Introduction

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.

Methods

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.

Results

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).

Conclusions

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.

中文翻译：

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巴西一家公共卫生中心的年轻人中性传播感染的流行和危险因素：一项跨部门研究。

介绍

性传播感染（STI）会严重影响性活跃人群（尤其是年轻人）的健康，并可能导致低性功能障碍，低自尊，不育，HIV传播增加和死亡。

方法

我们审查了公共卫生服务中心各部门用户的病历，并验证了巴西南部内陆县13至24岁男性和女性个体的性传播感染及其相关预测因子的患病率。

结果

这项回顾性研究回顾了2012年4月1日至2017年3月31日之间按年龄（分别为13-18岁和19-24岁）和性别分层的1703名青少年的记录。通过Stata®9.0程序，使用卡方检验和比值比分析了病历的流行病学，临床和实验室数据，置信区间为95％。在研究期间，共有3448例患者就诊；其中1703名（49.39％）年龄在13-24岁之间，而19-24岁的86.56％患有至少1例性传播感染。男性和女性中性传播感染的患病率分别为：con肉为35.40％和47.67％，疱疹为8.46％和7.00％，梅毒为26.35％和18.80％，尿道排出综合征为20.06％和6.27％。性传播感染的风险在年轻人中最高（优势比[OR] 1.55，P  = .002），女性个体（OR 1.51，95％CI 1.14-2.00，P  = .004），具有多个性伴侣的个体（OR 1.62，95 ％CI 1.22-2.16，P  <.001）使用或不定期使用预防措施（OR 1.62，95％CI 1.22-2.16，P  <.001）。

结论

研究结果表明，在公共卫生服务部门的年轻人中，性传播感染的流行率很高。这些患者中与性传播感染有关的预测因素是女性，在去年有多个伴侣，并且没有使用或不定期使用预防措施。这些预测因素证实了实施更具侵略性的策略以防止在具有较高疾病风险的特定人群中发生性传播感染的必要性，从而将感染引起的成本和损失降至最低。