Prevalence and Factors Associated With Syphilis in People Living With HIV/AIDS in the State of Pará, Northern Brazil

Syphilis continues to be a public health problem worldwide and its incidence has increased in people living with HIV/AIDS in recent years. This study determined the prevalence and factors associated with syphilis in people living with HIV/AIDS in the city of Belém, northern Brazil. A cross-sectional...

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Bibliographic Details
Published in:	Frontiers in public health Vol. 9; p. 646663
Main Authors:	Neto, Pedro Leão Fontes, Fonseca, Ricardo Roberto de Souza, Avelino, Maria Eduarda de Sousa, Vilhena, Elizandro Monteiro, Barbosa, Maria dos Anjos de Abreu Pina, Lopes, Carmen Andrea Freitas, Gomes, Samara Tatielle Monteiro, Sequeira, Bianca Jorge, Laurentino, Rogério Valois, Freitas, Felipe Bonfim, Oliveira-Filho, Aldemir Branco, Machado, Luiz Fernando Almeida
Format:	Journal Article
Language:	English
Published:	Frontiers Media S.A 09-08-2021
Subjects:	Amazon region epidemiology Health administration HIV/AIDS Public Health syphilis vulnerability
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Summary:	Syphilis continues to be a public health problem worldwide and its incidence has increased in people living with HIV/AIDS in recent years. This study determined the prevalence and factors associated with syphilis in people living with HIV/AIDS in the city of Belém, northern Brazil. A cross-sectional study was conducted from June to November 2018. A total of 500 people living with HIV/AIDS attended at a specialized unit of the public health network of the State of Pará were studied. Questionnaires were used to collect socio-demographic data and potential risk factors for syphilis. Blood samples were collected from all subjects and screened for syphilis using VDRL, and the seropositive were confirmed using FTA-abs. Logistic regressions were used to identify the factors associated with syphilis. Most subjects were male (56.8%), had more than 40 years (54.0%), single (63.0%), had finished high school (54.2%), had monthly income ≤1 minimum wage (72.4%), and had been born to the city of Belém (59.8%). Prevalence of syphilis was 6.4%. Eight characteristics/behaviors associated with syphilis: male, young adults, single, studied at least high school, monthly income >1 minimum wage, homosexual/bisexual, does not use or sporadically use condoms during sexual intercourse, and have had more than one sexual partner in the last three months. The prevalence of syphilis in people living with HIV/AIDS in Belém is low when compared to other Brazilian states. However, there is a need for public policies and actions to monitor, control and prevent these two sexually transmitted infections.
Bibliography:	ObjectType-Article-1 SourceType-Scholarly Journals-1 ObjectType-Feature-2 content type line 23 Edited by: Alexander Mischnik, City of Luebeck Health Protection Authority, Germany This article was submitted to Infectious Diseases - Surveillance, Prevention and Treatment, a section of the journal Frontiers in Public Health Reviewed by: Dr Muhammad Imran Khan, The University of Haripur, Pakistan; Sheila Araújo Teles, Universidade Federal de Goiás, Brazil; Marcos De Matos, Universidade Federal de Goiás, Brazil
ISSN:	2296-2565 2296-2565
DOI:	10.3389/fpubh.2021.646663