Low prevalence of syphilis in Brazilian inmates

Coêlho, Helena Lutéscia Luna; Passos, Afonso Dinis Costa

doi:10.1590/s1413-86702011000100020

Cited by 2 publications

(3 citation statements)

References 2 publications

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“…[19] In São Paulo state, in 2003 the prevalence of T. pallidum in Ribeirão Preto Penitentiary was 3.0%. [32] In 2007, in a prospective study among 680 individuals in a prison in São Paulo city, the prevalence was 5.3%. [7] In a prospective study conducted in 12 prisons in Central-West Brazil, the prevalence was 9.4%.…”

Section: Discussionmentioning

confidence: 99%

The Changing Landscape: Geospatial, Epidemiologic Characteristics and Infectious Diseases of Inmates Living in a Region with a High Number of Prisons, Brazil

Giuffrida

et al. 2020

Preprint

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Objective: We determined the geospatial and epidemiologic characteristics and prevalence of HIV, tuberculosis, viral hepatitis, syphilis, and co-infections in inmates in 28 prisons. Design: This is a regional, observational, retrospective, and descriptive study conducted from November 2017 to October 2018. Setting Prisons are located in the western and northwestern regions of Sao Paulo state, Brazil. Methods: Data were obtained through a standard questionnaire from inmates with a diagnosis of infectious diseases and co-infections (HIV, hepatitis B virus, hepatitis C virus, syphilis, and tuberculosis), treatment, and time of incarceration. Locations of prisons and highways were obtained from shape file databases. Data on inhabitants, population growth, and Human Development Index were obtained from public agencies. Maps were constructed using geographic information system. Results: A total of 37,497 individuals were enrolled in the study and 741 (1.97%) were diagnosed. HIV was the most prevalent disease (0.68%), followed by tuberculosis (0.66%), syphilis (0.2%), HCV (0.2%), and HBV (0.04%). HIV-syphilis was the most prevalent co-infection (odds ratio, 63.7; 95% confidence interval: 41.4, 96.7). There was a statistical significance (P<0.001) for those with HIV acquiring co-infections. In 21 units, there was no relationship between the number of prisoners and the prevalence of infectious diseases.Mean age was 35.82 years (SD, 10.41 years) and 57.9% had been in prison previously. Strategically, most prisons were constructed beside radial highways. A higher than expected population growth was observed in 17 municipalities in which prisons were constructed (47.2%). Conclusions: This is one of the biggest studies in Brazil, and the prevalence of infectious diseases among inmates was lower than countrywide. Therefore, improvements in health care are necessary, mainly in screening for infectious diseases. Construction of large prisons beside the radial highways changed the landscape and prevented migration of people from small to large cities.

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Section: Discussionmentioning

confidence: 99%

The Changing Landscape: Geospatial, Epidemiologic Characteristics and Infectious Diseases of Inmates Living in a Region with a High Number of Prisons, Brazil

Giuffrida

et al. 2020

Preprint

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“…Syphilis has been detected in several prison units worldwide, with prevalence rates ranging from 0.7% to 11%. (2,3,(5)(6)(7)(8)(9) For instance, in the State Prison of Guanajuato in Mexico, a disease prevalence of 0.7% was observed, (5) whereas in a Portuguese prison rates were found to be as high as 6.0%. (3) A study in the Venezuelan prison system found a syphilis prevalence of 6.1%.…”

Section: ❚ Discussionmentioning

confidence: 99%

“…In this scenario, syphilis has been considered as a prominent disease and is commonly reported in prison systems worldwide. (2,3,(5)(6)(7)(8)(9) Syphilis is an infectious disease caused by the bacterium Treponema pallidum, with complex clinical implications. Its transmission occurs mainly through unprotected sexual intercourses and vertically transmission during pregnancy.…”

Section: ❚ Resumomentioning

confidence: 99%

High prevalence of syphilis in a female prison unit in Northeastern Brazil

Batista¹,

Paulino²,

Castro³

et al. 2020

Einstein (São Paulo)

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Objective: To determine the prevalence of syphilis and the associated risk factors in a female prison unit. Methods: This was a cross-sectional study including 113 women whom data were collected in two stages: first, blood test to check for syphilis seropositivity; and then collection of information through a form to assess risk situations for sexually transmitted infections. Results: Overall, syphilis prevalence was found to be 22.1% among the female prison population (n=25) and 28.6% among pregnant women. A statistically significant relationship was found between syphilis infection and previous history of sexually transmitted infections (p=0.04). However, most participants diagnosed with the disease were unaware of a history of sexually transmitted infection in the last 12 months (n=20/80.0%). The use of condom with fixed partners was considered to be a protective factor (odds ratio of 0.76; 95% of confidence interval 0.68-0.85). Conclusion: The prevalence of syphilis among the female prison population was high, particularly among pregnant women. Preventive and therapeutic measures as well as appropriate prenatal care can minimize the impact of syphilis in prison systems and, consequently, improve such health outcomes nationwide.

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Low prevalence of syphilis in Brazilian inmates

Cited by 2 publications

References 2 publications

The Changing Landscape: Geospatial, Epidemiologic Characteristics and Infectious Diseases of Inmates Living in a Region with a High Number of Prisons, Brazil

The Changing Landscape: Geospatial, Epidemiologic Characteristics and Infectious Diseases of Inmates Living in a Region with a High Number of Prisons, Brazil

High prevalence of syphilis in a female prison unit in Northeastern Brazil

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