Computational and Theoretical Analysis of the Association Between Gender and HSV-2 Treatment Adherence

Acta Biotheor. 2021 Jun;69(2):117-149. doi: 10.1007/s10441-020-09392-x. Epub 2020 Sep 3.

Abstract

Herpes simplex virus type 2 (HSV-2) is the most prevalent sexually transmitted infection in the world, despite the availability of effective anti-viral treatments. A mathematical model to explore the association between gender and HSV-2 treatment adherence is developed. Threshold parameters are determined and stabilities analyzed. Sensitivity analysis of the reproduction number and the numerical simulations suggest that treatment adherence for both females and males are equally important in keeping the reproduction as low as possible. The basic model is then extended to incorporate time-dependent intervention strategies. The Pontryagin's Maximum Principle is used to characterize the optimal level of the controls, and the resulting optimality system is solved numerically.

Keywords: Adherence; Gender; HSV-2; Sensitivity analysis; Stability.

MeSH terms

  • Female
  • Herpesvirus 2, Human*
  • Humans
  • Male
  • Models, Theoretical*
  • Treatment Adherence and Compliance