Prevalence and risk behaviors for chlamydial infection in a population-based study of female adolescents in Brazil
Autor(a) principal: | |
---|---|
Data de Publicação: | 2004 |
Outros Autores: | , , |
Tipo de documento: | Artigo |
Idioma: | eng |
Título da fonte: | Repositório Institucional da FIOCRUZ (ARCA) |
Texto Completo: | https://www.arca.fiocruz.br/handle/icict/647 |
Resumo: | Background: Adolescents are vulnerable to sexually transmitted infections (STIs) and unplanned pregnancy. Prevention measures and assistance are of significant public health importance in this population. Objective: The objective of this study was to identify demographic, behavioral, and clinical factors for STIs and to determine the prevalence of Chlamydia trachomatis infection (CT) among female adolescents in Vito´ria, Brazil. Methods: We performed a cross-sectional study among female adolescents (15–19 years) served by the Health Family Program. Participants were screened for CT and Neisseria gonorrhoeae (GC) using ligase chain reaction applied to urine and answered a face-to-face questionnaire to assess demographic, behavioral, and clinical factors. All participants and their parents signed the informed consent. Results: Four hundred sixty-four young women were sampled. The prevalence of CT was 8.9% (95% confidence interval [CI], 6.5–11.9%) overall. Among sexually active women, CT and gonorrhea prevalence were 12.2 (95% CI, 9.4–17.0%) and 1.9% (95% CI, 1.1–2.7%), respectively. Previously diagnosed STI was reported by 12.8%. Women who reported regular condom use and having condoms at home were significantly less likely to have CT, and having never purchased condoms was significantly associated with a positive CT result. Conclusion: A high prevalence of CT was found in this population, and behavioral risk was high despite readily available STI prevention information. Women who reported positive condom use behaviors were less likely to have CT. These results demonstrate the need for ongoing STI prevention activities, including STI screening and continued successful risk reduction activities such as condom use to further decrease CT and other STI among adolescents. |
id |
CRUZ_cefc3119362104537716d62943ba4f5a |
---|---|
oai_identifier_str |
oai:www.arca.fiocruz.br:icict/647 |
network_acronym_str |
CRUZ |
network_name_str |
Repositório Institucional da FIOCRUZ (ARCA) |
repository_id_str |
2135 |
spelling |
Miranda, Angelica EspinosaSzwarcwald, Celia LandmannPeres, Renata LyrioPage-Shafer, Kimberly2010-08-23T16:58:35Z2010-11-04T14:19:50Z2010-08-23T16:58:35Z2010-11-04T14:19:50Z2004MIRANDA, Angelica Espinosa et al. Prevalence and risk behaviors for chlamydial infection in a population-based study of female adolescents in Brazil. Sexually Transmitted Diseases, Philadelphia, v. 31, n. 9, p. 542–546, Sept. 2004.https://www.arca.fiocruz.br/handle/icict/64710.1097/01.olq.0000137899.25542.75Background: Adolescents are vulnerable to sexually transmitted infections (STIs) and unplanned pregnancy. Prevention measures and assistance are of significant public health importance in this population. Objective: The objective of this study was to identify demographic, behavioral, and clinical factors for STIs and to determine the prevalence of Chlamydia trachomatis infection (CT) among female adolescents in Vito´ria, Brazil. Methods: We performed a cross-sectional study among female adolescents (15–19 years) served by the Health Family Program. Participants were screened for CT and Neisseria gonorrhoeae (GC) using ligase chain reaction applied to urine and answered a face-to-face questionnaire to assess demographic, behavioral, and clinical factors. All participants and their parents signed the informed consent. Results: Four hundred sixty-four young women were sampled. The prevalence of CT was 8.9% (95% confidence interval [CI], 6.5–11.9%) overall. Among sexually active women, CT and gonorrhea prevalence were 12.2 (95% CI, 9.4–17.0%) and 1.9% (95% CI, 1.1–2.7%), respectively. Previously diagnosed STI was reported by 12.8%. Women who reported regular condom use and having condoms at home were significantly less likely to have CT, and having never purchased condoms was significantly associated with a positive CT result. Conclusion: A high prevalence of CT was found in this population, and behavioral risk was high despite readily available STI prevention information. Women who reported positive condom use behaviors were less likely to have CT. These results demonstrate the need for ongoing STI prevention activities, including STI screening and continued successful risk reduction activities such as condom use to further decrease CT and other STI among adolescents.Funding for this study was provided by FACITEC (Fundo de Apoio a Ciência e Tecnologia), Vitória Municipality, UNESCO: Projeto 914 BRA 3016, 5° termo aditivo acordo Brasil-França and from the NIH/Fogarty Centers ICOHORTA Grant (1 D43 TW05799–03).Fundação Oswaldo Cruz. Escola Nacional de Saúde Pública Sergio Arouca. Rio de Janeiro, RJ, Brasil / Universidade Federal do Espírito Santo. Núcleo de Doenças Infecciosas. Vitoria, ES, Brasil.Fundação Oswaldo Cruz. Instituto de Comunicação e Informação Científica e Tecnologia em Saúde. Rio de Janeiro, RJ, Brasil.Universidade Federal do Espírito Santo. Núcleo de Doenças Infecciosas. Vitoria, ES, Brasil.University of California. Center for AIDS Prevention Studies. San Francisco, USA.engAmerican Sexually Transmitted Diseases AssociationPrevalence and risk behaviors for chlamydial infection in a population-based study of female adolescents in Brazilinfo:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/article2004Chlamydial InfectionFemale AdolescentsSexually Transmitted Infections (STIs)Clinical FactorsChlamydia Trachomatis Infection (CT)Vitória (Brazil, ES)info:eu-repo/semantics/openAccessreponame:Repositório Institucional da FIOCRUZ (ARCA)instname:Fundação Oswaldo Cruz (FIOCRUZ)instacron:FIOCRUZTEXTLandmann_Prevalence and Risk_2004.pdf.txtLandmann_Prevalence and Risk_2004.pdf.txtExtracted texttext/plain26442https://www.arca.fiocruz.br/bitstream/icict/647/6/Landmann_Prevalence%20and%20Risk_2004.pdf.txt798333c3d5a6e17d83a14bc0a012d896MD56LICENSElicense.txttext/plain1842https://www.arca.fiocruz.br/bitstream/icict/647/2/license.txtd61d783df8d1dca90c51f1da7e5a38e8MD52ORIGINALLandmann_Prevalence and Risk_2004.pdfapplication/pdf169766https://www.arca.fiocruz.br/bitstream/icict/647/3/Landmann_Prevalence%20and%20Risk_2004.pdf5424672e8099a5f43bbe1499046c534fMD53THUMBNAILLandmann_Prevalence and Risk_2004.pdf.jpgLandmann_Prevalence and Risk_2004.pdf.jpgGenerated Thumbnailimage/jpeg2289https://www.arca.fiocruz.br/bitstream/icict/647/5/Landmann_Prevalence%20and%20Risk_2004.pdf.jpgb5abd68318b824d882f1353384ddf884MD55icict/6472023-01-12 11:42:26.682oai:www.arca.fiocruz.br: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ório InstitucionalPUBhttps://www.arca.fiocruz.br/oai/requestrepositorio.arca@fiocruz.bropendoar:21352023-01-12T14:42:26Repositório Institucional da FIOCRUZ (ARCA) - Fundação Oswaldo Cruz (FIOCRUZ)false |
dc.title.pt_BR.fl_str_mv |
Prevalence and risk behaviors for chlamydial infection in a population-based study of female adolescents in Brazil |
title |
Prevalence and risk behaviors for chlamydial infection in a population-based study of female adolescents in Brazil |
spellingShingle |
Prevalence and risk behaviors for chlamydial infection in a population-based study of female adolescents in Brazil Miranda, Angelica Espinosa Chlamydial Infection Female Adolescents Sexually Transmitted Infections (STIs) Clinical Factors Chlamydia Trachomatis Infection (CT) Vitória (Brazil, ES) |
title_short |
Prevalence and risk behaviors for chlamydial infection in a population-based study of female adolescents in Brazil |
title_full |
Prevalence and risk behaviors for chlamydial infection in a population-based study of female adolescents in Brazil |
title_fullStr |
Prevalence and risk behaviors for chlamydial infection in a population-based study of female adolescents in Brazil |
title_full_unstemmed |
Prevalence and risk behaviors for chlamydial infection in a population-based study of female adolescents in Brazil |
title_sort |
Prevalence and risk behaviors for chlamydial infection in a population-based study of female adolescents in Brazil |
author |
Miranda, Angelica Espinosa |
author_facet |
Miranda, Angelica Espinosa Szwarcwald, Celia Landmann Peres, Renata Lyrio Page-Shafer, Kimberly |
author_role |
author |
author2 |
Szwarcwald, Celia Landmann Peres, Renata Lyrio Page-Shafer, Kimberly |
author2_role |
author author author |
dc.contributor.author.fl_str_mv |
Miranda, Angelica Espinosa Szwarcwald, Celia Landmann Peres, Renata Lyrio Page-Shafer, Kimberly |
dc.subject.en.pt_BR.fl_str_mv |
Chlamydial Infection Female Adolescents Sexually Transmitted Infections (STIs) Clinical Factors Chlamydia Trachomatis Infection (CT) Vitória (Brazil, ES) |
topic |
Chlamydial Infection Female Adolescents Sexually Transmitted Infections (STIs) Clinical Factors Chlamydia Trachomatis Infection (CT) Vitória (Brazil, ES) |
description |
Background: Adolescents are vulnerable to sexually transmitted infections (STIs) and unplanned pregnancy. Prevention measures and assistance are of significant public health importance in this population. Objective: The objective of this study was to identify demographic, behavioral, and clinical factors for STIs and to determine the prevalence of Chlamydia trachomatis infection (CT) among female adolescents in Vito´ria, Brazil. Methods: We performed a cross-sectional study among female adolescents (15–19 years) served by the Health Family Program. Participants were screened for CT and Neisseria gonorrhoeae (GC) using ligase chain reaction applied to urine and answered a face-to-face questionnaire to assess demographic, behavioral, and clinical factors. All participants and their parents signed the informed consent. Results: Four hundred sixty-four young women were sampled. The prevalence of CT was 8.9% (95% confidence interval [CI], 6.5–11.9%) overall. Among sexually active women, CT and gonorrhea prevalence were 12.2 (95% CI, 9.4–17.0%) and 1.9% (95% CI, 1.1–2.7%), respectively. Previously diagnosed STI was reported by 12.8%. Women who reported regular condom use and having condoms at home were significantly less likely to have CT, and having never purchased condoms was significantly associated with a positive CT result. Conclusion: A high prevalence of CT was found in this population, and behavioral risk was high despite readily available STI prevention information. Women who reported positive condom use behaviors were less likely to have CT. These results demonstrate the need for ongoing STI prevention activities, including STI screening and continued successful risk reduction activities such as condom use to further decrease CT and other STI among adolescents. |
publishDate |
2004 |
dc.date.issued.fl_str_mv |
2004 |
dc.date.accessioned.fl_str_mv |
2010-08-23T16:58:35Z 2010-11-04T14:19:50Z |
dc.date.available.fl_str_mv |
2010-08-23T16:58:35Z 2010-11-04T14:19:50Z |
dc.type.status.fl_str_mv |
info:eu-repo/semantics/publishedVersion |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article |
format |
article |
status_str |
publishedVersion |
dc.identifier.citation.fl_str_mv |
MIRANDA, Angelica Espinosa et al. Prevalence and risk behaviors for chlamydial infection in a population-based study of female adolescents in Brazil. Sexually Transmitted Diseases, Philadelphia, v. 31, n. 9, p. 542–546, Sept. 2004. |
dc.identifier.uri.fl_str_mv |
https://www.arca.fiocruz.br/handle/icict/647 |
dc.identifier.doi.pt_BR.fl_str_mv |
10.1097/01.olq.0000137899.25542.75 |
identifier_str_mv |
MIRANDA, Angelica Espinosa et al. Prevalence and risk behaviors for chlamydial infection in a population-based study of female adolescents in Brazil. Sexually Transmitted Diseases, Philadelphia, v. 31, n. 9, p. 542–546, Sept. 2004. 10.1097/01.olq.0000137899.25542.75 |
url |
https://www.arca.fiocruz.br/handle/icict/647 |
dc.language.iso.fl_str_mv |
eng |
language |
eng |
dc.rights.driver.fl_str_mv |
info:eu-repo/semantics/openAccess |
eu_rights_str_mv |
openAccess |
dc.publisher.none.fl_str_mv |
American Sexually Transmitted Diseases Association |
publisher.none.fl_str_mv |
American Sexually Transmitted Diseases Association |
dc.source.none.fl_str_mv |
reponame:Repositório Institucional da FIOCRUZ (ARCA) instname:Fundação Oswaldo Cruz (FIOCRUZ) instacron:FIOCRUZ |
instname_str |
Fundação Oswaldo Cruz (FIOCRUZ) |
instacron_str |
FIOCRUZ |
institution |
FIOCRUZ |
reponame_str |
Repositório Institucional da FIOCRUZ (ARCA) |
collection |
Repositório Institucional da FIOCRUZ (ARCA) |
bitstream.url.fl_str_mv |
https://www.arca.fiocruz.br/bitstream/icict/647/6/Landmann_Prevalence%20and%20Risk_2004.pdf.txt https://www.arca.fiocruz.br/bitstream/icict/647/2/license.txt https://www.arca.fiocruz.br/bitstream/icict/647/3/Landmann_Prevalence%20and%20Risk_2004.pdf https://www.arca.fiocruz.br/bitstream/icict/647/5/Landmann_Prevalence%20and%20Risk_2004.pdf.jpg |
bitstream.checksum.fl_str_mv |
798333c3d5a6e17d83a14bc0a012d896 d61d783df8d1dca90c51f1da7e5a38e8 5424672e8099a5f43bbe1499046c534f b5abd68318b824d882f1353384ddf884 |
bitstream.checksumAlgorithm.fl_str_mv |
MD5 MD5 MD5 MD5 |
repository.name.fl_str_mv |
Repositório Institucional da FIOCRUZ (ARCA) - Fundação Oswaldo Cruz (FIOCRUZ) |
repository.mail.fl_str_mv |
repositorio.arca@fiocruz.br |
_version_ |
1798324980886274048 |