Browsing by Author "Toledo, Daniela"

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    Trends in vasectomy and sexually transmitted diseases in Chile: findings from robust national databases.
    (Cadernos de Saúde Pública, 2024) Toledo, Daniela
    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. Vasec tomy 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 signifi cant increase was observed in men aged 30-49 (p < 0.001). The STD rates sig nificantly 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 be tween vasectomy and STD increments suggests a new risk factor for reproduc tive and sexual health policies to aid controlling the HIV and STD epidemic. Vasectomy; HIV; Sexually Transmitted Diseases