新冠疫情对黎巴嫩性传播感染检测与诊断的影响：一项回顾性病历审查

Impact of the COVID-19 pandemic on sexually transmitted infection testing and diagnosis in Lebanon: A retrospective chart review.

作者信息

Sunji Nadine, Boufadel Peter, Fakih Iman, Ahmad Jana Haidar, Choufani Mathieu, Habib Nabih, Rizk Jean-Paul, Yammine Ryan, Abu Zaki Sara, Assi Ayman, Abu-Raddad Laith J, Fahme Sasha, Mumtaz Ghina R

机构信息

Faculty of Medicine, American University of Beirut, Beirut, Lebanon.

Department of Epidemiology and Population Health, American University of Beirut, Beirut, Lebanon.

出版信息

Heliyon. 2024 Oct 10;10(20):e39191. doi: 10.1016/j.heliyon.2024.e39191. eCollection 2024 Oct 30.

DOI:10.1016/j.heliyon.2024.e39191

PMID:39640771

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11620255/

Abstract

BACKGROUND

Social distancing restrictions during the COVID-19 pandemic caused disruptions to sexual health services (SHS) worldwide. During the first year of the pandemic, Lebanon implemented multiple lockdowns during which SHS endured repetitive closures. We explore the impact of the pandemic on SHS delivery and the diagnosis rate of sexually transmitted infections (STIs) among attendees of a large sexual health clinic in Beirut, Lebanon.

METHODS

This was a retrospective analysis of the clinic's database, including data on voluntary counseling and testing (VCT) for HIV, syphilis, hepatitis B virus (HBV), and hepatitis C virus (HCV). We compared the number and types of services provided, and the number and rate of positive VCT diagnoses pre- (Mar 2019-Feb 2020) and post- (Mar 2020-Feb 2021) COVID-19 onset.

RESULTS

Men who have sex with men (MSM) comprised 35 % and 40 % of attendees pre- and post- COVID-19 onset, respectively. Post-COVID-19 onset, a total of 1350 VCT services and 406 medical consultations were provided, an overall 45 % decrease compared with pre-COVID-19 onset. The prevalence pre-COVID-19 onset of HIV, syphilis, HBV, and HCV was 0.8 %, 0.3 %, 0.2 %, and 0.1 %, respectively, and post-COVID-19 onset 1.2 %, 0.7 %, 0.3 %, and 0.3 %, respectively. Post-COVID-19 onset, 1.7 % of patients tested positive for any STI compared with 1.1 % pre-COVID-19 onset (OR: 1.5, 95%CI: 0.8-2.7). Close to 90 % of all positive diagnoses were among MSM. The prevalence of HIV, syphilis, HBV, and HCV among MSM in the total sample was 2.1 %, 1.2 %, 0.4 %, and 0.3 %, respectively.

CONCLUSION

COVID-19 related closures led to substantial reduction in SHS accessibility among clinic attendees. STI positivity rates increased post-COVID-19 onset, although this increase was not statistically significant. Findings suggest that sexual risk behavior was taking place during the pandemic despite the lockdowns and highlight the need to minimize disruptions in provision of SHS during similar crises, particularly to key populations.

摘要

背景

2019冠状病毒病大流行期间的社交距离限制导致全球性健康服务（SHS）中断。在大流行的第一年，黎巴嫩实施了多次封锁，在此期间性健康服务多次关闭。我们探讨了大流行对黎巴嫩贝鲁特一家大型性健康诊所的性健康服务提供情况以及就诊者中性传播感染（STIs）诊断率的影响。

方法

这是对该诊所数据库的回顾性分析，包括关于艾滋病毒、梅毒、乙型肝炎病毒（HBV）和丙型肝炎病毒（HCV）的自愿咨询和检测（VCT）数据。我们比较了2019冠状病毒病发病前（2019年3月至2020年2月）和发病后（2020年3月至2021年2月）提供的服务数量和类型，以及VCT阳性诊断的数量和比率。

结果

男男性行为者（MSM）在2019冠状病毒病发病前和发病后的就诊者中分别占35%和40%。2019冠状病毒病发病后，共提供了1350次VCT服务和406次医疗咨询，与2019冠状病毒病发病前相比总体减少了45%。2019冠状病毒病发病前艾滋病毒、梅毒、HBV和HCV的患病率分别为0.8%、0.3%、0.2%和0.1%，发病后分别为1.2%、0.7%、0.3%和0.3%。2019冠状病毒病发病后，1.7%的患者任何STI检测呈阳性，而2019冠状病毒病发病前为1.1%（比值比：1.5，95%置信区间：0.8 - 2.7）。所有阳性诊断中近90%发生在男男性行为者中。在总样本中，男男性行为者中艾滋病毒、梅毒、HBV和HCV的患病率分别为2.1%、1.2%、0.4%和0.3%。