Lee Gillian J, Wendel Karen A, Riba Adrean, Weingarten Lawrence, Trolard Anne, Anderson Teri S, Burnside Helen, Reno Hilary
Sex Transm Dis. 2025 Aug 1;52(8):470-474. doi: 10.1097/OLQ.0000000000002155. Epub 2025 Mar 4.
Sexually transmitted infection (STI) rates continue to increase nationally, with more STIs diagnosed outside of traditional STI clinics. Collective impact groups that harness the power of collaboration among diverse community stakeholders have had demonstrated success in supporting local efforts in HIV prevention and addressing specific community gaps. We describe the efforts of 2 jurisdictional collective impact groups, the St. Louis STI Regional Response Coalition (STIRR) and the Denver Metro STI Coalition (DMSC), to combat their regional STI epidemics.
Both STIRR and DMSC serve multiple counties (STIRR, 12; DMSC, 5) and have diverse member organizations including health departments, academic medical and community health centers, and community-based organizations (STIRR, 25; DMSC, 22). They also have a broad membership base (STIRR, 50; DMSC, 107). Coordination of these groups is supported by state and institutional funding as well as by staff from the Centers for Disease Control and Prevention regional STI Clinical Prevention Training Centers.
Outcomes from the STIRR and DMSC include assessments of client STI services, consultation on health department STI data dashboards, development of regional prevention strategies, dissemination of standards of care and best practices for providers, and collaboration with local HIV prevention Fast Track Cities Initiatives. Products to support health care staff and community members in STI prevention and care are posted on each group's website.
Both STIRR and DMSC demonstrate the feasibility of using the collective impact model to address jurisdictional STI epidemics. Expansion of community engagement and sustained funding are needed to fully realize the potential of such collaborative groups in addressing the US STI epidemic.
性传播感染（STI）发病率在全国范围内持续上升，越来越多的性传播感染在传统性传播感染诊所之外被诊断出来。利用不同社区利益相关者之间合作力量的集体影响团体已在支持当地的艾滋病预防工作和弥补特定社区差距方面取得了显著成效。我们描述了两个辖区集体影响团体，即圣路易斯性传播感染区域应对联盟（STIRR）和丹佛都会区性传播感染联盟（DMSC），为抗击其区域内性传播感染疫情所做的努力。
STIRR和DMSC均服务于多个县（STIRR为12个，DMSC为5个），拥有包括卫生部门、学术医疗和社区卫生中心以及社区组织在内的多元化成员组织（STIRR有25个，DMSC有22个）。它们还拥有广泛的会员基础（STIRR有50个，DMSC有107个）。这些团体的协调工作得到了州和机构资金的支持，以及疾病控制与预防中心区域性传播感染临床预防培训中心工作人员的支持。
STIRR和DMSC的成果包括对客户性传播感染服务的评估、卫生部门性传播感染数据仪表板的咨询、区域预防策略的制定、向提供者传播护理标准和最佳实践，以及与当地艾滋病预防快速通道城市倡议的合作。支持医护人员和社区成员进行性传播感染预防和护理的产品发布在每个团体的网站上。
STIRR和DMSC都证明了使用集体影响模型来应对辖区性传播感染疫情的可行性。需要扩大社区参与并提供持续资金，以充分发挥此类合作团体在美国应对性传播感染疫情方面的潜力。
