Epidemiology and Health Evaluation Research Group, Universidade Federal de Minas Gerais (UFMG), Belo Horizonte, MG, Brazil; FHEMIG - Hospital Eduardo de Menezes, Belo Horizonte, MG, Brazil.
Epidemiology and Health Evaluation Research Group, Universidade Federal de Minas Gerais (UFMG), Belo Horizonte, MG, Brazil; Department of Preventive and Social Medicine, School of Medicine, UFMG, Belo Horizonte, MG, Brazil.
Braz J Infect Dis. 2014 Jan-Feb;18(1):13-20. doi: 10.1016/j.bjid.2013.04.004. Epub 2013 Aug 6.
Sexually transmitted diseases are still highly prevalent worldwide and represent an important public health problem. Psychiatric patients are at increased risk of sexually transmitted diseases but there are scarce published studies with representative data of this population. We sought to estimate the prevalence and correlates of self-reported sexually transmitted diseases among patients with mental illnesses under care in a national representative sample in Brazil (n=2145). More than one quarter of the sample (25.8%) reported a lifetime history of sexually transmitted disease. Multivariate analyses showed that patients with a lifetime sexually transmitted disease history were older, had history of homelessness, used more alcohol and illicit drugs, suffered violence, perceived themselves to be at greater risk for HIV and had high risk sexual behavioral: practised unprotected sex, started sexual life earlier, had more than ten sexual partners, exchanged money and/or drugs for sex and had a partner that refused to use condom. Our findings indicate a high prevalence of self-reported sexually transmitted diseases among psychiatric patients in Brazil, and emphasize the need for implementing sexually transmitted diseases prevention programs in psychiatric settings, including screening, treatment, and behavioral modification interventions.
性传播疾病在全球仍然高度流行，是一个重要的公共卫生问题。精神疾病患者感染性传播疾病的风险增加，但针对该人群的代表性研究数据很少。我们旨在评估巴西全国代表性样本中接受治疗的精神疾病患者中自我报告的性传播疾病的患病率和相关因素（n=2145）。超过四分之一的样本（25.8%）报告了一生中患有性传播疾病的病史。多变量分析表明，有性传播疾病病史的患者年龄较大，有过无家可归史，使用更多的酒精和非法药物，遭受过暴力，认为自己感染 HIV 的风险更大，并且有高风险性行为：未采取保护措施进行性行为、更早开始性生活、有超过十个性伴侣、用金钱和/或毒品换取性、伴侣拒绝使用避孕套。我们的研究结果表明，巴西精神疾病患者中自我报告的性传播疾病患病率较高，强调需要在精神科环境中实施性传播疾病预防计划，包括筛查、治疗和行为改变干预。
