HIV and syphilis infections and associated factors among patients in treatment at a Specialist Alcohol, Tobacco, and Drugs Center in São Paulo’s “Cracolândia”

Detalhes bibliográficos
Autor(a) principal: Ribeiro,Ariadne
Data de Publicação: 2020
Outros Autores: Trevizol,Alisson, Oluwoye,Oladunni, McPherson,Sterling, McDonell,Michael G., Briese,Viviane, Miguel,André C., Fratzinger,Rosana C., Laranjeira,Ronaldo R., Alonso,Ana L., Karasin,Ana L., Ribeiro,Marcelo, Madruga,Clarice S.
Tipo de documento: Artigo
Idioma: eng
Título da fonte: Trends in Psychiatry and Psychotherapy
Texto Completo: http://old.scielo.br/scielo.php?script=sci_arttext&pid=S2237-60892020000100001
Resumo: Abstract Introduction This study describes the epidemiological scenario of human immunodeficiency virus (HIV) and syphilis at the biggest specialist drug addiction center in Brazil. The great challenge is to find strategies to reduce the impact of inequality and discrimination and develop policies to protect individuals living with – or at risk of – infections. Methods During the period from January 1 to May 31, 2016, a cross-sectional study was conducted on which all patients (N = 806) seeking inpatient treatment were enrolled. A structured diagnostic interview and rapid tests were conducted initially, and diagnoses were confirmed by tests conducted at a venereal disease research laboratory (VDRL). Results HIV and syphilis rates were 5.86% and 21.9%, respectively. Women were nearly 2.5 times more likely to have syphilis. HIV infection was associated with unprotected sex (odds ratio [OR]: 3.27, p = 0.003, 95% confidence interval [95%CI]: 1.51-7.11), and suicidal ideation (OR: 6.63, p = 0.001, 95%CI: 3.37-14.0). Although only 1.86% reported injecting drugs at any point during their lifetimes, this variable was associated with both HIV and syphilis. Elevated rates of HIV and syphilis were observed in the context of this severe social vulnerability scenario. Conclusion The risk factors identified as associated with HIV and syphilis should be taken into consideration for implementation of specific prevention strategies including early diagnosis and treatment of sexually transmitted infections (STI) to tackle the rapid spread of STIs in this population.
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spelling HIV and syphilis infections and associated factors among patients in treatment at a Specialist Alcohol, Tobacco, and Drugs Center in São Paulo’s “Cracolândia”Brazilsubstance use disorderaddictionHIVsyphiliscrack/cocainesuicidal ideationAbstract Introduction This study describes the epidemiological scenario of human immunodeficiency virus (HIV) and syphilis at the biggest specialist drug addiction center in Brazil. The great challenge is to find strategies to reduce the impact of inequality and discrimination and develop policies to protect individuals living with – or at risk of – infections. Methods During the period from January 1 to May 31, 2016, a cross-sectional study was conducted on which all patients (N = 806) seeking inpatient treatment were enrolled. A structured diagnostic interview and rapid tests were conducted initially, and diagnoses were confirmed by tests conducted at a venereal disease research laboratory (VDRL). Results HIV and syphilis rates were 5.86% and 21.9%, respectively. Women were nearly 2.5 times more likely to have syphilis. HIV infection was associated with unprotected sex (odds ratio [OR]: 3.27, p = 0.003, 95% confidence interval [95%CI]: 1.51-7.11), and suicidal ideation (OR: 6.63, p = 0.001, 95%CI: 3.37-14.0). Although only 1.86% reported injecting drugs at any point during their lifetimes, this variable was associated with both HIV and syphilis. Elevated rates of HIV and syphilis were observed in the context of this severe social vulnerability scenario. Conclusion The risk factors identified as associated with HIV and syphilis should be taken into consideration for implementation of specific prevention strategies including early diagnosis and treatment of sexually transmitted infections (STI) to tackle the rapid spread of STIs in this population.Associação de Psiquiatria do Rio Grande do Sul2020-03-01info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersiontext/htmlhttp://old.scielo.br/scielo.php?script=sci_arttext&pid=S2237-60892020000100001Trends in Psychiatry and Psychotherapy v.42 n.1 2020reponame:Trends in Psychiatry and Psychotherapyinstname:Sociedade de Psiquiatria do Rio Grande do Sulinstacron:APRGS10.1590/2237-6089-2018-0081info:eu-repo/semantics/openAccessRibeiro,AriadneTrevizol,AlissonOluwoye,OladunniMcPherson,SterlingMcDonell,Michael G.Briese,VivianeMiguel,André C.Fratzinger,Rosana C.Laranjeira,Ronaldo R.Alonso,Ana L.Karasin,Ana L.Ribeiro,MarceloMadruga,Clarice S.eng2020-05-14T00:00:00Zoai:scielo:S2237-60892020000100001Revistahttp://www.scielo.br/scielo.php?script=sci_serial&pid=2237-6089&lng=en&nrm=isohttps://old.scielo.br/oai/scielo-oai.phprevista@aprs.org.br|| rodrigo_grassi@terra.com.br2238-00192237-6089opendoar:2020-05-14T00:00Trends in Psychiatry and Psychotherapy - Sociedade de Psiquiatria do Rio Grande do Sulfalse
dc.title.none.fl_str_mv HIV and syphilis infections and associated factors among patients in treatment at a Specialist Alcohol, Tobacco, and Drugs Center in São Paulo’s “Cracolândia”
title HIV and syphilis infections and associated factors among patients in treatment at a Specialist Alcohol, Tobacco, and Drugs Center in São Paulo’s “Cracolândia”
spellingShingle HIV and syphilis infections and associated factors among patients in treatment at a Specialist Alcohol, Tobacco, and Drugs Center in São Paulo’s “Cracolândia”
Ribeiro,Ariadne
Brazil
substance use disorder
addiction
HIV
syphilis
crack/cocaine
suicidal ideation
title_short HIV and syphilis infections and associated factors among patients in treatment at a Specialist Alcohol, Tobacco, and Drugs Center in São Paulo’s “Cracolândia”
title_full HIV and syphilis infections and associated factors among patients in treatment at a Specialist Alcohol, Tobacco, and Drugs Center in São Paulo’s “Cracolândia”
title_fullStr HIV and syphilis infections and associated factors among patients in treatment at a Specialist Alcohol, Tobacco, and Drugs Center in São Paulo’s “Cracolândia”
title_full_unstemmed HIV and syphilis infections and associated factors among patients in treatment at a Specialist Alcohol, Tobacco, and Drugs Center in São Paulo’s “Cracolândia”
title_sort HIV and syphilis infections and associated factors among patients in treatment at a Specialist Alcohol, Tobacco, and Drugs Center in São Paulo’s “Cracolândia”
author Ribeiro,Ariadne
author_facet Ribeiro,Ariadne
Trevizol,Alisson
Oluwoye,Oladunni
McPherson,Sterling
McDonell,Michael G.
Briese,Viviane
Miguel,André C.
Fratzinger,Rosana C.
Laranjeira,Ronaldo R.
Alonso,Ana L.
Karasin,Ana L.
Ribeiro,Marcelo
Madruga,Clarice S.
author_role author
author2 Trevizol,Alisson
Oluwoye,Oladunni
McPherson,Sterling
McDonell,Michael G.
Briese,Viviane
Miguel,André C.
Fratzinger,Rosana C.
Laranjeira,Ronaldo R.
Alonso,Ana L.
Karasin,Ana L.
Ribeiro,Marcelo
Madruga,Clarice S.
author2_role author
author
author
author
author
author
author
author
author
author
author
author
dc.contributor.author.fl_str_mv Ribeiro,Ariadne
Trevizol,Alisson
Oluwoye,Oladunni
McPherson,Sterling
McDonell,Michael G.
Briese,Viviane
Miguel,André C.
Fratzinger,Rosana C.
Laranjeira,Ronaldo R.
Alonso,Ana L.
Karasin,Ana L.
Ribeiro,Marcelo
Madruga,Clarice S.
dc.subject.por.fl_str_mv Brazil
substance use disorder
addiction
HIV
syphilis
crack/cocaine
suicidal ideation
topic Brazil
substance use disorder
addiction
HIV
syphilis
crack/cocaine
suicidal ideation
description Abstract Introduction This study describes the epidemiological scenario of human immunodeficiency virus (HIV) and syphilis at the biggest specialist drug addiction center in Brazil. The great challenge is to find strategies to reduce the impact of inequality and discrimination and develop policies to protect individuals living with – or at risk of – infections. Methods During the period from January 1 to May 31, 2016, a cross-sectional study was conducted on which all patients (N = 806) seeking inpatient treatment were enrolled. A structured diagnostic interview and rapid tests were conducted initially, and diagnoses were confirmed by tests conducted at a venereal disease research laboratory (VDRL). Results HIV and syphilis rates were 5.86% and 21.9%, respectively. Women were nearly 2.5 times more likely to have syphilis. HIV infection was associated with unprotected sex (odds ratio [OR]: 3.27, p = 0.003, 95% confidence interval [95%CI]: 1.51-7.11), and suicidal ideation (OR: 6.63, p = 0.001, 95%CI: 3.37-14.0). Although only 1.86% reported injecting drugs at any point during their lifetimes, this variable was associated with both HIV and syphilis. Elevated rates of HIV and syphilis were observed in the context of this severe social vulnerability scenario. Conclusion The risk factors identified as associated with HIV and syphilis should be taken into consideration for implementation of specific prevention strategies including early diagnosis and treatment of sexually transmitted infections (STI) to tackle the rapid spread of STIs in this population.
publishDate 2020
dc.date.none.fl_str_mv 2020-03-01
dc.type.driver.fl_str_mv info:eu-repo/semantics/article
dc.type.status.fl_str_mv info:eu-repo/semantics/publishedVersion
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status_str publishedVersion
dc.identifier.uri.fl_str_mv http://old.scielo.br/scielo.php?script=sci_arttext&pid=S2237-60892020000100001
url http://old.scielo.br/scielo.php?script=sci_arttext&pid=S2237-60892020000100001
dc.language.iso.fl_str_mv eng
language eng
dc.relation.none.fl_str_mv 10.1590/2237-6089-2018-0081
dc.rights.driver.fl_str_mv info:eu-repo/semantics/openAccess
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv text/html
dc.publisher.none.fl_str_mv Associação de Psiquiatria do Rio Grande do Sul
publisher.none.fl_str_mv Associação de Psiquiatria do Rio Grande do Sul
dc.source.none.fl_str_mv Trends in Psychiatry and Psychotherapy v.42 n.1 2020
reponame:Trends in Psychiatry and Psychotherapy
instname:Sociedade de Psiquiatria do Rio Grande do Sul
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reponame_str Trends in Psychiatry and Psychotherapy
collection Trends in Psychiatry and Psychotherapy
repository.name.fl_str_mv Trends in Psychiatry and Psychotherapy - Sociedade de Psiquiatria do Rio Grande do Sul
repository.mail.fl_str_mv revista@aprs.org.br|| rodrigo_grassi@terra.com.br
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