Guerra-Marmolejo Cristina, Espadafor-López Beatriz, Martín-Salvador Adelina, Gázquez-López María, Álvarez-Serrano María Adelaida, Hueso-Montoro César, Pérez-Morente María Ángeles
Faculty of Health Sciences, University of Málaga, Málaga, Spain.
Dermatology Department, Hospital Universitario Virgen de las Nieves, Granada, Spain.
Public Health Nurs. 2025 Jul-Aug;42(4):1435-1448. doi: 10.1111/phn.13558. Epub 2025 Apr 4.
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.
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.
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.
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.
与性传播感染风险增加密切相关的性行为显著增加，这是一个影响公共卫生的问题。本研究的目的是分析2000年至2018年期间在格拉纳达省性传播疾病和性取向中心就诊人群的性行为与性传播感染患病率之间的关系。
这是一项横断面研究，收集了2000年至2018年期间在专门中心就诊的1671名与性传播感染相关咨询的受试者的临床病史。收集社会人口学和临床数据、性行为频率和类型、避孕套使用频率以及感染的阳性或阴性诊断。进行了单变量、双变量和多变量分析。因变量是性传播感染的诊断。作为自变量，收集了分类为社会人口学、医学和其他被视为可能危险因素的变量。
结果表明，在整个期间阴道性交是最频繁的性活动，避孕套使用也是最常见的。性传播感染阳性诊断与肛交有关：阴茎-肛门（插入式肛交）（p = 0.033）和肛门-阴茎（接受式肛交）（p = 0.001）。多变量分析仅显示与接受式肛交性行为有关。
在专门中心就诊人群中的性传播感染患病率与被动受试者的肛交行为（接受式肛交）有关。观察到口交行为增加，并且在口交中几乎不使用避孕套。需要应对性取向的多样性和性行为的变异性。
