{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,1,10]],"date-time":"2026-01-10T08:47:45Z","timestamp":1768034865051,"version":"3.49.0"},"reference-count":40,"publisher":"Oxford University Press (OUP)","issue":"3","license":[{"start":{"date-parts":[[2025,2,20]],"date-time":"2025-02-20T00:00:00Z","timestamp":1740009600000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"funder":[{"DOI":"10.13039\/100000060","name":"National Institute of Allergy and Infectious Diseases","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100000060","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100000002","name":"National Institutes of Health","doi-asserted-by":"publisher","award":["R01 AI151075"],"award-info":[{"award-number":["R01 AI151075"]}],"id":[{"id":"10.13039\/100000002","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2025,2,28]]},"abstract":"<jats:title>Abstract<\/jats:title>\n               <jats:sec>\n                  <jats:title>Background<\/jats:title>\n                  <jats:p>The coronavirus disease 2019 pandemic impact on sexually transmitted infections in countries practicing syndromic management remains unknown. We conducted cross-sectional surveys in Fiji to assess increases and risk factors for Neisseria gonorrhoeae (NG) and Chlamydia trachomatis (CT) infections pre- and postpandemic.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Methods<\/jats:title>\n                  <jats:p>We enrolled women, men who have sex only with women (MSW), and men who have sex with men (MSM) aged 18\u201340 years, collected sociodemographic\/behavioral data, and tested vaginal, urethral, and rectal samples using Xpert-CT\/NG. Risk factors were evaluated using regression models.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Results<\/jats:title>\n                  <jats:p>Of 1955 participants, 6.4% (95% confidence interval [CI], 5.4%\u20137.6%) had gonorrhea, increasing significantly postpandemic &amp;gt;2-fold among women aged 25\u201340 years and &amp;gt;4-fold among MSM, MSW, and men aged 18\u201324 and 25\u201340 years; 20.0% (95% CI, 18.3%\u201321.8%) had chlamydia, increasing significantly postpandemic among younger women and approximately 2- to 4-fold among MSW and younger and older men. Increases were driven by urethral\/vaginal infections. Coinfections increased significantly postpandemic among older women. Postpandemic gonorrhea was associated with difficulty obtaining condoms (adjusted relative risk [aRR], 2.7 [95% CI, 1.0\u20138.0]) and \u22652 partners (aRR, 2.6 [95% CI, 1.0\u20137.1]) among younger women, and iTaukei ethnicity (aRR, 4.7 [95% CI, 1.4\u201316.5]) and heavy alcohol use (aRR, 7.1 [95% CI, 2.5\u201319.7]) among older women. Postpandemic chlamydia was associated with having a casual sex partner among younger (aRR, 1.7 [95% CI, 1.0\u20132.9]) and older (aRR, 1.9 [95% CI, 1.1\u20133.4]) women and with being unmarried (aRR, 1.7 [95% CI, 1.0\u20132.7]). iTaukei men had increased risk postpandemic for gonorrhea (aRR, 3.7 [95% CI, 1.3\u201310.6]) and chlamydia (aRR, 2.5 [95% CI, 1.3\u20134.9]). More than 50% of infected participants did not meet syndromic treatment criteria and would have remained untreated.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Conclusions<\/jats:title>\n                  <jats:p>Postpandemic increases in gonorrhea and chlamydia\u2014with risk factors varying by pathogen, gender, and age\u2014require immediate interventions to reduce infection and transmission in Fiji.<\/jats:p>\n               <\/jats:sec>","DOI":"10.1093\/ofid\/ofaf101","type":"journal-article","created":{"date-parts":[[2025,2,20]],"date-time":"2025-02-20T17:04:37Z","timestamp":1740071077000},"source":"Crossref","is-referenced-by-count":3,"title":["Enhanced <i>Chlamydia trachomatis<\/i> and <i>Neisseria gonorrhoeae<\/i> Sexually Transmitted Infections and Associated Risk Factors in Fiji Following the Coronavirus Disease 2019 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