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Evolución de los casos de infecciones de transmisión sexual en la ciudad de Barcelona (2007-2024): perfiles según el centro de declaración
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[spa] Objetivo: Describir la evolución de los diagnósticos de infecciones de transmisión sexual de declaraciónindividualizada en la ciudad de Barcelona entre 2007 y 2024, y analizar su asociación con variablessociodemográficas y tipo de centro de notificación.Método: Análisis de tendencia temporal basado en datos poblacionales de los casos de sífilis, gonorrea,clamidiasis y linfogranuloma venéreo de la ciudad de Barcelona. Se calcularon tasas de incidencia anualesy razones de tasas de incidencia ajustadas mediante regresión de Poisson robusta, ajustando por variablessociodemográficas y estratificando por tipo de centro.Resultados: El 44,3% de los diagnósticos se realizaron en atención comunitaria, el 30,6% en atención pri-maria y el 24,9% en atención hospitalaria. Los hombres concentraron el 78,6% de los casos, predominandoen atención comunitaria, mientras que las mujeres se diagnosticaron sobre todo en atención primaria. Encomparación con el grupo de 25-34 años, la probabilidad de ser diagnosticado en cualquier tipo de aten-ción disminuyó con la edad. Haber nacido en América Central o del Sur aumentó la probabilidad de serdiagnosticado en atención primaria un 112% y en atención hospitalaria un 144%. Un nivel socioeconómicobajo incrementó en un 238% la probabilidad de ser diagnosticado en atención primaria.Conclusiones: Los diagnósticos de infecciones de transmisión sexual en Barcelona presentan potencialesdesigualdades según el sexo, el origen y el nivel socioeconómico, que se reflejan en el tipo de centro dondese diagnostican. La pandemia de COVID-19 parece haber amplificado estas brechas, desplazando la cargaasistencial hacia los dispositivos comunitarios. Existe una necesidad de fortalecer la atención primaria ymejorar la coordinación entre dispositivos asistenciales para avanzar hacia un modelo de atención sexualmás equitativo.
[eng] Objective To describe the evolution of individually notifiable sexually transmitted infections diagnoses in the city of Barcelona between 2007 and 2024, and to analyse their association with sociodemographic variables and the type of reporting centre. Method Temporal trend analysis based on population-level data on cases of syphilis, gonorrhoea, chlamydia and lymphogranuloma venereum in the city of Barcelona. Annual incidence rates and adjusted incidence rate ratios were estimated using robust Poisson regression, adjusting for sociodemographic variables and stratifying by type of centre. Results Overall, 44.3% of diagnoses were made in community-based services, 30.6% in primary care and 24.9% in hospital-based care. Men accounted for 78.6% of cases and were predominantly diagnosed in community settings, whereas women were mainly diagnosed in primary care. Compared with the 25–34-year age group, the probability of being diagnosed in any type of care setting decreased with increasing age. Being born in Central or South America was associated with a 112% higher probability of diagnosis in primary care and a 144% higher probability in hospital care. Low socioeconomic status was associated with a 238% higher probability of diagnosis in primary care. Conclusions Sexually transmitted infections diagnoses in Barcelona show potential inequalities by sex, country of birth and socioeconomic level, which are reflected in the type of healthcare setting where diagnoses are made. The COVID-19 pandemic appears to have accentuated these patterns, with a relative shift in diagnostic activity towards community-based services. Strengthening primary care and improving coordination between healthcare settings are needed to move towards a more equitable model of sexual health care.
[eng] Objective To describe the evolution of individually notifiable sexually transmitted infections diagnoses in the city of Barcelona between 2007 and 2024, and to analyse their association with sociodemographic variables and the type of reporting centre. Method Temporal trend analysis based on population-level data on cases of syphilis, gonorrhoea, chlamydia and lymphogranuloma venereum in the city of Barcelona. Annual incidence rates and adjusted incidence rate ratios were estimated using robust Poisson regression, adjusting for sociodemographic variables and stratifying by type of centre. Results Overall, 44.3% of diagnoses were made in community-based services, 30.6% in primary care and 24.9% in hospital-based care. Men accounted for 78.6% of cases and were predominantly diagnosed in community settings, whereas women were mainly diagnosed in primary care. Compared with the 25–34-year age group, the probability of being diagnosed in any type of care setting decreased with increasing age. Being born in Central or South America was associated with a 112% higher probability of diagnosis in primary care and a 144% higher probability in hospital care. Low socioeconomic status was associated with a 238% higher probability of diagnosis in primary care. Conclusions Sexually transmitted infections diagnoses in Barcelona show potential inequalities by sex, country of birth and socioeconomic level, which are reflected in the type of healthcare setting where diagnoses are made. The COVID-19 pandemic appears to have accentuated these patterns, with a relative shift in diagnostic activity towards community-based services. Strengthening primary care and improving coordination between healthcare settings are needed to move towards a more equitable model of sexual health care.
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PERICAS ESCALE, Carles, et al. Evolución de los casos de infecciones de transmisión sexual en la ciudad de Barcelona (2007-2024): perfiles según el centro de declaración. Gaceta Sanitaria. 2026. Vol. 40. ISSN 0213-9111. [consulted: 17 of October of 2026]. Available at: https://hdl.handle.net/2445/232104