Sexually Transmitted Infections and Associated Factors in Southeast Spain: A Retrospective Study from 2000 to 2014
Open Access
- 12 October 2020
- journal article
- research article
- Published by MDPI AG in International Journal of Environmental Research and Public Health
- Vol. 17 (20), 7449
- https://doi.org/10.3390/ijerph17207449
Abstract
The World Health Organization estimates that more than one million people acquire a Sexually Transmitted Infection (STI) every day, compromising quality of life, sexual and reproductive health, and the health of newborns and children. It is an objective of this study to identify the factors related to a Sexually Transmitted Infection diagnosis in the province of Granada (Spain), as well as those better predicting the risk of acquiring such infections. In this study, 678 cases were analyzed on a retrospective basis, which were treated at the Centre for Sexually Transmitted Diseases and Sexual Orientation in Granada, between 2000–2014. Descriptive statistics were applied, and by means of binary logistic regression, employing the forward stepwise-likelihood ratio, a predictive model was estimated for the risk of acquiring an STI. Sex, age, occupation, economic crisis period, drug use, number of days in which no condoms were used, number of sexual partners in the last month and in the last year, and number of subsequent visits and new subsequent episodes were associated with an STI diagnosis (p < 0.05). The risk of being diagnosed with an STI increased during the economic crisis period (OR: 1.88; 95%-CI: 1.28–2.76); during the economic crisis and if they were women (OR:2.35, 95%- CI: 1.24–4.44); and if they were women and immigrants (OR: 2.09; 95%- CI:1.22–3.57), while it decreased with age (OR: 0.97, 95%-CI: 0.95–0.98). Identification of the group comprised of immigrant women as an especially vulnerable group regarding the acquisition of an STI in our province reflects the need to incorporate the gender perspective into preventive strategies and STI primary health care.Keywords
This publication has 45 references indexed in Scilit:
- Rates of obstetric intervention during birth and selected maternal and perinatal outcomes for low risk women born in Australia compared to those born overseasBMC Pregnancy and Childbirth, 2013
- Chlamydia trachomatisre-infections in a population-based cohort of womenSexually Transmitted Infections, 2011
- The Impact of Economic Crises on Communicable Disease Transmission and Control: A Systematic Review of the EvidencePLOS ONE, 2011
- Sexually Transmitted Disease Core Theory: Roles of Person, Place, and TimeAmerican Journal of Epidemiology, 2011
- Migration-related health inequalities: Showing the complex interactions between gender, social class and place of originSocial Science & Medicine, 2010
- Diferencias en las características sociales, conductas de riesgo y prevalencia de infección por el virus de la inmunodeficiencia humana e infecciones de transmisión sexual entre trabajadoras del sexo españolas e inmigrantes en CataluñaMedicina Clinica, 2009
- Prácticas sexuales de chicos y chicas españoles de 14-24 años de edadGaceta Sanitaria, 2008
- Influence of age and geographical origin in the prevalence of high risk human papillomavirus in migrant female sex workers in SpainSexually Transmitted Infections, 2005
- Condiciones sociolaborales, conductas de riesgo y prevalencia de infecciones de transmisión sexual en mujeres inmigrantes que ejercen la prostitución en MadridGaceta Sanitaria, 2004
- La desigualdad de género en las crisis económicasInvestigaciones Feministas, 1970