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Cardoso WM, Motta-Castro ARC, Weis-Torres SMDS, Bandeira LM, Higa MG, Puga MAM, Barbieri AR, Fitts SMF. High prevalence of syphilis among recyclable waste collectors in Central Brazil. Rev Soc Bras Med Trop 2024; 57:e007022024. [PMID: 38359311 PMCID: PMC10911280 DOI: 10.1590/0037-8682-0283-2023] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/12/2023] [Accepted: 12/12/2023] [Indexed: 02/17/2024] Open
Abstract
BACKGROUND Syphilis is associated with social and behavioral factors. METHODS This cross-sectional study determined the prevalence of syphilis and its associated risk factors among recyclable waste collectors in Central Brazil. RESULTS A lifetime syphilis prevalence rate of 7.91% (95% confidence interval: 5.25-11.75) was found among 278 participants. Low educational level, history of sexually transmitted infection, and age ≥ 36 years were associated with a high prevalence of lifetime syphilis. CONCLUSIONS These findings emphasize the need for syphilis prevention, screening, and treatment among recyclable waste collectors, highlighting the potential for the spread of infection in vulnerable populations.
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Affiliation(s)
| | - Ana Rita Coimbra Motta-Castro
- Universidade Federal de Mato Grosso do Sul, Campo Grande, MS, Brasil
- Fiocruz Mato Grosso do Sul, Ministério da Saúde, Campo Grande, MS, Brasil
| | | | | | | | | | - Ana Rita Barbieri
- Universidade Federal de Mato Grosso do Sul, Campo Grande, MS, Brasil
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Pinho ECC, da Silva Galvão JJ, Ramos AMPC, Aben-Athar CYUP, da Silva RAR, Cunha CLF, Botelho EP, Ferreira GRON. Social and individual vulnerability factors associated with syphilis among populations living on islands in the Brazilian Amazon. BMC Infect Dis 2024; 24:23. [PMID: 38166680 PMCID: PMC10763490 DOI: 10.1186/s12879-023-08955-w] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/21/2023] [Accepted: 12/27/2023] [Indexed: 01/05/2024] Open
Abstract
BACKGROUND The repercussions of the syphilis epidemic differ according to populations. Identifying and acknowledging the differences and specificities of populations is fundamental in the design and implementation of policies aimed at assisting the groups most vulnerable to syphilis. OBJECTIVE To estimate the prevalence of antibodies against Treponema pallidum and associated vulnerability factors among riverside populations of a capital city in the Brazilian Amazon. METHODS Cross-sectional study was conducted among residents of the periurban islands in Belém, northern Brazil, from August 2020 to January 2021. The inclusion criterion was being a resident of the riverside communities of the Combú Environmental Protection Area, aged 18 years or over. The participants responded to questionnaire and were tested for syphilis using rapid test. Data were analyzed using multiple logistic regression by Minitab version 20® software. RESULTS Overall, a total of 325 riverine were included. Age varied from 18 to 91 years (average 40 years). Prevalence of markers for syphilis was 5.9% (95% CI: 3.3%-8.4%). The multiple regression showed that as age increases, the chances of having syphilis also increase (p = 0.001; aOR: 1.04) and riverside dwellers with more than one sexual partner in the last 6 months had more than four chances of having syphilis compared to people who had only one sexual partner (p = 0.007; aOR: 4.20). CONCLUSION Syphilis circulates among traditional populations in the Amazon and is associated with factors of social and individual vulnerability.
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Affiliation(s)
- Ellen Christiane Correa Pinho
- Programa de Pós Graduação Em Enfermagem, Federal, University of Para, Rua Augusto Correa, 01 - Setor Saúde, Guamá, Belém, Pará, 66075-110, Brazil
| | - José Jorge da Silva Galvão
- Programa de Pós Graduação Em Enfermagem, Federal, University of Para, Rua Augusto Correa, 01 - Setor Saúde, Guamá, Belém, Pará, 66075-110, Brazil
| | - Aline Maria Pereira Cruz Ramos
- Programa de Pós Graduação Em Enfermagem, Federal, University of Para, Rua Augusto Correa, 01 - Setor Saúde, Guamá, Belém, Pará, 66075-110, Brazil
| | | | | | - Carlos Leonardo Figueiredo Cunha
- Programa de Pós Graduação Em Enfermagem, Federal, University of Para, Rua Augusto Correa, 01 - Setor Saúde, Guamá, Belém, Pará, 66075-110, Brazil
| | - Eliã Pinheiro Botelho
- Programa de Pós Graduação Em Enfermagem, Federal, University of Para, Rua Augusto Correa, 01 - Setor Saúde, Guamá, Belém, Pará, 66075-110, Brazil
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Maia RM, Fernandes J, de Mattos LHBV, Camacho LAB, Caetano KAA, dos Santos Carneiro MA, de Oliveira Santos F, Teles SA, de Lemos ERS, de Oliveira RC. Seroprevalence of Hantavirus among Manual Cane Cutters and Epidemiological Aspects of HPS in Central Brazil. Viruses 2023; 15:2238. [PMID: 38005915 PMCID: PMC10674252 DOI: 10.3390/v15112238] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/26/2023] [Revised: 08/29/2023] [Accepted: 09/03/2023] [Indexed: 11/26/2023] Open
Abstract
Hantavirus pulmonary syndrome (HPS) is a rodent-borne zoonotic disease that is endemic throughout the Americas. Agricultural activities increase exposure to wild rodents, especially for sugarcane cutters. We carried out a survey of the epidemiological aspects of HPS and investigated the prevalence of hantavirus infection in the sugarcane cutter population from different localities in the Brazilian Midwest region. We conducted a retrospective study of all confirmed HPS cases in the state of Goiás reported to the National HPS surveillance system between 2007 and 2017, along with a seroepidemiological study in a population of sugarcane cutters working in Goiás state in 2016, using the anti-hantavirus (Andes) ELISA IgG. A total of 634 serum samples from cane cutters were tested for hantavirus antibodies, with 44 (6.9%) being IgG-reactive according to ELISA. The destination of garbage was the only statistically significant variable (p = 0.03) related to the detection of hantavirus IgG (p < 0.05). We described the epidemiological profile of reported hantavirus cases in Goiás-a highly endemic area for HPS, and where the seroepidemiological study was conducted. Our results increase our knowledge about hantavirus infections in Brazil and highlight the vulnerability of sugarcane cutters to a highly lethal disease that, to date, has no specific treatment or vaccination.
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Affiliation(s)
- Renata Malachini Maia
- Hantaviruses and Rickettsiosis Laboratory, Oswaldo Cruz Institute (FIOCRUZ), Rio de Janeiro 21040-360, Brazil; (J.F.); (L.H.B.V.d.M.); (E.R.S.d.L.)
| | - Jorlan Fernandes
- Hantaviruses and Rickettsiosis Laboratory, Oswaldo Cruz Institute (FIOCRUZ), Rio de Janeiro 21040-360, Brazil; (J.F.); (L.H.B.V.d.M.); (E.R.S.d.L.)
| | | | | | | | | | - Fernando de Oliveira Santos
- Biology and Parasitology of Wild Mammals Reservoirs Laboratory, Oswaldo Cruz Institute (FIOCRUZ), Rio de Janeiro 21041-210, Brazil;
| | - Sheila Araujo Teles
- Faculty of Nursing, Federal University of Goiás, Goiânia 74605-080, Brazil; (K.A.A.C.); (S.A.T.)
| | - Elba Regina Sampaio de Lemos
- Hantaviruses and Rickettsiosis Laboratory, Oswaldo Cruz Institute (FIOCRUZ), Rio de Janeiro 21040-360, Brazil; (J.F.); (L.H.B.V.d.M.); (E.R.S.d.L.)
| | - Renata Carvalho de Oliveira
- Hantaviruses and Rickettsiosis Laboratory, Oswaldo Cruz Institute (FIOCRUZ), Rio de Janeiro 21040-360, Brazil; (J.F.); (L.H.B.V.d.M.); (E.R.S.d.L.)
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Martins TLS, Silva GRDCE, Silva CDA, Gomes DO, Diniz e Silva BV, Carneiro MADS, Pacheco LR, de Araujo NM, Zanchetta MS, Teles SA, Caetano KAA. Hepatitis B and C in Immigrants and Refugees in Central Brazil: Prevalence, Associated Factors, and Immunization. Viruses 2022; 14:v14071534. [PMID: 35891514 PMCID: PMC9321471 DOI: 10.3390/v14071534] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/15/2022] [Revised: 06/15/2022] [Accepted: 07/11/2022] [Indexed: 01/27/2023] Open
Abstract
Introduction: Eliminating hepatitis B and C in immigrant and refugee populations is a significant challenge worldwide. Given the lack of information in Brazil, this study aimed to estimate the prevalence of infections caused by hepatitis B and C viruses and factors associated with hepatitis B in immigrants and refugees residing in central Brazil. Methods: An observational, cross-sectional, and analytical study was conducted from July 2019 to January 2020 with 365 immigrants and refugees. Hepatitis B was detected by a rapid immunochromatographic test, enzyme immunoassay, and chemiluminescence, and hepatitis C by rapid immunochromatographic test. Multiple analysis was used to assess factors associated with hepatitis B infection. Results: Of the participants, 57.8% were from Haiti and 35.6% were from Venezuela. Most had been in Brazil for less than 2 years (71.2%). The prevalence of HBV infection and exposure was 6.6% (95% CI: 4.5–9.6%) and 27.9% (95% CI: 23.6–2.8%), respectively, and 34% had isolated anti-HBs positivity. Reporting a sexually transmitted infection was statistically associated with HBV infection (OR: 7.8; 95% CI: 2.3–26.4). No participant with positive anti-HCV serology was found. Conclusions: The study showed that participants were outside the reach of prevention and control actions for hepatitis B. Therefore, public health strategies must be designed to reach, inform, and vaccinate this group.
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Affiliation(s)
- Thaynara Lorrane Silva Martins
- Faculty of Nursing, Federal University of Goias, Goiania 74605-080, Brazil; (T.L.S.M.); (G.R.d.C.e.S.); (C.d.A.S.); (D.O.G.); (L.R.P.); (S.A.T.)
| | - Grazielle Rosa da Costa e Silva
- Faculty of Nursing, Federal University of Goias, Goiania 74605-080, Brazil; (T.L.S.M.); (G.R.d.C.e.S.); (C.d.A.S.); (D.O.G.); (L.R.P.); (S.A.T.)
| | - Carla de Almeida Silva
- Faculty of Nursing, Federal University of Goias, Goiania 74605-080, Brazil; (T.L.S.M.); (G.R.d.C.e.S.); (C.d.A.S.); (D.O.G.); (L.R.P.); (S.A.T.)
| | - Davi Oliveira Gomes
- Faculty of Nursing, Federal University of Goias, Goiania 74605-080, Brazil; (T.L.S.M.); (G.R.d.C.e.S.); (C.d.A.S.); (D.O.G.); (L.R.P.); (S.A.T.)
| | - Bruno Vinícius Diniz e Silva
- Institute of Tropical Medicine and Public Health, Federal University of Goias, Goiania 74605-050, Brazil; (B.V.D.e.S.); (M.A.d.S.C.)
| | | | - Leonora Rezende Pacheco
- Faculty of Nursing, Federal University of Goias, Goiania 74605-080, Brazil; (T.L.S.M.); (G.R.d.C.e.S.); (C.d.A.S.); (D.O.G.); (L.R.P.); (S.A.T.)
| | | | | | - Sheila Araujo Teles
- Faculty of Nursing, Federal University of Goias, Goiania 74605-080, Brazil; (T.L.S.M.); (G.R.d.C.e.S.); (C.d.A.S.); (D.O.G.); (L.R.P.); (S.A.T.)
| | - Karlla Antonieta Amorim Caetano
- Faculty of Nursing, Federal University of Goias, Goiania 74605-080, Brazil; (T.L.S.M.); (G.R.d.C.e.S.); (C.d.A.S.); (D.O.G.); (L.R.P.); (S.A.T.)
- Correspondence: ; Tel.: +55-62-3209-6280 (ext. 208)
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Behlül S, Özdal MA. Correlation of Trends in the Incidence of Selected Infectious Diseases with Healthcare Expenditures: An Ecological Study. CYPRUS JOURNAL OF MEDICAL SCIENCES 2022. [DOI: 10.4274/cjms.2021.2021-69] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/01/2022]
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Pereira Nogueira W, Figueiredo Nogueira M, de Almeida Nogueira J, Freire MEM, Gir E, Silva ACDOE. Syphilis in riverine communities: prevalence and associated factors. Rev Esc Enferm USP 2022; 56:e20210258. [PMID: 35007316 PMCID: PMC10184761 DOI: 10.1590/1980-220x-reeusp-2021-0258] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/03/2021] [Accepted: 11/11/2021] [Indexed: 11/22/2022] Open
Abstract
OBJECTIVE To estimate the prevalence of syphilis and associated factors in riverine communities. METHOD This is a cross-sectional and analytical study carried out with 250 riverside dwellers living in five communities in the city of João Pessoa, state of Paraíba. Data were collected through interviews and rapid screening tests to investigate syphilis. Bivariate, logistic regression and weight of evidence analysis were performed to identify the association between risk factors and behavior variables and rapid test positivity. RESULTS he prevalence of syphilis was 11.6% (95%CI: 7.5-15.6). Riverside dwellers who have a previous history of Sexually Transmitted Infection (OR 8.00; 95%CI: 2.76-23.2), history of imprisonment (OR 7.39; 95%CI: 1.61-33.7) and who reported having more than two sexual partners in the last 12 months (OR 4.31; 95%CI: 1.55-11.9) were more likely to be positive for syphilis. CONCLUSION High prevalence of syphilis among riverside dwellers and the presence of behavioral factors that increase vulnerability to acquiring the infection. The need to invest in preventive and screening strategies for syphilis in populations considered vulnerable is highlighted.
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Affiliation(s)
- Wynne Pereira Nogueira
- Universidade Federal da Paraíba, Programa de Pós-Graduação em Enfermagem, João Pessoa, PB, Brazil
| | | | | | | | - Elucir Gir
- Universidade de São Paulo, Escola de Enfermagem de Ribeirão Preto, Ribeirão Preto, SP, Brazil
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Mota Pereira F, Neves Santos FL, da Conceição Almeida Chagas M, Perez Carreiro R, Kalabric Silva L, Galvão Castro B, Rios Grassi MF. Seroprevalence and Spatial Distribution of Hepatitis C Virus in Bahia, Brazil. Am J Trop Med Hyg 2021; 105:991-998. [PMID: 34424863 PMCID: PMC8592152 DOI: 10.4269/ajtmh.20-1615] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/21/2020] [Accepted: 06/06/2021] [Indexed: 12/13/2022] Open
Abstract
In Salvador, which is the capital of the Brazilian state of Bahia, it has been estimated that 1.5% of the general population is infected with hepatitis C virus (HCV); however, the circulation of HCV throughout the state remains unknown. The present retrospective study aimed to determine anti-HCV seroprevalence and describe the geographic distribution of hepatitis C in Bahia. Data from HCV serological tests submitted to the Bahia Central Laboratory of Public Health between 2004 and 2013 were analyzed. Serology for HCV was performed using the AxSYM anti-HCV enzymatic microparticle immunoassay and chemiluminescence immunoassay. A subgroup of samples with detectable HCV-RNA was genotyped using the linear array hepatitis C virus genotyping assay. A total of 247,837 samples were analyzed. The median age of the studied population was 31 years (interquartile range, 25–44 years), and the female:male ratio was 3.9:1. The global seroprevalence of HCV in Bahia was estimated to be 1.3% (3,230/247,837), corresponding to an infection rate of 21.2/100,000 inhabitants. The seroprevalence of HCV was higher among males and increased with age. The presence of anti-HCV antibodies was detected throughout all mesoregions of Bahia, and the municipality with the highest infection rate was Ipiaú (112.04 cases/100,000 inhabitants). Genotypes 1 and 3 were found to be the most prevalent, followed by genotypes 2, 4, and 5. Our results provide evidence of the widespread distribution of previous HCV infection throughout the state of Bahia.
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Affiliation(s)
- Felicidade Mota Pereira
- Advanced Public Health Laboratory, Gonçalo Moniz Institute, Fiocruz-BA, Salvador, Bahia, Brazil.,Gonçalo Moniz Public Health Central Laboratory, Laboratorio Central de Saúde Pública da Bahia, Salvador, Bahia, Brazil
| | | | | | - Roberto Perez Carreiro
- Center for Integration of Data and Health Knowledge, Centro de Integração de Dados e Conhecimentos para Saúde, Gonçalo Moniz Institute, Fiocruz-BA, Salvador, Bahia, Brazil
| | - Luciano Kalabric Silva
- Bahiana School of Medicine and Public Health, Escola Bahiana de Medicina e Saúde Pública, Salvador, Bahia, Brazil
| | - Bernardo Galvão Castro
- Advanced Public Health Laboratory, Gonçalo Moniz Institute, Fiocruz-BA, Salvador, Bahia, Brazil.,Bahiana School of Medicine and Public Health, Escola Bahiana de Medicina e Saúde Pública, Salvador, Bahia, Brazil
| | - Maria Fernanda Rios Grassi
- Advanced Public Health Laboratory, Gonçalo Moniz Institute, Fiocruz-BA, Salvador, Bahia, Brazil.,Bahiana School of Medicine and Public Health, Escola Bahiana de Medicina e Saúde Pública, Salvador, Bahia, Brazil
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Caetano KAA, Bergamaschi FPR, Carneiro MAS, Pinheiro RS, Araújo LA, Matos MA, Carvalho PMRS, de Souza MM, de Matos MAD, Del-Rios NHA, Martins RMB, Motta-Castro ARC, Soares CC, Cook RL, Teles SA. Hepatotropic viruses (hepatitis A, B, C, D and E) in a rural Brazilian population: prevalence, genotypes, risk factors and vaccination. Trans R Soc Trop Med Hyg 2021; 114:91-98. [PMID: 31608957 DOI: 10.1093/trstmh/trz080] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/26/2019] [Revised: 07/10/2019] [Accepted: 07/11/2019] [Indexed: 12/16/2022] Open
Abstract
BACKGROUND People living in settlement projects represent an emergent rural population in Brazil. Data on their health is scarce and there are no data on viral hepatitis in this population. This study investigated the epidemiology of viral hepatitis A-E in residents of settlement projects in central Brazil. METHODS During 2011 and 2012, 923 people living in rural settlements in central Brazil were interviewed and tested to estimate the prevalence of exposure to viral hepatitis A-E, to identify the circulating hepatitis B virus (HBV)/hepatitis C virus (HCV) genotypes and risk factors for HBV exposure and to evaluate adherence to the hepatitis B vaccination series. RESULTS Overall, 85.9, 3.9, 0.4 and 17.3% of individuals showed evidence of exposure to hepatitis A virus (HAV), hepatitis E virus, HCV and HBV, respectively. Among HBV-DNA positive samples (n=8), subgenotypes A1 (n=3) and A2 (n=1) and genotype D/subgenotype D3 (n=4) were identified. Hepatitis D virus superinfection was detected in 0/16 HBsAg-positive participants. A total of 229 individuals showed serological evidence of HBV vaccination. In total, 442 settlers were eligible for vaccination, but only 150 individuals completed the vaccine series. All anti-HCV-positive samples (n=4) were also HCV-RNA positive and identified as subtype 1a. CONCLUSIONS The intermediate endemicity of HAV, the higher prevalence of HBV exposure compared with urban areas and the low compliance with HBV vaccination requires preventive measures focused on rural populations, emphasizing the need for HAV and HBV vaccination.
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Affiliation(s)
- Karlla A A Caetano
- Faculty of Nursing, Federal University of Goias, Goiânia, GO, 74605080, Brazil
| | | | - Megmar A S Carneiro
- Institute of Tropical Pathology and Public Health, Federal University of Goias, Goiânia, GO, 74605050, Brazil
| | - Raquel S Pinheiro
- Federal Institute of Education, Science, and Technology of Goias, Goiânia, GO, 74130012, Brazil
| | - Lyriane A Araújo
- Federal Institute of Education, Science, and Technology of Goias, Goiânia, GO, 74130012, Brazil
| | - Marcos A Matos
- Faculty of Nursing, Federal University of Goias, Goiânia, GO, 74605080, Brazil
| | | | - Márcia M de Souza
- Faculty of Nursing, Federal University of Goias, Goiânia, GO, 74605080, Brazil
| | - Márcia A D de Matos
- Institute of Tropical Pathology and Public Health, Federal University of Goias, Goiânia, GO, 74605050, Brazil
| | - Nativa Helena A Del-Rios
- Institute of Tropical Pathology and Public Health, Federal University of Goias, Goiânia, GO, 74605050, Brazil
| | - Regina M B Martins
- Institute of Tropical Pathology and Public Health, Federal University of Goias, Goiânia, GO, 74605050, Brazil
| | - Ana Rita C Motta-Castro
- Center for Biological and Health Sciences, Federal University of Mato Grosso do Sul, Campo Grande, MS, 79080190, Brazil
| | - Caroline C Soares
- Laboratory of Molecular Virology, Oswaldo Cruz Foundation, Rio de Janeiro, RJ, 21040900, Brazil
| | - Robert L Cook
- Department of Epidemiology, College of Public Health and Health Professions and College of Medicine, University of Florida, Gainesville, FL, 100231, USA
| | - Sheila A Teles
- Faculty of Nursing, Federal University of Goias, Goiânia, GO, 74605080, Brazil
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Lifetime Syphilis Prevalence and Associated Risk Factors Among Female Prisoners in Brazil. Sex Transm Dis 2020; 47:105-110. [PMID: 31851039 DOI: 10.1097/olq.0000000000001113] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/08/2023]
Abstract
BACKGROUND In 2016, approximately 42,000 women were incarcerated in Brazil. The objectives of this study were to measure the lifetime prevalence of syphilis and sociodemographic and behavior correlates of antibody positivity among female prisoners in Brazil. METHODS We conducted a cross-sectional survey of 1327 incarcerated women in 2014 to 2015 sampled through a multistage cluster design to represent the penitentiary system throughout Brazil. A rapid treponemal antibody test approved by the Ministry of Health (Rapid Test DPP Sífilis Bio-Manguinhos) was used to detect lifetime history of infection. Analyses were adjusted using weights based on the inverse of the product of the probabilities of the sampling units at each stage of the design. Variables significantly associated with syphilis infection at P < 0.05 in multivariate analyses were retained in the final model. RESULTS Prevalence of syphilis antibody among female prisoners in Brazil was 11.6% (95% confidence interval [CI], 9.8%-13.8%). Higher syphilis prevalence was associated with black/Afro-Brazilian or mixed race/ethnicity (adjusted odds ratio [AOR], 1.78; 95% CI, 1.10-2.87), homelessness (AOR, 4.58; 95% CI, 2.78-7.56), abortion (AOR, 1.56; 95% CI, 1.02-2.38), and sexual violence (AOR, 1.59; 95% CI, 1.01-2.49). Syphilis prevalence was lower among women who had received condoms in school (AOR, 0.28; 95% CI, 0.08-1.00) as a marker for reproductive health education. CONCLUSIONS Women within the vast Brazilian prison system demonstrate a high lifetime cumulative incidence of syphilis. Our data advocate for increased screening and treatment of syphilis of incarcerated women and help identify women at higher risk within the prison system and within their communities of origin.
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Soares JP, Teles SA, Caetano KAA, Amorim TF, Freire MEM, Nogueira JDA, Oliveira BRD, Leadebal ODCP, Araújo PDS, Silva ACDOE. Factors associated with sexually transmitted infections in sugarcane cutters: subsidies to caring for. Rev Lat Am Enfermagem 2020; 28:e3306. [PMID: 32578756 PMCID: PMC7304989 DOI: 10.1590/1518-8345.3425.3306] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/11/2019] [Accepted: 03/20/2020] [Indexed: 11/22/2022] Open
Abstract
OBJECTIVE to estimate the prevalence of Sexually Transmitted Infections (STIs) and associated factors in sugarcane cutters. METHOD a cross-sectional, analytical study with 937 sugarcane cutters from Paraíba and Goiás, states of Brazil, respectively. An outcome variable was the positive results in some rapid tests for HIV, syphilis, hepatitis B and C. Bivariate and multiple analyses were performed to identify the association between these infections and sociodemographic and behavioral variables. RESULTS all participants were male, most were young adults and had low schooling. Prevalence of STI was estimated at 4.1% (95% CI: 3.0-5.5). According to multiple regression analysis, the variables age over 40 years (OR 5.0; CI 95%: 1.8-14), alcohol consumption (OR 3.9; CI 95%: 1.3-11.9), and illicit drugs (OR 2.9; CI 95%: 1.3-6.3) were factors associated with the STIs investigated. On the other hand, having some religion (OR 0.4; CI 95%: 0.2-0.8), and work in the Midwest Region (OR 0.4; CI 95%: 0.2-0.9) were factors negatively associated with these infections. CONCLUSION presence of risk behaviors for STI among sugarcane cutters. Screening for these infections in groups of rural workers is essential for early diagnosis and breaking the chain of transmission.
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Affiliation(s)
| | | | | | | | | | | | | | | | - Patricia da Silva Araújo
- Hospital Universitário Lauro Wanderley, Clinica de Doenças Infecciosas e Parasitárias, João Pessoa, PB, Brazil
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