title: Sexually transmitted infections associated syndromes assisted in the primary health care in Northeast, Brazil.
abstract: BACKGROUND
  The lack of information on the care for sexually transmitted infections (STI) associated syndromes may contribute for its non-inclusion as prevention and control strategy for STI in Brazil. This study aims to analyze the cases of STI - Associated Syndromes assisted in primary health care center in a city in Northeast Brazil associating them with socio-demographic and behavioral variables.
  
  
  METHODS
  This is a retrospective study that analyzed 5148 consultation forms and medical records of patients assisted in a primary health care center who presented at least one genital syndrome from 1999 to 2008. Was considered as dependent variables the genital syndromes and serologies for syphilis and HIV and as independent variables the socio-demographic and behavioral aspects. It was used Pearson's chi-square test to analyze the differences between the categorical variables, with a significance level of 5%. It was performed a multivariate analysis through the multivariate logistic regression model with the variables with p <0.05. We used odds ratio with a confidence interval of 95%.
  
  
  RESULTS
  The most frequent syndromes were vaginal discharge and/or cervicitis (44%) and genital wart (42.2%). Most people were between 20 and 39 years old (70%) and women (74.2%). Genital ulcer was most prevalent among men (OR = 2.67; CI 95% 1.99-3.58) and people who studied more than eight years (OR = 1.33; CI 95% 1.00-1.75) and wart prevailed among men (OR = 3.92; IC 95% 3.36-4.57), people under 29 years old (OR = 1.81; CI 95% 1.59-2.07) and who studied more than eight years (OR = 1.75; CI 95% 1.54-1.99). The Venereal Disease Research Laboratory (VDRL) was positive in 7.3% of men and in 7.1% of women and the Anti-HIV in 3.1% of men and 0.7% of women.
  
  
  CONCLUSIONS
  Vaginal discharge was the most frequent syndrome assisted in primary health care, followed by genital wart. The high prevalence of genital wart justifies the greater effort for the proper follow-up of these cases. Men presented more genital wart and ulcer and reported having more sexual partners, showing their need for a greater access and inclusion in health activities developed in primary health care in Brazil.
authors.affiliation: Meireles Health Center, Av. Antonio Justa, 3113, Meireles, Fortaleza, Ceará CEP 60.165-090, Brazil.
authors.forename: Elani Graça Ferreira
authors.initials: EG
authors.lastname: Cavalcante
authors.forename: Maria Alix Leite
authors.initials: MA
authors.lastname: Araújo
authors.forename: Marli Teresinha Gimeniz
authors.initials: MT
authors.lastname: Galvão
authors.forename: Heber José
authors.initials: HJ
authors.lastname: de Moura
authors.forename: Ana Paula Soares
authors.initials: AP
authors.lastname: Gondim
authors.forename: Raimunda Magalhães
authors.initials: RM
authors.lastname: da Silva
mesh_terms: D000293:Adolescent; D000328:Adult; D001938:Brazil / Q000453:epidemiology; D003218:Condylomata Acuminata / Q000453:epidemiology / Q000628:therapy*; D005260:Female; D005832:Genital Diseases, Male / Q000453:epidemiology / Q000628:therapy*; D006801:Humans; D008297:Male; D008499:Medical Records; D011320:Primary Health Care / Q000706:statistics & numerical data*; D012189:Retrospective Studies; D012749:Sexually Transmitted Diseases / Q000453:epidemiology*; D014456:Ulcer / Q000453:epidemiology / Q000628:therapy*; D019522:Vaginal Discharge / Q000453:epidemiology / Q000628:therapy*; D055815:Young Adult