Incidence determinants of gonorrhea, chlamydial genital infection, syphilis and chancroid in attendees at a sexually transmitted disease clinic in Athens, Greece

Int J Dermatol. 2003 Nov;42(11):876-81. doi: 10.1046/j.1365-4362.2003.01737.x.


Objective: To determine the specific impact on the incidence rate of some demographic and behavioral characteristics in outpatients with four bacterial sexually transmitted diseases (STDs).

Study design: A cross-sectional hospital outpatient-based study was conducted from 1990 to 1996 on 1064 consecutive symptomatic STD cases (Chlamydia trachomatis, n = 375; gonorrhea, n = 369; early symptomatic syphilis, n = 288, and chancroid, n = 32) using a standardized questionnaire.

Results: In a reference STD population of 5831 symptomatic outpatients, the relative incidence of gonorrhea, syphilis and chancroid was found to be increased among immigrants. Low educational/socioeconomic level was also a significant incidence predictor. Older age characterized homo/bisexuals. The chlamydial infection detection rate was not affected by nationality, injecting drug use history or sexual orientation in males.

Conclusion: Innovative preventive and control strategies are needed among immigrants, older men having sex with men and injecting drug users, apart from those targeting the general population.

MeSH terms

  • Adolescent
  • Adult
  • Aged
  • Aged, 80 and over
  • Cross-Sectional Studies
  • Female
  • Greece / epidemiology
  • Hospitals, Public
  • Humans
  • Incidence
  • Male
  • Middle Aged
  • Outpatient Clinics, Hospital
  • Risk Factors
  • Sexual Behavior
  • Sexually Transmitted Diseases, Bacterial / epidemiology*
  • Sexually Transmitted Diseases, Bacterial / etiology*
  • Socioeconomic Factors