Seroprevalence and associated factors of hiv and hepatitis c in brazilian high-security prisons: A state-wide epidemiological study
Autor(a) principal: | |
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Data de Publicação: | 2021 |
Outros Autores: | , , , , , , , |
Tipo de documento: | Artigo |
Idioma: | eng |
Título da fonte: | Repositório Institucional da UNESP |
Texto Completo: | http://dx.doi.org/10.1371/journal.pone.0255173 http://hdl.handle.net/11449/222051 |
Resumo: | The prevalence of hepatitis C virus (HCV) and the acquired immunodeficiency virus (HIV) is much higher in prisons than in community settings. Some explanatory factors for this burden include putative aspects of the prison environment, such as unprotected sexual relations and sexual violence, use of injectable drugs and syringe sharing. Nonetheless, efforts in better understanding the dynamics of both HCV and HIV are scarce in developing countries such as Brazil, which poses a risk not only to the inmates but to the community as well. In this investigation, we sought to determine the seroprevalence and sociodemographic and behavioral risk factors associated with HIV and anti-HCV antibodies among men detained at high-security institutions. This is an epidemiological, proportionally stratified observational study including 1,132 inmates aged 18 to 79 years-old (Mage = 32.58±10.18) from eleven high-security prisons located in the State of Paraná , Brazil. We found that HIV and anti-HCV prevalence were 1.6% (95% CI: 1.0-2.5) and 2.7% (95% CI: 1.0-2.5), respectively. Risk factors associated with HIV included not receiving intimate visits (OR = 8.80, 95% CI: 1.15- 66.88), already having another sexually transmitted infection (OR = 3.89, 95% CI: 1.47- 10.29), and reporting attendance in HIV preventive campaigns (OR = 4.24, 95% CI: 1.58- 11.36). Moreover, anti-HCV seroprevalence was associated with higher age (OR = 4.03, 95% CI: 1.61-10.07), criminal recidivism (OR = 2.58, 95% CI 1.02-6.52), and the use of injectable drugs (OR = 7.32, 95% CI 3.36-15.92). Although prisons might increase the risk for acquiring and transmitting HIV and HCV, the adoption of permanent epidemiological surveillance programs could help reducing the circulation of viruses, involving strategies focusing on screening, treating, and preventing infections to assure proper prisoner health. Moreover, these policies need to take place inside and outside the prison environment to offer continued assistance to former prisoners once they leave the institution.Copyright: |
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Seroprevalence and associated factors of hiv and hepatitis c in brazilian high-security prisons: A state-wide epidemiological studyThe prevalence of hepatitis C virus (HCV) and the acquired immunodeficiency virus (HIV) is much higher in prisons than in community settings. Some explanatory factors for this burden include putative aspects of the prison environment, such as unprotected sexual relations and sexual violence, use of injectable drugs and syringe sharing. Nonetheless, efforts in better understanding the dynamics of both HCV and HIV are scarce in developing countries such as Brazil, which poses a risk not only to the inmates but to the community as well. In this investigation, we sought to determine the seroprevalence and sociodemographic and behavioral risk factors associated with HIV and anti-HCV antibodies among men detained at high-security institutions. This is an epidemiological, proportionally stratified observational study including 1,132 inmates aged 18 to 79 years-old (Mage = 32.58±10.18) from eleven high-security prisons located in the State of Paraná , Brazil. We found that HIV and anti-HCV prevalence were 1.6% (95% CI: 1.0-2.5) and 2.7% (95% CI: 1.0-2.5), respectively. Risk factors associated with HIV included not receiving intimate visits (OR = 8.80, 95% CI: 1.15- 66.88), already having another sexually transmitted infection (OR = 3.89, 95% CI: 1.47- 10.29), and reporting attendance in HIV preventive campaigns (OR = 4.24, 95% CI: 1.58- 11.36). Moreover, anti-HCV seroprevalence was associated with higher age (OR = 4.03, 95% CI: 1.61-10.07), criminal recidivism (OR = 2.58, 95% CI 1.02-6.52), and the use of injectable drugs (OR = 7.32, 95% CI 3.36-15.92). Although prisons might increase the risk for acquiring and transmitting HIV and HCV, the adoption of permanent epidemiological surveillance programs could help reducing the circulation of viruses, involving strategies focusing on screening, treating, and preventing infections to assure proper prisoner health. Moreover, these policies need to take place inside and outside the prison environment to offer continued assistance to former prisoners once they leave the institution.Copyright:Public Health Lab Faculty of Medicine Western Parana State UniversityPostgraduate Program in Applied Health Sciences Faculty of Medicine Western Parana State UniversityPenitentiary Department Division of Public Security and Penitentiary AdministrationDepartment of Pharmacy S o Paulo State UniversityWestern Parana State UniversityDivision of Public Security and Penitentiary AdministrationS o Paulo State UniversityFerreto, Lirane Elize DefanteGuedes, StephannyPauli, Fernando BrazRovani, Samyra SoligoFollador, Franciele Aní CaovillaVieira, Ana PaulaTorres, Renata HimovskiCoelho, Harnoldo ColaresWendt, Guilherme Welter2022-04-28T19:42:07Z2022-04-28T19:42:07Z2021-07-01info:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/articlehttp://dx.doi.org/10.1371/journal.pone.0255173PLoS ONE, v. 16, n. July, 2021.1932-6203http://hdl.handle.net/11449/22205110.1371/journal.pone.02551732-s2.0-85111228065Scopusreponame:Repositório Institucional da UNESPinstname:Universidade Estadual Paulista (UNESP)instacron:UNESPengPLoS ONEinfo:eu-repo/semantics/openAccess2022-04-28T19:42:07Zoai:repositorio.unesp.br:11449/222051Repositório InstitucionalPUBhttp://repositorio.unesp.br/oai/requestopendoar:29462024-08-05T19:06:28.943353Repositório Institucional da UNESP - Universidade Estadual Paulista (UNESP)false |
dc.title.none.fl_str_mv |
Seroprevalence and associated factors of hiv and hepatitis c in brazilian high-security prisons: A state-wide epidemiological study |
title |
Seroprevalence and associated factors of hiv and hepatitis c in brazilian high-security prisons: A state-wide epidemiological study |
spellingShingle |
Seroprevalence and associated factors of hiv and hepatitis c in brazilian high-security prisons: A state-wide epidemiological study Ferreto, Lirane Elize Defante |
title_short |
Seroprevalence and associated factors of hiv and hepatitis c in brazilian high-security prisons: A state-wide epidemiological study |
title_full |
Seroprevalence and associated factors of hiv and hepatitis c in brazilian high-security prisons: A state-wide epidemiological study |
title_fullStr |
Seroprevalence and associated factors of hiv and hepatitis c in brazilian high-security prisons: A state-wide epidemiological study |
title_full_unstemmed |
Seroprevalence and associated factors of hiv and hepatitis c in brazilian high-security prisons: A state-wide epidemiological study |
title_sort |
Seroprevalence and associated factors of hiv and hepatitis c in brazilian high-security prisons: A state-wide epidemiological study |
author |
Ferreto, Lirane Elize Defante |
author_facet |
Ferreto, Lirane Elize Defante Guedes, Stephanny Pauli, Fernando Braz Rovani, Samyra Soligo Follador, Franciele Aní Caovilla Vieira, Ana Paula Torres, Renata Himovski Coelho, Harnoldo Colares Wendt, Guilherme Welter |
author_role |
author |
author2 |
Guedes, Stephanny Pauli, Fernando Braz Rovani, Samyra Soligo Follador, Franciele Aní Caovilla Vieira, Ana Paula Torres, Renata Himovski Coelho, Harnoldo Colares Wendt, Guilherme Welter |
author2_role |
author author author author author author author author |
dc.contributor.none.fl_str_mv |
Western Parana State University Division of Public Security and Penitentiary Administration S o Paulo State University |
dc.contributor.author.fl_str_mv |
Ferreto, Lirane Elize Defante Guedes, Stephanny Pauli, Fernando Braz Rovani, Samyra Soligo Follador, Franciele Aní Caovilla Vieira, Ana Paula Torres, Renata Himovski Coelho, Harnoldo Colares Wendt, Guilherme Welter |
description |
The prevalence of hepatitis C virus (HCV) and the acquired immunodeficiency virus (HIV) is much higher in prisons than in community settings. Some explanatory factors for this burden include putative aspects of the prison environment, such as unprotected sexual relations and sexual violence, use of injectable drugs and syringe sharing. Nonetheless, efforts in better understanding the dynamics of both HCV and HIV are scarce in developing countries such as Brazil, which poses a risk not only to the inmates but to the community as well. In this investigation, we sought to determine the seroprevalence and sociodemographic and behavioral risk factors associated with HIV and anti-HCV antibodies among men detained at high-security institutions. This is an epidemiological, proportionally stratified observational study including 1,132 inmates aged 18 to 79 years-old (Mage = 32.58±10.18) from eleven high-security prisons located in the State of Paraná , Brazil. We found that HIV and anti-HCV prevalence were 1.6% (95% CI: 1.0-2.5) and 2.7% (95% CI: 1.0-2.5), respectively. Risk factors associated with HIV included not receiving intimate visits (OR = 8.80, 95% CI: 1.15- 66.88), already having another sexually transmitted infection (OR = 3.89, 95% CI: 1.47- 10.29), and reporting attendance in HIV preventive campaigns (OR = 4.24, 95% CI: 1.58- 11.36). Moreover, anti-HCV seroprevalence was associated with higher age (OR = 4.03, 95% CI: 1.61-10.07), criminal recidivism (OR = 2.58, 95% CI 1.02-6.52), and the use of injectable drugs (OR = 7.32, 95% CI 3.36-15.92). Although prisons might increase the risk for acquiring and transmitting HIV and HCV, the adoption of permanent epidemiological surveillance programs could help reducing the circulation of viruses, involving strategies focusing on screening, treating, and preventing infections to assure proper prisoner health. Moreover, these policies need to take place inside and outside the prison environment to offer continued assistance to former prisoners once they leave the institution.Copyright: |
publishDate |
2021 |
dc.date.none.fl_str_mv |
2021-07-01 2022-04-28T19:42:07Z 2022-04-28T19:42:07Z |
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.uri.fl_str_mv |
http://dx.doi.org/10.1371/journal.pone.0255173 PLoS ONE, v. 16, n. July, 2021. 1932-6203 http://hdl.handle.net/11449/222051 10.1371/journal.pone.0255173 2-s2.0-85111228065 |
url |
http://dx.doi.org/10.1371/journal.pone.0255173 http://hdl.handle.net/11449/222051 |
identifier_str_mv |
PLoS ONE, v. 16, n. July, 2021. 1932-6203 10.1371/journal.pone.0255173 2-s2.0-85111228065 |
dc.language.iso.fl_str_mv |
eng |
language |
eng |
dc.relation.none.fl_str_mv |
PLoS ONE |
dc.rights.driver.fl_str_mv |
info:eu-repo/semantics/openAccess |
eu_rights_str_mv |
openAccess |
dc.source.none.fl_str_mv |
Scopus reponame:Repositório Institucional da UNESP instname:Universidade Estadual Paulista (UNESP) instacron:UNESP |
instname_str |
Universidade Estadual Paulista (UNESP) |
instacron_str |
UNESP |
institution |
UNESP |
reponame_str |
Repositório Institucional da UNESP |
collection |
Repositório Institucional da UNESP |
repository.name.fl_str_mv |
Repositório Institucional da UNESP - Universidade Estadual Paulista (UNESP) |
repository.mail.fl_str_mv |
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1808129019939389440 |