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        "titulo" => "Abstract"
        "resumen" => "<span class="elsevierStyleSectionTitle">Background and objectives</span><p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">Recent years have seen a resurgence of syphilis in Spain due to changes in sexual behavior&#46; Here we describe the incidence of the disease in our clinic and investigate its relationship with the sexual habits of men who have sex with men &#40;MSM&#41;&#46;</p> <span class="elsevierStyleSectionTitle">Patients and methods</span><p id="spar0010" class="elsevierStyleSimplePara elsevierViewall">A cross-sectional descriptive study of incident cases of syphilis in 2007 and 2008 was performed&#44; followed by a case-control study of sexual behavior in the previous year to compare MSM with and without syphilis&#46;</p> <span class="elsevierStyleSectionTitle">Results</span><p id="spar0015" class="elsevierStyleSimplePara elsevierViewall">We recorded 26 new cases of syphilis&#44; 19 of which were diagnosed at early stages&#46; Eight patients were infected with human immunodeficiency virus and 15 were classed as MSM&#46; Sixty-five MSM without syphilis were selected as a control group&#46; MSM with syphilis had a larger number of sexual partners&#58; odds ratio &#40;OR&#41;&#44; 3&#46;98 &#40;95&#37; confidence interval &#91;CI&#93;&#44; 0&#46;90&#8211;17&#46;46&#41; for the category &#8220;2 to 5 sexual partners&#8221;&#59; OR&#44; 3&#46;22 &#40;95&#37; CI&#44; 0&#46;84&#8211;12&#46;43&#41; for the category &#8220;more than 5 sexual partners&#8221;&#46; The inconsistent use of condoms was significantly more common among MSM with syphilis than among those without syphilis &#40;OR&#44; 3&#46;96&#59; 95&#37; CI&#44; 1&#46;15&#8211;13&#46;61&#59; <span class="elsevierStyleItalic">P</span>&#61;&#46;02&#41;&#46;</p> <span class="elsevierStyleSectionTitle">Conclusions</span><p id="spar0020" class="elsevierStyleSimplePara elsevierViewall">Syphilis continues to be a public health problem in our setting&#44; particularly among homosexual and bisexual men&#46; In this study&#44; inconsistent use of condoms and a greater number of sexual partners were risk factors for syphilis in MSM&#46; The development of prevention programs targeting this at-risk population should be considered a priority&#46;</p>"
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        "resumen" => "<span class="elsevierStyleSectionTitle">Introducci&#243;n y objetivos</span><p id="spar0025" class="elsevierStyleSimplePara elsevierViewall">La s&#237;filis ha aumentado en Espa&#241;a en los &#250;ltimos a&#241;os&#44; debido a cambios en los h&#225;bitos sexuales&#46; Describimos la incidencia de s&#237;filis en nuestra consulta y estudiamos los h&#225;bitos sexuales de los hombres que tienen sexo con otros hombres &#40;HSH&#41;&#46;</p> <span class="elsevierStyleSectionTitle">Pacientes y m&#233;todos</span><p id="spar0030" class="elsevierStyleSimplePara elsevierViewall">Estudio transversal descriptivo de los casos incidentes de s&#237;filis en los a&#241;os 2007 y 2008&#44; y estudio caso-control de los h&#225;bitos sexuales en el &#250;ltimo a&#241;o de los HSH diagnosticados o no de s&#237;filis&#46;</p> <span class="elsevierStyleSectionTitle">Resultados</span><p id="spar0035" class="elsevierStyleSimplePara elsevierViewall">Registramos 26 nuevos casos de s&#237;filis&#44; 19 de ellos en el estadio de s&#237;filis precoz&#46; 8 pacientes estaban infectados por el virus de la inmunodeficiencia humana y 15 eran HSH&#46; Como grupo control se seleccionaron 65 HSH sin s&#237;filis&#46; Demostramos un mayor n&#250;mero de parejas sexuales en los HSH afectos de s&#237;filis&#44; 3&#44;98 &#40;IC 95&#37; &#61; 0&#44;90&#8211;17&#44;46&#41; veces m&#225;s en la categor&#237;a &#171;entre 2 y 5 parejas&#187; y 3&#44;22 &#40;IC 95&#37; &#61; 0&#44;84&#8211;12&#44;43&#41; en la categor&#237;a de &#171;m&#225;s de 5 parejas&#187;&#46; En el apartado de uso de preservativo estas diferencias fueron significativas &#40;p &#61; 0&#44;02&#41;&#44; siendo 3&#44;96 veces superior &#40;IC 95&#37; &#61; 1&#44;15&#8211;13&#44;61&#41; el empleo inconstante del mismo en el grupo de HSH con s&#237;filis&#46;</p> <span class="elsevierStyleSectionTitle">Conclusiones</span><p id="spar0040" class="elsevierStyleSimplePara elsevierViewall">La s&#237;filis contin&#250;a siendo un problema de salud p&#250;blica en nuestro medio&#44; particularmente entre homo y bisexuales&#46; El inconstante uso de preservativo y un mayor n&#250;mero de parejas sexuales son factores de riesgo de s&#237;filis en los HSH de nuestra serie&#46; Es prioritario desarrollar programas de prevenci&#243;n dirigidos a la poblaci&#243;n de riesgo&#46;</p>"
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Original Article
Condom Use and Number of Sexual Partners among Male Syphilis Patients who Report Having Sex with Men
Uso de preservativo y número de parejas sexuales en hombres que tienen sexo con hombres con sífilis
B. Repisoa,
Corresponding author
Brepiso@aedv.es

Corresponding author.
, M. Frieyroa, F. Rivas-Ruizb, M. De Troyaa
a Servicio de Dermatología, Empresa Pública Hospital Costa del Sol, Marbella, Málaga, Spain
b Unidad de Investigación, Empresa Pública Hospital Costa del Sol, Marbella, Málaga, Spain
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        "titulo" => "Abstract"
        "resumen" => "<span class="elsevierStyleSectionTitle">Background and objectives</span><p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">Recent years have seen a resurgence of syphilis in Spain due to changes in sexual behavior&#46; Here we describe the incidence of the disease in our clinic and investigate its relationship with the sexual habits of men who have sex with men &#40;MSM&#41;&#46;</p> <span class="elsevierStyleSectionTitle">Patients and methods</span><p id="spar0010" class="elsevierStyleSimplePara elsevierViewall">A cross-sectional descriptive study of incident cases of syphilis in 2007 and 2008 was performed&#44; followed by a case-control study of sexual behavior in the previous year to compare MSM with and without syphilis&#46;</p> <span class="elsevierStyleSectionTitle">Results</span><p id="spar0015" class="elsevierStyleSimplePara elsevierViewall">We recorded 26 new cases of syphilis&#44; 19 of which were diagnosed at early stages&#46; Eight patients were infected with human immunodeficiency virus and 15 were classed as MSM&#46; Sixty-five MSM without syphilis were selected as a control group&#46; MSM with syphilis had a larger number of sexual partners&#58; odds ratio &#40;OR&#41;&#44; 3&#46;98 &#40;95&#37; confidence interval &#91;CI&#93;&#44; 0&#46;90&#8211;17&#46;46&#41; for the category &#8220;2 to 5 sexual partners&#8221;&#59; OR&#44; 3&#46;22 &#40;95&#37; CI&#44; 0&#46;84&#8211;12&#46;43&#41; for the category &#8220;more than 5 sexual partners&#8221;&#46; The inconsistent use of condoms was significantly more common among MSM with syphilis than among those without syphilis &#40;OR&#44; 3&#46;96&#59; 95&#37; CI&#44; 1&#46;15&#8211;13&#46;61&#59; <span class="elsevierStyleItalic">P</span>&#61;&#46;02&#41;&#46;</p> <span class="elsevierStyleSectionTitle">Conclusions</span><p id="spar0020" class="elsevierStyleSimplePara elsevierViewall">Syphilis continues to be a public health problem in our setting&#44; particularly among homosexual and bisexual men&#46; In this study&#44; inconsistent use of condoms and a greater number of sexual partners were risk factors for syphilis in MSM&#46; The development of prevention programs targeting this at-risk population should be considered a priority&#46;</p>"
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        "resumen" => "<span class="elsevierStyleSectionTitle">Introducci&#243;n y objetivos</span><p id="spar0025" class="elsevierStyleSimplePara elsevierViewall">La s&#237;filis ha aumentado en Espa&#241;a en los &#250;ltimos a&#241;os&#44; debido a cambios en los h&#225;bitos sexuales&#46; Describimos la incidencia de s&#237;filis en nuestra consulta y estudiamos los h&#225;bitos sexuales de los hombres que tienen sexo con otros hombres &#40;HSH&#41;&#46;</p> <span class="elsevierStyleSectionTitle">Pacientes y m&#233;todos</span><p id="spar0030" class="elsevierStyleSimplePara elsevierViewall">Estudio transversal descriptivo de los casos incidentes de s&#237;filis en los a&#241;os 2007 y 2008&#44; y estudio caso-control de los h&#225;bitos sexuales en el &#250;ltimo a&#241;o de los HSH diagnosticados o no de s&#237;filis&#46;</p> <span class="elsevierStyleSectionTitle">Resultados</span><p id="spar0035" class="elsevierStyleSimplePara elsevierViewall">Registramos 26 nuevos casos de s&#237;filis&#44; 19 de ellos en el estadio de s&#237;filis precoz&#46; 8 pacientes estaban infectados por el virus de la inmunodeficiencia humana y 15 eran HSH&#46; Como grupo control se seleccionaron 65 HSH sin s&#237;filis&#46; Demostramos un mayor n&#250;mero de parejas sexuales en los HSH afectos de s&#237;filis&#44; 3&#44;98 &#40;IC 95&#37; &#61; 0&#44;90&#8211;17&#44;46&#41; veces m&#225;s en la categor&#237;a &#171;entre 2 y 5 parejas&#187; y 3&#44;22 &#40;IC 95&#37; &#61; 0&#44;84&#8211;12&#44;43&#41; en la categor&#237;a de &#171;m&#225;s de 5 parejas&#187;&#46; En el apartado de uso de preservativo estas diferencias fueron significativas &#40;p &#61; 0&#44;02&#41;&#44; siendo 3&#44;96 veces superior &#40;IC 95&#37; &#61; 1&#44;15&#8211;13&#44;61&#41; el empleo inconstante del mismo en el grupo de HSH con s&#237;filis&#46;</p> <span class="elsevierStyleSectionTitle">Conclusiones</span><p id="spar0040" class="elsevierStyleSimplePara elsevierViewall">La s&#237;filis contin&#250;a siendo un problema de salud p&#250;blica en nuestro medio&#44; particularmente entre homo y bisexuales&#46; El inconstante uso de preservativo y un mayor n&#250;mero de parejas sexuales son factores de riesgo de s&#237;filis en los HSH de nuestra serie&#46; Es prioritario desarrollar programas de prevenci&#243;n dirigidos a la poblaci&#243;n de riesgo&#46;</p>"
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