2014年巴西圣保罗市性传播疾病和艾滋病参考中心报告的获得性梅毒病例中与艾滋病毒合并感染相关的因素。
Factors associated with HIV co-infection in cases of acquired syphilis reported in a Reference Center for Sexually Transmitted Diseases and AIDS in the municipality of São Paulo, Brazil, 2014.
作者信息
Luppi Carla Gianna, Gomes Solange Eduardo Chabu, Silva Roberto José Carvalho da, Ueno Amanda Miyako, Santos Anna Maria Kamimura Dos, Tayra Ângela, Takahashi Renata Ferreira
机构信息
Centro de Referência e Treinamento em DST/Aids, Secretaria de Estado da Saúde de São Paulo, São Paulo, SP, Brazil.
Escola de Enfermagem, Universidade de São Paulo, São Paulo, SP, Brazil.
出版信息
Epidemiol Serv Saude. 2018;27(1):e20171678. doi: 10.5123/s1679-49742018000100008. Epub 2018 Feb 15.
OBJECTIVE
to describe sociodemographic and behavioral characteristics and to identify factors associated with human immunodeficiency virus (HIV) co-infection in cases of acquired syphilis reported in a Reference Center for Sexually Transmitted Diseases (STD) and AIDS.
METHODS
cross-sectional study with secondary data from a Reference Center for STD and AIDS in the municipality of São Paulo, Brazil, in 2014; the Poisson regression was used to estimate prevalence ratios (PR) and 95% confidence intervals (95%CI).
RESULTS
648 cases of acquired syphilis were reported, and 98% were male; 88% were men who have sex with men (MSM) and 57% had HIV co-infection; male sex (PR=1.95; 95%CI 1.05;3.61) and MSM (PR=1.87; 95%CI 1.38;2.53) were factors independently associated with HIV co-infection.
CONCLUSION
there was a high prevalence of HIV co-infection in the service analyzed, disproportionately affecting MSM who were notified with acquired syphilis.
目的
描述社会人口学和行为特征，并确定在一家性传播疾病（STD）和艾滋病参考中心报告的后天梅毒病例中与人类免疫缺陷病毒（HIV）合并感染相关的因素。
方法
对巴西圣保罗市一家STD和艾滋病参考中心2014年的二手数据进行横断面研究；采用泊松回归估计患病率比（PR）和95%置信区间（95%CI）。
结果
报告了648例后天梅毒病例，98%为男性；88%为男男性行为者（MSM）且57%合并感染HIV；男性（PR=1.95；95%CI 1.05；3.61）和MSM（PR=1.87；95%CI 1.38；2.53）是与HIV合并感染独立相关的因素。
结论
在所分析的服务机构中，HIV合并感染的患病率很高，对被通报患有后天梅毒的MSM影响尤为严重。
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