Cuestionario bioconductual sobre la sífilis en hombres sin techo en el Centro-oeste de Brasil: Un estudio transversal

Translated title of the contribution: Bio-behavioral survey of syphilis in homeless men in central Brazil: A cross-sectional study

Cleiciane Vieira De Lima Barros, Hélio Galdino Júnior, Giovanni Rezza, Rafael Alves Guimarães, Priscilla Martins Ferreira, Christiane Moreira Souza, Lara Cristina Da Cunha Guimarães, David Antônio Costa Barros, Sandra Maria Brunini

Research output: Contribution to journalArticle

Abstract

The objective of this study was to investigate the prevalence and factors associated with syphilis in homeless men in Central Brazil. It is a cross-sectional study conducted with 481 individuals attending four therapeutic communities between October and December 2015. A structured interview was conducted to collect sociodemographic data and risk factors for syphilis. Rapid/point-of-care and VDRL tests were performed to determine exposure to syphilis and the presence of active syphilis, respectively. Poisson regression analysis was used to verify the risk factors associated with the outcomes investigated. Of the study participants, 10.2% were reactive to the rapid test, and 5.4% had active syphilis. At the multiple regression analysis, schooling (adjusted prevalence ratio – APR: 0.89; p = 0.005), history of genital ulcer (APR: 2.59; p = 0.002), STI history (APR: 1.97; p = 0.042), and sexual intercourse under drug effects (APR: 1.60; p = 0.022) were independent factors associated with lifetime syphilis. Also, history of genital ulcer (APR: 2.19; p = 0.019), STI history (APR: 1.74; p = 0.033) and number of sexual partners in the last year (APR: 1.02; p = 0.044) were associated with active syphilis. The prevalence of syphilis among homeless men was rather high, confirming the vulnerability of this group to this infection. These results emphasize the need for educational intervention, improvement of risk reduction programs, availability of diagnostic tests, especially the rapid test, and treatment.

Original languageSpanish
Article numbere00033317
JournalCadernos de Saude Publica
Volume34
Issue number6
DOIs
Publication statusPublished - Jan 1 2018

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Syphilis
Brazil
Cross-Sectional Studies
Sexually Transmitted Diseases
Ulcer
Point-of-Care Systems
Regression Analysis
Therapeutic Community
Surveys and Questionnaires
Sexual Partners
Coitus
Risk Reduction Behavior
Routine Diagnostic Tests
Interviews
Infection
Pharmaceutical Preparations

Keywords

  • Homeless persons
  • Risk behavior
  • Syphilis

ASJC Scopus subject areas

  • Public Health, Environmental and Occupational Health

Cite this

Barros, C. V. D. L., Galdino Júnior, H., Rezza, G., Guimarães, R. A., Ferreira, P. M., Souza, C. M., ... Brunini, S. M. (2018). Cuestionario bioconductual sobre la sífilis en hombres sin techo en el Centro-oeste de Brasil: Un estudio transversal. Cadernos de Saude Publica, 34(6), [e00033317]. https://doi.org/10.1590/0102-311X00033317

Cuestionario bioconductual sobre la sífilis en hombres sin techo en el Centro-oeste de Brasil : Un estudio transversal. / Barros, Cleiciane Vieira De Lima; Galdino Júnior, Hélio; Rezza, Giovanni; Guimarães, Rafael Alves; Ferreira, Priscilla Martins; Souza, Christiane Moreira; Guimarães, Lara Cristina Da Cunha; Barros, David Antônio Costa; Brunini, Sandra Maria.

In: Cadernos de Saude Publica, Vol. 34, No. 6, e00033317, 01.01.2018.

Research output: Contribution to journalArticle

Barros, CVDL, Galdino Júnior, H, Rezza, G, Guimarães, RA, Ferreira, PM, Souza, CM, Guimarães, LCDC, Barros, DAC & Brunini, SM 2018, 'Cuestionario bioconductual sobre la sífilis en hombres sin techo en el Centro-oeste de Brasil: Un estudio transversal', Cadernos de Saude Publica, vol. 34, no. 6, e00033317. https://doi.org/10.1590/0102-311X00033317
Barros, Cleiciane Vieira De Lima ; Galdino Júnior, Hélio ; Rezza, Giovanni ; Guimarães, Rafael Alves ; Ferreira, Priscilla Martins ; Souza, Christiane Moreira ; Guimarães, Lara Cristina Da Cunha ; Barros, David Antônio Costa ; Brunini, Sandra Maria. / Cuestionario bioconductual sobre la sífilis en hombres sin techo en el Centro-oeste de Brasil : Un estudio transversal. In: Cadernos de Saude Publica. 2018 ; Vol. 34, No. 6.
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abstract = "The objective of this study was to investigate the prevalence and factors associated with syphilis in homeless men in Central Brazil. It is a cross-sectional study conducted with 481 individuals attending four therapeutic communities between October and December 2015. A structured interview was conducted to collect sociodemographic data and risk factors for syphilis. Rapid/point-of-care and VDRL tests were performed to determine exposure to syphilis and the presence of active syphilis, respectively. Poisson regression analysis was used to verify the risk factors associated with the outcomes investigated. Of the study participants, 10.2{\%} were reactive to the rapid test, and 5.4{\%} had active syphilis. At the multiple regression analysis, schooling (adjusted prevalence ratio – APR: 0.89; p = 0.005), history of genital ulcer (APR: 2.59; p = 0.002), STI history (APR: 1.97; p = 0.042), and sexual intercourse under drug effects (APR: 1.60; p = 0.022) were independent factors associated with lifetime syphilis. Also, history of genital ulcer (APR: 2.19; p = 0.019), STI history (APR: 1.74; p = 0.033) and number of sexual partners in the last year (APR: 1.02; p = 0.044) were associated with active syphilis. The prevalence of syphilis among homeless men was rather high, confirming the vulnerability of this group to this infection. These results emphasize the need for educational intervention, improvement of risk reduction programs, availability of diagnostic tests, especially the rapid test, and treatment.",
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AU - Souza, Christiane Moreira

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