Abstract：
OBJECTIVE:A rebound of syphilis cases has recently been observed. This study describes the trend in syphilis infection among persons attending the AIDS information and prevention center of Valencia, Spain. METHODS:We performed a cohort study of all persons attended from 2000 to 2006. The calendar effect was assessed by a logistic regression model adjusted by sexual and sociodemographic variables. RESULTS:A total of 71% were heterosexuals (HT) and 19% were men who had sex with men (MSM). Among the 10,850 users of the center, the prevalence of syphilis was 0.7%. Among MSM, the prevalence of syphilis was 2.4% for the whole period and was 4.6% for 2006. Multivariate analysis showed that the risk of infection was lower in persons with a university education (OR=0.10; 95%CI: 0.03-0.59) than in those without. The risk was higher in persons who took drugs (OR=5.49; 95%CI: 1.55-19.43) or who practiced prostitution (OR=6.83; 95%CI: 2.52-18.53). In 2006, the risk of having syphilis was greater (OR=5.05; 95%CI: 1.12-22.72). CONCLUSIONS:Syphilis infection increased substantially among MSM. In this collective, the prevalence of infection is related to educational level, prostitution and the use of non-injected recreational drugs.
journal_name
Gac Sanitjournal_title
Gaceta sanitariaauthors
Hurtado I,Alastrue I,Pavlou M,Tasa T,Pérez-Hoyos Sdoi
10.1016/j.gaceta.2010.04.007subject
Has Abstractpub_date
2011-09-01 00:00:00pages
368-71issue
5eissn
0213-9111issn
1578-1283pii
S0213-9111(11)00146-4journal_volume
25pub_type
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