Trends in vasectomy and sexually transmitted diseases in Chile: findings from robust national databases
Abstract: A controversy about the increase or decline of vasectomy is emerging; however, the evidence is still scarce in Latin America. This ecological study analyzed the vasectomy and sexual transmitted diseases (STD) trends over a period of 10 years in Chile and determined if there is any relation...
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| Format: | Article |
| Language: | English |
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Escola Nacional de Saúde Pública, Fundação Oswaldo Cruz
2024-03-01
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| Series: | Cadernos de Saúde Pública |
| Subjects: | |
| Online Access: | http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0102-311X2024000301404&lng=en&tlng=en |
| _version_ | 1797265353693200384 |
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| author | Daniela Toledo Cinthya Urquidi Alejandro Sepúlveda-Peñaloza Rodrigo Leyton |
| author_facet | Daniela Toledo Cinthya Urquidi Alejandro Sepúlveda-Peñaloza Rodrigo Leyton |
| author_sort | Daniela Toledo |
| collection | DOAJ |
| description | Abstract: A controversy about the increase or decline of vasectomy is emerging; however, the evidence is still scarce in Latin America. This ecological study analyzed the vasectomy and sexual transmitted diseases (STD) trends over a period of 10 years in Chile and determined if there is any relationship between them. We conducted a mixed ecological study using secondary and representative data on the number of vasectomies and STD cases from 2008 to 2017. Vasectomy rates were calculated for age-specific groups of men aged 20-59 years, and specific STD (HIV, chlamydia, gonorrhea, trichomoniasis, and syphilis) for the same period. Multivariate negative binomial regression models were fitted to evaluate rate trends and relationships. The mean vasectomy age was 40.3 years, with no significant differences between the years of the study (p = 0.058). The overall vasectomy rate significantly increased from 2008 to 2017 (p < 0.001), with differences between age groups (p < 0.001). The most significant increase was observed in men aged 30-49 (p < 0.001). The STD rates significantly increased (p < 0.05) during the study period. A significant positive correlation was found between vasectomy and gonorrhea incidence rates (p = 0.008) and an inverse correlation was found with hepatitis B incidence rates (p = 0.002). Vasectomy trends and STD rates significantly increased from 2018 to 2017 in Chile. especially among men aged 30-49 years. The relationship between vasectomy and STD increments suggests a new risk factor for reproductive and sexual health policies to aid controlling the HIV and STD epidemic. |
| first_indexed | 2024-04-25T00:43:27Z |
| format | Article |
| id | doaj.art-cd40f2e119374895b07f83458332dc20 |
| institution | Directory Open Access Journal |
| issn | 1678-4464 |
| language | English |
| last_indexed | 2024-04-25T00:43:27Z |
| publishDate | 2024-03-01 |
| publisher | Escola Nacional de Saúde Pública, Fundação Oswaldo Cruz |
| record_format | Article |
| series | Cadernos de Saúde Pública |
| spelling | doaj.art-cd40f2e119374895b07f83458332dc202024-03-12T07:42:00ZengEscola Nacional de Saúde Pública, Fundação Oswaldo CruzCadernos de Saúde Pública1678-44642024-03-0140310.1590/0102-311xen129323Trends in vasectomy and sexually transmitted diseases in Chile: findings from robust national databasesDaniela Toledohttps://orcid.org/0000-0002-2916-0492Cinthya Urquidihttps://orcid.org/0000-0002-0804-939XAlejandro Sepúlveda-Peñalozahttps://orcid.org/0000-0001-7047-0882Rodrigo Leytonhttps://orcid.org/0000-0002-2901-7493Abstract: A controversy about the increase or decline of vasectomy is emerging; however, the evidence is still scarce in Latin America. This ecological study analyzed the vasectomy and sexual transmitted diseases (STD) trends over a period of 10 years in Chile and determined if there is any relationship between them. We conducted a mixed ecological study using secondary and representative data on the number of vasectomies and STD cases from 2008 to 2017. Vasectomy rates were calculated for age-specific groups of men aged 20-59 years, and specific STD (HIV, chlamydia, gonorrhea, trichomoniasis, and syphilis) for the same period. Multivariate negative binomial regression models were fitted to evaluate rate trends and relationships. The mean vasectomy age was 40.3 years, with no significant differences between the years of the study (p = 0.058). The overall vasectomy rate significantly increased from 2008 to 2017 (p < 0.001), with differences between age groups (p < 0.001). The most significant increase was observed in men aged 30-49 (p < 0.001). The STD rates significantly increased (p < 0.05) during the study period. A significant positive correlation was found between vasectomy and gonorrhea incidence rates (p = 0.008) and an inverse correlation was found with hepatitis B incidence rates (p = 0.002). Vasectomy trends and STD rates significantly increased from 2018 to 2017 in Chile. especially among men aged 30-49 years. The relationship between vasectomy and STD increments suggests a new risk factor for reproductive and sexual health policies to aid controlling the HIV and STD epidemic.http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0102-311X2024000301404&lng=en&tlng=enVasectomyHIVSexually Transmitted Diseases |
| spellingShingle | Daniela Toledo Cinthya Urquidi Alejandro Sepúlveda-Peñaloza Rodrigo Leyton Trends in vasectomy and sexually transmitted diseases in Chile: findings from robust national databases Cadernos de Saúde Pública Vasectomy HIV Sexually Transmitted Diseases |
| title | Trends in vasectomy and sexually transmitted diseases in Chile: findings from robust national databases |
| title_full | Trends in vasectomy and sexually transmitted diseases in Chile: findings from robust national databases |
| title_fullStr | Trends in vasectomy and sexually transmitted diseases in Chile: findings from robust national databases |
| title_full_unstemmed | Trends in vasectomy and sexually transmitted diseases in Chile: findings from robust national databases |
| title_short | Trends in vasectomy and sexually transmitted diseases in Chile: findings from robust national databases |
| title_sort | trends in vasectomy and sexually transmitted diseases in chile findings from robust national databases |
| topic | Vasectomy HIV Sexually Transmitted Diseases |
| url | http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0102-311X2024000301404&lng=en&tlng=en |
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