Population-Level Outcomes of Partner Notification Among Gay, Bisexual, and Other Men Who Report Sex With Men Diagnosed With Infectious Syphilis in British Columbia, Canada

Lukac, Christine D; Consolacion, Theodora; Ryan, Venessa; Cumming, Emma; Mercado, Janyn; Ford, Geoffrey; Gilbert, Mark; Grennan, Troy; Wong, Jason; Nurses, Bccdc Syphilis

doi:10.1097/olq.0000000000001477

Cited by 3 publications

(4 citation statements)

References 20 publications

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“…Hence, our PN outcome results are likely underestimates. For example, we have previously reported higher PN outcomes for syphilis cases in men who have sex with men in BC (higher proportions of partners notified, tested, and/or treated), which reflects STI nurses taking a much more active role in notifying partners and ensuring testing or treatment for syphilis cases 27 . Our study emphasizes the ongoing real-world challenges in PN and ascertainment of PN outcomes for STBBI.…”

Section: Discussionmentioning

confidence: 57%

“…For example, we have previously reported higher PN outcomes for syphilis cases in men who have sex with men in BC (higher proportions of partners notified, tested, and/or treated), which reflects STI nurses taking a much more active role in notifying partners and ensuring testing or treatment for syphilis cases. 27 Our study emphasizes the ongoing real-world challenges in PN and ascertainment of PN outcomes for STBBI. In addition, a time component was not measured for the outcomes in this analysis restricting us from commenting on differences between GetCheckedOnline and clinic cases pertaining to the time to treatment or engagement in PN.…”

Section: Discussionmentioning

confidence: 86%

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Treatment and partner notification outcomes for clients diagnosed with chlamydia and gonorrhea through GetCheckedOnline compared to sexually transmitted infection clinics in British Columbia, Canada

et al. 2022

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Background: Whether treatment, engagement in partner notification (PN), and PN outcomes differ between clients of Internet-based and clinic-based testing services is poorly understood. We compared these outcomes between people diagnosed with chlamydia and/or gonorrhea (CT/GC) through a sexually transmitted infection (STI) clinic service and GetCheckedOnline (GCO), an Internet-based testing service in British Columbia. Methods:We conducted a retrospective matched cohort study among CT/GC cases where each case diagnosed through GCO in 2016 to 2017 was matched to 2 STI clinic cases by diagnosis, sex, age group, and specimen collection date. Data were collected through chart review, with outcomes compared using appropriate statistical tests. Results: Of 257 GCO and 514 matched clinic cases, case treatment was high and did not differ between GCO (254 of 257 [98.9%]) and clinic (513 of 514 [99.8%]) cases, as was engagement in PN (250 of 257 [97.2%] vs. 496 of 514 [96.5%]). There was no difference in the proportion of notified partners between GCO (159 of 270 [58.9%]) and clinic (253 of 435 [58.2%]) cases, although a greater proportion of partners reported by clinic cases were notified by STI nurses (43 of 435 [9.9%]) versus GCO cases (6 of 270 [2.2%]).Conclusions: GetCheckedOnline clients diagnosed with CT/GC demonstrated similar treatment uptake and engagement in PN to clinic clients, and PN outcomes did not differ. The greater reliance on STI clinic nurses for PN among clinic clients may be related to having had an initial in-person testing visit.

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Section: Discussionmentioning

confidence: 57%

Section: Discussionmentioning

confidence: 86%

Treatment and partner notification outcomes for clients diagnosed with chlamydia and gonorrhea through GetCheckedOnline compared to sexually transmitted infection clinics in British Columbia, Canada

et al. 2022

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“…Moreover, MSM carry a disparate burden of HIV in the United States, comprising two-thirds of incident cases nationally 5 . Concurrent with rising rates of STIs and their concentration among MSM, repeat infections are more common 6,7 and known to be associated with risk of subsequent HIV acquisition 8,9 …”

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confidence: 99%

“…4 Moreover, MSM carry a disparate burden of HIV in the United States, comprising two-thirds of incident cases nationally. 5 Concurrent with rising rates of STIs and their concentration among MSM, repeat infections are more common 6,7 and known to be associated with risk of subsequent HIV acquisition. 8,9 Since the mid-20th century, health departments around the United States have used partner services (PS) to control the spread of HIV and STIs.…”

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confidence: 99%

Previous Sexually Transmitted Infections and Partner Services Interviews as Predictors of Subsequent Interview Completion Among Cisgender MSM: Partner Services Fatigue?

et al. 2023

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Background Anecdotal reports suggest that partner services (PS) are less successful among people with repeat sexually transmitted infection (STI) diagnoses and/or previous PS interactions. We examine whether having repeated STI diagnoses and/or PS interactions is associated with PS outcomes among men who have sex with men (MSM). Methods With STI surveillance and PS data for MSM diagnosed with gonorrhea, chlamydia, and/or syphilis from 2007 to 2018, in King County, WA, we used Poisson regression models to examine the relationships between PS outcomes (e.g., completing a PS interview and providing identifying information for a contact) with (1) number of previous STI case episodes and (2) number of previous PS interviews completed. Results Of the 18,501 MSM STI case patients initiated for interview in the analytic period (2011–2018), 13,232 (72%) completed a PS interview, and 8,030 (43%) had at least 1 prior PS interview. The proportion of initiated cases successfully interviewed declined from 71% among those with no previous PS interview to 66% among those with ≥3 prior interviews. Similarly, the proportion of interviews with ≥1 partner identified declined with greater numbers of previous PS interviews (from 46% [0 interviews] to 35% [≥3 interviews]). In multivariate models, having ≥1 prior PS interview was negatively associated with completing a subsequent interview and providing partner locating information. Conclusions Having a history of STI PS interviews is associated with less PS engagement among MSM. New approaches to PS should be explored to address the growing epidemic of STIs among MSM.

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Impact of the COVID-19 Pandemic on Chlamydia, Gonorrhea, and Pelvic Inflammatory Disease Encounters in a United States Uniformed Service Female Beneficiary Population

Lehto,

Susi,

Prabhakar

et al. 2024

Military Medicine

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Introduction We sought to evaluate the impact of the COVID-19 pandemic on trends in chlamydia, gonorrhea, and pelvic inflammatory disease (PID) encounter rates within the Military Health System. Materials and Methods This cross-sectional study queried electronic health records of 18- to 44-year-old female active duty service members and dependents during the pre-pandemic period (January 2018–February 2020), pandemic period 1 (March 2020–March 2021), and pandemic period 2 (April 2021–April 2022). We calculated monthly chlamydia, gonorrhea, and PID encounter rates using ICD-10 codes. We used change point analysis for trends in encounter rates and Poisson regression for differences in rates by age, active duty status, military rank, TRICARE region, and pandemic period. Results There were 36,102, 7,581, and 16,790 unique individuals with chlamydia, gonorrhea, and PID encounters, respectively, over the pre-pandemic and pandemic time frames. Chlamydia and gonorrhea encounter rates were highest in ages 18 to 19, in active duty service members, and junior enlisted compared to senior enlisted and officer sponsor rank. Chlamydia and gonorrhea encounter rates varied by TRICARE region. Chlamydia encounter rates were lower in both pandemic periods 1 and 2 compared to the pre-pandemic period, whereas gonorrhea encounter rates were lower only in pandemic period 2 compared to the pre-pandemic period. Trend analysis showed monthly chlamydia encounter rates did not significantly change from January 2018 through August 2020, and then decreased 2.4% monthly through the remainder of the study period (P < .05). Gonorrhea encounter rates did not significantly change from the beginning of the study period through February 2021 and then declined 1.9% monthly through the remainder of the study period (P < .05). Pelvic inflammatory disease encounter rates were highest in ages 18 to 19 and 20 to 24, in the TRICARE North region compared to the South region, in active duty service members compared to non-active duty, and in junior enlisted compared to senior enlisted and officer sponsor rank. Pelvic inflammatory disease encounter rates were lower in pandemic periods 1 and 2 compared to the pre-pandemic period. Pelvic inflammatory disease encounter rates declined 8.0% monthly from January 2020 through April 2020 (P < .05), followed by a 11.0% monthly increase from May 2020 through July 2020 (P < .05) and a 0.9% monthly decrease for the remainder of the study period (P < .05). Conclusions Chlamydia, gonorrhea, and PID encounter rates in the Military Health System all declined in the pandemic period. Pelvic inflammatory disease was most influenced by the pandemic onset as demonstrated by an immediate decline in encounter rates followed by an increase several months into the pandemic. Young age, active duty, and junior enlisted status were associated with higher chlamydia, and gonorrhea, and PID encounter rates over the pre-pandemic and pandemic time frames. Lower encounter rates during the pandemic may be related to decreased access to health care services, reduced screening for sexually transmitted infections, or changes in sexual behavior. The less profound decline in gonorrhea encounter rates likely reflects the more symptomatic nature of gonorrhea compared to chlamydia. TRICARE regional differences varied for chlamydia, gonorrhea, and PID encounters.

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Population-Level Outcomes of Partner Notification Among Gay, Bisexual, and Other Men Who Report Sex With Men Diagnosed With Infectious Syphilis in British Columbia, Canada

Cited by 3 publications

References 20 publications

Treatment and partner notification outcomes for clients diagnosed with chlamydia and gonorrhea through GetCheckedOnline compared to sexually transmitted infection clinics in British Columbia, Canada

Treatment and partner notification outcomes for clients diagnosed with chlamydia and gonorrhea through GetCheckedOnline compared to sexually transmitted infection clinics in British Columbia, Canada

Previous Sexually Transmitted Infections and Partner Services Interviews as Predictors of Subsequent Interview Completion Among Cisgender MSM: Partner Services Fatigue?

Impact of the COVID-19 Pandemic on Chlamydia, Gonorrhea, and Pelvic Inflammatory Disease Encounters in a United States Uniformed Service Female Beneficiary Population

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