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Open AccessArticle

Sexually Transmitted Infections and Associated Factors in Homosexuals and Bisexuals in Granada (Spain) during the Period 2000–2015

1
Hospital La Axarquía, Andalusian Health System, 29740 Vélez-Málaga, Spain
2
University Hospital Virgen de las Nieves, Andalusian Health System, 18014 Granada, Spain
3
Faculty of Health Sciences, University of Jaén, 23071 Jaén, Spain
4
Sexually Transmitted Infection Clinic, Andalusian Health System, 18012 Granada, Spain
5
Faculty of Health Sciences, University of Granada, 52005 Melilla, Spain
6
Faculty of Health Sciences, University of Granada, 18016 Granada, Spain
*
Author to whom correspondence should be addressed.
Int. J. Environ. Res. Public Health 2019, 16(16), 2958; https://doi.org/10.3390/ijerph16162958
Received: 18 July 2019 / Revised: 13 August 2019 / Accepted: 13 August 2019 / Published: 16 August 2019
(This article belongs to the Special Issue Health and Wellbeing in Sexual Orientation and Gender Identity)
Sexually transmitted infections (STIs) are a major public health issue. Previous research shows the vulnerability of the homosexual and bisexual population, as well as the influence of economic, political, and cultural determinants. The aim of this study was to describe the socio-demographic healthcare profile and the main risk factors associated with STIs in homosexuals and bisexuals seen at the STI clinic in Granada (Spain) during the years 2000–2015. Infection prevalences were compared between the economic crisis period (2008–2014) and the rest of the years analysed. A cross-sectional observational and analytical study was conducted by reviewing 261 clinical records of individuals with suspected or present infection. Univariate, bivariate, and multivariate analyses were performed. 91.2% of the individuals were men, and 8.8% were women, with the mean age being 28.61 (SD = 9.35, Range = 17–74) years old. The prevailing sexual orientation identity was homosexual. 94.2% were single. The main reason for consultation was HIV. Differences in prevalence were found between crisis and non-crisis years (OR = 3.91; 95% CI = 1.73–9.19). In conclusion, their profile was that of a young, single man suspecting possible HIV infection. STI prevalence was significantly higher in the years of economic recession in comparison to the rest of the years. View Full-Text
Keywords: sexually transmitted diseases; risk factors; sexual and gender minorities sexually transmitted diseases; risk factors; sexual and gender minorities
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Llavero-Molino, I.; Sánchez-Ocón, M.T.; Pérez-Morente, M.Á.; Espadafor-López, B.; Martín-Salvador, A.; Martínez-García, E.; Hueso-Montoro, C. Sexually Transmitted Infections and Associated Factors in Homosexuals and Bisexuals in Granada (Spain) during the Period 2000–2015. Int. J. Environ. Res. Public Health 2019, 16, 2958.

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