Tags

Type your tag names separated by a space and hit enter

Sexually Transmitted Infection Diagnoses and Access to a Sexual Health Service Before and After the National Lockdown for COVID-19 in Melbourne, Australia.
Open Forum Infect Dis. 2021 Jan; 8(1):ofaa536.OF

Abstract

Background

We aimed to examine the impact of lockdown on sexually transmitted infection (STI) diagnoses and access to a public sexual health service during the coronavirus disease 2019 (COVID-19) pandemic in Melbourne, Australia.

Methods

The operating hours of Melbourne Sexual Health Centre (MSHC) remained the same during the lockdown. We examined the number of consultations and STIs at MSHC between January and June 2020 and stratified the data into prelockdown (February 3 to March 22), lockdown (March 23 to May 10), and postlockdown (May 11 to June 28), with 7 weeks in each period. Incidence rate ratios (IRRs) and their 95% confidence intervals (CI) were estimated using Poisson regression models.

Results

The total number of consultations dropped from 7818 in prelockdown to 4652 during lockdown (IRR, 0.60; 95% CI, 0.57-0.62) but increased to 5347 in the postlockdown period (IRR, 1.15; 95% CI, 1.11-1.20). There was a 68% reduction in asymptomatic screening during lockdown (IRR, 0.32; 95% CI, 0.30-0.35), but it gradually increased during the postlockdown period (IRR, 1.59; 95% CI, 1.46-1.74). Conditions with milder symptoms showed a marked reduction, including nongonococcal urethritis (IRR, 0.60; 95% CI, 0.51-0.72) and candidiasis (IRR, 0.61; 95% CI, 0.49-0.76), during lockdown compared with prelockdown. STIs with more marked symptoms did not change significantly, including pelvic inflammatory disease (IRR, 0.95; 95% CI, 0.61-1.47) and infectious syphilis (IRR, 1.14; 95% CI, 0.73-1.77). There was no significant change in STI diagnoses during postlockdown compared with lockdown.

Conclusions

The public appeared to be prioritizing their attendance for sexual health services based on the urgency of their clinical conditions. This suggests that the effectiveness of clinical services in detecting, treating, and preventing onward transmission of important symptomatic conditions is being mainly preserved despite large falls in absolute numbers of attendees.

Authors+Show Affiliations

Melbourne Sexual Health Centre, Alfred Health, Melbourne, Victoria, Australia. Central Clinical School, Monash University, Melbourne, Victoria, Australia. Melbourne School of Population and Global Health, The University of Melbourne, Melbourne, Victoria, Australia.Melbourne School of Population and Global Health, The University of Melbourne, Melbourne, Victoria, Australia.Melbourne Sexual Health Centre, Alfred Health, Melbourne, Victoria, Australia. Central Clinical School, Monash University, Melbourne, Victoria, Australia.Melbourne Sexual Health Centre, Alfred Health, Melbourne, Victoria, Australia. Central Clinical School, Monash University, Melbourne, Victoria, Australia.Melbourne Sexual Health Centre, Alfred Health, Melbourne, Victoria, Australia. Central Clinical School, Monash University, Melbourne, Victoria, Australia.

Pub Type(s)

Journal Article

Language

eng

PubMed ID

33506064

Citation

Chow, Eric P F., et al. "Sexually Transmitted Infection Diagnoses and Access to a Sexual Health Service Before and After the National Lockdown for COVID-19 in Melbourne, Australia." Open Forum Infectious Diseases, vol. 8, no. 1, 2021, pp. ofaa536.
Chow EPF, Hocking JS, Ong JJ, et al. Sexually Transmitted Infection Diagnoses and Access to a Sexual Health Service Before and After the National Lockdown for COVID-19 in Melbourne, Australia. Open Forum Infect Dis. 2021;8(1):ofaa536.
Chow, E. P. F., Hocking, J. S., Ong, J. J., Phillips, T. R., & Fairley, C. K. (2021). Sexually Transmitted Infection Diagnoses and Access to a Sexual Health Service Before and After the National Lockdown for COVID-19 in Melbourne, Australia. Open Forum Infectious Diseases, 8(1), ofaa536. https://doi.org/10.1093/ofid/ofaa536
Chow EPF, et al. Sexually Transmitted Infection Diagnoses and Access to a Sexual Health Service Before and After the National Lockdown for COVID-19 in Melbourne, Australia. Open Forum Infect Dis. 2021;8(1):ofaa536. PubMed PMID: 33506064.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Sexually Transmitted Infection Diagnoses and Access to a Sexual Health Service Before and After the National Lockdown for COVID-19 in Melbourne, Australia. AU - Chow,Eric P F, AU - Hocking,Jane S, AU - Ong,Jason J, AU - Phillips,Tiffany R, AU - Fairley,Christopher K, Y1 - 2020/11/02/ PY - 2020/09/17/received PY - 2020/10/26/accepted PY - 2021/1/28/entrez PY - 2021/1/29/pubmed PY - 2021/1/29/medline KW - Australia KW - COVID KW - coronavirus KW - health service KW - sexual health KW - sexually transmitted infections SP - ofaa536 EP - ofaa536 JF - Open forum infectious diseases JO - Open Forum Infect Dis VL - 8 IS - 1 N2 - Background: We aimed to examine the impact of lockdown on sexually transmitted infection (STI) diagnoses and access to a public sexual health service during the coronavirus disease 2019 (COVID-19) pandemic in Melbourne, Australia. Methods: The operating hours of Melbourne Sexual Health Centre (MSHC) remained the same during the lockdown. We examined the number of consultations and STIs at MSHC between January and June 2020 and stratified the data into prelockdown (February 3 to March 22), lockdown (March 23 to May 10), and postlockdown (May 11 to June 28), with 7 weeks in each period. Incidence rate ratios (IRRs) and their 95% confidence intervals (CI) were estimated using Poisson regression models. Results: The total number of consultations dropped from 7818 in prelockdown to 4652 during lockdown (IRR, 0.60; 95% CI, 0.57-0.62) but increased to 5347 in the postlockdown period (IRR, 1.15; 95% CI, 1.11-1.20). There was a 68% reduction in asymptomatic screening during lockdown (IRR, 0.32; 95% CI, 0.30-0.35), but it gradually increased during the postlockdown period (IRR, 1.59; 95% CI, 1.46-1.74). Conditions with milder symptoms showed a marked reduction, including nongonococcal urethritis (IRR, 0.60; 95% CI, 0.51-0.72) and candidiasis (IRR, 0.61; 95% CI, 0.49-0.76), during lockdown compared with prelockdown. STIs with more marked symptoms did not change significantly, including pelvic inflammatory disease (IRR, 0.95; 95% CI, 0.61-1.47) and infectious syphilis (IRR, 1.14; 95% CI, 0.73-1.77). There was no significant change in STI diagnoses during postlockdown compared with lockdown. Conclusions: The public appeared to be prioritizing their attendance for sexual health services based on the urgency of their clinical conditions. This suggests that the effectiveness of clinical services in detecting, treating, and preventing onward transmission of important symptomatic conditions is being mainly preserved despite large falls in absolute numbers of attendees. SN - 2328-8957 UR - https://www.unboundmedicine.com/medline/citation/33506064/Sexually_Transmitted_Infection_Diagnoses_and_Access_to_a_Sexual_Health_Service_Before_and_After_the_National_Lockdown_for_COVID_19_in_Melbourne_Australia_ L2 - https://academic.oup.com/ofid/article-lookup/doi/10.1093/ofid/ofaa536 DB - PRIME DP - Unbound Medicine ER -
Try the Free App:
Prime PubMed app for iOS iPhone iPad
Prime PubMed app for Android
Prime PubMed is provided
free to individuals by:
Unbound Medicine.