Vulnerability in the context of HIV and syphilis infection in a population of men who have sex with men (MSM) in Salvador, Bahia State, Brazil

Brignol, Sandra; Dourado, Inês; Amorim, Leila Denise Alves Ferreira; Kerr, Lígia Regina Franco Sansigolo

doi:10.1590/0102-311x00178313

Cited by 40 publications

(40 citation statements)

References 34 publications

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“…Although several epidemiological studies have indicated anal sex as a risk factor for acquisition and transmission of T. pallidum among men who have sex with men [25][26][27], low evidence is found among heterosexual couples [22]. Indeed, this is one of the first investigations to report an association of anal sex between men and women and syphilis infection.…”

Section: Discussionmentioning

confidence: 79%

Prevalence of syphilis in female sex workers in three countryside cities of the state of Pará, Brazilian Amazon

et al. 2020

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Background: Syphilis is a sexually transmitted infection (STI) transmitted from person to person mainly by sexual intercourse or through vertical transmission during pregnancy. Female sex workers (FSWs) are exposed especially to syphilis infection, and besides all the efforts to control the spread of STIs, syphilis prevalence is still rising, mainly occurring in low-income countries. This study aimed to investigate the syphilis prevalence, demographic characteristics and sexual habits among FSWs in the Amazon region of Brazil. Methods: A cross-sectional study was carried out including 184 FSWs from 3 countryside cities of the state of Pará, Amazon region of Brazil. A venereal disease research laboratory test and an indirect immunoenzyme assay to test antibodies against Treponema pallidum were used for screening syphilis infection, while sexual habits and demographic data information were collected through a semi-structured questionnaire. Data was analyzed comparing groups with/without syphilis. Poisson regression models were used to estimate the reasons of prevalence (RP). Results: The overall prevalence of syphilis was 14.1% (95% CI = 9.8-17.8). FSWs had between 15 and 56 years of age, most were unmarried (65.7%), had attended less than 8 years of formal education (64.1%), had between 10 and 20 partners per week (64.1%), and reported no previous history of STIs (76.1%) and regular use of condom (52.7%). Low level of education attending up to the primary school (RP adjusted = 3.8; 95% CI = 1.4-9.2) and high frequency of anal sex during the past year (RP adjusted = 9.3; 95% CI = 3.5-28.7) were associated with a higher prevalence of syphilis. Conclusions: A high prevalence of syphilis among FSWs in the Brazilian Amazon region was identified, showing that syphilis is more likely to be transmitted in FSW working in low-income areas, which is attributed to the low level of education. Anal intercourse was found as a risk factor associated with syphilis. Health programs focused on risk populations appear as a rational way to control syphilis spread, which is a rising problem in Brazil and in other several countries.

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Section: Discussionmentioning

confidence: 79%

Prevalence of syphilis in female sex workers in three countryside cities of the state of Pará, Brazilian Amazon

et al. 2020

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“…A study conducted in Salvador showed the prevalence of syphilis in MSM was much higher (14%) than the general population of men (1.3%). Consequently, prevention and direct interventions for MSM should be carried out, including social policies aimed at improving their living conditions, reducing stigma, and facilitating closer ties with health services 13 .…”

Section: No Yes No Yesmentioning

confidence: 99%

“…In the context of vulnerability, investigators consider some populations as more likely to acquire syphilis: individuals living in seclusion, homeless people, drug users, men who have sex with men (MSM), those co-infected with human immunodeficiency virus (HIV), and pregnant women [8][9][10][11][12][13][14] .…”

Section: Introductionmentioning

confidence: 99%

Prevalence and factors associated with syphilis in a Reference Center

Gomes

Meier

Pieri

et al. 2017

Rev. Soc. Bras. Med. Trop.

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Introduction:The implementation of the rapid test (RT) for syphilis increases access of vulnerable populations to early diagnosis and treatment, impacting the outcomes of infection. We aimed to assess the prevalence of and factors associated with syphilis in a Center for Testing and Counseling (CTC). Methods: We conducted a cross-sectional study at a Reference Center for sexually transmitted disease (STD) and acquired immune deficiency syndrome in Londrina, Northern Paraná State, Southern Brazil. Data regarding the 5,509 individuals who underwent RT from June 2012 to December 2014 were collected from patient records and the CTC Information System and served as the basis to check associations of syphilis cases (346) and cases without syphilis (5,163). Nine patients' records were not found. OpenEpi was used to perform a prevalence analysis and determine odds ratios to assess the associations between sociodemographic and behavioral variables (independent variables) and cases of syphilis (dependent variable). An alpha value <0.05 was considered statistically significant. Results: The prevalence of syphilis was 6.3%; higher in males (7.5%) than in females (4.3%, p <0.001). Syphilis was associated with an age of 25-34 years, little education, and single marital status. The main associated behavioral factors were men who have sex with men, drug users, STD patients, and those presenting with an STD in the last year. The use of alcohol, marijuana, cocaine, and crack was significantly associated with syphilis. Conclusions: Strategies for prevention and control of syphilis should be intensified, especially in populations identified as most vulnerable.

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“…These actions only become effective if their needs are understood and met. [19][20][21][22][23] Therefore, comprehension only occurs if there is understanding of what is affecting health. Some diseases can be prevented simply, such as performing simple hygiene, properly, to prevent the growth of microorganisms.…”

Section: Discussionmentioning

confidence: 99%

Vulnerabilidade de homens jovens e suas necessidades de saúde

et al. 2020

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RESUMO Objetivos Identificar as condutas de saúde dos homens jovens universitários; conhecer a percepção dos homens jovens universitários sobre o cuidar de sua saúde; e descrever as práticas adotadas para a prevenção das infecções sexualmente transmissíveis. Método Estudo descritivo e exploratório, com abordagem qualitativa, desenvolvido com 25 jovens universitários entre 18-29 anos numa universidade pública do Rio de Janeiro. Para análise dos dados, utilizou-se a técnica de análise de conteúdo. Resultados Os homens jovens universitários percebem o cuidar como feminino, desconhecendo suas próprias particularidades, com a percepção de que não adoecem e, com isso, só procuram o serviço de saúde em situações de emergência. Conclusão e Implicações para a prática Existem desafios a serem vencidos na prática da assistência, como a visão de invulnerabilidade desses homens, a ausência na busca pelos serviços de saúde, o despreparo dos serviços de saúde para atender às necessidades desses jovens, com base em estratégias que contemplem, de forma singular e holística, essa população. As brechas identificadas no estudo permitem levantar futuras questões e provocar mudanças de atitudes voltadas a situações do contexto masculino, a fim de reverter vulnerabilidades ainda existentes e, também, as consequências dessas atitudes na saúde desses homens.

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Vulnerability in the context of HIV and syphilis infection in a population of men who have sex with men (MSM) in Salvador, Bahia State, Brazil

Cited by 40 publications

References 34 publications

Prevalence of syphilis in female sex workers in three countryside cities of the state of Pará, Brazilian Amazon

Prevalence of syphilis in female sex workers in three countryside cities of the state of Pará, Brazilian Amazon

Prevalence and factors associated with syphilis in a Reference Center

Vulnerabilidade de homens jovens e suas necessidades de saúde

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