HIV infection, hepatitis B and C and syphilis in homeless people, in the city of São Paulo, Brazil

Detalhes bibliográficos
Autor(a) principal: Brito, Valquiria O. C.
Data de Publicação: 2007
Outros Autores: Parra, Deolinda, Facchini, Regina, Buchalla, Cassia Maria
Tipo de documento: Artigo
Idioma: por
eng
Título da fonte: Revista de Saúde Pública
Texto Completo: https://www.revistas.usp.br/rsp/article/view/32363
Resumo: OBJECTIVE: To estimate the prevalence of HIV infections, as well as hepatitis B and C and syphilis viruses in homeless people. METHODS: Cross-sectional study with educational intervention, conducted in the city of São Paulo, between 2002 and 2003. A convenience sample of homeless people who used night shelters was selected, according to the following criteria: aged 18 or older and not showing psychiatric disturbances. During interviews, sociodemographic and behavioral data were gathered and HIV, hepatitis B and C and syphilis laboratorial tests and post-test counseling were carried out. RESULTS: A total of 330 shelter users participated, with an average age of 40.2 years, 80.9% of them male, having lived on the streets for one year in average. Prevalences of 1.8% for HIV, 8.5% for hepatitis C virus, 30.6% for previous hepatitis B infection, 3.3% for chronic or acute infection by hepatitis B virus, and 5.7% for syphilis. The consistent use of condoms was referred to by 21.3% of interviewees and the use of injecting drugs by 3% of them. Positivity was 10% for HIV and 50% for hepatitis C virus among injectable drug users, versus 1.5% for HIV and 7.3% for hepatitis C among the others, showing an association between the virus and the use of injecting drugs. Previous imprisonment was referred to by 7.9% of women and 26.6% of men, with a prevalence of 2.6% for HIV and 17.1% for hepatitis C virus. CONCLUSIONS: The high prevalences of HIV and hepatitis B and C viruses require prevention programs based on vaccination against hepatitis B, early diagnosis of these infections and placement of homeless people into health services.
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spelling HIV infection, hepatitis B and C and syphilis in homeless people, in the city of São Paulo, Brazil Infecção pelo HIV, hepatites B e C e sífilis em moradores de rua, São Paulo Infecções por HIV^i1^sepidemioloHepatite B^i1^sepidemioloHepatite C^i1^sepidemioloSífilis^i1^sepidemioloSem-tetoEstudos soroepidemiológicosEstudos transversaisHIV infections^i2^sepidemiolHepatitis B^i2^sepidemiolHepatitis C^i2^sepidemiolSyphilis^i2^sepidemiolHomeless personsSeroepidemiologic studiesCross-sectional studies OBJECTIVE: To estimate the prevalence of HIV infections, as well as hepatitis B and C and syphilis viruses in homeless people. METHODS: Cross-sectional study with educational intervention, conducted in the city of São Paulo, between 2002 and 2003. A convenience sample of homeless people who used night shelters was selected, according to the following criteria: aged 18 or older and not showing psychiatric disturbances. During interviews, sociodemographic and behavioral data were gathered and HIV, hepatitis B and C and syphilis laboratorial tests and post-test counseling were carried out. RESULTS: A total of 330 shelter users participated, with an average age of 40.2 years, 80.9% of them male, having lived on the streets for one year in average. Prevalences of 1.8% for HIV, 8.5% for hepatitis C virus, 30.6% for previous hepatitis B infection, 3.3% for chronic or acute infection by hepatitis B virus, and 5.7% for syphilis. The consistent use of condoms was referred to by 21.3% of interviewees and the use of injecting drugs by 3% of them. Positivity was 10% for HIV and 50% for hepatitis C virus among injectable drug users, versus 1.5% for HIV and 7.3% for hepatitis C among the others, showing an association between the virus and the use of injecting drugs. Previous imprisonment was referred to by 7.9% of women and 26.6% of men, with a prevalence of 2.6% for HIV and 17.1% for hepatitis C virus. CONCLUSIONS: The high prevalences of HIV and hepatitis B and C viruses require prevention programs based on vaccination against hepatitis B, early diagnosis of these infections and placement of homeless people into health services. OBJETIVO: Estimar a prevalência das infecções pelo HIV, vírus das hepatites B e C, e da sífilis em moradores de rua. MÉTODOS: Estudo transversal com intervenção educativa, realizado no município de São Paulo, de 2002 a 2003. Selecionou-se amostra de conveniência de moradores de rua que utilizavam albergues noturnos, segundo os critérios: >;18 anos e não apresentar distúrbios psiquiátricos. Em entrevistas, foram coletados dados sociodemográficos e de comportamento, e realizados exames laboratoriais para HIV, hepatite B e C e sífilis, e aconselhamento pós-teste. RESULTADOS: Participaram 330 usuários dos albergues, com 40,2 anos (média), 80,9% homens, nas ruas, em média, há um ano. Observaram-se prevalências de 1,8% de HIV, 8,5% de vírus de hepatite C, 30,6% de infecção pregressa por hepatite B, 3,3% de infecção aguda ou crônica pelo vírus hepatite B e 5,7% de sífilis. Uso consistente de preservativo foi referido por 21,3% e uso de droga injetável, por 3% dos entrevistados. A positividade para HIV foi de 10% e 50% para vírus da hepatite C entre usuários de drogas injetáveis, versus 1,5% para HIV e 7,3% para hepatite C nos demais, evidenciando associação entre esse vírus e uso de droga injetável. Prisão anterior foi referida por 7,9% das mulheres e 26,6% dos homens, com prevalência de 2,6% para HIV e 17,1% para vírus da hepatite C. CONCLUSÕES: As elevadas prevalências de HIV e vírus de hepatite B e C requerem programas de prevenção baseados na vacinação contra hepatite B, diagnóstico precoce dessas infecções e inserção dos moradores de rua em serviços de saúde. Universidade de São Paulo. Faculdade de Saúde Pública2007-12-01info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionapplication/pdfapplication/pdfhttps://www.revistas.usp.br/rsp/article/view/3236310.1590/S0034-89102007000900009Revista de Saúde Pública; Vol. 41 No. suppl.2 (2007); 47-56 Revista de Saúde Pública; Vol. 41 Núm. suppl.2 (2007); 47-56 Revista de Saúde Pública; v. 41 n. suppl.2 (2007); 47-56 1518-87870034-8910reponame:Revista de Saúde Públicainstname:Universidade de São Paulo (USP)instacron:USPporenghttps://www.revistas.usp.br/rsp/article/view/32363/34557https://www.revistas.usp.br/rsp/article/view/32363/34558Copyright (c) 2017 Revista de Saúde Públicainfo:eu-repo/semantics/openAccessBrito, Valquiria O. C.Parra, DeolindaFacchini, ReginaBuchalla, Cassia Maria2012-07-09T00:49:00Zoai:revistas.usp.br:article/32363Revistahttps://www.revistas.usp.br/rsp/indexONGhttps://www.revistas.usp.br/rsp/oairevsp@org.usp.br||revsp1@usp.br1518-87870034-8910opendoar:2012-07-09T00:49Revista de Saúde Pública - Universidade de São Paulo (USP)false
dc.title.none.fl_str_mv HIV infection, hepatitis B and C and syphilis in homeless people, in the city of São Paulo, Brazil
Infecção pelo HIV, hepatites B e C e sífilis em moradores de rua, São Paulo
title HIV infection, hepatitis B and C and syphilis in homeless people, in the city of São Paulo, Brazil
spellingShingle HIV infection, hepatitis B and C and syphilis in homeless people, in the city of São Paulo, Brazil
Brito, Valquiria O. C.
Infecções por HIV^i1^sepidemiolo
Hepatite B^i1^sepidemiolo
Hepatite C^i1^sepidemiolo
Sífilis^i1^sepidemiolo
Sem-teto
Estudos soroepidemiológicos
Estudos transversais
HIV infections^i2^sepidemiol
Hepatitis B^i2^sepidemiol
Hepatitis C^i2^sepidemiol
Syphilis^i2^sepidemiol
Homeless persons
Seroepidemiologic studies
Cross-sectional studies
title_short HIV infection, hepatitis B and C and syphilis in homeless people, in the city of São Paulo, Brazil
title_full HIV infection, hepatitis B and C and syphilis in homeless people, in the city of São Paulo, Brazil
title_fullStr HIV infection, hepatitis B and C and syphilis in homeless people, in the city of São Paulo, Brazil
title_full_unstemmed HIV infection, hepatitis B and C and syphilis in homeless people, in the city of São Paulo, Brazil
title_sort HIV infection, hepatitis B and C and syphilis in homeless people, in the city of São Paulo, Brazil
author Brito, Valquiria O. C.
author_facet Brito, Valquiria O. C.
Parra, Deolinda
Facchini, Regina
Buchalla, Cassia Maria
author_role author
author2 Parra, Deolinda
Facchini, Regina
Buchalla, Cassia Maria
author2_role author
author
author
dc.contributor.author.fl_str_mv Brito, Valquiria O. C.
Parra, Deolinda
Facchini, Regina
Buchalla, Cassia Maria
dc.subject.por.fl_str_mv Infecções por HIV^i1^sepidemiolo
Hepatite B^i1^sepidemiolo
Hepatite C^i1^sepidemiolo
Sífilis^i1^sepidemiolo
Sem-teto
Estudos soroepidemiológicos
Estudos transversais
HIV infections^i2^sepidemiol
Hepatitis B^i2^sepidemiol
Hepatitis C^i2^sepidemiol
Syphilis^i2^sepidemiol
Homeless persons
Seroepidemiologic studies
Cross-sectional studies
topic Infecções por HIV^i1^sepidemiolo
Hepatite B^i1^sepidemiolo
Hepatite C^i1^sepidemiolo
Sífilis^i1^sepidemiolo
Sem-teto
Estudos soroepidemiológicos
Estudos transversais
HIV infections^i2^sepidemiol
Hepatitis B^i2^sepidemiol
Hepatitis C^i2^sepidemiol
Syphilis^i2^sepidemiol
Homeless persons
Seroepidemiologic studies
Cross-sectional studies
description OBJECTIVE: To estimate the prevalence of HIV infections, as well as hepatitis B and C and syphilis viruses in homeless people. METHODS: Cross-sectional study with educational intervention, conducted in the city of São Paulo, between 2002 and 2003. A convenience sample of homeless people who used night shelters was selected, according to the following criteria: aged 18 or older and not showing psychiatric disturbances. During interviews, sociodemographic and behavioral data were gathered and HIV, hepatitis B and C and syphilis laboratorial tests and post-test counseling were carried out. RESULTS: A total of 330 shelter users participated, with an average age of 40.2 years, 80.9% of them male, having lived on the streets for one year in average. Prevalences of 1.8% for HIV, 8.5% for hepatitis C virus, 30.6% for previous hepatitis B infection, 3.3% for chronic or acute infection by hepatitis B virus, and 5.7% for syphilis. The consistent use of condoms was referred to by 21.3% of interviewees and the use of injecting drugs by 3% of them. Positivity was 10% for HIV and 50% for hepatitis C virus among injectable drug users, versus 1.5% for HIV and 7.3% for hepatitis C among the others, showing an association between the virus and the use of injecting drugs. Previous imprisonment was referred to by 7.9% of women and 26.6% of men, with a prevalence of 2.6% for HIV and 17.1% for hepatitis C virus. CONCLUSIONS: The high prevalences of HIV and hepatitis B and C viruses require prevention programs based on vaccination against hepatitis B, early diagnosis of these infections and placement of homeless people into health services.
publishDate 2007
dc.date.none.fl_str_mv 2007-12-01
dc.type.driver.fl_str_mv info:eu-repo/semantics/article
info:eu-repo/semantics/publishedVersion
format article
status_str publishedVersion
dc.identifier.uri.fl_str_mv https://www.revistas.usp.br/rsp/article/view/32363
10.1590/S0034-89102007000900009
url https://www.revistas.usp.br/rsp/article/view/32363
identifier_str_mv 10.1590/S0034-89102007000900009
dc.language.iso.fl_str_mv por
eng
language por
eng
dc.relation.none.fl_str_mv https://www.revistas.usp.br/rsp/article/view/32363/34557
https://www.revistas.usp.br/rsp/article/view/32363/34558
dc.rights.driver.fl_str_mv Copyright (c) 2017 Revista de Saúde Pública
info:eu-repo/semantics/openAccess
rights_invalid_str_mv Copyright (c) 2017 Revista de Saúde Pública
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv application/pdf
application/pdf
dc.publisher.none.fl_str_mv Universidade de São Paulo. Faculdade de Saúde Pública
publisher.none.fl_str_mv Universidade de São Paulo. Faculdade de Saúde Pública
dc.source.none.fl_str_mv Revista de Saúde Pública; Vol. 41 No. suppl.2 (2007); 47-56
Revista de Saúde Pública; Vol. 41 Núm. suppl.2 (2007); 47-56
Revista de Saúde Pública; v. 41 n. suppl.2 (2007); 47-56
1518-8787
0034-8910
reponame:Revista de Saúde Pública
instname:Universidade de São Paulo (USP)
instacron:USP
instname_str Universidade de São Paulo (USP)
instacron_str USP
institution USP
reponame_str Revista de Saúde Pública
collection Revista de Saúde Pública
repository.name.fl_str_mv Revista de Saúde Pública - Universidade de São Paulo (USP)
repository.mail.fl_str_mv revsp@org.usp.br||revsp1@usp.br
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