Chlamydia Trachomatis Prevalence in Asymptomatic Women in Madrid: Study Findings and Their Association with Risk Factors and Mental Health

Author:

Rosas Cancio-Suárez Marta1234ORCID,Martín-Jiménez Esther5,Rodríguez-Domínguez Mario26,García Da Silva Ana María5,Fernández-Félix Borja M.27,Romero-Hernández Beatriz26,Cárdenas-Isasi María José6,Moreno Santiago1234ORCID,Serrano-Villar Sergio123,Sánchez-Conde Matilde123

Affiliation:

1. Infectious Diseases Department, Hospital Ramón y Cajal, Carretera de Colmenar Km 9.1, 28034 Madrid, Spain

2. Ramón y Cajal Research Institute (IRYCIS), 28034 Madrid, Spain

3. CIBER de Enfermedades Infecciosas (CIBERINFEC), 28029 Madrid, Spain

4. Department of Medicine, University of Alcalá de Henares, Guadalajara Campus, 28801 Alcalá de Henares, Spain

5. Alpes Primary Care Center, 28029 Madrid, Spain

6. Microbiology Department, Hospital Ramón y Cajal, Carretera de Colmenar Km 9.1, 28034 Madrid, Spain

7. Biostatistics Department, Hospital Ramón y Cajal, 28034 Madrid, Spain

Abstract

Background: Chlamydia trachomatis (CT) is a sexually transmitted infection that requires early detection to prevent complications. This study aimed to evaluate the prevalence of CT among asymptomatic women in Spain and investigate the relationship between CT and risk factors associated with sexual practices, as well as factors such as stress and depression. Results: We found that 3.8% of asymptomatic women tested positive for CT. Our findings suggested that having more than five sexual partners increases the risk of sexually transmitted infections (STIs) by 3.87 times when compared with having fewer partners (p = 0.005, OR: 3.87, 95% CI 1.24–11.65). Additionally, 4.5% of participants admitted to using drugs. We found that there was a slightly higher proportion of anxiety and depression among women who tested positive for CT. Conclusions: We aimed to establish a basis for the implementation of screening in asymptomatic women. Early identification and preventive measures are crucial in minimizing the long-term complications and transmission of the disease. Sexual behavior must be recognized as a risk factor, and women’s psychological well-being should be given top priority as a vital aspect of their sexual health.

Publisher

MDPI AG

Reference26 articles.

1. World Health Organization (WHO) (2023, March 09). Sexually Transmitted Infections (STIs). Available online: https://www.who.int/news-room/fact-sheets/detail/sexually-transmitted-infections-(stis).

2. Chlamydia, gonorrhoea, trichomoniasis and syphilis: Global prevalence and incidence estimates, 2016;Rowley;Bull. World Health Organ.,2019

3. Risk of Sequelae after Chlamydia trachomatis Genital Infection in Women;Haggerty;J. Infect. Dis.,2010

4. Risk of pelvic inflammatory disease following Chlamydia trachomatis infection: Analysis of prospective studies with a multistate model;Price;Am. J. Epidemiol.,2013

5. Chlamydia screening: Expanding the scope;Stamm;Ann. Intern. Med.,2004

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