“…Data from Oregon showed similar trends over the first six months of the pandemic, although testing slightly rebounded after the initial 2, 3 pandemic months. 13 During Oregon's stay-at-home order (March through May 2020), HIV diagnoses decreased by 36%, but this was not a statistically significant difference compared to periods before or after. A study of the first 5, 6 months of the pandemic revealed decreased HIV testing in emergency department (ED) sites in Illinois.…”

Section: Introductionmentioning

confidence: 95%

Impact of the COVID-19 pandemic on HIV testing rates across four geographically diverse urban centres in the United States: An observational study

Moitra

Tao

Olsen³

et al. 2022

The Lancet Regional Health - Americas

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Background Non-emergent clinical services were limited or suspended during the early stages of the coronavirus disease 2019 (COVID-19) pandemic in the United States (U.S.). This could adversely impact epidemics of public health importance, such as HIV, and access to testing, which is a cornerstone of prevention efforts. Methods In this observational study, we collected HIV testing and positivity rate clinical data from four geographically diverse U.S. healthcare systems in New Orleans, Louisiana; Minneapolis, Minnesota; Providence, Rhode Island; and, Seattle, Washington. Data from 2019 to 2020 were examined to assess changes in HIV testing in community-based, emergency department, and outpatient settings. Poisson regression was used to explore trends in HIV testing through phases of the COVID-19 pandemic. Findings In outpatient settings, there was a 68-97% reduction in the number of HIV tests per week during each state's stay-at-home order period, compared to during the pre-stay-at-home order period in early 2020. HIV testing remained reduced 11-54% after states transitioned to advisory phases. The HIV positivity rate increased slightly at outpatient settings, except in New Orleans where it fell. Interpretation We found a concerning trend of substantially decreased HIV testing across four geographically diverse sites. These findings suggest that new HIV infections within the U.S. may be undiagnosed and not yet linked to clinical care and services, as a consequence of the COVID-19 pandemic. Thus, augmented efforts to identify patients and link them to HIV services will be needed as healthcare settings return to full operation. Funding U.S. National Institute of Mental Health.

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“…However, increasing evidence suggests social isolation measures may result in decreased testing, treatment, and reporting of cases. 4 ‐ 6 …”

Section: Introductionmentioning

confidence: 99%

“…However, increasing evidence suggests social isolation measures may result in decreased testing, treatment, and reporting of cases. [4][5][6] Throughout the COVID-19 pandemic, the Maricopa County Public Health Department (MCDPH) STD Clinic has maintained sexual health services fully operational, including Monday through Friday in-person express STD testing and medical provider visits. To understand the effect of COVID-19 isolation measures on sexual health care utilization and case reporting, we analyzed temporal trends of STD clinic attendance and STD morbidity in Maricopa County in relation to the COVID-19 Arizona Stay-at-Home Order.…”

Section: Introductionmentioning

confidence: 99%

Impact of COVID-19 Lockdowns on Sexual Health Care Utilization and STD Reporting, Maricopa County

Bell

Canepa

Kreis

et al. 2021

INQUIRY

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The Maricopa County Department of Public Health (MCDPH) Sexually Transmitted Disease (STD) Clinic remained operational during a 6-week statewide Coronavirus Disease 2019 (COVID-19) Stay-at-Home Order. The present study sought to evaluate the effect of the Stay-at-Home Order on countywide STD reporting and uptake of sexual health services. We compared countywide daily median STD reporting and MCDPH STD clinic attendance across 3 timeframes; (1) Pre-Lockdown (01/01/2020–03/30/2020); (2) Lockdown (03/31/2020–05/15/2020); and (3) Post-Lockdown (05/16/2020–12/31/2020). STD reporting was characterized as incident chlamydia, gonorrhea, and primary and secondary syphilis. Clinic attendance was characterized as clients visiting through express testing or provider visits. Differences in STD reporting and clinic attendance were evaluated using non-parametric testing. Comparing Pre-Lockdown to Lockdown, we observed significant declines in the daily median chlamydia case reporting (−22%) and clinic express testing attendance (−29%). Comparing Lockdown to Post-Lockdown, we observed significant increases in daily median chlamydia and gonorrhea case reporting (+20%, +15%; respectively) and clinic express testing and provider visits (+42%, +20%; respectively). No significant difference was observed in countywide syphilis reporting across the 3 timeframes. Declines in STD reporting were observed countywide during the lockdown and were concurrent with declines in attendance observed at the MCDPH STD Clinic. Maintenance of clinic operations during the lockdown allowed for continued uptake of STD testing, diagnosis, treatment, and partner services. This study of sexual health care utilization at the public STD clinic in Maricopa County, Arizona, found reduced testing and provider visits contributed to lower countywide STD reporting during the Arizona COVID-19 Stay-at-Home Order.

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The Impact of the SARS-CoV-2 Pandemic on Human Immunodeficiency Virus and Bacterial Sexually Transmitted Infection Testing and Diagnosis in Oregon

Cited by 20 publications

References 8 publications

Decreases in Reported Sexually Transmitted Infections During the Time of COVID-19 in King County, WA: Decreased Transmission or Screening?

Decreases in Reported Sexually Transmitted Infections During the Time of COVID-19 in King County, WA: Decreased Transmission or Screening?

Impact of the COVID-19 pandemic on HIV testing rates across four geographically diverse urban centres in the United States: An observational study

Impact of COVID-19 Lockdowns on Sexual Health Care Utilization and STD Reporting, Maricopa County

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