Comparison of Sexually Transmitted Infections and Adverse Perinatal Outcomes in Underserved Pregnant Patients Before vs During the COVID-19 Pandemic in Texas | Infectious Diseases | JN Learning | AMA Ed Hub [Skip to Content]
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Comparison of Sexually Transmitted Infections and Adverse Perinatal Outcomes in Underserved Pregnant Patients Before vs During the COVID-19 Pandemic in Texas

Educational Objective
To identify the key insights or developments described in this article
1 Credit CME

Before the COVID-19 pandemic, the US experienced record high rates of many reportable sexually transmitted infections (STI).1 The association between the pandemic and STI rates among pregnant women remains understudied, especially for underserved populations of racial and ethnic minority groups who have disproportionately experienced COVID-19 infection.2 We sought to determine rates of STI and associated adverse perinatal outcomes among underserved pregnant patients before (July 2019 to February 2020) and during the pandemic (March 2020 to April 2021) in a public health system in Southeastern Texas.

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CME Disclosure Statement: Unless noted, all individuals in control of content reported no relevant financial relationships. If applicable, all relevant financial relationships have been mitigated.

Article Information

Accepted for Publication: January 10, 2022.

Published: February 15, 2022. doi:10.1001/jamanetworkopen.2022.0568

Open Access: This is an open access article distributed under the terms of the CC-BY License. © 2022 Stafford IA et al. JAMA Network Open.

Corresponding Author: Irene A. Stafford, MD, Department of Obstetrics, Gynecology, and Reproductive Sciences, McGovern Medical School, University of Texas Health Science Center at Houston, 6431 Fannin St, MSB 3.270, Houston, TX 77030 (irene.stafford@uth.tmc.edu).

Author Contributions: Dr Stafford had full access to all the data in the study and takes responsibility for the integrity of the data and the accuracy of the data analysis.

Concept and design: Stafford, Coselli, Wilson, Sibai.

Acquisition, analysis, or interpretation of data: Stafford, Wang.

Drafting of the manuscript: Stafford, Coselli, Wilson, Wang.

Critical revision of the manuscript for important intellectual content: Stafford, Coselli, Sibai.

Statistical analysis: Stafford.

Administrative, technical, or material support: Stafford, Coselli, Wilson, Sibai.

Conflict of Interest Disclosures: None reported.

References
1.
Centers for Disease Control and Prevention. Sexually transmitted disease surveillance 2019. Accessed September 14, 2021. https://www.cdc.gov/std/stats18/ STDSurveillance2019-full-report.pdf
2.
Stanford  KA , Almirol  E , Schneider  J , Hazra  A .  Rising syphilis rates during the COVID-19 pandemic.   Sex Transm Dis. 2021;48(6):e81-e83. PubMedGoogle Scholar
3.
National Coalition of STD Directors. COVID-19 & the state of the STD field: phase II. Accessed September 14, 2021. https://www.ncsddc.org/resource/covid-19-the-state-of-the-std-field-phase-ii/
4.
Stockman  JK , Wood  BA , Anderson  KM .  Racial and ethnic differences in COVID-19 outcomes, stressors, fear, and prevention behaviors among us women: web-based cross-sectional study.   J Med internet Res. 2021;23(7):e26296. doi:10.2196/26296 PubMedGoogle Scholar
5.
Ogunbodede  OT , Zablotska-Manos  I , Lewis  DA .  Potential and demonstrated impacts of the COVID-19 pandemic on sexually transmissible infections.   Curr Opin Infect Dis. 2021;34(1):56-61. doi:10.1097/QCO.0000000000000699 PubMedGoogle ScholarCrossref
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