Prevalence and associated predictors of HIV and syphilis among women, south of Brazil

Authors

DOI:

https://doi.org/10.33448/rsd-v10i13.20989

Keywords:

Epidemiology; Prevalence; Risk factors; Sexually transmitted infections.

Abstract

To investigate the general prevalence of sexually transmitted infections (STIs) and the factors associated with syphilis and HIV in women treated in the Integrated Health System (SINAS). Cross-sectional database study with 6.993 patients treated at a referral center in the state of Paraná, Brazil, from January 2013 to December 2015. The overall prevalence was 2.39% for syphilis and HIV, being 0.65 and 0.22% for pregnant women and 3.07 and 0.78% for non-pregnant women, respectively. After adjusting the variables in the logistic regression model, the main predictors associated with syphilis were the age groups 41 to 59 and 60 to 83 years old (p <0.001), non-pregnant women (p <0.01), marital status married (p <0.001), drug use (p <0.01) and previous STIs (<0.001). For HIV, the predictors were city of residence (<0.001), reason for search (p <0.01), reported previous STTs (p <0.001). The population served had a higher prevalence of syphilis when compared to the international panorama, while the HIV values were lower. The predictors associated with STIs were non-pregnant, heterosexual women, aged between the second and fourth decade of life, higher education and who did not use condoms regularly. This study presents relevant information for the evaluation and development of measures that prevent, control and are related to the diagnosis and treatment of the investigated STIs.

References

Aquino, P. S., Nicolau, A. I. O., Moura, E. R. F., Pinheiro, A. K. B. (2008). Perfil sociodemográfico e comportamento sexual de prostitutas de Fortaleza - CE. Texto Contexto Enferm, 17 (3), 427-34.

Bennani, A., ElKettani, A., HancËali, A., ElRhilani, H., Alami, K., Youbi, M., et al. (2017). The prevalence and incidence of active syphilis in women in Morocco, 1995-2016: Model-based estimation and implications for STI surveillance. PLoS ONE, 12 (8), e0181498.

Brocklehurst, P., Volmink, J. (2002). Antiretrovirals for reducing the risk of mother-to-child transmission of HIV infection. Cochrane Database Syst Rev., (1), CD003510.

Conceição, J. S., Diniz-Santos, D. R., Ferreira, C. D., Paes, F. N., Melo, C. N., Silva, L. R. (2009). Conhecimento dos obstetras sobre a transmissão vertical da hepatite B. Arq Gastroenterol, 46 (1), 57-61.

Costa, M. C., Bornhausen-Demarch, E., Azulay, D. R., Périssé, A. R. S., Dias, M. F. R. G., Nery, J. A. C. (2010). Sexually transmitted diseases during pregnancy: a synthesis of particularities. An Bras Dermatol., 85 (6), 767-85.

Dionne-Odom, J., Westfall, A. O., Van, Der. Pol, B., Fry, K., Marrazzo, J. (2018). Sexually Transmitted Infection Prevalence in Women with HIV: Is There a Role for Targeted Screening? Sexually Transmitted Diseases, 45 (11), 762-769.

Ginindza, T. G., Stefan, C. D., Tsoka-Gwegweni, J. M., Dlamini, X., Jolly, P. R., Weiderpass, E., Broutet, N., Sartorius, B. (2017). Prevalence and risk factors associated with sexually transmitted infections (STIs) among women of reproductive age in Swaziland. Infectious Agents and Cancer, 12 (29).

Gomes, N. C. R. C., Meier, D. A. P., Pieri, F. M., Alves, E., Albanese, S. P. R., Lentine, E. C., Arcêncio, R. A., Dessunti, E. M. (2017). Prevalence and factors associated with syphilis in a Reference Center. Rev Soc Bras Med Trop., 50 (1), 27-34.

Inagaki, A. D. M., Oliveira, L. A. R., Oliveira, M. F. B., Santos, R. C. S., Araújo, R. M., Alves, J. A. B. et al (2009). Soroprevalência de anticorpos para toxoplasmose, rubéola, citomegalovírus, sífilis e HIV em gestantes sergipanas. Rev Soc Bras Med Trop., 42 (5), 532-6.

Liell, A. P., Weber, D., Toscan, C., Fornari, F., Madalosso, L. F. (2009). Prevalência do HBSAg em gestantes de Passo Fundo, RS: estudo comparativo entre os sistemas de saúde público e privado. Arq Gastroenterol., 46 (1), 75-7.

Lima, G. R., Girão, M. J. B. C., Baracat, E. C. (2003). Doenças Sexualmente Transmissiveis. In: Ginecologia de Consultório, Editora de Projetos Médicos. São Paulo-SP, 193-210.

Lima, L. H. M., Viana, M. C. (2009). Prevalence and risk factors for HIV, syphilis, hepatitis B, hepatitis C, and HTLV-I/II infection in low-income postpartum and pregnant women in Greater Metropolitan Vitória, Espírito Santo State, Brazil. Cad Saude Publica, 25 (3), 668-76.

Ministério da Saúde- Brasil. Secretaria de Vigilância em Saúde. Programa Nacional de DST e Aids. Manual de bolso das doenças sexualmente transmissíveis. Brasília (DF) 2006; 111 p.

Ministério da Saúde- Brasil. Secretaria de Vigilância em Saúde. Departamento de DST, AIDS e Hepatites Virais. Boletim Epidemiológico. 2015; Hepatites Virais. Ano IV- nº 1.

Ministério da Saúde- Brasil. Secretaria de Vigilância em Saúde. Departamento de DST, AIDS e Hepatites Virais. Boletim Epidemiológico. 2015; HIV. Ano IV- nº 1.

Ministério da Saúde- Brasil. Secretaria de Vigilância em Saúde. Departamento de DST, AIDS e Hepatites Virais. Boletim Epidemiológico. 2015; Sífilis. Ano IV.

Miranda, A. E., Figueiredo, N. C., Pinto, V. M., Page, K., Talhari, S. (2012). Risk factors for syphilis in young women attending a family health programme in Vitoria, Brazil. An Bras Dermatol., 87 (1), 76-83.

Newman, L., Rowley, J., Vander Hoorn, S., Wijesooriya, N. S., Unemo, M., Low, N., et al (2015). Global estimates of the prevalence and incidence of four curable sexually transmitted infections in 2012 based on systematic review and global reporting. PLoS ONE, 10 (12), e0143304.

Oliveira, L. R., Costa, M. C. N., Barreto, F. R., Pereira, S. M., Dourado, I., Teixeira, M. G. (2014). Evaluation of preventative and control measures for congenital syphilis in State of Mato Grosso. Rev Soc Bras Trop., 47 (3), 334-340.

Olugbenga, I., Taiwo, O., Laverty, M., Ngige, E., Anyaike, C., Bakare, R., et al (2018). Clinic-based evaluation study of the diagnostic accuracy of a dual rapid test for the screening of HIV and syphilis in pregnant women in Nigeria. PLoS ONE, 13 (7), e0198698.

Saindou, M., Bénet, T., Troalen, D., Abaine, A., Voirin, N., Giard, M., Vanhems, P. (2012). Prevalence and risk factors for HIV, hepatitis B virus, and syphilis among pregnant women in Mayotte, Indian Ocean, 2008-2009. Int J Gynaecol Obstet., 119 (1), 61-5.

Scheidell, J. D., Beau, De Rochars, V. M., Séraphin, M. N., Hobbs, M. M., Morris, J. G. Jr., Célestin, J. P., Cottler, L. B., Khan, M. R. (2018). Socioeconomic Vulnerability and Sexually Transmitted Infection among Pregnant Haitian Women. Sex Transm Dis., 45 (9), 626-631.

Torrone, E. A., Morrison, C. S., Chen, P-L., Kwok, C., Francis, S. C., Hayes, R. J., et al (2018). Prevalence of sexually transmitted infections and bacterial vaginosis among women in sub-Saharan Africa: An individual participant data meta-analysis of 18 HIV prevention studies. PLoS Med., 15 (2), e1002511.

World Health Organization. Department of HIV/AIDS. Global prevalence and incidence of selected curable sexually transmitted infections, 2001.

World Health Organization. Global health sector strategy on sexually transmitted infections 2016–2021: towards ending STIs. Geneva: World Health Organization, 2016.

World Health Organization. UNAIDS- AIDS Epidemic Update, 2010.

Yahya-Malima, K. I., Evjen-Olsen, B., Matee, M. I., Fylkesnes, K., Haarr, L. (2008). HIV-1, HSV-2 and syphilis among pregnant women in a rural area of Tanzania: prevalence and risk factors. BMC Infect Dis., 8 (75).

Downloads

Published

09/10/2021

How to Cite

SANTANA, N. de C. S. .; GALINARI, C. B.; DEMARCHI, I. G. .; CONSOLARO, M. E. L. .; TEIXEIRA, J. J. V. . Prevalence and associated predictors of HIV and syphilis among women, south of Brazil. Research, Society and Development, [S. l.], v. 10, n. 13, p. e134101320989, 2021. DOI: 10.33448/rsd-v10i13.20989. Disponível em: https://rsdjournal.org/index.php/rsd/article/view/20989. Acesso em: 3 dec. 2021.

Issue

Section

Health Sciences