Pessoas em situação de rua abrigadas: uma população-chave na epidemiologia da sífilis e infecção pelo HIV em Goiânia-Goiás
Nenhuma Miniatura disponível
Data
2017-12-11
Autores
Título da Revista
ISSN da Revista
Título de Volume
Editor
Universidade Federal de Goiás
Resumo
Contact with the street exposes the individual to a high risk of physical, sexual exploitation and involvement in illicit activities as means of survival and maintenance of their basic needs. In addition, low levels of education, poor hygiene, low income, unemployment, malnutrition and limited access to health services increase the vulnerability of the homeless to sexually transmitted infections (STI), such as the human immunodeficiency virus (HIV) and syphilis. The objective of the present study was to investigate the epidemiological profile of HIV infection and syphilis in homeless individuals housed in Goiânia, Goiás. This is an observational, analytical, cross-sectional study carried out on individuals housed in the Casa de Acolhida Cidadã I (CAC) in Goiânia-GO. From September 2014 to August 2015, 355 individuals were recruited on the street. All participants were interviewed and tested for HIV serological markers (anti-HIV 1 and 2) and syphilis (anti-T. pallidum) by the rapid test. The samples positive for anti-T. pallidum were submitted to VDRL. Of the total number of recruited individuals, 81.4% were male, young (median: 36 years), unmarried (59.4%) and self-declared brown (60.6%). More than half had five to nine years of study, 35.7% reported having no income and most reported having some religion. The median length of stay in CAC was 10 days and 57.5% had an overnight stay experience. An anti-HIV prevalence of 3.9% (95% CI: 2.3-6.4%) was estimated. Of the 355 samples tested by the rapid test for syphilis, 22.0% (95% CI: 17.9-26.5%) were positive and 8.2% (95% CI: 5.6-11.4%) presented positive results VDRL titles. The prevalence of active HIV/syphilis coinfection was 0.6% (2/355; 95% CI: 0.09 - 1.85). In multivariate logistic regression analysis, daily use of alcoholic beverages (adjusted OR: 4.0, p=0.02), sex with HIV/aids carrier (adjusted OR: 8.1, p=0.00) and sex with people of the same sex (adjusted OR: 4.6, p=0.01) were independently associated with HIV infection. The variables age ≤ 36 years (adjusted OR: 3.3, p=0.02), married/stable union (adjusted OR: 2.9, p = 0.02), previous syphilis testing (adjusted OR: 2.6, p=0.03), previous IST (adjusted OR: 3.4, p=0.00) and crack use in the last six months (adjusted OR: 3.6; p ≤0,001) were predictors for syphilis active The results of the present study show that the prevalence of syphilis and HIV infection in sheltered homeless people is high, with the development of prevention and control strategies, including counseling and testing, as well as the provision of treatment for STI in the setting street and temporary and/or permanent shelters.
Descrição
Palavras-chave
HIV , Sífilis , Prevalência , Abrigo , Região Centro-Oeste , HIV , Syphilis , Prevalence , Shelter , Midwest Region
Citação
PINHEIRO, R. S. Pessoas em situação de rua abrigadas: uma população-chave na epidemiologia da sífilis e infecção pelo HIV em Goiânia-Goiás. 2017. 195 f. Tese (Doutorado em Enfermagem) - Universidade Federal de Goiás, Goiânia, 2017.