{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,8,2]],"date-time":"2025-08-02T18:31:24Z","timestamp":1754159484196,"version":"3.41.2"},"reference-count":56,"publisher":"Wiley","issue":"4","license":[{"start":{"date-parts":[[2025,4,4]],"date-time":"2025-04-04T00:00:00Z","timestamp":1743724800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Public Health Nursing"],"published-print":{"date-parts":[[2025,7]]},"abstract":"<jats:title>ABSTRACT<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>There is a notable increase in sexual behaviors closely related to the increased risk of sexually transmitted infections, which is a problem that affects public health. The aim of this study was to analyze the relationship between sexual behaviors and the prevalence of sexually transmitted infections in the population who attended the Centre for Sexually Transmitted Diseases and Sexual Orientation of the province of Granada during the period 2000\u20132018.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>This is a cross\u2010sectional study, with 1671 clinical histories of subjects who attended a specialized center between 2000 and 2018 for a consultation related to sexually transmitted infections. Sociodemographic and clinical data, frequency and type of sexual behavior, frequency of condom use, and positive or negative diagnosis of infection were collected. Univariate, bivariate, and multivariate analyses were performed. The dependent variable was the diagnosis of sexually transmitted infections. As independent variables, variables classified as socio\u2010demographic, medical, and other variables conceived as possible risk factors were collected.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>The results indicated that vaginal intercourse was the most frequent sexual activity during the entire period and that condom use was also the most common. Positive sexually transmitted infection diagnosis was related to anal sex: penis\u2013anal (penetrative anal intercourse) (<jats:italic>p<\/jats:italic>\u00a0=\u00a00.033) and anal\u2013penis (receptive anal intercourse) (<jats:italic>p<\/jats:italic>\u00a0=\u00a00.001). Multivariate analysis only showed association with receptive anal intercourse sexual behaviors.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>The prevalence of sexually transmitted infections in the population attending a specialized center is related to the behavior of anal sex in passive subjects (receptive anal intercourse). An increase in oral sex behavior and almost no practice of use of condom in oral sex has been observed. There is a need to respond to sexual diversity and variability of sexual behavior.<\/jats:p><\/jats:sec>","DOI":"10.1111\/phn.13558","type":"journal-article","created":{"date-parts":[[2025,4,5]],"date-time":"2025-04-05T10:36:12Z","timestamp":1743849372000},"page":"1435-1448","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Sexual Behavior and Sexually Transmitted Infections: Case Management in a Specialized Center 2000\u20132018"],"prefix":"10.1111","volume":"42","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-1520-6792","authenticated-orcid":false,"given":"Cristina","family":"Guerra\u2010Marmolejo","sequence":"first","affiliation":[{"name":"Faculty of Health Sciences University of M\u00e1laga  M\u00e1laga Spain"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Beatriz","family":"Espadafor\u2010L\u00f3pez","sequence":"additional","affiliation":[{"name":"Dermatology Department Hospital Universitario Virgen de las Nieves  Granada Spain"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3852-9861","authenticated-orcid":false,"given":"Adelina","family":"Mart\u00edn\u2010Salvador","sequence":"additional","affiliation":[{"name":"Faculty of Health Sciences University of Granada  Granada Spain"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mar\u00eda","family":"G\u00e1zquez\u2010L\u00f3pez","sequence":"additional","affiliation":[{"name":"Faculty of Health Sciences University of Granada  Ceuta Spain"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mar\u00eda Adelaida","family":"\u00c1lvarez\u2010Serrano","sequence":"additional","affiliation":[{"name":"Faculty of Health Sciences University of Granada  Ceuta Spain"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"C\u00e9sar","family":"Hueso\u2010Montoro","sequence":"additional","affiliation":[{"name":"Faculty of Health Sciences University of Ja\u00e9n  Ja\u00e9n Spain"},{"name":"Instituto de Investigaci\u00f3n Biosanitario de Granada (ibs.Granada)  Granada Spain"},{"name":"Centro de Investigaci\u00f3n Mente Cerebro y Comportamiento (CIMCYC)  Granada Spain"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mar\u00eda \u00c1ngeles","family":"P\u00e9rez\u2010Morente","sequence":"additional","affiliation":[{"name":"Faculty of Health Sciences University of Granada  Granada Spain"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2025,4,4]]},"reference":[{"key":"e_1_2_9_2_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0213\u2010005X(18)30239\u20108"},{"key":"e_1_2_9_3_1","doi-asserted-by":"publisher","DOI":"10.1007\/s10461\u2010021\u201003573\u20106"},{"key":"e_1_2_9_4_1","doi-asserted-by":"publisher","DOI":"10.1080\/13625187.2018.1533547"},{"key":"e_1_2_9_5_1","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0043071"},{"key":"e_1_2_9_6_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.androl.2017.02.009"},{"key":"e_1_2_9_7_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.puhe.2022.10.007"},{"key":"e_1_2_9_8_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jflm.2016.08.013"},{"key":"e_1_2_9_9_1","doi-asserted-by":"publisher","DOI":"10.1590\/0102\u2010311XEN139221"},{"key":"e_1_2_9_10_1","doi-asserted-by":"publisher","DOI":"10.3389\/fpubh.2024.1391390"},{"key":"e_1_2_9_11_1","doi-asserted-by":"publisher","DOI":"10.37201\/req\/038.2023"},{"key":"e_1_2_9_12_1","doi-asserted-by":"publisher","DOI":"10.1037\/vio0000505"},{"key":"e_1_2_9_13_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.dcn.2017.07.004"},{"key":"e_1_2_9_14_1","unstructured":"European Centre for Disease Prevention and Control.2020a. \u201cGonorrhoea Annual Epidemiological Report for 2018.\u201dhttps:\/\/www.ecdc.europa.eu\/en\/publications\u2010data\/gonorrhoea\u2010annual\u2010epidemiological\u2010report\u20102018."},{"key":"e_1_2_9_15_1","unstructured":"European Centre for Disease Prevention and Control.2020b. \u201cSyphilis Annual Epidemiological Report for 2018.\u201dhttps:\/\/www.ecdc.europa.eu\/en\/publications\u2010data\/syphilis\u2010annual\u2010epidemiological\u2010report\u20102018."},{"key":"e_1_2_9_16_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.gaceta.2011.05.012"},{"key":"e_1_2_9_17_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.semerg.2023.101929"},{"key":"e_1_2_9_18_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.eimce.2019.03.003"},{"key":"e_1_2_9_19_1","doi-asserted-by":"publisher","DOI":"10.1007\/s10461\u2010022\u201003752\u2010z"},{"key":"e_1_2_9_20_1","doi-asserted-by":"publisher","DOI":"10.1136\/sextrans\u20102024\u2010056124"},{"key":"e_1_2_9_21_1","doi-asserted-by":"publisher","DOI":"10.1097\/JNC.0000000000000227"},{"key":"e_1_2_9_22_1","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0246129"},{"key":"e_1_2_9_23_1","unstructured":"Instituto Nacional de Estad\u00edstica.2003a. \u201cEncuesta de salud y h\u00e1bitos sexuales. A\u00f1o 2003.\u201dhttps:\/\/www.ine.es\/jaxi\/Datos.htm?path=\/t15\/p455\/a2003\/p02\/l0\/&file=02018.px."},{"key":"e_1_2_9_24_1","unstructured":"Instituto Nacional de Estad\u00edstica.2003b. \u201cEncuesta de salud y h\u00e1bitos sexuales. A\u00f1o 2003.\u201dhttps:\/\/www.ine.es\/jaxi\/Datos.htm?path=\/t15\/p455\/a2003\/p09\/l0\/&file=09012.px."},{"key":"e_1_2_9_25_1","doi-asserted-by":"publisher","DOI":"10.1080\/09540121003615137"},{"key":"e_1_2_9_26_1","doi-asserted-by":"publisher","DOI":"10.15585\/mmwr.ss6708a1"},{"key":"e_1_2_9_27_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.pop.2020.02.012"},{"key":"e_1_2_9_28_1","doi-asserted-by":"publisher","DOI":"10.1001\/jama.2020.13095"},{"key":"e_1_2_9_29_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijid.2024.107094"},{"key":"e_1_2_9_30_1","doi-asserted-by":"publisher","DOI":"10.1071\/sh14220"},{"key":"e_1_2_9_31_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.eimc.2018.10.015"},{"key":"e_1_2_9_32_1","doi-asserted-by":"publisher","DOI":"10.3390\/ijerph182211801"},{"key":"e_1_2_9_33_1","unstructured":"Ministerio de Sanidad.Servicios Sociales e Igualdad.2018. \u201cGlosario de t\u00e9rminos sobre diversidad afectivo sexual. Plan Nacional sobre el SIDA.\u201dhttps:\/\/www.sanidad.gob.es\/ciudadanos\/enfLesiones\/enfTransmisibles\/sida\/docs\/GlosarioDiversidad.pdf."},{"key":"e_1_2_9_34_1","doi-asserted-by":"publisher","DOI":"10.37201\/req\/051.2021"},{"key":"e_1_2_9_35_1","doi-asserted-by":"publisher","DOI":"10.3390\/ijerph18041855"},{"key":"e_1_2_9_36_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.medcli.2018.02.014"},{"key":"e_1_2_9_37_1","doi-asserted-by":"publisher","DOI":"10.1007\/s10508\u2010020\u201001726\u20107"},{"key":"e_1_2_9_38_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.tmaid.2018.04.015"},{"key":"e_1_2_9_39_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.eimce.2021.07.002"},{"key":"e_1_2_9_40_1","doi-asserted-by":"publisher","DOI":"10.1016\/s0895\u20104356(96)00236\u20103"},{"key":"e_1_2_9_41_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.midw.2022.103362"},{"key":"e_1_2_9_42_1","doi-asserted-by":"publisher","DOI":"10.3390\/jcm8020277"},{"key":"e_1_2_9_43_1","first-page":"231","volume-title":"Manual of Men's Health a Practice Guide for APRNs and PAs","author":"Prosser R.","year":"2019"},{"key":"e_1_2_9_44_1","unstructured":"Red Nacional de Vigilancia Epidemiol\u00f3gica.2023. \u201cEpidemiolog\u00eda de enfermedades transmisibles.\u201dhttps:\/\/cne.isciii.es\/es\/servicios\/enfermedades\u2010transmisibles\/protocolos\u2010renave."},{"key":"e_1_2_9_45_1","first-page":"1","article-title":"Declared Experiences of Risky Sexual Behaviors in Relation to Alcohol Consumption in the First Year of College","volume":"95","author":"Redondo\u2010Mart\u00edn S.","year":"2021","journal-title":"Revista Espa\u00f1ola Salud Publica"},{"key":"e_1_2_9_46_1","doi-asserted-by":"publisher","DOI":"10.1080\/00224499.2023.2181305"},{"key":"e_1_2_9_47_1","doi-asserted-by":"publisher","DOI":"10.3390\/ijerph17186881"},{"key":"e_1_2_9_48_1","doi-asserted-by":"publisher","DOI":"10.1136\/bmjopen\u20102021\u2010052817"},{"key":"e_1_2_9_49_1","doi-asserted-by":"publisher","DOI":"10.1007\/s40121\u2010022\u201000733\u20106"},{"key":"e_1_2_9_50_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.adolescence.2020.01.014"},{"key":"e_1_2_9_51_1","doi-asserted-by":"publisher","DOI":"10.2196\/22388"},{"key":"e_1_2_9_52_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.pcl.2016.11.008"},{"key":"e_1_2_9_53_1","doi-asserted-by":"publisher","DOI":"10.15585\/mmwr.rr7004a1"},{"key":"e_1_2_9_54_1","unstructured":"World Health Organization.2016. \u201cGlobal Health Sector Strategy on Sexually Transmitted Infections 2016\u20132021.\u201dhttps:\/\/iris.who.int\/bitstream\/handle\/10665\/246296\/WHO\u2010RHR\u201016.09\u2010eng.pdf?sequence=1."},{"key":"e_1_2_9_55_1","unstructured":"World Health Organization.2024a. \u201cFramework for Monitoring Sexually Transmitted Infections and Strengthening Surveillance.\u201dhttps:\/\/iris.who.int\/bitstream\/handle\/10665\/378238\/9789240097674\u2010eng.pdf?sequence=1."},{"key":"e_1_2_9_56_1","unstructured":"World Health Organization.2024b. \u201cSexually Transmitted Infections (STIs).\u201dhttps:\/\/www.who.int\/news\u2010room\/fact\u2010sheets\/detail\/sexually\u2010transmitted\u2010infections\u2010(stis)."},{"key":"e_1_2_9_57_1","unstructured":"World Health Organization.2024c. \u201cImplementing the Global Health Sector Strategies on HIV Viral hepatitis and Sexually Transmitted Infections 2022\u20132030: Report on Progress and Gaps 2024 Second Edition.\u201dhttps:\/\/iris.who.int\/bitstream\/handle\/10665\/378246\/9789240097872\u2010eng.pdf?sequence=1."}],"container-title":["Public Health Nursing"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/phn.13558","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,7,25]],"date-time":"2025-07-25T12:35:08Z","timestamp":1753446908000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1111\/phn.13558"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,4,4]]},"references-count":56,"journal-issue":{"issue":"4","published-print":{"date-parts":[[2025,7]]}},"alternative-id":["10.1111\/phn.13558"],"URL":"https:\/\/doi.org\/10.1111\/phn.13558","archive":["Portico"],"relation":{},"ISSN":["0737-1209","1525-1446"],"issn-type":[{"type":"print","value":"0737-1209"},{"type":"electronic","value":"1525-1446"}],"subject":[],"published":{"date-parts":[[2025,4,4]]},"assertion":[{"value":"2024-08-09","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2025-03-10","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2025-04-04","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}