Rosas Cancio-Suárez Marta, Martín-Jiménez Esther, Rodríguez-Domínguez Mario, García Da Silva Ana María, Fernández-Félix Borja M, Romero-Hernández Beatriz, Cárdenas-Isasi María José, Moreno Santiago, Serrano-Villar Sergio, Sánchez-Conde Matilde
Infectious Diseases Department, Hospital Ramón y Cajal, Carretera de Colmenar Km 9.1, 28034 Madrid, Spain.
Ramón y Cajal Research Institute (IRYCIS), 28034 Madrid, Spain.
Biomedicines. 2024 Sep 2;12(9):1999. doi: 10.3390/biomedicines12091999.
Chlamydia trachomatis (CT) is a sexually transmitted infection that requires early detection to prevent complications. This study aimed to evaluate the prevalence of CT among asymptomatic women in Spain and investigate the relationship between CT and risk factors associated with sexual practices, as well as factors such as stress and depression.
We found that 3.8% of asymptomatic women tested positive for CT. Our findings suggested that having more than five sexual partners increases the risk of sexually transmitted infections (STIs) by 3.87 times when compared with having fewer partners (p = 0.005, OR: 3.87, 95% CI 1.24-11.65). Additionally, 4.5% of participants admitted to using drugs. We found that there was a slightly higher proportion of anxiety and depression among women who tested positive for CT.
We aimed to establish a basis for the implementation of screening in asymptomatic women. Early identification and preventive measures are crucial in minimizing the long-term complications and transmission of the disease. Sexual behavior must be recognized as a risk factor, and women's psychological well-being should be given top priority as a vital aspect of their sexual health.
沙眼衣原体（CT）是一种性传播感染疾病，需要早期检测以预防并发症。本研究旨在评估西班牙无症状女性中CT的流行情况，并调查CT与性行为相关风险因素以及压力和抑郁等因素之间的关系。
我们发现3.8%的无症状女性CT检测呈阳性。我们的研究结果表明，与性伴侣较少的女性相比，性伴侣超过五个会使性传播感染（STIs）的风险增加3.87倍（p = 0.005，OR：3.87，95% CI 1.24 - 11.65）。此外，4.5%的参与者承认使用过毒品。我们发现CT检测呈阳性的女性中焦虑和抑郁的比例略高。
我们旨在为对无症状女性进行筛查奠定基础。早期识别和预防措施对于将疾病的长期并发症和传播降至最低至关重要。性行为必须被视为一个风险因素，并且女性的心理健康作为其性健康的一个重要方面应被置于首要位置。
