Seroepidemiological survey of transmissible infectious diseases in a portuguese prison establishment

Marques, Nuno Miguel da Silva; Margalho, Renata; Melo, Maria João; Cunha, J.G. Saraiva da; Meliço-Silvestre, A.

doi:10.1590/s1413-86702011000300016

Cited by 5 publications

(5 citation statements)

References 4 publications

(4 reference statements)

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“…Our study showed that there were differences in lifetime (15.4-2.2%) and active syphilis (35.2-0.95%) prevalence among prisons. According to our results, syphilis infection among Brazilian prisoners (10.5%) (95% CI = 9.56-11.67) is higher than that of the incarcerated population in developed countries, including France (0.5%), 22 United States (0.6%), 23 Italy (2.1%), 24 Portugal (6.0%), 25 and the developing country México (2.0%). 26 However, it is lower than that of the developing country Ghana (16.5%).…”

Section: Discussionmentioning

confidence: 54%

High Prevalence of Treponema pallidum Infection in Brazilian Prisoners

Correa

Croda

Castro

et al. 2017

The American Journal of Tropical Medicine and Hygiene

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The number of new syphilis cases in Brazil has risen alarmingly in recent years. However, there is limited data regarding syphilis prevalence in the Brazilian prison population. To facilitate the development of effective interventions, a cross-sectional study was undertaken to determine the prevalence of infection, active syphilis, and associated risk factors among Brazilian prisoners. We administered a questionnaire to a population-based sample of prisoners from 12 prisons in Central-West Brazil and collected sera for syphilis testing, from January to December 2013. Univariable and multivariable regression analyses were performed to assess associations with active syphilis. We recruited 3,363 prisoners (men: 84.6%; women: 15.4%). The overall lifetime and active syphilis prevalences were 10.5% (9.4% among men; 17% among women, < 0.001) and 3.8% (2% among men; 9% among women, < 0.001), respectively. The variables associated with active syphilis in men prisoners were homosexual preference, history of sexually transmitted infections, and human immunodeficiency virus status. Among women, the factors were sex with intravenous drug users, genital ulcer disease, and previous incarceration. Despite the high prevalence of active syphilis, 88.5% reported unawareness of their serological status and 67% reported unprotected sexual practices. Women had the highest rates of infection, including them in a high-risk group for the development of syphilis during pregnancy. Thus, implementing screening programs to enable continuous measures of control and prevention of infection in the prison environment, mainly in women institutions, is important to prevent severe forms of this disease and congenital infections.

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Section: Discussionmentioning

confidence: 54%

High Prevalence of Treponema pallidum Infection in Brazilian Prisoners

Correa

Croda

Castro

et al. 2017

The American Journal of Tropical Medicine and Hygiene

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“…12 The trend observed in this study has also been observed in others, despite the prevalence being even higher, from 2.1 to 6.6%. 13–16…”

Section: Discussionmentioning

confidence: 99%

Prevalence and risk factors associated with HIV infection, hepatitis and syphilis in a state prison of São Paulo

Maerrawi

Carvalho

2014

Int J STD AIDS

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Given the importance of the control of sexually transmitted infections in the general population and specifically in the prison system, we rolled out this cross-sectional study in 2007. Standard questionnaires and blood samples were accessed among 680 prisoners. The protocol was approved by the Ethics Committee. We determined the following seroprevalences: HIV, 1.8% (95%CI = 0.1-3.3); HBV, 21.0% (95%CI = 17.8-25.1); HBV, 5.3% (95%CI = 3.5-7.6) and syphilis 5.3% (95%CI = 3.5-7.6). Logistic regression identified significant associations with (p < 0.05): HIV: injectable drug use (OR = 15.4), age over 30 years (OR = 13.3), cocaine use (OR = 5.4) and crack-cocaine use (OR = 5.2); HBV: injectable drug use (OR = 3.4), history of previous sexually transmitted infection (OR = 2.3), age over 30 years (OR = 1.9) and more than 5 years in prison (OR = 2.2); HCV: injectable drug use (OR = 9.65), marijuana use in prison (OR = 2.9) and age over 30 years (OR = 8.4) and for syphilis: homosexual relationship (OR = 7.8) and previous syphilis reported (OR = 7.7). These prevalences remain high when compared to the general population, however, HIV infection had decreased compared with previous studies in prisoners while the other studied infections remained unchanged. Preventive actions to reduce sexual and parenteral risk have been advocated. However, measures capable of controlling these infections still have not made an impact.

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“…24 The seroprevalence of HSV-2 infection observed in this study is also higher than that found in previous studies carried out with the prison population of other countries, such as the 14.5% described in Nigeria 25 and 19.9% from Portugal. 26 Additionally, the scarcity of studies with information related to HSV-2 infection in women deprived of liberty makes it difficult to understand the reality that permeates the prevalence and behaviors associated with this infection. Although potentially all women are vulnerable to HSV-2 infection, there are some groups particularly more exposed to certain conditions that make them more susceptible and, consequently, at greater risk of developing the disease.…”

Section: Discussionmentioning

confidence: 99%

Seroprevalence of antibodies against herpesvirus type 2 in a female prison population in Mato Grosso

et al. 2023

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The objective of this text is to describe the seroprevalence of antibodies against herpes simplex virus 2 in inmates of a female public prison in Mato Grosso. This is a cross-sectional study carried out with biobank data from a survey carried out with women deprived of liberty in a female penitentiary in Tangará da Serra - MT. Data collection was carried out through interviews with 50 women. To determine the seroprevalence of HSV-2 infection, serum samples were analyzed by ELISA in search of IgG antibodies at the Laboratory of Viral Immunology of Instituto Oswaldo Cruz – RJ. The HSV-2 seroprevalence found in the evaluated population was 80%, a value much higher than that reported in the general Brazilian population and in other studies with prison populations around the world. The profile of the inmates predominated among young, brown women, with low education, single and with low monthly income. The present study found a high seroprevalence of antibodies against HSV-2 in this population. These data provide important information that can assist in the implementation of effective actions that better prevent and control genital herpes, as well as other STIs in incarcerated populations.

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Seroepidemiological survey of transmissible infectious diseases in a portuguese prison establishment

Cited by 5 publications

References 4 publications

High Prevalence of Treponema pallidum Infection in Brazilian Prisoners

High Prevalence of Treponema pallidum Infection in Brazilian Prisoners

Prevalence and risk factors associated with HIV infection, hepatitis and syphilis in a state prison of São Paulo

Seroprevalence of antibodies against herpesvirus type 2 in a female prison population in Mato Grosso

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