STI epidemic re-emergence, socio-epidemiological clusters characterisation and HIV coinfection in Catalonia, Spain, during 2017–2019: a retrospective population-based cohort study

Autor: Alexis Sentís, Patricia Garcia de Olalla, A Martinez, Jordi Casabona, Laia Egea-Cortés, P Ciruela, C Rius, P Godoy, E Lopez, M ROS, V González, I Parron, G Carmona, J Casabona, S Hernandez, M Carol, R Mansilla, J Reyes, Marcos Montoro-Fernandez, Evelin Lopez-Corbeto, Daniel K Nomah, Yesika Díaz, Lilas Mercuriali, Núria Borrell, Juliana Reyes-Urueña, A Sentís, R Lugo, MP Bonamusa, P Garcia de Olalla, L Mercuriali, E Masdeu, M Company, M Danés, N Camps, RM Vileu, G Ferrús, N Borrell, S Minguell, J Ferràs, I Mòdol, MA Tarrès, J Pérez, M Boldú, I Barrabeig, E Donate, L Clotet, MR Sala, V Guadalupe-Fernández, J Mendioroz, JL Martínez
Jazyk: angličtina
Rok vydání: 2021
Předmět:
Zdroj: BMJ Open, Vol 11, Iss 12 (2021)
Druh dokumentu: article
ISSN: 2044-6055
DOI: 10.1136/bmjopen-2021-052817
Popis: Objectives To describe the epidemiology of sexually transmitted infections (STIs), identify and characterise socio-epidemiological clusters and determine factors associated with HIV coinfection.Design Retrospective population-based cohort.Setting Catalonia, Spain.Participants 42 283 confirmed syphilis, gonorrhoea, chlamydia and lymphogranuloma venereum cases, among 34 600 individuals, reported to the Catalan HIV/STI Registry in 2017–2019.Primary and secondary outcomes Descriptive analysis of confirmed STI cases and incidence rates. Factors associated with HIV coinfection were determined using logistic regression. We identified and characterized socio-epidemiological STI clusters by Basic Health Area (BHA) using K-means clustering.Results The incidence rate of STIs increased by 91.3% from 128.2 to 248.9 cases per 100 000 population between 2017 and 2019 (p
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