Differences between non-national and indigenous patients with sexually transmitted infections in Italy and insight into the control of sexually transmitted infections

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.; Zuccati, G.

doi:10.1097/01.OLQ.0000109975.74152.29

Background: To determine the health needs non-nationals, informationon disease occurrence is fundamental.Goals: The goal of this study was to assess the clinical and behavioralcharacteristics of non-Italians with a new sexually transmittedinfection (STI).Methods: Data were taken from Italy’s National STI SurveillanceSystem (1991–1999).Results: Of the 61,798 STI cases reported from January 1991 toDecember 1999, 6847 (11.2%) were diagnosed among non-Italians,47.1% of whom were Africans. Being a non-Italian patient with an STIwas 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 withSTIs was 5.5% (95% CI, 4.9–6.2), with large differences by continentof origin. The highest prevalence was found among European injectingdrug users (54.1%; 95% CI, 37.1–70.1), South American homosexualmen (41.6%; 95% CI, 32.0 –51.8), and heterosexuals from Sub-SaharanAfrica (8.9%; 95% CI, 7.2–10.8).Conclusions: Non-Italian patients with STIs seem to consist mainlyof migrants, and STI transmission patterns differ from those amongItalians; this information is important for developing targeted STIprevention effort

Differences between non-national and indigenous patients with sexually transmitted infections in Italy and insight into the control of sexually transmitted infections / M., Giuliani; B., Suligoi; M., Affronti; F., Amerio; L., Andreassi; G., Angelini; M., Aricò; A., Barba; P., Battarra; E., Beconcini; B., Benvegnù; P., Biggio; F., Bonfigli; T., Cainelli; P., Calandra; E., Calzolari; D., Camisa; Coppini, Maurizio; F., Cottoni; A., D'Antuono; A., Di Carlo; P., Donofrio; G., Gaddoni; G., Galbiati; M., Gatti; S., Graifemberghi; S., Geraci; B., Guerra; V., Ingordo; G., Landi; M. A., Latino; N., Licci; A., Locatelli; M., Menegatti; G., Moise; A., Mossini; M., Norat; E., Nunzi; F., Perino; L., Priano; E., Provenzano; P., Puiatti; A., Rafanelli; F., Ricciuti; G., Righini; C., Sabbatini; D., Simonetto; G., Tarantini; F., Urbani; L., Vittone; G., Zuccati. - In: SEXUALLY TRANSMITTED DISEASES. - ISSN 0148-5717. - STAMPA. - 31:2(2004), pp. 79-84. [10.1097/01.OLQ.0000109975.74152.29]