{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,10,9]],"date-time":"2025-10-09T06:35:00Z","timestamp":1759991700809,"version":"3.37.3"},"reference-count":43,"publisher":"Oxford University Press (OUP)","issue":"1","license":[{"start":{"date-parts":[[2022,2,16]],"date-time":"2022-02-16T00:00:00Z","timestamp":1644969600000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"funder":[{"DOI":"10.13039\/100000030","name":"Centers for Disease Control and Prevention","doi-asserted-by":"publisher","award":["1U01PS005171-01"],"award-info":[{"award-number":["1U01PS005171-01"]}],"id":[{"id":"10.13039\/100000030","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2022,8,24]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>The impact of coronavirus disease 2019 (COVID-19) mitigation measures on sexually transmitted infection (STI) transmission and racial disparities remains unknown. Our objectives were to compare sex and drug risk behaviors, access to sexual health services, and STI positivity overall and by race during the COVID-19 pandemic compared with pre-pandemic among urban sexual minority men (MSM).<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Sexually active MSM aged 18\u201345 years were administered a behavioral survey and STI testing every 3-months. Participants who completed at least 1 during-pandemic (April 2020\u2013December 2020) and 1 pre-pandemic study visit (before 13 March 2020) that occurred less than 6 months apart were included. Regression models were used to compare during- and pre-pandemic visit outcomes.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Overall, among 231 MSM, reports of more than 3 sex partners declined(pandemic-1: adjusted prevalence ratio 0.68; 95% confidence interval: .54\u2013.86; pandemic-2: 0.65, .51\u2013.84; pandemic-3: 0.57, .43\u2013.75), substance use decreased (pandemic-1: 0.75, .61\u2013.75; pandemic-2: 0.62, .50\u2013.78; pandemic-3: 0.61, .47\u2013.80), and human immunodeficiency virus\/preexposure prophylaxis care engagement (pandemic-1: 1.20, 1.07\u20131.34; pandemic-2: 1.24, 1.11\u20131.39; pandemic-3: 1.30, 1.16\u20131.47) increased. STI testing decreased (pandemic-1: 0.68, .57\u2013.81; pandemic-2: 0.78, .67\u2013.92), then rebounded (pandemic-3: 1.01, .87\u20131.18). Nei\u00adther Chlamydia (pandemic-2: 1.62, .75\u20133.46; pandemic-3: 1.13, .24\u20131.27) nor gonorrhea (pandemic-2: 0.87, .46 1.62; pandemic-3: 0.56, .24\u20131.27) positivity significantly changed during vs pre-pandemic. Trends were mostly similar among Black vs. non-Black MSM.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>We observed sustained decreases in STI risk behaviors but minimal change in STI positivity during compared with pre-pandemic. Our findings underscore the need for novel STI prevention strategies that can be delivered without in-person interactions.<\/jats:p><\/jats:sec>","DOI":"10.1093\/cid\/ciab1053","type":"journal-article","created":{"date-parts":[[2022,1,10]],"date-time":"2022-01-10T20:10:53Z","timestamp":1641845453000},"page":"e1137-e1144","source":"Crossref","is-referenced-by-count":17,"title":["Sexually Transmitted Infection Transmission Dynamics During the Coronavirus Disease 2019 (COVID-19) Pandemic Among Urban Gay, Bisexual, and Other Men Who Have Sex With Men"],"prefix":"10.1093","volume":"75","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-2296-1027","authenticated-orcid":false,"given":"Christina M","family":"Schumacher","sequence":"first","affiliation":[{"name":"Center for Child and Community Health Research, Department of Pediatrics, Johns Hopkins School of Medicine , Baltimore, Maryland , 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Diseases, Department of Medicine, Johns Hopkins School of Medicine , Baltimore, Maryland , USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Matthew M","family":"Hamill","sequence":"additional","affiliation":[{"name":"Division of Infectious Diseases, Department of Medicine, Johns Hopkins School of Medicine , Baltimore, Maryland , USA"},{"name":"STI\/HIV Program, Baltimore City Health Department , Baltimore, Maryland , USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Carl","family":"Latkin","sequence":"additional","affiliation":[{"name":"Department of Health, Behavior and Society, Johns Hopkins Bloomberg School of Public Health , Baltimore, Maryland , USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Anne","family":"Rompalo","sequence":"additional","affiliation":[{"name":"Division of Infectious Diseases, Department of Medicine, Johns Hopkins School of Medicine , Baltimore, Maryland , 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