1. Differences Between Nonnational and Indigenous Patients With Sexually Transmitted Infections in Italy and Insight Into the Control of Sexually Transmitted Infections
- Author
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Giuliani, M., Suligoi, B., Affronti, M., Amerio, F., Andreassi, L., Angelini, G., Aricò, M., Barba, A., Battarra, P., Beconcini, E., Benvegnù, B., Biggio, P., Bonfigli, F., Cainelli, T., Calandra, P., Calzolari, E., Camisa, D., Coppini, Maurizio, Cottoni, F., D'Antuono, A., Di Carlo, A., Donofrio, P., Gaddoni, G., Galbiati, G., Gatti, M., Graifemberghi, S., Geraci, S., Guerra, B., Ingordo, V., Landi, G., Latino, M. A., Licci, N., Locatelli, A., Menegatti, M., Moise, G., Mossini, A., Norat, M., Nunzi, E., Perino, F., Priano, L., Provenzano, E., Puiatti, P., Rafanelli, A., Ricciuti, F., Righini, G., Sabbatini, C., Simonetto, D., Tarantini, G., Urbani, F., Vittone, L., and Zuccati, G.
- Subjects
Male ,Microbiology (medical) ,Sexually transmitted disease ,medicine.medical_specialty ,Adolescent ,Databases, Factual ,Sexually Transmitted Diseases ,HIV Infections ,Dermatology ,Disease ,Indigenous ,Risk-Taking ,Risk Factors ,STI ,sexually transmitted infections ,Italy ,Epidemiology ,Prevalence ,Humans ,Medicine ,Substance Abuse, Intravenous ,Aged ,business.industry ,Transmission (medicine) ,Public Health, Environmental and Occupational Health ,Odds ratio ,Emigration and Immigration ,Middle Aged ,Confidence interval ,Infectious Diseases ,Population Surveillance ,Female ,business ,Social status ,Demography - Abstract
Background: To determine the health needs non-nationals, information on disease occurrence is fundamental. Goals: The goal of this study was to assess the clinical and behavioral characteristics of non-Italians with a new sexually transmitted infection (STI). Methods: Data were taken from Italy’s National STI Surveillance System (1991–1999). Results: Of the 61,798 STI cases reported from January 1991 to December 1999, 6847 (11.2%) were diagnosed among non-Italians, 47.1% of whom were Africans. Being a non-Italian patient with an STI was associated with male gender (adjusted odds ratio [AOR], 1.19; 95% confidence interval [CI], 1.11–1.27), youngest age (AOR, 1.71; 95% CI, 1.43–2.04), no formal education (AOR, 20.25; 95% CI, 17.51– 23.42), and having contracted the STI abroad (AOR, 13.98; 95% CI, 12.59 –15.54). The HIV-1 prevalence among non-Italian patients with STIs was 5.5% (95% CI, 4.9 – 6.2), with large differences by continent of origin. The highest prevalence was found among European injecting drug users (54.1%; 95% CI, 37.1–70.1), South American homosexual men (41.6%; 95% CI, 32.0 –51.8), and heterosexuals from Sub-Saharan Africa (8.9%; 95% CI, 7.2–10.8). Conclusions: Non-Italian patients with STIs seem to consist mainly of migrants, and STI transmission patterns differ from those among Italians; this information is important for developing targeted STI prevention efforts. THE MASSIVE MOVEMENT ALONG the modern migration routes represents one of the most important determinants of human health and of modifications in social status worldwide. In addition to the health implications for the migrants themselves, migration has an impact on the healthcare systems of the countries that host these persons. 1 So that these countries can better assess and satisfy the health needs of migrants, and of non-nationals in general, it is necessary to have adequate information on disease occurrence among these populations. Although such data should ideally be provided by national health surveillance systems or large multisite studies, this is rarely the case, and few national health statistics anywhere distinguish between disease cases among non-nationals and those found in the native population. 2
- Published
- 2004
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