Daiane de Peder Leyde, Mesquita da Silva Claudinei, Nascimento Bruna Larissa, Malizan Josi Any, Madeira Heloise Skiavine, Horvath Josana Dranka, Silva Eraldo Schunk, Vieira Teixeira Jorge Juarez
Post-Graduate Program in Biosciences and Physiopathology, Maringá State University, Maringá, Paraná, Brazil; Clinical Analyses Laboratory, University Center of Assis Gurgacz Foundation, Cascavel, Paraná, Brazil.
Clinical Analyses Laboratory, University Center of Assis Gurgacz Foundation, Cascavel, Paraná, Brazil; Post-Graduate Program in Health Sciences, Maringá State University, Maringá, Paraná, Brazil.
J Pediatr Adolesc Gynecol. 2020 Aug;33(4):354-362. doi: 10.1016/j.jpag.2020.02.008. Epub 2020 Feb 19.
Sexually transmitted infections (STI) significantly affect the health of sexually active people, especially young people, and can cause low sexual dysfunction, low self-esteem, infertility, increased transmission of HIV, and death.
We reviewed the medical records of a cross-section of users of a public health services center and verified the prevalence of STI and its associated predictors for male and female individuals 13-24 years of age in an interior county of southern Brazil.
The records of 1703 adolescents and young adults, stratified by age (13-18 and 19-24 years, respectively) and sex, admitted between April 1, 2012, and March 31, 2017, were reviewed in this retrospective study. Epidemiological, clinical, and laboratory data of medical records were analyzed using the chi-square test and odds ratio, with confidence interval of 95% by the Stata® 9.0 program. During the study period, a total of 3448 patients were attended to; of these, 1703 (49.39%) were 13-24 years of age, with 86.56% of those 19-24 years having at least 1 STI. The prevalence of STI among men and women, respectively, was 35.40% and 47.67% for condylomata, 8.46% and 7.00% for herpes, 26.35% and 18.80% for syphilis, and 20.06% and 6.27% for urethral discharge syndrome. The risk for STI acquisition was the highest in young adults (odds ratio [OR] 1.55, 95% confidence interval [CI] 1.17-2.06, P = .002), female individuals (OR 1.51, 95% CI 1.14-2.00, P = .004), those with multiple sexual partners (OR 1.62, 95% CI 1.22-2.16, P < .001), and those not using or irregularly using prophylactics (OR 1.62, 95% CI 1.22-2.16, P < .001).
The findings revealed a significant prevalence of STI among young people in public health service. The predictors associated with STI in these patients were being female, having multiple partners in the last year, and not using or irregularly using prophylactics. These predictors confirm the necessity to implement more aggressive strategies to prevent the occurrence of STI in specific populations with higher disease risk, thereby minimizing costs and damage caused by the infections.
性传播感染（STI）严重影响性活跃人群尤其是年轻人的健康，可导致性功能低下、自尊心降低、不孕不育、增加艾滋病毒传播以及死亡。
我们回顾了一家公共卫生服务中心部分用户的病历，核实了巴西南部内陆一县13至24岁男性和女性个体的性传播感染患病率及其相关预测因素。
在这项回顾性研究中，我们查阅了2012年4月1日至2017年3月31日期间收治的1703名青少年和青年成人的病历，这些病历按年龄（分别为13至18岁和19至24岁）和性别进行了分层。使用卡方检验和比值比，通过Stata® 9.0程序分析病历的流行病学、临床和实验室数据，置信区间为95%。在研究期间，共诊治了3448名患者；其中，1703名（49.39%）年龄在13至24岁之间，19至24岁的患者中有86.56%至少患有一种性传播感染。男性和女性的性传播感染患病率分别为：尖锐湿疣35.40%和47.67%，疱疹8.46%和7.00%，梅毒26.35%和18.80%，尿道分泌物综合征20.06%和6.27%。性传播感染的患病风险在青年成人中最高（比值比[OR] 1.55，95%置信区间[CI] 1.17 - 2.06，P = 0.002），女性个体中较高（OR 1.51，95% CI 1.14 - 2.00，P = 0.004），有多个性伴侣者中较高（OR 1.62，95% CI 1.22 - 2.16，P < 0.001），以及未使用或不规律使用预防措施者中较高（OR 1.62，95% CI 1.22 - 2.16，P < 0.001）。
研究结果显示，公共卫生服务机构中年轻人的性传播感染患病率较高。这些患者中性传播感染的相关预测因素为女性、去年有多个性伴侣以及未使用或不规律使用预防措施。这些预测因素证实了有必要实施更积极的策略，以预防疾病风险较高的特定人群发生性传播感染，从而将感染造成的成本和损害成本和损害降至最低。
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