Sexual Behavior and Sexually Transmitted Infections: Case Management in a Specialized Center 2000-2018.

IF 1.7 4区 医学 Q2 NURSING
Cristina Guerra-Marmolejo, Beatriz Espadafor-López, Adelina Martín-Salvador, María Gázquez-López, María Adelaida Álvarez-Serrano, César Hueso-Montoro, María Ángeles Pérez-Morente
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Abstract

Background: There is a notable increase in sexual behaviors closely related to the increased risk of sexually transmitted infections, which is a problem that affects public health. The aim of this study was to analyze the relationship between sexual behaviors and the prevalence of sexually transmitted infections in the population who attended the Centre for Sexually Transmitted Diseases and Sexual Orientation of the province of Granada during the period 2000-2018.

Methods: This is a cross-sectional study, with 1671 clinical histories of subjects who attended a specialized center between 2000 and 2018 for a consultation related to sexually transmitted infections. Sociodemographic and clinical data, frequency and type of sexual behavior, frequency of condom use, and positive or negative diagnosis of infection were collected. Univariate, bivariate, and multivariate analyses were performed. The dependent variable was the diagnosis of sexually transmitted infections. As independent variables, variables classified as socio-demographic, medical, and other variables conceived as possible risk factors were collected.

Results: The results indicated that vaginal intercourse was the most frequent sexual activity during the entire period and that condom use was also the most common. Positive sexually transmitted infection diagnosis was related to anal sex: penis-anal (penetrative anal intercourse) (p = 0.033) and anal-penis (receptive anal intercourse) (p = 0.001). Multivariate analysis only showed association with receptive anal intercourse sexual behaviors.

Conclusions: The prevalence of sexually transmitted infections in the population attending a specialized center is related to the behavior of anal sex in passive subjects (receptive anal intercourse). An increase in oral sex behavior and almost no practice of use of condom in oral sex has been observed. There is a need to respond to sexual diversity and variability of sexual behavior.

性行为与性传播感染:2000-2018年某专业中心病例管理。
背景:性行为的显著增加与性传播感染风险的增加密切相关,这是一个影响公众健康的问题。本研究的目的是分析2000-2018年期间格拉纳达省性传播疾病和性取向中心的性行为与性传播感染流行率之间的关系。方法:这是一项横断面研究,收集了2000年至2018年期间在一家专门中心接受性传播感染相关咨询的1671名受试者的临床病史。收集社会人口学和临床数据、性行为的频率和类型、使用安全套的频率以及感染的阳性或阴性诊断。进行单因素、双因素和多因素分析。因变量是性传播感染的诊断。作为自变量,分类为社会人口、医学和其他被认为可能的风险因素的变量被收集。结果:结果表明,阴道性交是整个期间最频繁的性行为,避孕套的使用也是最常见的。性传播感染阳性诊断与肛交相关:阴茎-肛门(插入性肛交)(p = 0.033)和肛门-阴茎(接受性肛交)(p = 0.001)。多变量分析仅显示与接受性肛交的性行为有关。结论:在某专业中心就诊的人群中,性传播感染的流行与被动肛交对象(接受性肛交)的行为有关。口交行为的增加和几乎没有口交时使用避孕套的做法已经被观察到。有必要对性多样性和性行为的可变性作出反应。
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来源期刊
Public Health Nursing
Public Health Nursing 医学-公共卫生、环境卫生与职业卫生
CiteScore
3.50
自引率
4.80%
发文量
117
审稿时长
6-12 weeks
期刊介绍: Public Health Nursing publishes empirical research reports, program evaluations, and case reports focused on populations at risk across the lifespan. The journal also prints articles related to developments in practice, education of public health nurses, theory development, methodological innovations, legal, ethical, and public policy issues in public health, and the history of public health nursing throughout the world. While the primary readership of the Journal is North American, the journal is expanding its mission to address global public health concerns of interest to nurses.
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