DIFFERENCE IN SEXUAL BEHAVIOUR BETWEEN SYPHILIS AND GONORRHOEA CASES, BELGRADE
Intoduction/Aim: Although syphilis and gonorrhoea are “old” sexually transmitted diseases they have become a “new” problem: syphilis resurgence is noticed worldwide and it is followed by HIV co-infection, while drug-resistant gonorrhoea could be potentially untreatable infection. The aim of this study was to identify any differences between syphilis and gonorrhoea cases in regard to their demographic characteristics and behaviour.
Methods: In this cross-sectional study, data were collected from consecutive syphilis and gonorrhoea cases registered at the City Institute for Skin and Venereal Diseases in Belgrade in 2016.
Results: The study included 278 cases, 140 (50.4%) with gonorrhoea and 138 (49.6%) with syphilis. In comparison with gonorrhoea patients, syphilis patients were older, more frequently males with higher education, had their first sexual intercourse later, at 20+ years of age, less frequently had a permanent sexual partner, were more frequently homosexual or bisexual, and during the last 6 months had more frequently anal sex and oral-anal sex, as well as sex with a foreigner. They also had gonorrhoea in their personal history less frequently, but more frequently syphilis and hepatitis B infection, and they were more frequently HIV positive.
Conclusion: In comparison with gonorrhoea cases, patients with syphilis were more frequently men who have sex with men with more pronounced risk behaviour and HIV co-infection.
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