Sexually transmitted infections, the epidemic that persists after the COVID-19 pandemic: an analysis of the primary care electronic health records covering about 5 million people in Catalonia

IF 3.2 3区 医学 Q1 MEDICINE, GENERAL & INTERNAL
Carolina Guiriguet, Mireia Alberny, Núria Mora, Oriol Rebagliato, Carme Roca, Francesc Fina, Mireia Fàbregas, Mència Benítez, Mariam de la Poza, Manuel Medina, Souhel Flayeh, David Pedrazas, Montserrat Sabatés, Ermengol Coma
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引用次数: 0

Abstract

The aim of our study is to analyse the trends in the diagnosis of sexually transmitted infections (STIs) during the COVID-19 pandemic. We conducted an observational retrospective population-based study using data from primary care electronic health records spanning from January 2016 to December 2022 (involving 5.1 million people older than 14 years). We described the daily number of new STI diagnoses from 2016 to 2022; as well as the monthly accumulation of new STI diagnoses for each year. We compared the monthly averages of new diagnoses in 2019, 2020, 2021 and 2022 using the T-test. Finally, we performed a segmented regression analysis of the daily number of STI diagnoses. We analysed 200,676 new STI diagnoses. The number of diagnoses abruptly decreased coinciding with the lockdown. Overall in 2020, we observed a reduction of 15%, with higher reductions for specific STIs such as gonorrhoea (-21%), chlamydia (-24%), and HIV (-31%) compared to 2019. Following this drastic drop, which was temporarily associated with the lockdown, we observed a rapid rebound. In 2021, the number of STI diagnoses was similar to that of 2019. Notably, we found a considerable increase in 2022, particularly for non-specific STI, which lack laboratory confirmation (67% increase). HIV was the only STI with a reduction of up to -38% in diagnoses at the end of 2022 compared to 2019. After a significant reduction in 2020, the number of STIs recorded in primary care rapidly rebounded, and the current trend is similar to that of 2019, except for HIV. These findings underscore the dynamic impact of the COVID-19 pandemic on STI diagnoses and highlight the importance of ongoing monitoring and public health interventions in the post-pandemic period.
性传播感染,COVID-19 大流行后持续存在的流行病:对加泰罗尼亚地区约 500 万人的初级保健电子健康记录的分析
我们的研究旨在分析 COVID-19 大流行期间性传播感染 (STI) 诊断的趋势。我们利用 2016 年 1 月至 2022 年 12 月期间的初级保健电子健康记录数据(涉及 510 万 14 岁以上人群)开展了一项基于人群的观察性回顾研究。我们描述了 2016 年至 2022 年期间每天新诊断出的性传播疾病数量,以及每年新诊断出的性传播疾病的月累计数量。我们使用 T 检验比较了 2019 年、2020 年、2021 年和 2022 年新诊断病例的月平均值。最后,我们对每日性传播感染诊断数进行了分段回归分析。我们分析了 200 676 例新的性传播感染诊断。诊断数量在封锁期间突然下降。与 2019 年相比,2020 年总体下降了 15%,其中淋病(-21%)、衣原体(-24%)和艾滋病毒(-31%)等特定性传播感染的下降幅度更大。在这一与封锁暂时相关的急剧下降之后,我们观察到了快速反弹。2021 年,性传播感染的诊断数量与 2019 年相似。值得注意的是,我们发现 2022 年出现了大幅增长,尤其是缺乏实验室确认的非特异性 STI(增长了 67%)。与 2019 年相比,艾滋病毒是 2022 年底诊断人数减少达-38%的唯一一种性传播感染。在 2020 年大幅减少之后,初级保健中记录的性传播感染数量迅速回升,目前的趋势与 2019 年相似,但艾滋病毒除外。这些发现强调了 COVID-19 大流行对性传播感染诊断的动态影响,并突出了在大流行后时期持续监测和公共卫生干预的重要性。
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来源期刊
BMC Family Practice
BMC Family Practice 医学-医学:内科
CiteScore
3.20
自引率
0.00%
发文量
0
审稿时长
4-8 weeks
期刊介绍: BMC Family Practice is an open access, peer-reviewed journal that considers articles on all aspects of primary health care research. The journal has a special focus on clinical decision making and management, continuing professional education, service utilization, needs and demand, and the organization and delivery of primary care and care in the community.
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