A sexually transmitted infection model with long-term partnerships in homogeneous and heterogenous populations.

Population models for sexually transmitted infections frequently use a transmission model that assumes an inherent partnership length of zero. However, in a population with long-term partnerships, the infection status of the partners, the length of the partnership, and the exclusivity of the partnership significantly affect the rate of infection. We develop an autonomous population model that can account for the possibilities of an infection from either a casual sexual partner or a longtime partner who was either infected at the start of the partnership or was newly infected. The impact of the long-term partnerships on the rate of infection is captured by calculating the expected values of the rate of infection from these extended contacts. We present a new method to evaluate partner acquisition rates for casual or long-term partnerships which produces in a more realistic number of lifetime sexual partners. Results include a SI model with different infectiousness levels for the transmission of HIV and HSV-2 with acute and chronic/latent infection stages for homogeneous (MSM) and heterogeneous (WSM-MSW) groups. The accompanying reproduction number and sensitivity studies highlight the impact of both casual and long-term partnerships on infection spread. We construct an autonomous set of equations that handle issues usually ignored by autonomous equations and handled only through simulations or in a non-autonomous form. The autonomous formulation of the model allows for simple numerical computations while incorporating a combination of random instantaneous contacts between individuals and prolonged contacts between specific individuals.