Banca de DEFESA: Cristhiane Campos Marques

Uma banca de DEFESA de DOUTORADO foi cadastrada pelo programa.
STUDENT : Cristhiane Campos Marques
DATE: 06/05/2024
TIME: 14:00
LOCAL: Plataforma TEAMS
TITLE:

Factors associated with sexually transmitted infections: A cross-sectional study in the Central-West Region of Brazil

KEY WORDS:

counseling testing center, socio-demographic variables, HIV, syphilis, HBV, HCV.

PAGES: 89
BIG AREA: Ciências da Saúde
AREA: Saúde Coletiva
SUMMARY:

Sexually transmitted infections (STI), particularly HIV infection, syphilis, and hepatitis B and C, are highly prevalent worldwide. The objective of this study was to examine the serological profile for STI according to sexual behavior and describe the sociodemographic and epidemiological profile of attendees at a Counseling and Testing Center (CTA) or in campaigns carried out by the CTA. This is a cross-sectional study carried out at the CTA located in the municipality of Rio Verde, Goiás, Brazil. Retrospective data were collected from CTA Information System (SI-CTA) forms of patients followed up from January 2014 to December 2019. In total, 11,893 SI-CTA forms were included in the analysis. In relation to syphilis, 919/11,615 (7.91%) patients were reactive, of which the majority were men (56.80%), selfdeclared as mixed race (59.09%), with more than 8 years of schooling (51.25%), single (44.71%) and were mainly between the ages of 20 and 29 (34.71%). Individuals who reported having homosexual relationships (57.83%), multiple partnerships (85.40%) and drug use (75.71%) were more frequently diagnosed with the disease. Among men who have sex with men (MSM), the prevalence of syphilis was 23.08%, the rate of HIV co-infection was 29.76% and previous STI was 37.63%. The prevalence of HIV in the population was 2.67% (295/11032), of which the majority were male (68.47%), single (50.85%), mixed race (66.10%), had between 20 and 29 years old (34.24%) and more than 8 years of study (62.71%). 23.51% had a previous STI, 76.78% used drugs, 68.73% reported a homosexual relationship, 78.20% had multiple partnerships. Among MSM, the prevalence of HIV was 19.05%, the rate of co-infection with syphilis was 39.06%, previous STIs were 25% and those with STIs were 5 times more likely to have HIV. Concerning hepatitis, the prevalence of hepatitis C was 0.76% and hepatitis B, 0.92%. In both infections, men, homosexual relationships, were the most affected. Regarding age, HCV was more predominant in people aged 40 to 49 years; As for HBV, those over 50 years of age had a higher concentration of reactive cases. There was a high prevalence of STIs in patients treated at the CTA in Rio Verde, GO, especially in vulnerable populations, such as MSM. Previous STI, homosexuality, sexual intercourse without a condom, drug use and sex with multiple sexual partners appear to be strongly related to the transmission of these STIs in the studied population. Ensuring access to confidential CTAs assessment and counseling services is of utmost importance to understand the reality and develop prevention approaches.

COMMITTEE MEMBERS:
Externa à Instituição - BERENICE MOREIRA - UNIRV
Presidente - 2088007 - CARLA NUNES DE ARAUJO
Externa à Instituição - ELOA FATIMA FERREIRA DE MEDEIROS - SES-DF
Externa ao Programa - 1930428 - FLAVIA DA SILVA NADER MOTTA - nullInterno - 2376346 - OTAVIO DE TOLEDO NOBREGA