Screening of Human Immunodeficiency Virus and Other Sexually Transmitted Infections in a Group of Sex Workers in Indoor Settings in the Porto Metropolitan Area
Autor(a) principal: | |
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Data de Publicação: | 2020 |
Outros Autores: | , , |
Tipo de documento: | Artigo |
Idioma: | por |
Título da fonte: | Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
Texto Completo: | https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/11687 |
Resumo: | Introduction: Early diagnosis is a crucial tool for containing the human immunodeficiency virus and other sexually transmitted infections, particularly in key populations such as sex workers. Despite its relevance, there is a gap considering epidemiological studies and interventions aimed at the monitoring and diagnosis of sexually transmitted infections in Portugal. The objectives of this study are: (i) to contribute to a better understanding of the epidemiology of sexually transmitted infections; and (ii) to evaluate the transfer of screening methods from clinical settings to the outreach context in hidden populations such as sex workers.Material and Methods: The screening of sexually transmitted infections (human immunodeficiency virus 1/2, hepatitis B virus, hepatitis C virus, syphilis, chlamydia and gonorrhea) were carried out in a sample of 100 sex workers during the Porto G outreach intervention in the Metropolitan area of Porto, from September 2015 to September 2016.Results: Six reactive cases for human immunodeficiency virus were identified, five of syphilis, eight of chlamydia and two of gonorrhea. No positive results were detected for hepatitis B virus and hepatitis C virus. The results were discussed considering the risk gradient and sexually transmitted infections vulnerability in the different sex workers’ subgroups.Discussion: The results of this study corroborate the need to promote comprehensive responses to populations most affected by the human immunodeficiency virus and other sexually transmitted infections, such as sex workers. Also, in this group, men who have sex with men and trans women have a higher prevalence than cis women. Intervention strategies should be informed by rigorous epidemiological studies.Conclusion: The adaptation of the screening methodology performed in a clinical setting to the proximity context has shown to be an innovative response in Portugal, especially in sentinel populations. |
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Screening of Human Immunodeficiency Virus and Other Sexually Transmitted Infections in a Group of Sex Workers in Indoor Settings in the Porto Metropolitan AreaDeteção da Infeção por Vírus da Imunodeficiência Humana e Outras Infeções Sexualmente Transmissíveis num Grupo de Trabalhadores/as do Sexo em Contexto Indoor na Área Metropolitana do PortoEarly DiagnosisHIV InfectionsPortugalSex WorkersSexually Transmitted Diseases/diagnosisSexually Transmitted Diseases/epidemiologyDiagnóstico PrecoceDoenças Sexualmente Transmissíveis/diagnósticoDoenças Sexualmente Transmissíveis/epidemiologiaInfecções por VIHPortugalProfissionais do SexoIntroduction: Early diagnosis is a crucial tool for containing the human immunodeficiency virus and other sexually transmitted infections, particularly in key populations such as sex workers. Despite its relevance, there is a gap considering epidemiological studies and interventions aimed at the monitoring and diagnosis of sexually transmitted infections in Portugal. The objectives of this study are: (i) to contribute to a better understanding of the epidemiology of sexually transmitted infections; and (ii) to evaluate the transfer of screening methods from clinical settings to the outreach context in hidden populations such as sex workers.Material and Methods: The screening of sexually transmitted infections (human immunodeficiency virus 1/2, hepatitis B virus, hepatitis C virus, syphilis, chlamydia and gonorrhea) were carried out in a sample of 100 sex workers during the Porto G outreach intervention in the Metropolitan area of Porto, from September 2015 to September 2016.Results: Six reactive cases for human immunodeficiency virus were identified, five of syphilis, eight of chlamydia and two of gonorrhea. No positive results were detected for hepatitis B virus and hepatitis C virus. The results were discussed considering the risk gradient and sexually transmitted infections vulnerability in the different sex workers’ subgroups.Discussion: The results of this study corroborate the need to promote comprehensive responses to populations most affected by the human immunodeficiency virus and other sexually transmitted infections, such as sex workers. Also, in this group, men who have sex with men and trans women have a higher prevalence than cis women. Intervention strategies should be informed by rigorous epidemiological studies.Conclusion: The adaptation of the screening methodology performed in a clinical setting to the proximity context has shown to be an innovative response in Portugal, especially in sentinel populations.Introdução: O diagnóstico precoce é uma ferramenta incontornável na contenção do vírus da imunodeficiência humana e de outras infeções sexualmente transmissíveis, nomeadamente em populações-chave, das quais fazem parte os/as trabalhadores/as do sexo. Apesar da sua relevância são ainda escassos os estudos epidemiológicos e intervenções que visem a monitorização e diagnóstico das infeções sexualmente transmissíveis em Portugal. Os objetivos do presente estudo são: (i) contribuir para um conhecimento mais aprofundado da epidemiologia de infeções sexualmente transmissíveis e (ii) avaliar a adaptação de métodos de rastreio em meio clínico ao contexto de proximidade em populações ocultas como os/as trabalhadores/as do sexo.Material e Métodos: O rastreio de infeções sexualmente transmissíveis (vírus da imunodeficiência humana 1/2, vírus da hepatite B, vírus da hepatite C, sífilis, clamídia e gonorreia) foi realizado a 100 trabalhadores/as do sexo no âmbito da intervenção de proximidade realizada pelo Porto G na zona Metropolitana do Porto, entre setembro de 2015 e setembro de 2016.Resultados: Foram identificados seis casos reativos para vírus da imunodeficiência humana, cinco de sífilis, oito de clamídia e dois de gonorreia. Não foram detetados resultados positivos para vírus da hepatite B e vírus da hepatite C. Os resultados foram discutidos tendo em conta a gradação de risco e de vulnerabilidade de infeções sexualmente transmissíveis nos diferentes subgrupos de trabalhadores/as do sexo. Discussão: Os resultados deste estudo corroboram a necessidade de promover respostas integradas junto de populações mais afetadas pelo vírus da imunodeficiência humana e outras infeções sexualmente transmissíveis, como são os/as trabalhadores/as do sexo. Também neste grupo, os homens que fazem sexo com homens e as mulheres trans apresentam uma prevalência de vírus da imunodeficiência humana superior à das mulheres cis. As estratégias de intervenção devem ser informadas por estudos epidemiológicos rigorosos.Conclusão: A adaptação da metodologia de rastreio realizada em meio clínico ao contexto de proximidade demonstra ser uma resposta inovadora em território nacional, nomeadamente em populações sentinela.Ordem dos Médicos2020-03-02info:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/articleapplication/pdfimage/pngapplication/pdfapplication/pdfapplication/vnd.openxmlformats-officedocument.wordprocessingml.documentapplication/pdfhttps://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/11687oai:ojs.www.actamedicaportuguesa.com:article/11687Acta Médica Portuguesa; Vol. 33 No. 3 (2020): March; 166-173Acta Médica Portuguesa; Vol. 33 N.º 3 (2020): Março; 166-1731646-07580870-399Xreponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãoinstacron:RCAAPporhttps://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/11687https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/11687/5879https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/11687/11004https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/11687/11005https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/11687/11113https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/11687/11500https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/11687/11865Direitos de Autor (c) 2020 Acta Médica Portuguesainfo:eu-repo/semantics/openAccessAlmeida, NilzaMelo, MarianaSoares, IsabelCarvalho, Helena Moura2022-12-20T11:06:22Zoai:ojs.www.actamedicaportuguesa.com:article/11687Portal AgregadorONGhttps://www.rcaap.pt/oai/openaireopendoar:71602024-03-19T16:20:04.605932Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãofalse |
dc.title.none.fl_str_mv |
Screening of Human Immunodeficiency Virus and Other Sexually Transmitted Infections in a Group of Sex Workers in Indoor Settings in the Porto Metropolitan Area Deteção da Infeção por Vírus da Imunodeficiência Humana e Outras Infeções Sexualmente Transmissíveis num Grupo de Trabalhadores/as do Sexo em Contexto Indoor na Área Metropolitana do Porto |
title |
Screening of Human Immunodeficiency Virus and Other Sexually Transmitted Infections in a Group of Sex Workers in Indoor Settings in the Porto Metropolitan Area |
spellingShingle |
Screening of Human Immunodeficiency Virus and Other Sexually Transmitted Infections in a Group of Sex Workers in Indoor Settings in the Porto Metropolitan Area Almeida, Nilza Early Diagnosis HIV Infections Portugal Sex Workers Sexually Transmitted Diseases/diagnosis Sexually Transmitted Diseases/epidemiology Diagnóstico Precoce Doenças Sexualmente Transmissíveis/diagnóstico Doenças Sexualmente Transmissíveis/epidemiologia Infecções por VIH Portugal Profissionais do Sexo |
title_short |
Screening of Human Immunodeficiency Virus and Other Sexually Transmitted Infections in a Group of Sex Workers in Indoor Settings in the Porto Metropolitan Area |
title_full |
Screening of Human Immunodeficiency Virus and Other Sexually Transmitted Infections in a Group of Sex Workers in Indoor Settings in the Porto Metropolitan Area |
title_fullStr |
Screening of Human Immunodeficiency Virus and Other Sexually Transmitted Infections in a Group of Sex Workers in Indoor Settings in the Porto Metropolitan Area |
title_full_unstemmed |
Screening of Human Immunodeficiency Virus and Other Sexually Transmitted Infections in a Group of Sex Workers in Indoor Settings in the Porto Metropolitan Area |
title_sort |
Screening of Human Immunodeficiency Virus and Other Sexually Transmitted Infections in a Group of Sex Workers in Indoor Settings in the Porto Metropolitan Area |
author |
Almeida, Nilza |
author_facet |
Almeida, Nilza Melo, Mariana Soares, Isabel Carvalho, Helena Moura |
author_role |
author |
author2 |
Melo, Mariana Soares, Isabel Carvalho, Helena Moura |
author2_role |
author author author |
dc.contributor.author.fl_str_mv |
Almeida, Nilza Melo, Mariana Soares, Isabel Carvalho, Helena Moura |
dc.subject.por.fl_str_mv |
Early Diagnosis HIV Infections Portugal Sex Workers Sexually Transmitted Diseases/diagnosis Sexually Transmitted Diseases/epidemiology Diagnóstico Precoce Doenças Sexualmente Transmissíveis/diagnóstico Doenças Sexualmente Transmissíveis/epidemiologia Infecções por VIH Portugal Profissionais do Sexo |
topic |
Early Diagnosis HIV Infections Portugal Sex Workers Sexually Transmitted Diseases/diagnosis Sexually Transmitted Diseases/epidemiology Diagnóstico Precoce Doenças Sexualmente Transmissíveis/diagnóstico Doenças Sexualmente Transmissíveis/epidemiologia Infecções por VIH Portugal Profissionais do Sexo |
description |
Introduction: Early diagnosis is a crucial tool for containing the human immunodeficiency virus and other sexually transmitted infections, particularly in key populations such as sex workers. Despite its relevance, there is a gap considering epidemiological studies and interventions aimed at the monitoring and diagnosis of sexually transmitted infections in Portugal. The objectives of this study are: (i) to contribute to a better understanding of the epidemiology of sexually transmitted infections; and (ii) to evaluate the transfer of screening methods from clinical settings to the outreach context in hidden populations such as sex workers.Material and Methods: The screening of sexually transmitted infections (human immunodeficiency virus 1/2, hepatitis B virus, hepatitis C virus, syphilis, chlamydia and gonorrhea) were carried out in a sample of 100 sex workers during the Porto G outreach intervention in the Metropolitan area of Porto, from September 2015 to September 2016.Results: Six reactive cases for human immunodeficiency virus were identified, five of syphilis, eight of chlamydia and two of gonorrhea. No positive results were detected for hepatitis B virus and hepatitis C virus. The results were discussed considering the risk gradient and sexually transmitted infections vulnerability in the different sex workers’ subgroups.Discussion: The results of this study corroborate the need to promote comprehensive responses to populations most affected by the human immunodeficiency virus and other sexually transmitted infections, such as sex workers. Also, in this group, men who have sex with men and trans women have a higher prevalence than cis women. Intervention strategies should be informed by rigorous epidemiological studies.Conclusion: The adaptation of the screening methodology performed in a clinical setting to the proximity context has shown to be an innovative response in Portugal, especially in sentinel populations. |
publishDate |
2020 |
dc.date.none.fl_str_mv |
2020-03-02 |
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info:eu-repo/semantics/publishedVersion |
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info:eu-repo/semantics/article |
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article |
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https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/11687 oai:ojs.www.actamedicaportuguesa.com:article/11687 |
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https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/11687 |
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oai:ojs.www.actamedicaportuguesa.com:article/11687 |
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https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/11687 https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/11687/5879 https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/11687/11004 https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/11687/11005 https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/11687/11113 https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/11687/11500 https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/11687/11865 |
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Direitos de Autor (c) 2020 Acta Médica Portuguesa info:eu-repo/semantics/openAccess |
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Direitos de Autor (c) 2020 Acta Médica Portuguesa |
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Ordem dos Médicos |
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Ordem dos Médicos |
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Acta Médica Portuguesa; Vol. 33 No. 3 (2020): March; 166-173 Acta Médica Portuguesa; Vol. 33 N.º 3 (2020): Março; 166-173 1646-0758 0870-399X reponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação instacron:RCAAP |
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Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação |
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Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
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Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
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Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação |
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