Rebound in sexually transmitted infections after the COVID-19 pandemic.

IF 1.9 4区 医学 Q4 IMMUNOLOGY AIDS reviews Pub Date : 2023-01-01 DOI:10.24875/AIDSRev.23000015
Vicente Soriano, Hilario Blasco-Fontecilla, Lucía Gallego, José V Fernández-Montero, Carmen de Mendoza, Pablo Barreiro
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引用次数: 1

Abstract

Sexually transmitted infections (STIs) have become the second in the global rating of infectious diseases after respiratory infections. Globally, over 1 million, new STI is diagnosed every day. Although four conditions are the most representative and of obligatory declaration (gonorrhea, syphilis, chlamydia, and human immunodeficiency virus [HIV]), there are many other prevalent STI, including trichomona, herpes simplex, papillomavirus, and viral hepatitis. Herein, we perform a narrative and retrospective review, analyzing information from public databases from distinct Spanish government institutions. STI significantly declined in Spain during 2020 as a result of lockdown and social isolation measures dictated in response to the COVID-19 pandemic. After releasing restrictions, a major STI rebound occurred in 2021. Increases were 49% for gonorrhea, 45% for HIV, 39% for chlamydia, and 32% for syphilis. Based on nationwide statistics, we build a narrative review of the recent STI surge after COVID-19. In summary, we propose a holistic approach to confront the current re-emergence of STI. On one hand, new innovative medical advances must be implemented, including new rapid tests, novel vaccines, pre-exposure prophylaxis beyond HIV, and long-acting antivirals. On the other hand, information to citizens needs to be reformulated with interventions aimed to build a healthier society, alike it has been undertaken with tobacco, alcohol, diet, and lifestyle. STI determines important sexual, reproductive, and maternal-child health consequences. To promote human well-being or flourishing, the education of adolescents and young adults should be aligned with human ecology. Therefore, it is urgent to address new approaches in sexual health that represent a clear benefit for individual persons and society. In this way, favoring a cultural evolution aimed to delay the age of first sexual intercourse and the avoidance of multiple sex partners should be prioritized.

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新冠肺炎大流行后性传播感染的反弹。
性传播感染(STIs)已成为全球传染病排名中仅次于呼吸道感染的第二位。在全球范围内,每天有超过100万例新的STI被确诊。尽管四种情况是最具代表性和强制性的(淋病、梅毒、衣原体和人类免疫缺陷病毒),但还有许多其他流行的STI,包括滴虫、单纯疱疹、乳头瘤病毒和病毒性肝炎。在此,我们进行了叙述性和回顾性审查,分析了西班牙不同政府机构公共数据库中的信息。2020年,由于为应对新冠肺炎疫情而采取的封锁和社会隔离措施,西班牙的STI显著下降。在解除限制后,2021年STI出现大幅反弹。淋病增加49%,艾滋病毒增加45%,衣原体增加39%,梅毒增加32%。根据全国统计数据,我们对新冠肺炎后最近STI激增进行了叙述性回顾。总之,我们提出了一种全面的方法来应对当前科技创新的重新出现。一方面,必须实施新的创新医学进步,包括新的快速检测、新的疫苗、艾滋病毒以外的暴露前预防和长效抗病毒药物。另一方面,需要重新制定向公民提供的信息,并采取干预措施,以建立一个更健康的社会,就像在烟草、酒精、饮食和生活方式方面一样。STI决定了重要的性、生殖和母婴健康后果。为了促进人类福祉或繁荣,青少年和年轻人的教育应该与人类生态相一致。因此,迫切需要解决性健康方面的新方法,这些方法对个人和社会都有明显的好处。通过这种方式,应该优先考虑支持旨在推迟首次性交年龄和避免多重性伴侣的文化进化。
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来源期刊
AIDS reviews
AIDS reviews 医学-传染病学
CiteScore
3.40
自引率
4.50%
发文量
41
审稿时长
>12 weeks
期刊介绍: AIDS Reviews publishes papers reporting original scientific, clinical, epidemiologic and social research which contribute to the overall knowledge of the field of the acquired immunodeficiency syndrome and human retrovirology. Currently, the Journal publishes review articles (usually by invitation, but spontaneous submitted articles will also be considered). Manuscripts submitted to AIDS Reviews will be accepted on the understanding that the authors have not submitted the paper to another journal or published the material elsewhere.
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