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

被引:31
|
作者
El Maerrawi, Ilham [1 ,2 ]
Carvalho, Heraclito Barbosa [1 ]
机构
[1] Univ Sao Paulo, Fac Med, Dept Prevent Med, BR-01246903 Sao Paulo, Brazil
[2] Hlth Secretariat Sao Vicente City STD Aids Progra, Sao Vicente, Brazil
关键词
Epidemiology; hepatitis B; hepatitis C; Treponema pallidum; syphilis; HIV; AIDS; sexually transmitted infection; prevalence; risk factors; prisoners; incarceration; South America; C VIRUS-INFECTIONS; CRACK COCAINE; B-VIRUS; SEROPREVALENCE; BEHAVIOR; INMATES; HCV; EPIDEMIOLOGY; HBV;
D O I
10.1177/0956462414531242
中图分类号
R392 [医学免疫学]; Q939.91 [免疫学];
学科分类号
100102 ;
摘要
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.
引用
收藏
页码:120 / 127
页数:8
相关论文
共 50 条
  • [41] Risk Factors for Syphilis and Prevalence of HIV, Hepatitis B and C among Men Who Have Sex with Men in Beijing, China: Implications for HIV Prevention
    Ruan, Yuhua
    Luo, Fengji
    Jia, Yujiang
    Li, Xinxu
    Li, Qingchun
    Liang, Hongyuan
    Zhang, Xiaoxi
    Li, Dongliang
    Shi, Wei
    Freeman, Jennifer M.
    Vermund, Sten H.
    Shao, Yiming
    AIDS AND BEHAVIOR, 2009, 13 (04) : 663 - 670
  • [42] Prevalence of antibodies to human immunodeficiency virus (HIV), hepatitis B and hepatitis C and risk factors in prisoners in Lebanon
    Mahfoud, Ziyad
    Kassak, Kassem
    Kreidieh, Khalil
    Shamra, Sarah
    Ramia, Sami
    JOURNAL OF INFECTION IN DEVELOPING COUNTRIES, 2010, 4 (03): : 144 - 149
  • [43] Prevalence and epidemiological characteristics of inmates diagnosed with infectious diseases living in a region with a high number of prisons in Sao Paulo state, Brazil
    do Nascimento, Charlene Troiani
    Pena, Danilo Zangirolami
    Giuffrida, Rogerio
    Bandeira Monteiro, Fernanda Nobre
    da Silva, Francisco Assis
    Flores, Edilson Ferreira
    Prestes-Carneiro, Luiz Euribel
    BMJ OPEN, 2020, 10 (09): : e037045
  • [44] Population-based prevalence of hepatitis B and C virus, HIV, syphilis, gonorrhoea and chlamydia in male injection drug users in Lagos, Nigeria
    Tun, W.
    Vu, L.
    Adebajo, S. B.
    Abiodun, L.
    Sheehy, M.
    Karlyn, A.
    Njab, J.
    Ahonsi, B.
    Issa, B. K.
    Idogho, O.
    INTERNATIONAL JOURNAL OF STD & AIDS, 2013, 24 (08) : 619 - 625
  • [45] HIV infection, viral hepatitis and liver fibrosis among prison inmates in West Africa
    Jaquet, Antoine
    Wandeler, Gilles
    Tine, Judicael
    Dagnra, Claver A.
    Attia, Alain
    Patassi, Akouda
    Ndiaye, Abdoulaye
    de Ledinghen, Victor
    Ekouevi, Didier K.
    Seydi, Moussa
    Dabis, Francois
    BMC INFECTIOUS DISEASES, 2016, 16
  • [46] Chronic Pain Prevalence and Associated Factors in a Segment of the Population of Sao Paulo City
    Costa Cabral, Dayane Maia
    Botelho Bracher, Eduardo Sawaya
    Prescatan Depintor, Jidiene Dylese
    Eluf-Neto, Jose
    JOURNAL OF PAIN, 2014, 15 (11): : 1081 - 1091
  • [47] Risk Factors of Isolated Antibody Against Core Antigen of Hepatitis B Virus: Association With HIV Infection and Age but not Hepatitis C Virus Infection
    Liang, Shiou-Haur
    Chen, Tai-Jui
    Lee, Susan Shin-Jung
    Tseng, Fan-Chen
    Huang, Chun-Kai
    Lai, Chung-Hsu
    Chiou, Chou-Ping
    Wang, Jiun-Ling
    Chung, Hsing-Chun
    Lin, Jiun-Nong
    Kuo, Yi-Chi
    Lin, Hsi-Hsun
    JAIDS-JOURNAL OF ACQUIRED IMMUNE DEFICIENCY SYNDROMES, 2010, 54 (02) : 122 - 128
  • [48] Syphilis among people with HIV infection in southern Ethiopia: sero-prevalence and risk factors
    Techalew Shimelis
    Kinfe Lemma
    Henock Ambachew
    Endale Tadesse
    BMC Infectious Diseases, 15
  • [49] Risk factors for prevalent hepatitis C virus-infection among inmates in a state prison system in Mexico
    Belaunzaran-Zamudio, Pablo F.
    Mosqueda-Gomez, Juan L.
    Macias-Hernandez, Alejando
    Sierra-Madero, Juan G.
    Ahmed, Saifuddin
    Beyrer, Chris
    PLOS ONE, 2017, 12 (06):
  • [50] Risk factors associated with overweight among adolescents from Western Sao Paulo state
    Fernandes, Romulo Araujo
    Conterato, Igor
    Messias, Kelly Patricia
    Destro Christofaro, Diego Giuliano
    de Oliveira, Arli Ramos
    Freitas Junior, Ismael Forte
    REVISTA DA ESCOLA DE ENFERMAGEM DA USP, 2009, 43 (04) : 767 - 772