Hernandez Christopher Justin, Trujillo Dillon, Tate Moranda, Baguso Glenda, Quintana Jerry, McNaughten Katherine C, Jain Jennifer P, Santos Glenn-Milo, Arayasirikul Sean, McFarland Willi, Wilson Erin C
David Geffen School of Medicine at UCLA, Los Angeles, CA, USA.
Center for Public Health Research, Department of Public Health, San Francisco, USA.
AIDS Behav. 2025 Apr;29(4):1352-1361. doi: 10.1007/s10461-024-04608-4. Epub 2025 Jan 11.
Men who have sex with men (MSM) are disproportionately affected by sexually transmitted infections, a disparity that has only worsened in recent years. During the COVID-19 pandemic, an overall increasing trend remained.
We utilized data from the MSM cycle of the National HIV Behavioral Surveillance (NHBS) study in San Francisco, California, conducted from June 2021 through December 2021, to identify socio-ecological disruptions during the COVID-19 pandemic that were associated with sexually transmitted infections.
In total, 505 participants were surveyed, and approximately 24% of the participants reported having been diagnosed with an STI infection within the past 12 months. In the adjusted Poisson regression models, socio-ecologic factors that were independently associated with STI infection included barriers to STI testing due to COVID-19 (aRR 1.62, 95% CI 1.18-2.23), sex with partners part of small social circles/pods (aRR 2.41, 95% CI 1.41-4.12), sex with partners whose risk for COVID-19 was not known (aRR 3.53, 95% CI 2.05-6.06), and an increase or relapse in recreational substance use (aRR 2.01, 95% CI 1.49-2.72).
These findings indicate the importance of enacting comprehensive policies that not only address an ongoing global pandemic but also consider its potential effects on other public health epidemics, such as sexually transmitted infections among men who have sex with men.
男男性行为者（MSM）受性传播感染的影响尤为严重，这种差距在近年来愈发恶化。在新冠疫情期间，总体呈上升趋势。
我们利用了2021年6月至2021年12月在加利福尼亚州旧金山进行的全国艾滋病毒行为监测（NHBS）研究中MSM周期的数据，以确定新冠疫情期间与性传播感染相关的社会生态干扰因素。
总共对505名参与者进行了调查，约24%的参与者报告在过去12个月内被诊断患有性传播感染。在调整后的泊松回归模型中，与性传播感染独立相关的社会生态因素包括因新冠疫情导致的性传播感染检测障碍（调整后风险比1.62，95%置信区间1.18 - 2.23）、与属于小社交圈子/群组的伴侣发生性行为（调整后风险比2.41，95%置信区间1.41 - 4.12）、与新冠疫情风险未知的伴侣发生性行为（调整后风险比3.53，95%置信区间2.05 - 6.06）以及娱乐性物质使用增加或复发（调整后风险比2.01，95%置信区间1.49 - 2.72）。
这些发现表明制定全面政策的重要性，这些政策不仅要应对持续的全球疫情，还要考虑其对其他公共卫生流行病的潜在影响，例如男男性行为者中的性传播感染。
