HIV prevalence among female sex workers, drug users and men who have sex with men in Brazil: A Systematic Review and Meta-analysis

Detalhes bibliográficos
Autor(a) principal: Bastos, Francisco Inácio Pinkusfeld Monteiro
Data de Publicação: 2010
Outros Autores: Malta, Monica, Magnanini, Monica Maria Ferreira, Mello, Maeve Brito, Pascom, Ana Roberta P., Linhares, Yohana
Tipo de documento: Artigo
Idioma: eng
Título da fonte: Repositório Institucional da FIOCRUZ (ARCA)
Texto Completo: https://www.arca.fiocruz.br/handle/icict/2280
Resumo: Oswaldo Cruz Foundation. Sergio Arouca School of Public Health. Social Science Department. Rio de Janeiro, RJ, Brazil,
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spelling Bastos, Francisco Inácio Pinkusfeld MonteiroMalta, MonicaMagnanini, Monica Maria FerreiraMello, Maeve BritoPascom, Ana Roberta P.Linhares, Yohana2011-05-02T17:37:15Z2011-05-02T17:37:15Z2010MALTA, Monica et al. Research article HIV prevalence among female sex workers, drug users and men who have sex with men in Brazil: a Systematic Review and Meta-analysis. BMC Public Health, v. 10, n. 317, p. 1-16, 2010.1471-2458https://www.arca.fiocruz.br/handle/icict/228010.1186/1471-2458-10-317engBioMed CentralHIV prevalence among female sex workers, drug users and men who have sex with men in Brazil: A Systematic Review and Meta-analysisinfo:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/articleOswaldo Cruz Foundation. Sergio Arouca School of Public Health. Social Science Department. Rio de Janeiro, RJ, Brazil,Federal University of Rio de Janeiro. 2Institute of Public Health Studies. Rio de Janeiro, RJ, Brazil,Oswaldo Cruz Foundation. Center for Scientific and Technological Information. Health Information Laboratory. Rio de Janeiro, RJ, Brazil.Brazilian National STD/AIDS Program. Surveillance Unit. Brasília, DF, Brazil.Oswaldo Cruz Foundation. Sergio Arouca School of Public Health. Social Science Department. Rio de Janeiro, RJ, Brazil,Oswaldo Cruz Foundation. Center for Scientific and Technological Information. Health Information Laboratory. Rio de Janeiro, RJ, Brazil.Background: The Brazilian response towards AIDS epidemic is well known, but the absence of a systematic review of vulnerable populations horizontal line men who have sex with men (MSM), female sex workers (FSW), and drug users (DU) remains a main gap in the available literature. Our goal was to conduct a systematic review and meta-analysis of studies assessing HIV prevalence among MSM, FSW and DU, calculating a combined pooled prevalence and summarizing factors associated the pooled prevalence for each group. Methods: Nine electronic databases (MEDLINE via PubMed, EMBASE, Cochrane CENTRAL, AIDSLINE, AMED, CINAHL, TOXNET, SciELO, and ISI-Web of Science) were searched for peer-reviewed papers published in English, French, Spanish or Portuguese, from 1999 to 2009. To be included in the review, studies had to measure HIV prevalence and/or incidence as the primary outcome among at least one specific population under analysis. Results: The studies targeting the three populations analyzed mostly young participants aged 30 years or less. Among FSW, eight studies were selected (3,625 participants), consistently identifying higher condom use with sexual clients than with occasional and stable partners. The combined HIV prevalence for FSW was 6.2 (95% CI: 4.4-8.3). Ten studies targeting MSM were identified (6,475 participants). Unprotected anal intercourse was commonly reported on those studies, but with great variability according to the nature of the relationship - stable vs. occasional sex partners--and sexual practice--receptive vs. insertive anal sex. Pooled HIV prevalence for MSM was 13.6 (95% CI: 8.2-20.2). Twenty nine studies targeting DU were identified (13,063 participants). Those studies consistently identified injection drug use and syringe/needle sharing as key predictors of HIV-infection, as well as engagement in sex work and male-to-male sex. The combined HIV prevalence across studies targeting DU was 23.1 (95% CI: 16.7-30.2). Conclusions: FSW, MSM and DU from Brazil have a much risk of acquiring HIV infection compared to the general population, among which HIV prevalence has been relatively low (~0.6%). Those vulnerable populations should be targeted by focused prevention strategies that provide accurate information, counseling and testing, as well as concrete means to foster behavior change (e.g. access to condoms, drug abuse treatment, and clean syringes in the case of active injecting drug users), tailored to gender and culture-specific needs. Programs that provide these services need to be implemented on public health services throughout the country, in order to decrease the vulnerability of those populations to HIV infection.AIDSHIVHIV infectioninfo:eu-repo/semantics/openAccessreponame:Repositório Institucional da FIOCRUZ (ARCA)instname:Fundação Oswaldo Cruz (FIOCRUZ)instacron:FIOCRUZORIGINALHIV prevalence_2010.pdfHIV prevalence_2010.pdfapplication/pdf1200194https://www.arca.fiocruz.br/bitstream/icict/2280/1/HIV%20prevalence_2010.pdf3ef57318e7209c6046dd00fd2ec5aa5bMD51LICENSElicense.txtlicense.txttext/plain; charset=utf-81648https://www.arca.fiocruz.br/bitstream/icict/2280/2/license.txte095249ac7cacefbfe39684dfe45e706MD52TEXTHIV prevalence_2010.pdf.txtHIV prevalence_2010.pdf.txtExtracted texttext/plain75177https://www.arca.fiocruz.br/bitstream/icict/2280/5/HIV%20prevalence_2010.pdf.txt486a4da5564321f2e14cf4e396048104MD55THUMBNAILHIV prevalence_2010.pdf.jpgHIV prevalence_2010.pdf.jpgGenerated Thumbnailimage/jpeg2266https://www.arca.fiocruz.br/bitstream/icict/2280/4/HIV%20prevalence_2010.pdf.jpg310461f0c597166dec4c83428f07d069MD54icict/22802023-08-23 14:11:43.077oai:www.arca.fiocruz.br:icict/2280Tk9OLUVYQ0xVU0lWRSBESVNUUklCVVRJT04gTElDRU5TRQoKQnkgc2lnbmluZyBhbmQgc3VibWl0dGluZyB0aGlzIGxpY2Vuc2UsIHlvdSAodGhlIGF1dGhvcihzKSBvciBjb3B5cmlnaHQKb3duZXIpIGdyYW50cyB0byBEU3BhY2UgVW5pdmVyc2l0eSAoRFNVKSB0aGUgbm9uLWV4Y2x1c2l2ZSByaWdodCB0byByZXByb2R1Y2UsCnRyYW5zbGF0ZSAoYXMgZGVmaW5lZCBiZWxvdyksIGFuZC9vciBkaXN0cmlidXRlIHlvdXIgc3VibWlzc2lvbiAoaW5jbHVkaW5nCnRoZSBhYnN0cmFjdCkgd29ybGR3aWRlIGluIHByaW50IGFuZCBlbGVjdHJvbmljIGZvcm1hdCBhbmQgaW4gYW55IG1lZGl1bSwKaW5jbHVkaW5nIGJ1dCBub3QgbGltaXRlZCB0byBhdWRpbyBvciB2aWRlby4KCllvdSBhZ3JlZSB0aGF0IERTVSBtYXksIHdpdGhvdXQgY2hhbmdpbmcgdGhlIGNvbnRlbnQsIHRyYW5zbGF0ZSB0aGUKc3VibWlzc2lvbiB0byBhbnkgbWVkaXVtIG9yIGZvcm1hdCBmb3IgdGhlIHB1cnBvc2Ugb2YgcHJlc2VydmF0aW9uLgoKWW91IGFsc28gYWdyZWUgdGhhdCBEU1UgbWF5IGtlZXAgbW9yZSB0aGFuIG9uZSBjb3B5IG9mIHRoaXMgc3VibWlzc2lvbiBmb3IKcHVycG9zZXMgb2Ygc2VjdXJpdHksIGJhY2stdXAgYW5kIHByZXNlcnZhdGlvbi4KCllvdSByZXByZXNlbnQgdGhhdCB0aGUgc3VibWlzc2lvbiBpcyB5b3VyIG9yaWdpbmFsIHdvcmssIGFuZCB0aGF0IHlvdSBoYXZlCnRoZSByaWdodCB0byBncmFudCB0aGUgcmlnaHRzIGNvbnRhaW5lZCBpbiB0aGlzIGxpY2Vuc2UuIFlvdSBhbHNvIHJlcHJlc2VudAp0aGF0IHlvdXIgc3VibWlzc2lvbiBkb2VzIG5vdCwgdG8gdGhlIGJlc3Qgb2YgeW91ciBrbm93bGVkZ2UsIGluZnJpbmdlIHVwb24KYW55b25lJ3MgY29weXJpZ2h0LgoKSWYgdGhlIHN1Ym1pc3Npb24gY29udGFpbnMgbWF0ZXJpYWwgZm9yIHdoaWNoIHlvdSBkbyBub3QgaG9sZCBjb3B5cmlnaHQsCnlvdSByZXByZXNlbnQgdGhhdCB5b3UgaGF2ZSBvYnRhaW5lZCB0aGUgdW5yZXN0cmljdGVkIHBlcm1pc3Npb24gb2YgdGhlCmNvcHlyaWdodCBvd25lciB0byBncmFudCBEU1UgdGhlIHJpZ2h0cyByZXF1aXJlZCBieSB0aGlzIGxpY2Vuc2UsIGFuZCB0aGF0CnN1Y2ggdGhpcmQtcGFydHkgb3duZWQgbWF0ZXJpYWwgaXMgY2xlYXJseSBpZGVudGlmaWVkIGFuZCBhY2tub3dsZWRnZWQKd2l0aGluIHRoZSB0ZXh0IG9yIGNvbnRlbnQgb2YgdGhlIHN1Ym1pc3Npb24uCgpJRiBUSEUgU1VCTUlTU0lPTiBJUyBCQVNFRCBVUE9OIFdPUksgVEhBVCBIQVMgQkVFTiBTUE9OU09SRUQgT1IgU1VQUE9SVEVECkJZIEFOIEFHRU5DWSBPUiBPUkdBTklaQVRJT04gT1RIRVIgVEhBTiBEU1UsIFlPVSBSRVBSRVNFTlQgVEhBVCBZT1UgSEFWRQpGVUxGSUxMRUQgQU5ZIFJJR0hUIE9GIFJFVklFVyBPUiBPVEhFUiBPQkxJR0FUSU9OUyBSRVFVSVJFRCBCWSBTVUNICkNPTlRSQUNUIE9SIEFHUkVFTUVOVC4KCkRTVSB3aWxsIGNsZWFybHkgaWRlbnRpZnkgeW91ciBuYW1lKHMpIGFzIHRoZSBhdXRob3Iocykgb3Igb3duZXIocykgb2YgdGhlCnN1Ym1pc3Npb24sIGFuZCB3aWxsIG5vdCBtYWtlIGFueSBhbHRlcmF0aW9uLCBvdGhlciB0aGFuIGFzIGFsbG93ZWQgYnkgdGhpcwpsaWNlbnNlLCB0byB5b3VyIHN1Ym1pc3Npb24uCg==Repositório InstitucionalPUBhttps://www.arca.fiocruz.br/oai/requestrepositorio.arca@fiocruz.bropendoar:21352023-08-23T17:11:43Repositório Institucional da FIOCRUZ (ARCA) - Fundação Oswaldo Cruz (FIOCRUZ)false
dc.title.pt_BR.fl_str_mv HIV prevalence among female sex workers, drug users and men who have sex with men in Brazil: A Systematic Review and Meta-analysis
title HIV prevalence among female sex workers, drug users and men who have sex with men in Brazil: A Systematic Review and Meta-analysis
spellingShingle HIV prevalence among female sex workers, drug users and men who have sex with men in Brazil: A Systematic Review and Meta-analysis
Bastos, Francisco Inácio Pinkusfeld Monteiro
AIDS
HIV
HIV infection
title_short HIV prevalence among female sex workers, drug users and men who have sex with men in Brazil: A Systematic Review and Meta-analysis
title_full HIV prevalence among female sex workers, drug users and men who have sex with men in Brazil: A Systematic Review and Meta-analysis
title_fullStr HIV prevalence among female sex workers, drug users and men who have sex with men in Brazil: A Systematic Review and Meta-analysis
title_full_unstemmed HIV prevalence among female sex workers, drug users and men who have sex with men in Brazil: A Systematic Review and Meta-analysis
title_sort HIV prevalence among female sex workers, drug users and men who have sex with men in Brazil: A Systematic Review and Meta-analysis
author Bastos, Francisco Inácio Pinkusfeld Monteiro
author_facet Bastos, Francisco Inácio Pinkusfeld Monteiro
Malta, Monica
Magnanini, Monica Maria Ferreira
Mello, Maeve Brito
Pascom, Ana Roberta P.
Linhares, Yohana
author_role author
author2 Malta, Monica
Magnanini, Monica Maria Ferreira
Mello, Maeve Brito
Pascom, Ana Roberta P.
Linhares, Yohana
author2_role author
author
author
author
author
dc.contributor.author.fl_str_mv Bastos, Francisco Inácio Pinkusfeld Monteiro
Malta, Monica
Magnanini, Monica Maria Ferreira
Mello, Maeve Brito
Pascom, Ana Roberta P.
Linhares, Yohana
dc.subject.en.none.fl_str_mv AIDS
HIV
HIV infection
topic AIDS
HIV
HIV infection
description Oswaldo Cruz Foundation. Sergio Arouca School of Public Health. Social Science Department. Rio de Janeiro, RJ, Brazil,
publishDate 2010
dc.date.issued.fl_str_mv 2010
dc.date.accessioned.fl_str_mv 2011-05-02T17:37:15Z
dc.date.available.fl_str_mv 2011-05-02T17:37:15Z
dc.type.status.fl_str_mv info:eu-repo/semantics/publishedVersion
dc.type.driver.fl_str_mv info:eu-repo/semantics/article
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status_str publishedVersion
dc.identifier.citation.fl_str_mv MALTA, Monica et al. Research article HIV prevalence among female sex workers, drug users and men who have sex with men in Brazil: a Systematic Review and Meta-analysis. BMC Public Health, v. 10, n. 317, p. 1-16, 2010.
dc.identifier.uri.fl_str_mv https://www.arca.fiocruz.br/handle/icict/2280
dc.identifier.issn.none.fl_str_mv 1471-2458
dc.identifier.doi.none.fl_str_mv 10.1186/1471-2458-10-317
identifier_str_mv MALTA, Monica et al. Research article HIV prevalence among female sex workers, drug users and men who have sex with men in Brazil: a Systematic Review and Meta-analysis. BMC Public Health, v. 10, n. 317, p. 1-16, 2010.
1471-2458
10.1186/1471-2458-10-317
url https://www.arca.fiocruz.br/handle/icict/2280
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dc.publisher.none.fl_str_mv BioMed Central
publisher.none.fl_str_mv BioMed Central
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