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P1-S1.49 Syphilis prevalence and risk factors in Brazilian Armed Forces conscripts, 2007

2011; BMJ; Volume: 87; Issue: Suppl 1 Linguagem: Inglês

10.1136/sextrans-2011-050108.49

1472-3263

D Ribeiro, Valdir Monteiro Pinto, Erika Fazito Rezende, Ana Espinosa, Gustavo Veloso Pereira,

Adolescent Sexual and Reproductive Health

The aim of this study was to describe the syphilis prevalence by geographic region and frequency of behaviours and symptoms related to STDs. A cross-sectional study was performed with Brazilian Armed Forces draftees in 2007. They answered a self-administered questionnaire on sociodemographic issues, sexual practice and condom use, STD symptoms and had a blood sample collected for syphilis test. A total of 35 460 draftees answered the questionnaire and 75.5% of these had already had sexual intercourse. Overall syphilis prevalence was 0.53% (95% CI 0.45% to 0.61%). By geographic region—North (0.85%), Northeast (0.82%), being almost double the Midwest region (0.49%) and more than double the Southeast (0.34%) and Southern region (0.26%). Being 17 years old [OR=1.3 (95% CI 1.05 to 1.73)], having completed primary education [OR=1.5 (95% CI 1.03 to 2.22)], living in the North/Northeast region of the country [OR=1.2 (95% CI 1.04 to 1.36)], reporting a history of STD [OR=2.7 (95% CI 1.03 to 6.99)], being MSM [OR=4.5 (95% CI 2.59 to 7.81)], and reporting genital ulcer disease [OR=2.6 (95% CI 1.59 to 4.26)] were associated with syphilis. Addressing the young at the time of military enlistment may be a good moment to consider new strategies for accessing and counselling this population, thus allowing the implementation of a more appropriate healthcare policy.