scholarly journals P236 Examining the impact of the UK’s COVID-19 public health response on sexual behaviour and health service use among MSM

2021 ◽  
Author(s):  
A Howarth ◽  
J Saunders ◽  
D Reid ◽  
I Kelly ◽  
S Wayal ◽  
...  
Keyword(s):  
Public Health ◽  
Health Service ◽  
Sexual Behaviour ◽  
Service Use ◽  
Health Service Use ◽  
Public Health Response ◽  
Health Response ◽  
The Impact

scholarly journals ‘Stay at home …’: exploring the impact of the COVID-19 public health response on sexual behaviour and health service use among men who have sex with men: findings from a large online survey in the UK

2021 ◽  
pp. sextrans-2021-055039
Author(s):  
Alison R Howarth ◽  
John Saunders ◽  
David Reid ◽  
Isabelle Kelly ◽  
Sonali Wayal ◽  
...  
Keyword(s):  
Public Health ◽  
Sexual Behaviour ◽  
Service Use ◽  
Health Planning ◽  
Unmet Need ◽  
Public Health Response ◽  
Sti Testing ◽  
Sex With Men ◽  
The Uk ◽  
The Impact

ObjectivesThe first UK national lockdown began on 23 March 2020, in response to the COVID-19 pandemic, and led to reduced STI/HIV service provision in the UK. We investigated sexual behaviour, use and need for sexual healthcare during the pandemic.MethodsParticipants (N=2018), including men (cis/transgender), transwomen and gender-diverse people reporting sex with another man (cis/transgender) or non-binary person assigned male at birth, completed an online cross-sectional survey (23 June 2020–14 July 2020), in response to adverts on social media and dating apps.Sexual behaviour, service use and unmet need for STI testing (any new male and/or multiple condomless anal sex (CAS) partners without STI testing) in the 3 months since lockdown began were examined and compared using multivariable analyses with an equivalent 3-month period in a 2017 survey (N=1918), conducted by the same research team.ResultsSince lockdown began, 36.7% of participants reported one or more new partners, 17.3% reported CAS with multiple partners, 29.7% HIV testing (among 1815 of unknown/negative status), 24.9% STI testing and 15.4% using pre-exposure prophylaxis (PrEP).Since lockdown began, 25.3% of participants had unmet need for STI testing. This was more likely among Asian versus white participants (adjusted OR (aOR)=1.76, (1.14 to 2.72), p=0.01); for participants living in Scotland (aOR=2.02, (1.40 to 2.91), p<0.001) or Northern Ireland (aOR=1.93, (1.02–3.63), p=0.04) versus England; and for those living with HIV (aOR=1.83, (1.32 to 2.53), p<0.001).Compared to 2017, the equivalent 2020 subsample were less likely to report new male partners (46.8% vs 71.1%, p<0.001), multiple CAS partners (20.3% vs 30.8%, p<0.001) and have unmet need for STI testing (32.8% vs 42.5%, p<0.001) in the past 3 months.ConclusionsWe found potential for ongoing STI/HIV transmission among men who have sex with men during the initial UK lockdown, despite reduced sexual activity, and inequalities in service access. These findings will support public health planning to mitigate health risks during and after the COVID-19 response.

scholarly journals Effect of COVID-19 on childhood Mycoplasma pneumoniae infection in Chengdu, China

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Ying Zhang ◽  
Yijie Huang ◽  
Tao Ai ◽  
Jun Luo ◽  
Hanmin Liu
Keyword(s):  
Public Health ◽  
Mycoplasma Pneumoniae ◽  
Close Contact ◽  
Serum Antibody ◽  
Pathogen Transmission ◽  
Western China ◽  
Public Health Response ◽  
The Public ◽  
Health Response ◽  
The Impact

Abstract Background Following the outbreak of the COVID-19 pandemic, a change in the incidence and transmission of respiratory pathogens was observed. Here, we retrospectively analyzed the impact of COVID-19 on the epidemiologic characteristics of Mycoplasma pneumoniae infection among children in Chengdu, one of the largest cities of western China. Method M. pneumoniae infection was diagnosed in 33,345 pediatric patients with respiratory symptoms at the Chengdu Women’s & Children’s Central Hospital between January 2017 and December 2020, based on a serum antibody titer of ≥1:160 measured by the passive agglutination assay. Differences in infection rates were examined by sex, age, and temporal distribution. Results Two epidemic outbreaks occurred between October-December 2017 and April-December 2019, and two infection peaks were detected in the second and fourth quarters of 2017, 2018, and 2019. Due to the public health response to COVID-19, the number of positive M. pneumoniae cases significantly decreased in the second quarter of 2020. The number of M. pneumoniae infection among children aged 3–6 years was higher than that in other age groups. Conclusions Preschool children are more susceptible to M. pneumoniae infection and close contact appears to be the predominant factor favoring pathogen transmission. The public health response to COVID-19 can effectively control the transmission of M. pneumoniae.

scholarly journals Risky Alcohol Use: The Impact on Health Service Use

2018 ◽  
Vol 24 (5) ◽  
pp. 234-244 ◽  
Author(s):  
Laia Miquel ◽  
Jakob Manthey ◽  
Jürgen Rehm ◽  
Emili Vela ◽  
Montserrat Bustins ◽  
...  
Keyword(s):  
Alcohol Use ◽  
Health Service ◽  
Service Use ◽  
Health Service Use ◽  
Risky Alcohol ◽  
The Impact

scholarly journals Assessing the Impact of COVID-19 Public Health Stages on Paediatric Emergency Attendance

2020 ◽  
Vol 17 (18) ◽  
pp. 6719 ◽  
Author(s):  
Thérèse McDonnell ◽  
Emma Nicholson ◽  
Ciara Conlon ◽  
Michael Barrett ◽  
Fergal Cummins ◽  
...  
Keyword(s):  
Public Health ◽  
Chronic Conditions ◽  
Living Conditions ◽  
Response Strategy ◽  
Public Health Response ◽  
The Public ◽  
Complex Chronic Conditions ◽  
Paediatric Emergency ◽  
Health Response ◽  
The Impact

This study outlines the impact of COVID-19 on paediatric emergency department (ED) utilisation and assesses the extent of healthcare avoidance during each stage of the public health response strategy. Records from five EDs and one urgent care centre in Ireland, representing approximately 48% of national annual public paediatric ED attendances, are analysed to determine changes in characteristics of attendance during the three month period following the first reported COVID-19 case in Ireland, with reference to specific national public health stages. ED attendance reduced by 27–62% across all categories of diagnosis in the Delay phase and remained significantly below prior year levels as the country began Phase One of Reopening, with an incident rate ratio (IRR) of 0.58. The decrease was predominantly attributable to reduced attendance for injury and viral/viral induced conditions resulting from changed living conditions imposed by the public health response. However, attendance for complex chronic conditions also reduced and had yet to return to pre-COVID levels as reopening began. Attendances referred by general practitioners (GPs) dropped by 13 percentage points in the Delay phase and remained at that level. While changes in living conditions explain much of the decrease in overall attendance and in GP referrals, reduced attendance for complex chronic conditions may indicate avoidance behaviour and continued surveillance is necessary.

scholarly journals The impact of the initial public health response to COVID-19 on swine health surveillance in Ontario

One Health ◽  
2021 ◽  
pp. 100338
Author(s):  
Tatiana Petukhova ◽  
David L. Pearl ◽  
Maria Spinato ◽  
Jim Fairles ◽  
Murray Hazlett ◽  
...  
Keyword(s):  
Public Health ◽  
Health Surveillance ◽  
Public Health Response ◽  
Health Response ◽  
The Impact

scholarly journals The impact of Thailand's public health response to the HIV epidemic 1984–2015: understanding the ingredients of success

2016 ◽  
Vol 2 ◽  
pp. 7-14 ◽  
Author(s):  
Taweesap Siraprapasiri ◽  
Sumet Ongwangdee ◽  
Patchara Benjarattanaporn ◽  
Wiwat Peerapatanapokin ◽  
Mukta Sharma
Keyword(s):  
Public Health ◽  
Public Health Response ◽  
Hiv Epidemic ◽  
Health Response ◽  
The Impact

H1N1 in the ‘A1 Empire’: Pandemic Influenza, Military Medicine, and the British Transition from War to Peace, 1918–1920

2018 ◽  
Vol 33 (2) ◽  
pp. 604-621
Author(s):  
James J Harris
Keyword(s):  
Public Health ◽  
Influenza Pandemic ◽  
Military Medicine ◽  
Public Health Response ◽  
Leading Role ◽  
Health Response ◽  
War Effort ◽  
History Of ◽  
Post War ◽  
The Impact

Summary The article reexamines the history of the 1918–19 influenza pandemic to better place it in its war-time context. Using Britain as a case study, the essay examines how British military medicine took a leading role in studying and developing a (still largely ineffective) public health response to the epidemic, whereas domestic public health leaders did almost nothing to stem the spread of the pandemic due to the impact measures such as quarantine would have had on the war effort. The article ends by briefly considering how the pandemic affected efforts to restore Britain to ‘normalcy’ during the immediate post-war recovery. In so doing, this essay further argues how it is essential to consider the deep connections between the Great War and the influenza pandemic not simply as concurrent or consecutive crises, but more deeply intertwined.

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