High emotional distress is it risk factor or protective factor?

Risk factors are characteristics at the biological, psychological, family, community, or cultural level that precede and are associated with a higher likelihood of negative outcomes. Protective factors are characteristics associated with a lower likelihood of negative outcomes or that reduce a risk factor's impact.

when trichomoniasis does cause symptoms, they can range from mild irritation to severe inflammation. itching or irritation inside the penis; burning after urination or ejaculation; discharge from the penis.

the answer is d

its c just did the test