Trends in vasectomy and sexually transmitted diseases in Chile: findings from robust national databases

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dc.coverageDOI: 10.1590/0102-311XEN129323
dc.creatorToledo, Daniela
dc.creatorUrquidi, Cinthya
dc.creatorSepúlveda-Peñaloza, Alejandro
dc.creatorLeyton, Rodrigo
dc.date2024
dc.date.accessioned05-01-2026 18:05
dc.date.available05-01-2026 18:05
dc.description<p>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 &lt; 0.001), with differences between age groups (p &lt; 0.001). The most significant increase was observed in men aged 30-49 (p &lt; 0.001). The STD rates significantly increased (p &lt; 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.</p>eng
dc.descriptionA 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 &lt; 0.001), with differences between age groups (p &lt; 0.001). The most significant increase was observed in men aged 30-49 (p &lt; 0.001). The STD rates significantly increased (p &lt; 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.spa
dc.identifierhttps://investigadores.uandes.cl/en/publications/1660257e-221a-4d31-b1fb-6165e48c37a2
dc.languageeng
dc.rightsinfo:eu-repo/semantics/openAccess
dc.sourcevol.40 (2024) nr.3 p.e00129323
dc.subjectHIV
dc.subjectSexually Transmitted Diseases
dc.subjectVasectomy
dc.subjectSDG 3 - Good Health and Well-being
dc.titleTrends in vasectomy and sexually transmitted diseases in Chile: findings from robust national databaseseng
dc.titleTendencias de la vasectomía y las enfermedades de transmisión sexual en Chile: resultados de bases de datos robustaseng
dc.typeArticleeng
dc.typeArtículospa
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