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

ObjectivesTo describe the epidemiology of sexually transmitted infections (STIs), identify and characterise socio-epidemiological clusters and determine factors associated with HIV coinfection.DesignRetrospective population-based cohort.SettingCatalonia, Spain.Participants42 283 confirmed syphilis,...

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Veröffentlicht in:	BMJ open 2021-12, Vol.11 (12), p.e052817-e052817
Hauptverfasser:	Sentís, Alexis, Montoro-Fernandez, Marcos, Lopez-Corbeto, Evelin, Egea-Cortés, Laia, Nomah, Daniel K, Díaz, Yesika, Garcia de Olalla, Patricia, Mercuriali, Lilas, Borrell, Núria, Reyes-Urueña, Juliana, Casabona, Jordi, Sentís, A, López, E, Gonzalez, V, Lugo, R, Bonamusa, MP, Reyes, J, Casabona, J, Garcia de Olalla, P, Mercuriali, L, Masdeu, E, Ros, M, Rius, C, Company, M, Danés, M, Camps, N, Vileu, RM, Ferrús, G, Borrell, N, Minguell, S, Ferràs, J, Parrón, I, Mòdol, I, Martinez, A, Godoy, P, Tarrès, J Pérez, MA, Boldú, M, Barrabeig, I, Donate, E, Clotet, L, Sala, MR, Carol, M, Guadalupe-Fernández, V, Mendioroz, J, Ciruela, P, Carmona, G, Mansilla, R, Martínez, JL, Hernández, S
Format:	Artikel
Sprache:	eng
Schlagworte:	Adult Algorithms Chlamydia Clustering Cohort analysis Cohort Studies Coinfection - epidemiology Country of birth Epidemics Epidemiology Female Gays & lesbians Gonorrhea Gonorrhea - epidemiology HIV HIV & AIDS HIV Infections - complications HIV Infections - epidemiology Homosexuality, Male Human immunodeficiency virus Humans infection control Infections Laboratories Male Mens health Population Population-based studies preventive medicine Public health Retrospective Studies Sexual and Gender Minorities sexual medicine Sexual orientation Sexually transmitted diseases Sexually Transmitted Diseases - epidemiology Sociodemographics Spain - epidemiology STD Syphilis Syphilis - epidemiology Trends Variables Womens health
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Zusammenfassung:	ObjectivesTo describe the epidemiology of sexually transmitted infections (STIs), identify and characterise socio-epidemiological clusters and determine factors associated with HIV coinfection.DesignRetrospective population-based cohort.SettingCatalonia, Spain.Participants42 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 outcomesDescriptive 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.ResultsThe incidence rate of STIs increased by 91.3% from 128.2 to 248.9 cases per 100 000 population between 2017 and 2019 (p
ISSN:	2044-6055 2044-6055
DOI:	10.1136/bmjopen-2021-052817