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Artigo Acesso aberto Produção Nacional Revisado por pares
BIBTEX RIS

History of syphilis in women living with AIDS and associated risk factors in São Paulo, Brazil

2014; Brazilian Medical Association; Volume: 60; Issue: 4 Linguagem: Inglês

10.1590/1806-9282.60.04.013

ISSN

1806-9282

Autores

Valdir Monteiro Pinto, Mariza Vono Tancredi, Cássia Maria Buchalla, Angélica Espinosa Miranda,

Tópico(s)

HIV, Drug Use, Sexual Risk

Resumo

to describe the epidemiological profile, risk behaviors, frequency of prior history of syphilis in women living with AIDS and to investigate associated factors.a cross-sectional study conducted with women living with HIV attending at Reference Center for AIDS in São Paulo. Demographic, behavioral, and clinical data were analyzed based on medical records.a total of 598 women were included in the study and the prevalence of previous syphilis was 6.2% (95% CI 4,3-8,1). Seventy-three percent of women were less than 40 years of age when diagnosed with AIDS and 49.6% had more than eight years of formal education. 67.2% were white and 65.9% were not married or living with a partner, 53.2% reported that their first sexual intercourse aged more than 15 years, 56.5% reported having only one partner in the last year and 13% reported drug use. Regarding laboratory data, 83.8% had CD4+ 1 sexual partner in the last year [AOR = 6.6 (95% CI 1.2 - 37.1)], CD4 + 8 years [AOR = 2.4 (95% CI 1.0 - 5.8)].a high prevalence of previous syphilis was found in the population studied, and crack use was identified among the main associated risk factors. Interventions to reduce the risk of sexual transmission of HIV and syphilis must be strengthened, with the implementation of control actions, screening strategies, early diagnosis and treatment, preventing complications, reducing morbidity and improving sexual and reproductive health.

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