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  1. Article ; Online: Projected HIV and Bacterial Sexually Transmitted Infection Incidence Following COVID-19-Related Sexual Distancing and Clinical Service Interruption.

    Jenness, Samuel M / Le Guillou, Adrien / Chandra, Christina / Mann, Laura M / Sanchez, Travis / Westreich, Daniel / Marcus, Julia L

    The Journal of infectious diseases

    2021  Volume 223, Issue 6, Page(s) 1019–1028

    Abstract: ... overlap, and relative extent of COVID-19-related sexual distancing and service interruption within 4 ... dynamics and prevention of HIV and other sexually transmitted infections (STI). It is unknown what combined ... Results: A 50% relative decrease in sexual partnerships and interruption of all clinical services ...

    Abstract Background: The global COVID-19 pandemic has the potential to indirectly impact transmission dynamics and prevention of HIV and other sexually transmitted infections (STI). It is unknown what combined impact reductions in sexual activity and interruptions in HIV/STI services will have on HIV/STI epidemic trajectories.
    Methods: We adapted a model of HIV, gonorrhea, and chlamydia for a population of approximately 103 000 men who have sex with men (MSM) in the Atlanta area. Model scenarios varied the timing, overlap, and relative extent of COVID-19-related sexual distancing and service interruption within 4 service categories (HIV screening, preexposure prophylaxis, antiretroviral therapy, and STI treatment).
    Results: A 50% relative decrease in sexual partnerships and interruption of all clinical services, both lasting 18 months, would generally offset each other for HIV (total 5-year population impact for Atlanta MSM, -227 cases), but have net protective effect for STIs (-23 800 cases). If distancing lasted only 3 months but service interruption lasted 18 months, the total 5-year population impact would be an additional 890 HIV cases and 57 500 STI cases.
    Conclusions: Immediate action to limit the impact of service interruptions is needed to address the indirect effects of the global COVID-19 pandemic on the HIV/STI epidemic.
    MeSH term(s) COVID-19/epidemiology ; Georgia/epidemiology ; HIV Infections/epidemiology ; Homosexuality, Male ; Humans ; Incidence ; Male ; Models, Statistical ; Pandemics ; Sexual Behavior/statistics & numerical data ; Sexual Partners ; Sexual and Gender Minorities ; Sexually Transmitted Diseases, Bacterial/epidemiology
    Language English
    Publishing date 2021-01-28
    Publishing country United States
    Document type Journal Article ; Research Support, N.I.H., Extramural
    ZDB-ID 3019-3
    ISSN 1537-6613 ; 0022-1899
    ISSN (online) 1537-6613
    ISSN 0022-1899
    DOI 10.1093/infdis/jiab051
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  2. Article: Projected HIV and Bacterial STI Incidence Following COVID-Related Sexual Distancing and Clinical Service Interruption.

    Jenness, Samuel M / Guillou, Adrien Le / Chandra, Christina / Mann, Laura M / Sanchez, Travis / Westreich, Daniel / Marcus, Julia L

    medRxiv : the preprint server for health sciences

    2020  

    Abstract: ... The counterbalancing impact of sexual distancing and clinical service interruption depends on the infection and ... while service interruption persists, we project an excess of hundreds of HIV cases and thousands of STI cases just ... varied the timing, overlap, and relative extent of COVID-related sexual distancing in casual and one-time ...

    Abstract Background: The global COVID-19 pandemic has the potential to indirectly impact the transmission dynamics and prevention of HIV and other sexually transmitted infections (STI). Studies have already documented reductions in sexual activity ("sexual distancing") and interruptions in HIV/STI services, but it is unknown what combined impact these two forces will have on HIV/STI epidemic trajectories.
    Methods: We adapted a network-based model of co-circulating HIV, gonorrhea, and chlamydia for a population of approximately 103,000 men who have sex with men (MSM) in the Atlanta area. Model scenarios varied the timing, overlap, and relative extent of COVID-related sexual distancing in casual and one-time partnership networks and service interruption within four service categories (HIV screening, HIV PrEP, HIV ART, and STI treatment).
    Results: A 50% relative decrease in sexual partnerships and interruption of all clinical services, both lasting 18 months, would generally offset each other for HIV (total 5-year population impact for Atlanta MSM: -227 cases), but have net protective effect for STIs (-23,800 cases). Greater relative reductions and longer durations of service interruption would increase HIV and STI incidence, while greater relative reductions and longer durations of sexual distancing would decrease incidence of both. If distancing lasted only 3 months but service interruption lasted 18 months, the total 5-year population impact would be an additional 890 HIV cases and 57,500 STI cases.
    Conclusions: The counterbalancing impact of sexual distancing and clinical service interruption depends on the infection and the extent and durability of these COVID-related changes. If sexual behavior rebounds while service interruption persists, we project an excess of hundreds of HIV cases and thousands of STI cases just among Atlanta MSM over the next 5 years. Immediate action to limit the impact of service interruptions is needed to address the indirect effects of the global COVID pandemic on the HIV/STI epidemic.
    Keywords covid19
    Language English
    Publishing date 2020-10-21
    Publishing country United States
    Document type Preprint
    DOI 10.1101/2020.09.30.20204529
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  3. Article ; Online: Projected HIV and Bacterial STI Incidence Following COVID-Related Sexual Distancing and Clinical Service Interruption

    Jenness, Samuel M / Le Guillou, Adrien / Chandra, Christina / Mann, Laura M / Sanchez, Travis / Westreich, Daniel / Marcus, Julia L

    medRxiv

    Abstract: ... of these COVID-related changes. If sexual behavior rebounds while service interruption persists, we project ... longer durations of service interruption would increase HIV and STI incidence, while greater relative ... and relative extent of COVID-related sexual distancing in casual and one-time partnership networks and ...

    Abstract BACKGROUND. The global COVID-19 pandemic has the potential to indirectly impact the transmission dynamics and prevention of HIV and other sexually transmitted infections (STI). Studies have already documented reductions in sexual activity ("sexual distancing") and interruptions in HIV/STI services, but it is unknown what combined impact these two forces will have on longer-term HIV/STI epidemic trajectories. METHODS. We adapted a network-based model of co-circulating HIV, gonorrhea, and chlamydia for a population of men who have sex with men (MSM) in the Atlanta area. Model scenarios varied the timing, overlap, and relative extent of COVID-related sexual distancing in casual and one-time partnership networks and service interruption within four service categories (HIV screening, HIV PrEP, HIV ART, and STI treatment). RESULTS. A 50% relative decrease in sexual partnerships and interruption of all clinical services, both lasting 18 months, would generally offset each other for HIV (total 5-year population impact for Atlanta MSM: -227 cases), but have net protective effect for STIs (-23,800 cases). Greater relative reductions and longer durations of service interruption would increase HIV and STI incidence, while greater relative reductions and longer durations of sexual distancing would decrease incidence of both. If distancing lasted only 3 months but service interruption lasted 18 months, the total 5-year population impact would be an additional 890 HIV cases and 57,500 STI cases. CONCLUSIONS. The counterbalancing impact of sexual distancing and clinical service interruption depends on the infection and the extent and durability of these COVID-related changes. If sexual behavior rebounds while service interruption persists, we project an excess of hundreds of HIV cases and thousands of STI cases just among Atlanta MSM over the next 5 years. Immediate action to limit the impact of service interruptions is needed to address the indirect effects of the global COVID pandemic on the HIV/STI epidemic.
    Keywords covid19
    Language English
    Publishing date 2020-09-30
    Publisher Cold Spring Harbor Laboratory Press
    Document type Article ; Online
    DOI 10.1101/2020.09.30.20204529
    Database COVID19

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  4. Article: Projected HIV and Bacterial STI Incidence Following COVID-Related Sexual Distancing and Clinical Service Interruption

    Jenness, S. M. / Le Guillou, A. / Chandra, C. / Mann, L. M. / Sanchez, T. / Westreich, D. / Marcus, J. L.

    medRxiv

    Abstract: ... If sexual behavior rebounds while service interruption persists, we project an excess of hundreds of HIV cases and ... service interruption depends on the infection and the extent and durability of these COVID-related changes ... of service interruption would increase HIV and STI incidence, while greater relative reductions and longer durations ...

    Abstract BACKGROUND: The global COVID-19 pandemic has the potential to indirectly impact the transmission dynamics and prevention of HIV and other sexually transmitted infections (STI) Studies have already documented reductions in sexual activity ("sexual distancing") and interruptions in HIV/STI services, but it is unknown what combined impact these two forces will have on longer-term HIV/STI epidemic trajectories METHODS: We adapted a network-based model of co-circulating HIV, gonorrhea, and chlamydia for a population of men who have sex with men (MSM) in the Atlanta area Model scenarios varied the timing, overlap, and relative extent of COVID-related sexual distancing in casual and one-time partnership networks and service interruption within four service categories (HIV screening, HIV PrEP, HIV ART, and STI treatment) RESULTS: A 50% relative decrease in sexual partnerships and interruption of all clinical services, both lasting 18 months, would generally offset each other for HIV (total 5-year population impact for Atlanta MSM: -227 cases), but have net protective effect for STIs (-23,800 cases) Greater relative reductions and longer durations of service interruption would increase HIV and STI incidence, while greater relative reductions and longer durations of sexual distancing would decrease incidence of both If distancing lasted only 3 months but service interruption lasted 18 months, the total 5-year population impact would be an additional 890 HIV cases and 57,500 STI cases CONCLUSIONS: The counterbalancing impact of sexual distancing and clinical service interruption depends on the infection and the extent and durability of these COVID-related changes If sexual behavior rebounds while service interruption persists, we project an excess of hundreds of HIV cases and thousands of STI cases just among Atlanta MSM over the next 5 years Immediate action to limit the impact of service interruptions is needed to address the indirect effects of the global COVID pandemic on the HIV/STI epidemic
    Keywords covid19
    Publisher WHO
    Document type Article
    Note WHO #Covidence: #835252
    Database COVID19

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