Soroprevalência da infecção por sífilis em homens privados de liberdade, região sul de Goiás
Autor(a) principal: | |
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Data de Publicação: | 2018 |
Tipo de documento: | Dissertação |
Idioma: | por |
Título da fonte: | Repositório Institucional da UFG |
Texto Completo: | http://repositorio.bc.ufg.br/tede/handle/tede/9257 |
Resumo: | Individuals deprived of their liberty are at high risk for syphilis, due to sexual and non-sexual risk behaviors, such as inconsistent condom use, sex for money and / or drugs, and multiple sexual partnerships. The objective of this study was to investigate the seroprevalence of syphilis infection in deprived men in the southern region of Goiás. Between September 2017 and May 2018, a cross-sectional study was conducted on 194 men deprived of liberty from a regional prison south of the state of Goiás. All participants were interviewed about socio-demographic characteristics, sexual and non-sexual risk behaviors for syphilis. Next, blood samples were collected for the detection of anti-T. pallidum antibodies by immunochromatographic treponemal test (rapid test). Positive samples were retested by the Venereal Disease Research Laboratory / VDRL. Active syphilis was considered positive in the rapid test and titers of VDRL ≥ 1: 8. Of the 194 samples tested by immunochromatographic examination, 11.8% (95% CI: 7.8-17.3%) were positive and 7.7% (95% CI: 4.7-12.5%) presented VDRL ≥ 1: 8. The prevalence of exposure to Treponema pallidum was 23 times higher than that estimated in Brazilian conscripts (95% CI: 0.45-0.61) and 8 times higher than that found in blood donors from São Paulo (95% CI: 1.31 -1.36). In multiple regression analysis, the prevalence of exposure to T. pallidum was 36% (RPaj: 0.39; 95% CI: 0.18-0.86) in individuals who reported sexual relations with sex workers when compared to those who did not have this characteristic. In addition, it was observed that the prevalence of active syphilis increased with increasing prison time (RPaj: 1.02, 95% CI: 1.00-1.08, p-value = 0.030). The results of this investigation show a high prevalence of syphilis in the men deprived of liberty investigated and indicate the need to implement strategies for prevention and control of infection in such individuals, including educational health actions, rapid and efficient diagnosis and appropriate treatment of cases of active syphilis. |
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Souza, Márcia Maria dehttp://lattes.cnpq.br/6954087338926237Matos, Marcos André dehttp://lattes.cnpq.br/1492491906180226Souza, Márcia Maria deSouza, Sandra Maria Brunini deAlmeida, Nilza Alves Marqueshttp://lattes.cnpq.br/3778932159662653Naves, Elisângela Franciscon2019-01-28T10:49:36Z2018-12-14NAVES, E. F. Soroprevalência da infecção por sífilis em homens privados de liberdade, região sul de Goiás. 2018. 111 f. Dissertação (Mestrado em Enfermagem) - Universidade Federal de Goiás, Goiânia, 2018.http://repositorio.bc.ufg.br/tede/handle/tede/9257Individuals deprived of their liberty are at high risk for syphilis, due to sexual and non-sexual risk behaviors, such as inconsistent condom use, sex for money and / or drugs, and multiple sexual partnerships. The objective of this study was to investigate the seroprevalence of syphilis infection in deprived men in the southern region of Goiás. Between September 2017 and May 2018, a cross-sectional study was conducted on 194 men deprived of liberty from a regional prison south of the state of Goiás. All participants were interviewed about socio-demographic characteristics, sexual and non-sexual risk behaviors for syphilis. Next, blood samples were collected for the detection of anti-T. pallidum antibodies by immunochromatographic treponemal test (rapid test). Positive samples were retested by the Venereal Disease Research Laboratory / VDRL. Active syphilis was considered positive in the rapid test and titers of VDRL ≥ 1: 8. Of the 194 samples tested by immunochromatographic examination, 11.8% (95% CI: 7.8-17.3%) were positive and 7.7% (95% CI: 4.7-12.5%) presented VDRL ≥ 1: 8. The prevalence of exposure to Treponema pallidum was 23 times higher than that estimated in Brazilian conscripts (95% CI: 0.45-0.61) and 8 times higher than that found in blood donors from São Paulo (95% CI: 1.31 -1.36). In multiple regression analysis, the prevalence of exposure to T. pallidum was 36% (RPaj: 0.39; 95% CI: 0.18-0.86) in individuals who reported sexual relations with sex workers when compared to those who did not have this characteristic. In addition, it was observed that the prevalence of active syphilis increased with increasing prison time (RPaj: 1.02, 95% CI: 1.00-1.08, p-value = 0.030). The results of this investigation show a high prevalence of syphilis in the men deprived of liberty investigated and indicate the need to implement strategies for prevention and control of infection in such individuals, including educational health actions, rapid and efficient diagnosis and appropriate treatment of cases of active syphilis.Indivíduos privados de liberdade apresentam elevado risco para sífilis, devido aos comportamentos de risco sexuais e não sexuais, como uso inconsistente do preservativo, troca de sexo por dinheiro e/ou drogas e múltiplas parcerias sexuais. O objetivo desse estudo foi investigar a soroprevalência da infecção por sífilis em homens privados de liberdade, região sul de Goiás. Entre setembro de 2017 a maio de 2018, um estudo de corte transversal foi conduzido em 194 homens privados de liberdade de um presidio regional do sul do estado de Goiás. Todos os participantes foram entrevistados sobre características sociodemograficas, comportamentos sexuais e não sexuais de risco para sífilis. A seguir, foram coletadas amostras de sangue para detecção de anticorpos anti- T. pallidum através do teste treponêmico imunocromatográfico (teste rápido). As amostras positivas foram retestadas pelo Venereal Disease Research Laboratory/Laboratório de Pesquisa de Doenças Venéreas (VDRL). Considerou-se sífilis ativa positividade no teste rápido e títulos de VDRL ≥ 1:8. Das 194 amostras testadas pelo exame imunocromatográfico, 11,8% (IC 95%: 7,8-17,3%) foram positivas e 7,7% (IC 95%: 4,7-12,5%) apresentaram títulos de VDRL ≥ 1:8. A prevalência de exposição ao Treponema pallidum foi 23 vezes superior à estimada em conscritos brasileiros (IC 95%: 0,45-0,61) e 8 vezes maior ao encontrado em doadores de sangue de São Paulo (IC 95%: 1,31-1,36). Em análise de regressão múltipla, a prevalência de exposição ao T. pallidum foi 36% (RPaj: 0,39; IC 95%: 0,18-0,86) em indivíduos que relataram relações sexuais com profissionais do sexo quando comparado aqueles que não apresentavam essa característica. Além disso, observou-se que a prevalência da sífilis ativa aumentou com o aumento do tempo de prisão (RPaj:1,02; IC 95%: 1,00-1,08; p-valor= 0,030). Os resultados dessa investigação evidenciam elevada prevalência de sífilis nos homens privados de liberdade investigados e indicam a necessidade de implementação de estratégias de prevenção e controle da infecção em tais indivíduos, incluindo ações educativas em saúde, diagnóstico rápido e eficiente além do tratamento adequado dos casos de sífilis ativa.Submitted by Liliane Ferreira (ljuvencia30@gmail.com) on 2019-01-25T14:31:54Z No. of bitstreams: 2 Dissertação - Elisângela Franciscon Naves - 2018.pdf: 4013641 bytes, checksum: fcb8f472c325bd54638ccd6b1ef20093 (MD5) license_rdf: 0 bytes, checksum: d41d8cd98f00b204e9800998ecf8427e (MD5)Approved for entry into archive by Luciana Ferreira (lucgeral@gmail.com) on 2019-01-28T10:49:36Z (GMT) No. of bitstreams: 2 Dissertação - Elisângela Franciscon Naves - 2018.pdf: 4013641 bytes, checksum: fcb8f472c325bd54638ccd6b1ef20093 (MD5) license_rdf: 0 bytes, checksum: d41d8cd98f00b204e9800998ecf8427e (MD5)Made available in DSpace on 2019-01-28T10:49:36Z (GMT). No. of bitstreams: 2 Dissertação - Elisângela Franciscon Naves - 2018.pdf: 4013641 bytes, checksum: fcb8f472c325bd54638ccd6b1ef20093 (MD5) license_rdf: 0 bytes, checksum: d41d8cd98f00b204e9800998ecf8427e (MD5) Previous issue date: 2018-12-14Coordenação de Aperfeiçoamento de Pessoal de Nível Superior - CAPESapplication/pdfporUniversidade Federal de GoiásPrograma de Pós-graduação em Enfermagem (FEN)UFGBrasilFaculdade de Enfermagem - FEN (RG)http://creativecommons.org/licenses/by-nc-nd/4.0/info:eu-repo/semantics/openAccessSífilisTreponema pallidumSoroprevalênciaComportamento de riscoSyphilisTreponema pallidumSeroprevalenceRisk behaviorCIENCIAS DA SAUDE::ENFERMAGEMSoroprevalência da infecção por sífilis em homens privados de liberdade, região sul de GoiásSoroprevalence of siphilis infection in private men of freedom, south region of Goiásinfo:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/masterThesis45061628303650419816006006006002756753233336908714-77028265330109643272075167498588264571reponame:Repositório Institucional da UFGinstname:Universidade Federal de Goiás (UFG)instacron:UFGLICENSElicense.txtlicense.txttext/plain; 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dc.title.eng.fl_str_mv |
Soroprevalência da infecção por sífilis em homens privados de liberdade, região sul de Goiás |
dc.title.alternative.eng.fl_str_mv |
Soroprevalence of siphilis infection in private men of freedom, south region of Goiás |
title |
Soroprevalência da infecção por sífilis em homens privados de liberdade, região sul de Goiás |
spellingShingle |
Soroprevalência da infecção por sífilis em homens privados de liberdade, região sul de Goiás Naves, Elisângela Franciscon Sífilis Treponema pallidum Soroprevalência Comportamento de risco Syphilis Treponema pallidum Seroprevalence Risk behavior CIENCIAS DA SAUDE::ENFERMAGEM |
title_short |
Soroprevalência da infecção por sífilis em homens privados de liberdade, região sul de Goiás |
title_full |
Soroprevalência da infecção por sífilis em homens privados de liberdade, região sul de Goiás |
title_fullStr |
Soroprevalência da infecção por sífilis em homens privados de liberdade, região sul de Goiás |
title_full_unstemmed |
Soroprevalência da infecção por sífilis em homens privados de liberdade, região sul de Goiás |
title_sort |
Soroprevalência da infecção por sífilis em homens privados de liberdade, região sul de Goiás |
author |
Naves, Elisângela Franciscon |
author_facet |
Naves, Elisângela Franciscon |
author_role |
author |
dc.contributor.advisor1.fl_str_mv |
Souza, Márcia Maria de |
dc.contributor.advisor1Lattes.fl_str_mv |
http://lattes.cnpq.br/6954087338926237 |
dc.contributor.advisor-co1.fl_str_mv |
Matos, Marcos André de |
dc.contributor.advisor-co1Lattes.fl_str_mv |
http://lattes.cnpq.br/1492491906180226 |
dc.contributor.referee1.fl_str_mv |
Souza, Márcia Maria de |
dc.contributor.referee2.fl_str_mv |
Souza, Sandra Maria Brunini de |
dc.contributor.referee3.fl_str_mv |
Almeida, Nilza Alves Marques |
dc.contributor.authorLattes.fl_str_mv |
http://lattes.cnpq.br/3778932159662653 |
dc.contributor.author.fl_str_mv |
Naves, Elisângela Franciscon |
contributor_str_mv |
Souza, Márcia Maria de Matos, Marcos André de Souza, Márcia Maria de Souza, Sandra Maria Brunini de Almeida, Nilza Alves Marques |
dc.subject.por.fl_str_mv |
Sífilis Treponema pallidum Soroprevalência Comportamento de risco |
topic |
Sífilis Treponema pallidum Soroprevalência Comportamento de risco Syphilis Treponema pallidum Seroprevalence Risk behavior CIENCIAS DA SAUDE::ENFERMAGEM |
dc.subject.eng.fl_str_mv |
Syphilis Treponema pallidum Seroprevalence Risk behavior |
dc.subject.cnpq.fl_str_mv |
CIENCIAS DA SAUDE::ENFERMAGEM |
description |
Individuals deprived of their liberty are at high risk for syphilis, due to sexual and non-sexual risk behaviors, such as inconsistent condom use, sex for money and / or drugs, and multiple sexual partnerships. The objective of this study was to investigate the seroprevalence of syphilis infection in deprived men in the southern region of Goiás. Between September 2017 and May 2018, a cross-sectional study was conducted on 194 men deprived of liberty from a regional prison south of the state of Goiás. All participants were interviewed about socio-demographic characteristics, sexual and non-sexual risk behaviors for syphilis. Next, blood samples were collected for the detection of anti-T. pallidum antibodies by immunochromatographic treponemal test (rapid test). Positive samples were retested by the Venereal Disease Research Laboratory / VDRL. Active syphilis was considered positive in the rapid test and titers of VDRL ≥ 1: 8. Of the 194 samples tested by immunochromatographic examination, 11.8% (95% CI: 7.8-17.3%) were positive and 7.7% (95% CI: 4.7-12.5%) presented VDRL ≥ 1: 8. The prevalence of exposure to Treponema pallidum was 23 times higher than that estimated in Brazilian conscripts (95% CI: 0.45-0.61) and 8 times higher than that found in blood donors from São Paulo (95% CI: 1.31 -1.36). In multiple regression analysis, the prevalence of exposure to T. pallidum was 36% (RPaj: 0.39; 95% CI: 0.18-0.86) in individuals who reported sexual relations with sex workers when compared to those who did not have this characteristic. In addition, it was observed that the prevalence of active syphilis increased with increasing prison time (RPaj: 1.02, 95% CI: 1.00-1.08, p-value = 0.030). The results of this investigation show a high prevalence of syphilis in the men deprived of liberty investigated and indicate the need to implement strategies for prevention and control of infection in such individuals, including educational health actions, rapid and efficient diagnosis and appropriate treatment of cases of active syphilis. |
publishDate |
2018 |
dc.date.issued.fl_str_mv |
2018-12-14 |
dc.date.accessioned.fl_str_mv |
2019-01-28T10:49:36Z |
dc.type.status.fl_str_mv |
info:eu-repo/semantics/publishedVersion |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/masterThesis |
format |
masterThesis |
status_str |
publishedVersion |
dc.identifier.citation.fl_str_mv |
NAVES, E. F. Soroprevalência da infecção por sífilis em homens privados de liberdade, região sul de Goiás. 2018. 111 f. Dissertação (Mestrado em Enfermagem) - Universidade Federal de Goiás, Goiânia, 2018. |
dc.identifier.uri.fl_str_mv |
http://repositorio.bc.ufg.br/tede/handle/tede/9257 |
identifier_str_mv |
NAVES, E. F. Soroprevalência da infecção por sífilis em homens privados de liberdade, região sul de Goiás. 2018. 111 f. Dissertação (Mestrado em Enfermagem) - Universidade Federal de Goiás, Goiânia, 2018. |
url |
http://repositorio.bc.ufg.br/tede/handle/tede/9257 |
dc.language.iso.fl_str_mv |
por |
language |
por |
dc.relation.program.fl_str_mv |
4506162830365041981 |
dc.relation.confidence.fl_str_mv |
600 600 600 600 |
dc.relation.department.fl_str_mv |
2756753233336908714 |
dc.relation.cnpq.fl_str_mv |
-7702826533010964327 |
dc.relation.sponsorship.fl_str_mv |
2075167498588264571 |
dc.rights.driver.fl_str_mv |
http://creativecommons.org/licenses/by-nc-nd/4.0/ info:eu-repo/semantics/openAccess |
rights_invalid_str_mv |
http://creativecommons.org/licenses/by-nc-nd/4.0/ |
eu_rights_str_mv |
openAccess |
dc.format.none.fl_str_mv |
application/pdf |
dc.publisher.none.fl_str_mv |
Universidade Federal de Goiás |
dc.publisher.program.fl_str_mv |
Programa de Pós-graduação em Enfermagem (FEN) |
dc.publisher.initials.fl_str_mv |
UFG |
dc.publisher.country.fl_str_mv |
Brasil |
dc.publisher.department.fl_str_mv |
Faculdade de Enfermagem - FEN (RG) |
publisher.none.fl_str_mv |
Universidade Federal de Goiás |
dc.source.none.fl_str_mv |
reponame:Repositório Institucional da UFG instname:Universidade Federal de Goiás (UFG) instacron:UFG |
instname_str |
Universidade Federal de Goiás (UFG) |
instacron_str |
UFG |
institution |
UFG |
reponame_str |
Repositório Institucional da UFG |
collection |
Repositório Institucional da UFG |
bitstream.url.fl_str_mv |
http://repositorio.bc.ufg.br/tede/bitstreams/72518cc7-6c3e-49b4-89c7-57215b9c7c85/download http://repositorio.bc.ufg.br/tede/bitstreams/babf5d82-48de-4ad1-83e6-d744cd83a974/download http://repositorio.bc.ufg.br/tede/bitstreams/95163fb7-9edc-4aef-835b-cbeadaa41e6e/download http://repositorio.bc.ufg.br/tede/bitstreams/4dbcabd9-abdd-437f-a704-487bf56862ad/download http://repositorio.bc.ufg.br/tede/bitstreams/897c2757-d4bb-41a6-aa31-84cf4b59efae/download |
bitstream.checksum.fl_str_mv |
bd3efa91386c1718a7f26a329fdcb468 4afdbb8c545fd630ea7db775da747b2f d41d8cd98f00b204e9800998ecf8427e d41d8cd98f00b204e9800998ecf8427e fcb8f472c325bd54638ccd6b1ef20093 |
bitstream.checksumAlgorithm.fl_str_mv |
MD5 MD5 MD5 MD5 MD5 |
repository.name.fl_str_mv |
Repositório Institucional da UFG - Universidade Federal de Goiás (UFG) |
repository.mail.fl_str_mv |
tasesdissertacoes.bc@ufg.br |
_version_ |
1798044421733744640 |