The Impact of COVID-19 Pandemic on Sexually Transmitted Infections
Abstract
Novel coronavirus disease of 2019 (COVID-19) has impacted health care in general and has disrupted our routines. Health care services were mostly directed towards the emergency response and containment measures to halt virus spreading have been applied worldwide. It has also indirectly impacted the transmission of other infections, including sexually transmitted infections (STI). For STI, physical distancing measures have the potential to decrease STI transmission whereas the impact of COVID-19 on healthcare resources with interruption of STI diagnosis and treatment drives in the opposite direction. The question is how the counterbalancing impact of these forces will affect the course of STI epidemic. In this article we review the current available data on the COVID-19 impact on sexual behaviours, STI services interruption and reported STI rates, including local data.
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References
Boban M. Novel corona virus disease (COVID-19) update on epidemiology, pathogenicity, clinical course and treatments. Int J Clin Pract. 2020:e13868. doi: 10.1111/ijcp.13868
Cascella M, Rajnik M, Aleem A, Dulebohn SC, Di Napoli R. Features, Evaluation, and Treatment of Coronavirus (COVID-19). In: StatPearls [Internet]. Treasure Island: StatPearls Publishing; 2021
Nokhodian Z, Ranjbar MM, Nasri P, Kassaian N, Shoaei P, Vakili B, et al. Current status of COVID-19 pandemic; characteristics, diagnosis, prevention, and treatment. J Res Med Sci. 2020;25:101.
Gisondi P, Piaserico S, Conti A, Naldi L. Dermatologists and SARS-CoV-2: the impact of the pandemic on daily practice. J Eur Acad Dermatol Venereol. 2020;34:1196-201.
Latini A, Donà MG, Giuliani M, Magri F, Zaccarelli M. Implications of severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) epidemic for sexual behaviours of men who have sex with men. HIV Med. 2020;22:e7-e8. doi: 10.1111/hiv.12954.
Ballester-Arnal R, Gil-Llario MD. The Virus that Changed Spain: Impact of COVID-19 on People with HIV. AIDS Behav. 2020;24:2253-7.
Reyniers T, Rotsaert A, Thunissen E, Buffel V, Masquillier C, Van Landeghem E, et al. Reduced sexual contacts with non-steady partners and less PrEP use among MSM in Belgium during the first weeks of the COVID-19 lockdown: results of an online survey. Sex Transm Infect. 2020;sextrans-2020-054756. doi: 10.1136/sextrans-2020-054756.
Hammoud MA, Maher L, Holt M, Degenhardt L, Jin F, Murphy D, et al. Physical Distancing Due to COVID-19 Disrupts Sexual Behaviors Among Gay and Bisexual Men in Australia: Implications for Trends in HIV and Other Sexually Transmissible Infections. J Acquir Immune Defic Syndr. 2020;85:309-15.
Sanchez TH, Zlotorzynska M, Rai M, Baral SD. Characterizing the Impact of COVID-19 on Men Who Have Sex with Men Across the United States in April, 2020. AIDS Behav. 2020;24:2024-32.
van Bilsen WPH, Zimmermann HML, Boyd A, Coyer L, van der Hoek L, Kootstra NA, et al. Sexual behavior and its determinants during COVID-19 restrictions among men who have sex with men in Amsterdam. J Acquir Immune Defic Syndr. 2020;86:288-96. doi: 10.1097/QAI.0000000000002581.
Li G, Tang D, Song B, Wang C, Qunshan S, Xu C, et al. Impact of the COVID-19 Pandemic on Partner Relationships and Sexual and Reproductive Health: Cross-Sectional, Online Survey Study. J Med Internet Res. 2020;22:e20961.
Stephenson R, Chavanduka TMD, Rosso MT, Sullivan SP, Pitter RA, Hunter AS, et al. Sex in the Time of COVID-19: Results of an Online Survey of Gay, Bisexual and Other Men Who Have Sex with Men's Experience of Sex and HIV Prevention During the US COVID-19 Epidemic. AIDS Behav. 2021;25:40-8. doi: 10.1007/s10461-020-03024-8.
Simões D, Stengaard AR, Combs L, Raben D, partners TEC-iaco. Impact of the COVID-19 pandemic on testing services for HIV, viral hepatitis and sexually transmitted infections in the WHO European Region, March to August 2020. Eurosurveillance. 2020;25:2001943.
Nagendra G, Carnevale C, Neu N, Cohall A, Zucker J. The Potential Impact and Availability of Sexual Health Services During the COVID-19 Pandemic. Sex Transm Dis. 2020;47:434-6.
Centers for Disease Control and Prevention (CDC). Dear Colleagues Letter. Published April 6, 2020. [Accessed December 7, 2020] Available from: https://www.cdc.gov/std/dstdp/DCL-STDTreatment-COVID19-04062020.pdf.
Napoleon SC, Maynard MA, Almonte A, Cormier K, Bertrand T, Ard KL, et al. Considerations for STI Clinics During the COVID-19 Pandemic. Sex Transm Dis. 2020;47:431-3.
Darcis G, Vaira D, Moutschen M. Impact of coronavirus pandemic and containment measures on HIV diagnosis. Epidemiol Infect. 2020;148:e185.
Latini A, Magri F, Donà MG, Giuliani M, Cristaudo A, Zaccarelli M. Is COVID-19 affecting the epidemiology of STIs? The experience of syphilis in Rome. Sex Transm Infect. 2021;97:78. doi: 10.1136/sextrans-2020-054543.
Sacchelli L, Viviani F, Orioni G, Rucci P, Rosa S, Lanzoni A, et al. Sexually transmitted infections during the COVID-19 outbreak: comparison of patients referring to the service of sexually transmitted diseases during the sanitary emergency with those referring during the common practice. J Eur Acad Dermatol Venereol. 2020;34:e553-e6.
Balestri R, Magnano M, Rizzoli L, Infusino SD, Urbani F, Rech G. STIs and the COVID-19 pandemic: the lockdown does not stop sexual infections. J Eur Acad Dermatol Venereol. 2020. 2020;34:e766-8. doi: 10.1111/jdv.16808.
Steffen R, Lautenschlager S, Fehr J. Travel restrictions and lockdown during the COVID-19 pandemic-impact on notified infectious diseases in Switzerland. J Travel Med. 2020 J Travel Med. 2020;27:taaa180. doi: 10.1093/jtm/taaa180.
Health Protection Surveillance Centre (HPSC). HIV & STI Weekly Reports. [Accessed December 7, 2020] Available from: https://www.hpsc.ie/a-/sexuallytransmittedinfections/publications/stireports/stiweeklyreports/.
Crane MA, Popovic A, Stolbach AI, Ghanem KG. Reporting of sexually transmitted infections during the COVID-19 pandemic. Sex Transm Infect. 2020 ;97:101-2. doi: 10.1136/sextrans-2020-054805.
Jenness SM, Le Guillou A, Chandra C, Mann LM, Sanchez T, Westreich D, et al. Projected HIV and Bacterial STI Incidence Following COVID-Related Sexual Distancing and Clinical Service Interruption. medRxiv [Preprint]. 2020:2020.09.30.20204529. doi: 10.1101/2020.09.30.20204529. Update in: J Infect Dis. 2021
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