RESUMO
INTRODUCCIÓN: Chlamydia trachomatis (clamidia) causa la infección de transmisión sexual (ITS) bacteriana más frecuente. Sin embargo, la prevalencia entre los jóvenes es desconocida en nuestro país. En 2007 la monitorización de la prevalencia y conductas relacionadas con su adquisición se inició en Cataluña en jóvenes ≤25 años. OBJETIVOS: Conocer y monitorizar la prevalencia de clamidia y determinantes entre la población joven ≤25años sexualmente activa atendida en los centros de Atención a la Salud Sexual y Reproductiva (CT/NG-ASSIR) e interna en centros penitenciarios (CT/NG-Prisiones). MATERIAL Y MÉTODOS: Se analizan los datos de 6 estudios transversales realizados en 2 poblaciones centinela de jóvenes para el periodo 2007-2014. Se recogen indicadores conductuales y muestras de orina que serán analizadas mediante PCR. Se describe la prevalencia y la tendencia de clamidia, y mediante el análisis multivariante de regresión logística se evalúan las variables asociadas a la infección. RESULTADOS: La media de la prevalencia para CT/NG-ASSIR fue del 7,4%, con tendencia creciente (p = 0,174) e incremento del 46,5%. Para CT/NG-Prisiones la media fue del 8,0%, con tendencia creciente (p = 0,282) e incremento del 31,6%. La edad y el origen extranjero se presentan como factores de riesgo en ambas poblaciones. La concurrencia de parejas se añade a CT/NG-ASSIR, y el tiempo de estancia en prisión, en CT/NG-Prisiones. DISCUSIÓN: Los resultados obtenidos ponen de relieve la necesidad de un enfoque más eficiente en las actividades de control para clamidia en Cataluña, y de intensificar las políticas de promoción de comportamientos sexuales más seguros y la búsqueda activa de casos con un cribado oportunista en menores de 25 años
INTRODUCTION: Chlamydia trachomatis (chlamydia) infection is the most common bacterial sexually transmitted diseases (STD). However, the prevalence among young people is unknown in our country. In 2007, the monitoring of the prevalence and behaviours related to acquiring it began in Catalonia in young people ≤25 years. OBJECTIVES: To determine and monitor the prevalence and determining factors of chlamydia among a young sexually active population ≤25 years, treated in sexual and reproductive health care centras (CT/NG-ASSIR) and in prisons (CT/NG-Prisons). MATERIALS AND METHODS: An analysis was performed on 6 cross-sectional data studies in two sentinel populations of young people from the period 2007-2014. Behavioural indicators were recorded and urine specimens were collected for analysis by PCR. The prevalence and trends are described, and the variables associated with infection were evaluated using multivariate logistic regression analysis. RESULTS: The mean prevalence for CT/NG-ASSIR was 7.4%, with an upward trend (P=.174), and an increase of 46.5%. CT/NG-Prisons had a mean 8.0%, with an upward trend (P=.282), and an increase of 31.6%. Age and foreign origin are presented as risk factors in both populations. The concurrent sexual partners added to CT/NG-ASSIR and the time spent in prison to CT/NG-Prisons. DISCUSSION: The results underscore the need for a more efficient approach to control activities related to chlamydia infection in Catalonia. Policies need to be strengthened to promote safer sexual behaviours and active case finding by opportunistic screening in less than 25 year-old
Assuntos
Humanos , Feminino , Adolescente , Adulto Jovem , Infecções do Sistema Genital/microbiologia , Infecções por Chlamydia/microbiologia , Chlamydia trachomatis/isolamento & purificação , Infecções por Chlamydia/epidemiologia , Infecções Sexualmente Transmissíveis/epidemiologia , Comportamento Sexual , Fatores de RiscoRESUMO
INTRODUCTION: Chlamydia trachomatis (chlamydia) infection is the most common bacterial sexually transmitted diseases (STD). However, the prevalence among young people is unknown in our country. In 2007, the monitoring of the prevalence and behaviours related to acquiring it began in Catalonia in young people ≤25years. OBJECTIVES: To determine and monitor the prevalence and determining factors of chlamydia among a young sexually active population ≤25years, treated in sexual and reproductive health care centras (CT/NG-ASSIR) and in prisons (CT/NG-Prisons). MATERIALS AND METHODS: An analysis was performed on 6 cross-sectional data studies in two sentinel populations of young people from the period 2007-2014. Behavioural indicators were recorded and urine specimens were collected for analysis by PCR. The prevalence and trends are described, and the variables associated with infection were evaluated using multivariate logistic regression analysis. RESULTS: The mean prevalence for CT/NG-ASSIR was 7.4%, with an upward trend (P=.174), and an increase of 46.5%. CT/NG-Prisons had a mean 8.0%, with an upward trend (P=.282), and an increase of 31.6%. Age and foreign origin are presented as risk factors in both populations. The concurrent sexual partners added to CT/NG-ASSIR and the time spent in prison to CT/NG-Prisons. DISCUSSION: The results underscore the need for a more efficient approach to control activities related to chlamydia infection in Catalonia. Policies need to be strengthened to promote safer sexual behaviours and active case finding by opportunistic screening in less than 25year-old.
