Prevalência de HIV, papilomavírus humano e sífilis na Penitenciária Feminina da Capital, São Paulo, 1997-1998

Abstract

Incarcerated women as a group are particularly vulnerable to infections. The lack of public programs for prevention, early diagnosis, and treatment contribute to the increase in the incidence and prevalence of diseases in general and especially sexually transmitted diseases. This article aims to estimate the prevalence of infection by the human immunodeficiency virus (HIV), human papillomavirus (HPV), and syphilis among inmates at the Women's Penitentiary in the State capital of São Paulo, Brazil. All inmates were invited to participate in the study, which was divided into two stages: 1. STD/AIDS preventive workshops including interviews and 2. laboratory tests. The interview covered knowledge of STD/AIDS, risk behavior, and individual reproductive health history. A total of 262 women, with a mean age of 32.4 years and limited schooling, participated in more than one stage of the study. Prevalence rates were 14.5% for HIV, 16.3% for high-oncogenic-risk HPV probes, 4.8% for low-oncogenic-risk HPV probes, and 5.7% for syphilis. The authors conclude that STD/HIV constitute a serious health problem in the prison system, requiring urgent preventive measures.

Estudo de comportamento associado à infecção pelo HIV e HCV em detentas de um presídio de São Paulo, Brasil

“…Outros estudos apresentam resultados bem próximos, como é o caso do estudo de Lopes et al 14 , desenvolvido em São Paulo em 1998.…”

“…Outros estudos internacionais observaram altas prevalên-cias como de 57,5% na prisão Australiana 23 Todos os estudos apresentados observaram associação da infecção do HCV com o uso de drogas. Embora, como destacamos acima, o risco da infecção pelo vírus da hepatite C esteja associado ao uso de drogas 4,8,14,21,22,23,24,25 , principalmente em seu uso parenteral, isto é, uso de droga injetá-vel, outra forma de transmissão que aparece cada vez mais consistente é a que se liga a aspectos do comportamento sexual, como a parceria com UDI.…”

Prevalence of syphilis and HIV infection during pregnancy in incarcerated women and the incidence of congenital syphilis in births in prison in Brazil

“…Studies carried out in several countries, including Brazil, showed a high prevalence of HIV and syphilis infections in incarcerated men 3,5,10,11,12,13 and women 2,3,6,14,15,16,17,18,19,20,21 , reinforcing the importance of serological diagnosis in prisons for the implementation of available intervention. However, Brazilian studies have been carried out in isolated prison units.…”

Infecção pelo HIV, hepatites B e C e sífilis em moradores de rua, São Paulo

“…3,15 In Brazil, there are few studies that deal with the health of this population and, in general, they refer to specifi c groups such as the adolescents, 9 minor offenders, 24 or female prisoners. 8 Lopes et al 8 found prevalences of 14.5% for HIV infection and 5.7% for syphilis in a female prison in the city of São Paulo. They concluded that poverty and low level of education were important risk factors for sexually transmitted diseases, including HIV/AIDS.…”