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POLITICS

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SOCIETYSexualhealthinItalyCHAPTER

01UseandcostofcontraceptionLevelofconsumptionofselectedcontraceptivesinItalyin2022(inDDDper1,000inhabitants)ConsumptionrateofselectedcontraceptivesinItalyin2022ConsumptionrateinDDDper1,000inhabitants0

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304050607080Fourth-generationestrogen-progestinoralcontraceptivesThird-generationestrogen-progestinoralcontraceptivesIntravaginalcontraceptives66.823.913.512Second-generationestrogen-progestinoralcontraceptivesIntrauterinecontraceptives10.910.8ProgestinoralcontraceptivesTransdermalestroprogestiniccontraceptivesSystemiccontraceptives-subcutaneousimplantation2.90.8Emergencyoralcontraceptives

0.23Description:Accordingtothedata,fourth-generationestrogen-progestincontraceptiveshadthehighestconsumptionrateofdailydefineddose(DDD)per1,000inhabitantsinItalyin2022,followedbythethird-generation.Duringthesameyear,emergencyoralcontraceptiveshadthelowestconsumptionrate,with0.2DDDper1,000inhabitants.ThisstatisticshowsthelevelofconsumptionofselectedcontraceptivesinItalyin2022(inDDDper1,000inhabitants).ReadmoreNote(s):Italy;2022Source(s):AgenziaItalianadelFarmacoLevelofconsumptionofcontraceptivesinItalyin2022,byregion(inDDDper1,000inhabitants)ConsumptionrateofcontraceptivesinItaly2022,byregionConsumptionrateinDDDper1,000inhabitants050100150200250300Sardinia270AostaValley232.9LiguriaPiedmontLombardy210.4200.1198.9AutonomousProvinceofTrentoAutonomousProvinceofBolzano187.3185.3TuscanyEmilia-RomagnaVeneto172.4169.1165.3162.9FriuliVeneziaGiuliaItaly141.8Lazio132.34Description:Accordingtothedata,Sardiniahadthehighestconsumptionofcontraceptivesindailydefineddose(DDD)per1,000inhabitantsinItalyin2022,withanamountof270.Thisvaluewaswayabovethenationalaverageof141.8DDDofcontraceptivesper1,000inhabitants.ThisstatisticshowsthelevelofconsumptionofcontraceptivesinItalyin2022,byregion(inDDDper1,000inhabitants).ReadmoreNote(s):Italy;2022Source(s):AgenziaItalianadelFarmacoLevelofconsumptionofcontraceptivesinItalyfrom2015to2022,bygeographicalarea(inDDDper1,000inhabitants)ConsumptionrateofcontraceptivesinItaly2015-2022,bygeographicalareaItalyNorthCenterSouthandislands178.421019017015013011090187182.9139.3176.8169.6160.7114412.

8140.8134125.4132.9131.2118.2127.3123.5107117.696.675.6108.887.398.284.686.183.882.780.978.57569.67050201520162017201820192020202120225Description:Accordingtothedata,inthenorthofItalypeoplehadthehighestconsumptionofcontraceptivesindailydefineddose(DDD)per1,000inhabitantsduringtheperiodfrom2015to2022.Specifically,thisvalueamountedto187DDDofcontraceptivesper1,000inhabitantsin2022,avaluemorethandoubletheconsumptionintheItalianislandsandsouthregions.ThisstatisticshowsthelevelofconsumptionofcontraceptivesinItalyfrom2015to2022,bygeographicalarea(inDDDper1,000[...]

ReadmoreNote(s):Italy;2015to2022Source(s):AgenziaItalianadelFarmacoAveragecostofcontraceptivesinItalyfrom2014to2022(perDDDineuros)CostofcontraceptivesinItaly2014-20220.50.50.50.50.50.50.510.50.490.480.470.470.460.50.460.450.50.42014201520162017201820192020202120226Description:Accordingtothedata,theaveragecostofthedailydefineddose(DDD)ofcontraceptivesincreasedslowlyfrom2014to2022.Inthatperiod,thelowestDDDaveragecostwasrecordedin2015,whenthiscostamountedto0.45eurosperDDD,whilethehighestwasin2022,with0.51eurosperDDD.ThisstatisticshowstheaveragecostofdailydefineddoseofcontraceptivesinItalyfrom2014to2022.

ReadmoreNote(s):Italy;2014to2022Source(s):AgenziaItalianadelFarmacoAveragecostofselectedcontraceptivesinItalyin2022(perDDDineuros)CostofdifferentcontraceptivesinItaly2022DDDcostineuros051015202530EmergencyoralcontraceptivesIntravaginalcontraceptives24.060.630.6TransdermalestroprogestiniccontraceptivesFourth-generationestroprogestinoralcontraceptivesProgestinoralcontraceptives0.590.480.470.350.2Second-generationestroprogestinoralcontraceptivesThird-generationestroprogestinoralcontraceptivesSystemiccontraceptives-subcutaneousimplantationIntrauterinecontraceptives

0.137Description:Accordingtothedata,theaveragecostofthedailydefineddose(DDD)ofcontraceptivesinItalywas0.51eurosin2022.Thecostofemergencyoralcontraceptiveswastheonlytypeofcontraceptiveforwhichthecostwasfarabovetheaverage,at24.06euros.However,thistypeofcontraceptiveisusedonaone-timebasis.ReadmoreNote(s):Italy;2022Source(s):AgenziaItalianadelFarmacoPercapitaexpenditureonselectedcontraceptivesinItalyin2022(ineuros)PercapitacostofdifferentcontraceptivesinItaly2022Percapitacostineuros0246810121416Fourth-generationestrogen-progestinoralcontraceptivesThird-generationestrogen-progestinoralcontraceptivesIntravaginalcontraceptives14.313.032.512.051.881.41Second-generationestrogen-progestinoralcontraceptivesProgestinoralcontraceptivesEmergencyoralcontraceptivesTransdermalestroprogestiniccontraceptivesIntrauterinecontraceptives0.630.62Systemiccontraceptives-subcutaneousimplantation

0.068Description:Accordingtothedata,theoverallpercapitaexpenditureoncontraceptivesinItalyin2022amountedto26.49euros.Thehighestcostwasforsustainedforthefourth-generationestrogen-progestinoralcontraceptives.ThisstatisticshowsthepercapitaexpenditureonselectedcontraceptivesinItalyin2022.ReadmoreNote(s):Italy;2022Source(s):AgenziaItalianadelFarmacoCHAPTER

02PrevalenceofSTIsandSTDsNumberofindividualsaffectedbysexuallytransmittedinfections(STIs)inItalyin2021,bytypeNumberofindividualsaffectedbySTIsinItaly2021,bytypeNumberofindividuals1,50005001,0002,0002,5003,0002,9273,500BacterialinfectionViralinfection2,818ProtozoaninfectionParasiticinfection8810Description:In2021,about5.8thousandsexuallytransmittedinfections(STIs)werereportedinItaly,almost18percentmorethantheonesrecordedduring2020.Accordingtothedata,mostofthecasesofdiagnosedSTIswerecausedbybacterialandviralinfections,withroughly2.9thousandand2.8thousandcases,respectively.Peopleagedbetween25and44werethemostaffected.ReadmoreNote(s):Italy;2021Source(s):IstitutoSuperiorediSanitàDistributionofindividualsaffectedbysexuallytransmittedinfections(STIs)inItalyin2021,bygender,sexualorientationandagegroupDistributionofindividualsaffectedbySTIsinItaly2021,bygenderandage15-24years25-44years45yearsandolder120%100%80%60%40%20%0%17.6%56.7%24.8%61.6%24.8%61.9%25.7%13.4%13.3%HeterosexualmenHomosexualmenWomen11Description:In2021,about5.8thousandsexuallytransmittedinfections(STIs)werereportedinItaly.Thisstatisticshowshowinfectionsweredistributedbetweenagegroupsaccordingtothegenderandsexualorientationofinfectedindividuals.Accordingtothedata,sexuallytransmitteddiseasesweremostcommonamongpeopleagedbetween25and44yearsold.Moreover,itwasmorecommontodetectSTIsatayoungageamongfemaleindividualsthanamongmaleones.

ReadmoreNote(s):Italy;2021Source(s):IstitutoSuperiorediSanitàNumberofindividualsaffectedbysexuallytransmittedinfections(STIs)inItalyin2021,bytransmissioncategoryNumberofindividualsaffectedbySTIsinItaly2021,bytransmissioncategoryNumberofindividuals1,00005001,5002,0002,500Heterosexualcontact(male)Male-to-malesexualcontactWomen2,1712,0791,330Datanotavailable18112Description:In2021,about5.8thousandsexuallytransmittedinfections(STIs)werereportedinItaly.Thisstatisticbreaksdownthisfigurebytransmissioncategory.Accordingtothedata,in2,171casesdiagnosedonmaleindividualstheinfectionsweretransmittedthroughheterosexualcontact,whereasin2,079ofthemthetransmissionwasduetomale-to-malesexualcontact.ReadmoreNote(s):Italy;2021Source(s):IstitutoSuperiorediSanitàNumberofindividualsaffectedbysexuallytransmittedinfections(STIs)inItalyin2021,bycontraceptivemethodusedNumberofindividualsaffectedbySTIsinItaly2021,bycontraceptivemethodusedNumberofindividuals05001,0001,5002,0002,5003,0003,5004,0003,9154,500Condoms(occasionally)None552Condoms(always)Contraceptivepills31252Others

10Datanotavailable92013Description:In2021,about5.8thousandsexuallytransmittedinfections(STIs)werereportedinItaly.Thisstatisticbreaksdownthisfigurebycontraceptivemethodusedoverthesixmonthsprecedingthediagnosis.Accordingtothedata,therewasaremarkablegapamongindividualsusingcondomsregularlyandtheonesusingthemonlyoccasionally.ReadmoreNote(s):Italy;2021Source(s):IstitutoSuperiorediSanitàNumberofindividualsaffectedbysexuallytransmittedinfections(STIs)inItalyin2021,byeducationlevelNumberofindividualsaffectedbySTIsinItaly2021,byeducationlevelNumberofindividuals800

1,00002004006001,2001,4001,6001,8002,0002,200NoneMandatoryschooleducationHighschooldiploma791,0401,988Degree1,370Educationlevelnotavailable1,28414Description:In2021,about5.8thousandsexuallytransmittedinfections(STIs)werereportedinItaly.Thisstatisticbreaksdownthisfigurebyeducationalleveloftheinfectedindividuals.Accordingtothedata,duringtheyearconsidered,1,988individualsholdingahighschooldiplomaand1,370peoplewithauniversitydegreewereaffectedbyasexuallytransmitteddisease.ReadmoreNote(s):Italy;2021Source(s):IstitutoSuperiorediSanitàNumberofconfirmedcasesofgonorrheainItalyfrom2008to2022CasesofgonorrheainItaly2008-20222,5002,0001,5001,9431,000500090585084981376064963553742138336334833322120082009201020112012201320142015201620172018201920202021202215Description:Overtheyearsconsidered,thenumberofindividualssufferingfromgonorrheainItalyfluctuated.In2021and2022,therewasasteepincrease,shiftingfrom333casesin2020to1,943in2022.ThisstatisticdepictsthenumberofconfirmedcasesofgonorrheainItalyfrom2008to2022.ReadmoreNote(s):Italy;2008to2022Source(s):ECDCNumberofconfirmedcasesofsyphilisinItalyfrom2008to2022CasesofsyphilisinItaly2008-20223,0002,5002,0002,5401,8261,6311,6141,5261,4201,5001,00050001,1821,1701,1381,1511,07520091,0602015992927843200820102011201220132014201620172018201920202021202216Description:Accordingtothedata,thecasesofsyphilisinItalywasquitesteadybetween2008and2015.Fromthenon,thenumberconstantlyincreasedanditpeakedin2022,when2,540casesofsyphiliswerereported.ThisstatisticshowsthenumberofconfirmedcasesofsyphilisinItalyfrom2008to2022.ReadmoreNote(s):Italy;2008to2022Source(s):ECDCNumberofconfirmedcasesofchlamydiainItalyfrom2012to2022CasesofchlamydiainItaly2012-20221,6001,3961,4001,2431,1981,2001,00080060040020001,1099799469539407766006022012201320142015201620172018201920202021202217Description:Accordingtothedata,thenumberofindividualsaffectedbychlamydiainItalyreached1,396casesin2022,afiguremorethandoubletheonerecordedduring2020.ThisstatisticdepictsthenumberofconfirmedcasesofchlamydiainItalyfrom2012to2022.ReadmoreNote(s):Italy;2012to2022Source(s):ECDCCHAPTER

03HIVinItalyTotalnumberofnewlydiagnosedHIVinfectionsinItalyfrom2008to2022TotalnumberofnewHIVinfectionsinItaly2008-20224,5004,1804,0183,8923,8463,8583,8544,0003,5003,0002,5002,0001,5001,0005003,7233,6253,6103,0292,4822,5041,8881,8501,40602008*200920102011201220132014201520162017201820192020**

2021**202219Description:InItaly,thetotalnumberofnewlydiagnosedHIV(humanimmunodeficiencyvirus)infectionspeakedin2012,when4,176newcaseswererecorded.Thereafter,thenumbergraduallydecreaseduntil2020,when1,393individualswerenewlydiagnosedwithHIV,toriseagainin2021and2022.ThisvirusisresponsibleforAIDS(acquiredimmunodeficiencysyndrome),whichisaconditionthatremarkablyweakenstheimmunesystem,makingthecontractionofdiseasesmuchmorelikely.

ReadmoreNote(s):Italy;2008to2022;*Thefigurefor2008ispartialasdataforeightoutofthe20Italianregionswerenotavailable.**Thesourcewarnsthatdatafor2020and2021maybebiasedduetotheCOVID-19emergency.Datapriorto2012were[...]

ReadmoreSource(s):IstitutoSuperiorediSanitàTotalnumberofnewHIVreportedinfectionsinItalyin2022,byregionTotalnumberofnewHIVinfectionsinItaly2022,byregionNumberofnewHIVinfections050100150200250300350LazioLombardyCampaniaEmilia-RomagnaPiedmontSicily293218210206160157156TuscanyApulia130Veneto78Liguria60Abruzzo48Marche43Sardinia3120Description:Humanimmunodeficiencyvirus(HIV)isthevirusthatcausesacquiredimmunedeficiencysyndrome(AIDS):aconditionthatdamagestheimmunesystem,makingitincapabletodefeatdiseases.In2022,LazioandLombardyweretheItalianregionswiththehighestnumberofnewlydiagnosedHIVinfections,with293and218cases,respectively.ReadmoreNote(s):Italy;2022Source(s):IstitutoSuperiorediSanitàTotalnumberofnewHIVdiagnosesinItalyin2022,byagegroupandgenderTotalnumberofnewHIVdiagnosesinItaly2022,byagegroupandgenderNumberofnewHIVinfectionsFemale

Male20005010015025030035040045020-2years3-14years401415-19years20-24years25-29years30-39years40-49years50-59years60-69years70yearsandover9248547147106103377389783043012584521Description:In2022,1,888newHIVcaseswerediagnosedinItaly.Thisstatisticbreaksdownthisfigureaccordingtothepatients'ageandgender.Mostnewdiagnosiswereamongmales,with1,486newcases,whileonly402newcaseswereamongfemales.Forbothgenders,theageatthemomentofthediagnoseswasmoreoftenbetween40and49yearsofage.Infact,389menand103womenintheir40swerenewlydiagnosedwithHIV.

ReadmoreNote(s):Italy;2022Source(s):IstitutoSuperiorediSanitàNumberofnewHIVdiagnosesinItalyin2022,bygenderandnationalityNumberofnewHIVdiagnosesinItaly2022,bygenderandnationalityItalianForeignerNotmentioned1,6001,4001,2001,00080093676001,110Male40012192001820Female22Description:In2022,1,888newHIVinfectionswerereportedinItaly.Thisstatisticbreaksdownthisfigurebygenderandnationality.Accordingtothedata,inthatyear,thenumberofforeignmaleswhowerediagnosedwithHIVwas367.Itisworthnotingthat,amongfemales,newcasesamongforeignersaccountedformorethanhalfofthediagnoses.ThisstatisticshowsthenumberofnewHIVdiagnosesinItalyin2022,bygenderandnationality.ReadmoreNote(s):Italy;2022Source(s):IstitutoSuperiorediSanitàReasonsforconductinganHIVtestamongnewlydiagnosedindividualsinItalyin2022ReasonsforconductinganHIVtestinItaly2022ShareofHIVcasesdetected0%5%10%15%20%25%30%35%40%45%HIVsymptoms41.2%SexualintercourseatriskDuringroutinecheck-ups24.3%8.9%Duringcheck-upsforotherdiseaseSuspectSTD4.5%4.4%3.2%2.9%2.2%2.1%1.2%0.5%Pre-hospitalizationcheck-upsDuringspecializedcheck-upslinkedtosexualreproductionAfterdiscoveringpartner´sHIV-positivestatusDuringblooddonationCheck-upduetodruguseLegaladministartivereasonOther4.6%23Description:In2022,over40percentofpeoplenewlydiagnosedwithHIVinItaly,decidedtomakeatestafterexperiencingsymptoms.OthercommonreasonsforconductinganHIVtestwereaftersexualintercoursewithouttheuseofacondom,andafterriskbehaviorsatlarge.ThisstatisticshowsthereasonsforconductinganHIVtestamongnewlydiagnosedindividualsinItalyin2022.ReadmoreNote(s):Italy;2022Source(s):IstitutoSuperiorediSanitàCHAPTER

04UseandcostoferectiledysfunctiondrugsLevelofconsumptionoferectiledysfunctiondrugsinItalyfrom2015to2022(inDDDper1,000inhabitantsperday)ConsumptionrateoferectiledysfunctiondrugsinItaly2015-20226.05.55.05.55.24.64.64.54.03.53.02.54.13.93.42.92015201620172018201920202021202225Description:Between2015and2022,thelevelofconsumptionoferectiledysfunctiondrugsinItalyincreased.Accordingtothedata,thehighestvaluewasreachedin2022,when5.5DDD(dailydefineddoses)per1,000inhabitantsperdaywereconsumedinthecountry.ThisfigureshowsthelevelofconsumptionoferectiledysfunctiondruginItalyfrom2015to2021(inDDDper1,000inhabitantsperday).ReadmoreNote(s):Italy;2015to2022Source(s):AgenziaItalianadelFarmacoLevelofconsumptionoferectiledysfunctiondrugsinItalyin2022,byactiveingredient(inDDDper1,000inhabitantsperday)ConsumptionrateoferectiledysfunctiondrugsinItaly2022,byactiveingredient3.53.23.02.51.92.01.51.00.50.00.30.10TadalafilSildenafilVardenafilAvanafilAlprostadil26Description:In2022,thetotallevelofconsumptionoferectiledysfunctiondrugsinItalywasequalto5.5DDD(dailydefineddoses)per1,000inhabitantsperday.Thisstatisticbreaksdownthisfigurebyactiveingredient.Accordingtothedata,TadalafilandSildenafilwerethemostcommondrugsusedtotreaterectiledysfunctions,withconsumptionratesof3.2and1.9DDDper1,000inhabitantsperday,respectively.

ReadmoreNote(s):Italy;2022Source(s):AgenziaItalianadelFarmacoLevelofconsumptionoferectiledysfunctiondrugsinItalyin2022,byregion(inDDDper1,000inhabitants)ConsumptionrateoferectiledysfunctiondrugsinItaly2022,byregionConsumptionrateinDDDper1,000inhabitants0123456789CampaniaLazio7.77.1TuscanyLiguria6.66.5Marche6.1Umbria6Emilia-RomagnaAbruzzoItaly5.95.95.5PiedmontApulia5.35.1Sicily4.9Lombardy4.627Description:Accordingtothedata,theItalianregionofCampaniahadthehighestconsumptionoferectiledysfunctiondrugsindailydefineddose(DDD)per1,000inhabitantsin2022.ThisstatisticshowsthelevelofconsumptionoferectiledysfunctiondrugsinItalyin2022,byregion(inDDDper1,000inhabitants).ReadmoreNote(s):Italy;2022Source(s):AgenziaItalianadelFarmacoLevelofconsumptionoferectiledysfunctiondrugsinItalyfrom2015to2022,bygeographicalarea(inDDDper1,000inhabitants)Consumptionrateoferectiledysfunctiondrugs,Italy2015-2022,bygeographicalareaItalyNorthCenterSouthandislands7.06.56.05.55.04.54.03.53.02.52.06.75.66.25.45.54.95.45.34.65.24.74.74.24.64.34.54.344.34.13.73.93.53.83.43.33.22.92.62015201620172018201920202021202228Description:Accordingtothedata,from2015to2022,inthecenterofItalypeoplehadthehighestconsumptionoferectiledysfunctiondrugsindailydefineddose(DDD)per1,000inhabitants.Specifically,thisvalueamountedto6.7DDDoferectiledysfunctiondrugsper1,000inhabitantsin2022.ThisstatisticshowsthelevelofconsumptionoferectiledysfunctiondrugsinItalyfrom2015to2022,bygeographicalarea(inDDDper1,000inhabitants).ReadmoreNote(s):Italy;2015to2022Source(s):AgenziaItalianadelFarmacoAnnualpercentagechangeintheconsumptionoferectiledysfunctiondrugsinItalybetween2021and2022,byregion(inDDDper1,000inhabitants)ConsumptionratechangesoferectiledysfunctiondrugsinItaly2021/2022,byregionPercentagechangeinDDDper1,000inhabitants0%2%4%6%8%10%12%14%Lazio13.3%AutonomousProvinceofTrento10.7%10.2%AbruzzoApulia9.2%Basilicata8.7%AutonomousProvinceofBolzano6.8%6.5%6.2%6.1%6%MarcheFriuliVeneziaGiuliaEmilia-RomagnaVenetoCalabriaItalyMolise5.7%5.7%5.7%29Description:Accordingtothedata,amongtheItalianregions,Laziohadthegreatestincreaseintheconsumptionoferectiledysfunctiondrugsindailydefineddose(DDD)per1,000inhabitantsbetween2021and2022.Thisincreasewasabovethenationalvariationof5.7percent.ThisstatisticshowsthepercentagechangeintheconsumptionoferectiledysfunctiondrugsinItalybetween2021and2022,byregion(inDDDper1,000inhabitants).ReadmoreNote(s):Italy;2021and2022Source(s):AgenziaItalianadelFarmacoAveragecostoferectiledysfunctiondrugsinItalyfrom2015to2022(perDDDineuros)CostoferectiledysfunctiondrugsinItaly2015-20228.58.117.998.07.57.06.56.05.55.04.57.456.365.85.225.194.972015201620172018201920202021202230Description:Accordingtothedata,theaveragecostofthedailydefineddose(DDD)oferectiledysfunctiondrugsinItalydecreasedfrom2015to2022.Inthisperiod,thelowestDDDaveragecostwasrecordedin2022,whenthiscostamountedto4.97eurosperDDD,whilethehighestwasin2015,with8.11eurosperDDD.ThisstatisticshowstheaveragecostofthedailydefineddoseoferectiledysfunctiondrugsinItalyfrom2015to2022.ReadmoreNote(s):Italy;2015to2022Source(s):AgenziaItalianadelFarmacoCHAPTER

05Adolescentsandyoungadults'sexualityandcontraceptiveusePercentageofyoungpeoplewhohadcompletesexualintercoursebefore17yearsofageinItalyin2019and2023Shareofyoungpeoplehavingsexbefore17yearsinItalyin2019and202370%64%60%50%40%30%20%10%40.4%0%2019202332Description:Asurveyonsexualityofyoungpeopleagedbetween11and24yearsinItaly,showedthattheageatwhichpeoplearehavingsexforthefirsttimehasincreased.Asamatteroffact,in2019about64percentofrespondentssaidtheyhadsexualintercourseforthefisttimebeforetheageof17,whilethissharedecreasedto40.4percentin2023.Thisstatisticdisplaystheshareofyoungpeoplewhohadsexforthefirsttimebefore17yearsofageinItalyin2019and2023.

ReadmoreNote(s):Italy;2023;15,197respondents;11-24yearsSource(s):Durex;SkuolaNetworkPercentageofyoungpeopleinItalyagedbetween11and24yearswhohadatleastonesexualhealthcheckasof2023ShareofyoungpeoplewithatleastonesexualhealthcheckinItalyasof202390%80%70%60%50%40%30%20%10%0%85.2%14.8%Neve