Sexually Transmitted Infections in the Riparians Population: prevalence and risk behavior
Abstract
Introduction: The riparians population is considered vulnerable to Sexually Transmitted Infections due to restrictions related to access to health, information and education.
Objective: To analyze the prevalence of self-reported Sexually Transmitted Infections among the riparians population and associated sociodemographic and behavioral factors.
Material and Method: Cross-sectional, analytical study, conducted with 250 riparians dwellers from João Pessoa, Paraiba state, from June to October 2019. Data were collected through interviews using a structured questionnaire. Logistic regression analysis was performed. The research was approved by the Research Ethics Committee under opinion number 3,340,273.
Results: The prevalence of Sexually Transmitted Infections was 20.8%. Male ribs (OR=3.27; CI95%:1.74-6.15), who reported sexual intercourse with sex workers (OR=6.54; CI95%:3.05-14.0) and illicit drug use (OR 2.13; CI95%:1.10-4.13) were more likely to develop sexually transmitted infection.
Conclusions: High prevalence of sexually transmitted infections and presence of risk behaviors among riparians. Screening, early diagnosis and health education is essential for discontinuation of the transmission chain.
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References
Brasil. Ministério da Saúde. Boletim Epidemiológico HIV. Brasília (DF): Ministério da Saúde (BR), Departamento de DST, Aids e Hepatites Virais; 2020. Available from: http://www.aids.gov.br/pt-br/pub/2020/boletim-epidemiologico-hivaids-2020.
OPAS Brasil. Organização Pan-Americana da Saúde/Organização Mundial de Saúde. Doenças Transmissíveis & Análise de Situação de Saúde. Brasília: OPAS/OMS; 2019.
Costa MIF, Rodrigues RR, Teixeira RM, Paula PHA, Luna IT, Pinheiro PNC. Adolescents in situations of poverty: resilience and vulnerabilities to sexually transmitted infections. Rev. Bras. Enferm. [Internet]. 2020 [access 12 nov 2020]; 73(Suppl. 4). Doi: https://doi.org/10.1590/0034-7167-2019-0242
Parmejiani EP, Queiroz ABA, Pinheiro AS, Cordeiro EM, Moura MAV, Paula MBM. Sexual and reproductive health in riverine communities: integrative review. Rev Esc Enferm USP [Internet]. 2021 [access 14 jun 2021]; 55:e03664. Doi: https://doi.org/10.1590/S1980-220X2019033103664
Presidência da República Casa Civil. Decreto nº 6040, de 7 de fevereiro de 2007. Institui a Política Nacional de Desenvolvimento Sustentável dos Povos e Comunidades Tradicionais. Brasil: Casa Civil; 2007. Available from: http://www.planalto.gov.br/ccivil_03/_ato2007-2010/2007/decreto/d6040.htm#:~:text=DECRETO%20N%C2%BA%206.040%2C%20DE%207,que%20lhe%20confere%20o%20art
Neves RG, Wendt A, Flores TR, Costa CS, Costa FS, Tovo-Rodrigues, et al. Simultaneidade de comportamentos de risco para infecções sexualmente transmissíveis em adolescentes brasileiros, 2012. Epidemiol. Serv Saúde [Internet]. 2017 [access 14 jun 2021]; 26(3). Doi: https://doi.org/10.5123/S1679-49742017000300003
Graf DD, Mesenburg MA, Fassa AG. Comportamento sexual de risco e fatores associados em universitários de uma cidade do sul do Brasil. Rev Saude Publica [Internet]. 2020 [access 14 jun 2021]; 54(41). Doi: https://doi.org/10.11606/s1518-8787.2020054001709
World Health Organization (WHO). Global health sector strategy on sexually transmitted infections 2016-2021: toward ending STIs. Geneva: World Health Organization; 2016. Available from: https://apps.who.int/iris/bitstream/handle/10665/246296/WHO-RHR-16.09-eng.pdf.
Rocha DFNC, Rosa LRC, Silva CA, Oliveira BR., Martins TLS, Martins RMB, et al. Epidemiology of HIV, syphilis, and hepatitis B an0d C among manual cane cutters in low-income regions of Brazil. BMC Infect Dis [Internet]. 2018 [access 25 nov 2020];18(1). Doi: https://doi.org/10.1186/s12879-018-3439-4
Amorim TF, Teles SA, Moraes LC, Matos MA, Carneiro MADS, Nogueira DJ, et al. Symptomatic Sexually Transmitted Infections in Brazil’s emerging rural populations. J Assoc Nurses Aids Care [Internet]. 2018 [access 25 nov 2020]; 29(6):942-8. Doi: https://doi.org/10.1016/j.jana.2018.05.004
Brasil. Ministério da Saúde. Pesquisa de conhecimentos, atitudes e práticas na população brasileira. Brasília (DF): Ministério da Saúde (BR), Secretaria de Vigilância em Saúde; 2011. Available from: https://bvsms.saude.gov.br/bvs/publicacoes/pesquisa_conhecimentos_atitudes_praticas_populacao_brasileira.pdf
Gama ASM, Fernandes TG, Parente RCP, Secoli SR. Inquérito de saúde em comunidades ribeirinhas do Amazonas, Brasil. Cad Saúde Pública (Online) [Internet]. 2018 [access 0 jul 2020]; 34(2):e00002817. Doi: https://doi.org/10.1590/0102-311x00002817
Pereira AL, Silva LR, Palma LM, Moura LCL, Moura MA. Impacto do grau de escolaridade e idade no diagnóstico tardio de sífilis em gestantes. Femina [Internet]. 2020 [access em 15 jun 2021]; 48(9):563-567. Available from: https://docs.bvsalud.org/biblioref/2020/10/1122585/femina-2020-489-563-567.pdf
Zango SH, Lingani M, Valea I, Samadoulougou OS, Bihoun B, Rouamba T, et al. malaria and curable sexually transmited infections in pregnant women: a two-years observational study in rural burkina faso. Plos One [Internet]. 2020 [access 15 jun 2021]; 15(11):e0242368. Doi: https://doi.org/10.1371/journal.pone.0242368
Williams SP, Bryant KL. Sexually transmitted infection prevalenc among homeless adults in the United States: A systematic literature review. Sex trans. dis. [Internet]. 2018 [access 15 jun 2021]; 45(7):494-504. Doi: https://doi.org/ 10.1097/OLQ.0000000000000780
Brito AKM, Medeiros HRL, Santos MLL, Nunes EM, Souza TA, Bezerra KKS. Prevalência de infecções sexualmente transmissíveis em mulheres assistidas na atenção básica de saúde. Temas em saúde [Internet]. 2018 [access 15 jun 2021]; 59-75. Available from: https://temasemsaude.com/wp-content/uploads/2018/10/fip201804.pdf
Pinto VM, Basso CR, Barros CRS, Gutierrez EB. Fatores associados às infecções sexualmente transmissíveis: inquérito populacional no município de São Paulo, Brasil. Ciênc. Saúde Coletiva [Internet]. 2018 [access 25 nov 2020]; 23(7): 2423-2432. Doi: http://dx.doi.org/10.1590/1413-81232018237.20602016
Ezeonwu MC, Stecher HA, Carrick RN, Smith LA, Hoock J, Bain CE, et al. Risk factors and prevalence of symptons of sexually transmitted infections in Rural Mayan Villagens in Guatemala. Health Care for Women International [Internet]. 2020 [access 15 jun 2021]; 41(10): 1166-1181. Doi: https://doi.org/10.1080/07399332.2020.1791119
Rowley J, Vander Hoorn S, Korenromp E, Baixo N, Unemo M, Abu-Raddad LJ, et al. Chlamydia, gonorrhoea, trichomoniasis and syphilis: global prevalence and incidence estimates, 2016. Bull World Health Organ [Internet]. 2019 [access 25 nov 2020]; 97(8):548-562. Doi: https://doi.org/10.2471/BLT.18.228486
Ribeiro LL, Moreira WC, Carvalho ARB, Sousa MCP, Carvalho ML, Castro TMBQ. Vulnerabilidade de pescadores de comunidades riberirinhas às infecções sexualmente transmissíveis. Revista Cubana de Enfermería [Internet]. 2017 [access 15 jun 2021]; 33(3). Available from: http://www.revenfermeria.sld.cu/index.php/enf/article/view/1231/288
Santos MM, Menezes DDO, Oliveira LLC, Sampaio DC, Rivemales MCC. Perfil das infecções sexualmente transmissíveis em um município do recôncavo baiano. J Nurs Health [Internet]. 2020 [access 15 jun 2021]; 10(3):e20103006. Available from: https://periodicos.ufpel.edu.br/ojs2/index.php/enfermagem/article/view/18557/11863
Braga LP, Szwarcwald CL, Damacena GN. Caracterização de mulheres trabalhadoras do sexo em capitais brasileiras, 2016. Epidemiol Serv Saúde [Internet]. 2020 [access 25 nov 2021]; 29(4). Doi: https://doi.org/10.5123/S1679-49742020000400002.
Haider MR, Kingori C, Brown MJ, Battle-Fisher M, Chertok IA. Illicit drug use and sexually transmitted infections among young adults in US: evidence from a nationally representative survey. International Journal of STD & AIDS [Internet]. 2020 [access 15 jun 2021]; 31(13). Doi: https://doi.org/10.1177/0956462420950603
Wand H, Ward J, Bryant J, Delaney-Thiele D, Worth H, Pitts M, et al. Individual and population level impacts of illicit drug use, sexual risk behaviours on sexually transmitted infections among young Aboriginal and Torres Strait Islander people: results from the GOANNA survey. BMC Public Health [Internet]. 2016 [access 15 jun 2021]; 19(16). Doi: https://doi.org/10.1186/s12889-016-3195-6
Silva AA, Silva KCO. Álcool e drogas ilícitas e doenças sexualmente transmissíveis entre adolescentes. R Interd [Internet]. 2017 [access 25 nov 2020]; 10(2):65-73. Available from: https://revistainterdisciplinar.uninovafapi.edu.br/index.php/revinter/article/view/1105
Kuteesa MO, Weiss HA, Cook S, Seeley J, Ssentongo JN, Kizindo R, et al. Epidemiology of Alcohol Misuse and Illicit Drug Use Among Young People Aged 15–24 Years in Fishing Communities in Uganda. Int J Environ Res Public Health [Internet]. 2020 [access 15 jun 2021]; 17(7). Doi: https://doi.org/10.3390/ijerph17072401
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