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.
Highlights
Transmitted Infections (STIs) constitute a significant public health issue on a worldwide basis
The study population consists of users with a positive or negative Sexually Transmitted Infection (STI) diagnosis clearly recorded on the medical histories contained in a database of 1437 histories created in a previous project from which this study is derived, and whose details on the sampling process are described in another paper [15]
Results show that STIs spread homogeneously across the population in terms of nationality, working status, and education level, establishing, with statistically significant differences, that persons diagnosed with an STI are younger (p < 0.001), mostly men (p < 0.001), who have not been or are not sex workers (p < 0.001), and who were diagnosed during the economic crisis period (2008–2014) (p < 0.001) (Table 1)
Summary
The objective of this study was to identify any factors associated with STI diagnoses in the province of Granada (Spain), as well as those that better predict the risk of acquiring such infections
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