Prevalence and determinants associated with T. pallidum infection in adults from poor urban communities, Brazilian Amazon.

Autor:	Dantas LB; Universidade Federal do Pará, Programa de Pós-Graduação em Enfermagem, Belém 66075-110, Brazil., Damasceno BTR; Universidade Federal do Pará, Programa de Pós-Graduação em Enfermagem, Belém 66075-110, Brazil., de Freitas Vale J; Universidade Federal do Pará, Programa de Pós-Graduação em Enfermagem, Belém 66075-110, Brazil., Gurjao WTV; Universidade Federal do Pará, Programa de Pós-Graduação em Enfermagem, Belém 66075-110, Brazil., Siqueira LS; Universidade Federal do Pará, Programa de Pós-Graduação em Enfermagem, Belém 66075-110, Brazil., Santos SFD; Universidade Federal do Pará, Programa de Pós-Graduação em Enfermagem, Belém 66075-110, Brazil., de Oliveira MFV; Universidade Federal do Pará, Programa de Pós-Graduação em Enfermagem, Belém 66075-110, Brazil., Aben-Athar CYUP; Universidade Federal do Pará, Programa de Pós-Graduação em Enfermagem, Belém 66075-110, Brazil., Botelho EP; Universidade Federal do Pará, Programa de Pós-Graduação em Enfermagem, Belém 66075-110, Brazil., Ferreira GRON; Universidade Federal do Pará, Programa de Pós-Graduação em Enfermagem, Belém 66075-110, Brazil. Electronic address: glendaf@ufpa.br.
Jazyk:	angličtina
Zdroj:	Journal of infection and public health [J Infect Public Health] 2024 Oct; Vol. 17 (10), pp. 102543. Date of Electronic Publication: 2024 Sep 12.
DOI:	10.1016/j.jiph.2024.102543
Abstrakt:	Background: In Brazil, despite the increase in coverage and access to rapid testing for syphilis in primary health care, no reduction in cases of syphilis and congenital syphilis was observed. Poor and low-educated populations are disproportionately affected by infection caused by T. pallidum. This study aims to estimate the prevalence of syphilis and associated factors among people aged 18 to 49 years old in the city of Belém, brazilian amazon. Methods: Observational, cross-sectional study carried out in a sanitary administrative district of a capital of the Brazilian Amazon, Belém, state of Pará, Brazil. Data collection was conducted from August 2021 to February 2022. The participantes consisted of residents of the Montese, Guamá and Condor neighborhoods. People aged 18 to 49 years were included. This variable was treated as dichotomous (reagent and non-reagent). The selected response event was 'reagent result'. The independent variables were the social factors and access to health services. To identify associated factors with the presence of markers of the bacteria studied, multiple logistic rules were performed. Results: 178 people participated in the study; the median age was 35.0 years. The prevalence of IgG and/or IgM antibodies against T. pallidum was 7 % (13). In the final regression model, it was observed that participants who had sexual intercourse after using alcohol and drugs and those who did not know about the prevention of sexually transmitted infections were five times more likely to have tested positive for T. pallidum. Conclusions: Aspects of individual vulnerability and access to health services must be managed to reduce the exposure of poor urban populations to T. pallidum. Competing Interests: Declaration of Competing Interest The authors declare that they have no known competing financial interests or personal relationships that could have appeared to influence the work reported in this paper. (Copyright © 2024 The Author(s). Published by Elsevier Ltd.. All rights reserved.)
Databáze:	MEDLINE
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