Impact of COVID-19 Lockdowns on Sexual Health Care Utilization and STD Reporting, Maricopa County

The Maricopa County Department of Public Health (MCDPH) Sexually Transmitted Disease (STD) Clinic remained operational during a 6-week statewide Coronavirus Disease 2019 (COVID-19) Stay-at-Home Order. The present study sought to evaluate the effect of the Stay-at-Home Order on countywide STD reporti...

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Autores principales:	Jonathan Bell MPH, Stefano Canepa MPH, Stephanie Kreis BS, Melanie M. Taylor MD, MPH
Formato:	article
Lenguaje:	EN
Publicado:	SAGE Publishing 2021
Materias:	Public aspects of medicine RA1-1270
Acceso en línea:	https://doaj.org/article/26f7779e181447d5a4726c0cfa5d555a
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spelling	oai:doaj.org-article:26f7779e181447d5a4726c0cfa5d555a2021-11-15T04:33:25ZImpact of COVID-19 Lockdowns on Sexual Health Care Utilization and STD Reporting, Maricopa County0046-95801945-724310.1177/00469580211055583https://doaj.org/article/26f7779e181447d5a4726c0cfa5d555a2021-11-01T00:00:00Zhttps://doi.org/10.1177/00469580211055583https://doaj.org/toc/0046-9580https://doaj.org/toc/1945-7243The Maricopa County Department of Public Health (MCDPH) Sexually Transmitted Disease (STD) Clinic remained operational during a 6-week statewide Coronavirus Disease 2019 (COVID-19) Stay-at-Home Order. The present study sought to evaluate the effect of the Stay-at-Home Order on countywide STD reporting and uptake of sexual health services. We compared countywide daily median STD reporting and MCDPH STD clinic attendance across 3 timeframes; (1) Pre-Lockdown (01/01/2020–03/30/2020); (2) Lockdown (03/31/2020–05/15/2020); and (3) Post-Lockdown (05/16/2020–12/31/2020). STD reporting was characterized as incident chlamydia, gonorrhea, and primary and secondary syphilis. Clinic attendance was characterized as clients visiting through express testing or provider visits. Differences in STD reporting and clinic attendance were evaluated using non-parametric testing. Comparing Pre-Lockdown to Lockdown, we observed significant declines in the daily median chlamydia case reporting (−22%) and clinic express testing attendance (−29%). Comparing Lockdown to Post-Lockdown, we observed significant increases in daily median chlamydia and gonorrhea case reporting (+20%, +15%; respectively) and clinic express testing and provider visits (+42%, +20%; respectively). No significant difference was observed in countywide syphilis reporting across the 3 timeframes. Declines in STD reporting were observed countywide during the lockdown and were concurrent with declines in attendance observed at the MCDPH STD Clinic. Maintenance of clinic operations during the lockdown allowed for continued uptake of STD testing, diagnosis, treatment, and partner services. This study of sexual health care utilization at the public STD clinic in Maricopa County, Arizona, found reduced testing and provider visits contributed to lower countywide STD reporting during the Arizona COVID-19 Stay-at-Home Order.Jonathan Bell MPHStefano Canepa MPHStephanie Kreis BSMelanie M. Taylor MD, MPHSAGE PublishingarticlePublic aspects of medicineRA1-1270ENInquiry: The Journal of Health Care Organization, Provision, and Financing, Vol 58 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	Public aspects of medicine RA1-1270
spellingShingle	Public aspects of medicine RA1-1270 Jonathan Bell MPH Stefano Canepa MPH Stephanie Kreis BS Melanie M. Taylor MD, MPH Impact of COVID-19 Lockdowns on Sexual Health Care Utilization and STD Reporting, Maricopa County
description	The Maricopa County Department of Public Health (MCDPH) Sexually Transmitted Disease (STD) Clinic remained operational during a 6-week statewide Coronavirus Disease 2019 (COVID-19) Stay-at-Home Order. The present study sought to evaluate the effect of the Stay-at-Home Order on countywide STD reporting and uptake of sexual health services. We compared countywide daily median STD reporting and MCDPH STD clinic attendance across 3 timeframes; (1) Pre-Lockdown (01/01/2020–03/30/2020); (2) Lockdown (03/31/2020–05/15/2020); and (3) Post-Lockdown (05/16/2020–12/31/2020). STD reporting was characterized as incident chlamydia, gonorrhea, and primary and secondary syphilis. Clinic attendance was characterized as clients visiting through express testing or provider visits. Differences in STD reporting and clinic attendance were evaluated using non-parametric testing. Comparing Pre-Lockdown to Lockdown, we observed significant declines in the daily median chlamydia case reporting (−22%) and clinic express testing attendance (−29%). Comparing Lockdown to Post-Lockdown, we observed significant increases in daily median chlamydia and gonorrhea case reporting (+20%, +15%; respectively) and clinic express testing and provider visits (+42%, +20%; respectively). No significant difference was observed in countywide syphilis reporting across the 3 timeframes. Declines in STD reporting were observed countywide during the lockdown and were concurrent with declines in attendance observed at the MCDPH STD Clinic. Maintenance of clinic operations during the lockdown allowed for continued uptake of STD testing, diagnosis, treatment, and partner services. This study of sexual health care utilization at the public STD clinic in Maricopa County, Arizona, found reduced testing and provider visits contributed to lower countywide STD reporting during the Arizona COVID-19 Stay-at-Home Order.
format	article
author	Jonathan Bell MPH Stefano Canepa MPH Stephanie Kreis BS Melanie M. Taylor MD, MPH
author_facet	Jonathan Bell MPH Stefano Canepa MPH Stephanie Kreis BS Melanie M. Taylor MD, MPH
author_sort	Jonathan Bell MPH
title	Impact of COVID-19 Lockdowns on Sexual Health Care Utilization and STD Reporting, Maricopa County
title_short	Impact of COVID-19 Lockdowns on Sexual Health Care Utilization and STD Reporting, Maricopa County
title_full	Impact of COVID-19 Lockdowns on Sexual Health Care Utilization and STD Reporting, Maricopa County
title_fullStr	Impact of COVID-19 Lockdowns on Sexual Health Care Utilization and STD Reporting, Maricopa County
title_full_unstemmed	Impact of COVID-19 Lockdowns on Sexual Health Care Utilization and STD Reporting, Maricopa County
title_sort	impact of covid-19 lockdowns on sexual health care utilization and std reporting, maricopa county
publisher	SAGE Publishing
publishDate	2021
url	https://doaj.org/article/26f7779e181447d5a4726c0cfa5d555a
work_keys_str_mv	AT jonathanbellmph impactofcovid19lockdownsonsexualhealthcareutilizationandstdreportingmaricopacounty AT stefanocanepamph impactofcovid19lockdownsonsexualhealthcareutilizationandstdreportingmaricopacounty AT stephaniekreisbs impactofcovid19lockdownsonsexualhealthcareutilizationandstdreportingmaricopacounty AT melaniemtaylormdmph impactofcovid19lockdownsonsexualhealthcareutilizationandstdreportingmaricopacounty
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Impact of COVID-19 Lockdowns on Sexual Health Care Utilization and STD Reporting, Maricopa County

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