巴西女性囚犯中的梅毒检测：一项全国性横断面调查的结果。
Syphilis Testing Among Female Prisoners in Brazil: Results of a National Cross-sectional Survey.
机构信息
Rosane da Silva Santana, RN, MS (Adult and Child Health), is a PhD Student, Department of Community Health, Federal University of Ceará, Fortaleza, Ceará, Brazil. Ligia Kerr, MD, PhD, is a Professor, Department of Community Health, Federal University of Ceará, Fortaleza, Ceará, Brazil. Rosa Maria Salani Mota, MD, PhD, is a Professor, Department of Statistics and Applied Mathematics, Federal University of Ceará, Fortaleza, Ceará, Brazil. Carl Kendall, PhD, is a Professor, Department of Global Community Health and Behavioral Sciences, Tulane University, New Orleans, Louisiana, USA. Roberto da Justa Neto, MD, PhD, is an Associate Professor, Department of Physiotherapy, Federal University of Ceará, Fortaleza, Ceará, Brazil. Hermelinda Maia Macena, RN, PhD, is a Professor, Department of Nursing, Federal University of Ceará, Fortaleza, Ceará, Brazil. David Seal, PhD, is a Professor, Department of Global Community Health and Behavioral Sciences, Tulane University, New Orleans, Louisiana, USA. Alvaro Francisco Lopes Sousa, RN, PhD, is a Postdoctoral Fellow, Escola de Enfermagem de Ribeirão Preto, Universidade de São Paulo, São Paulo, Brazil, and Research in Global Health and Tropical Medicine (GHMT), Instituto de Higiene e Medicina Tropical, Lisboa, Portugal. Willi McFarland, MD, PhD, is a Professor, Global Health Sciences, University of California, San Francisco, USA.
出版信息
J Assoc Nurses AIDS Care. 2021;32(2):140-150. doi: 10.1097/JNC.0000000000000203.
Brazil has the third largest prison population in the world and is also experiencing a high and rising rate of syphilis infection. To establish the gaps in syphilis testing, we examined data from a nationally representative sample of incarcerated women in Brazil. Data originated from a cross-sectional survey designed to represent all regions of Brazil (N = 1,327). Data were collected by Audio Computer-Assisted Self-Interview, including variables in several blocks or domains. 49.2% had a lifetime history of being tested for syphilis. Increased likelihood of syphilis testing was significantly associated with completed elementary education (odds ratio ajustado [AOR] 1.75, 95% confidence interval [CI] 1.28-2.40), completed high school or more (AOR 2.04, 95% CI 1.36-3.06), income below minimum wage (AOR 1.46, 95% CI 1.10-1.94), homelessness (AOR 1.83, 95% CI 1.21-2.76), having heard of the female condom (AOR 1.92, 95% CI 1.25-2.95), received a condom in prison (AOR 1.56, 95% CI 1.11-2.21) or in public health services (AOR 1.50, 95% CI 1.13-1.98), lifetime history of pregnancy (AOR 2.55, 95% CI 1.67-3.89), had a gynecological examination (AOR 1.73, 95% CI 1.05-2.83), and perceived they had some chance (AOR 1.61, 95% CI 1.17-2.20) or a big chance (AOR 1.89, 95% CI 1.31-2.73) that they were likely to have been infected with HIV before entering prison.
巴西是世界上第三大监狱人口大国，同时也面临着梅毒感染率高且不断上升的问题。为了确定梅毒检测中的差距，我们研究了巴西全国代表性的女性囚犯样本数据。这些数据来源于一项旨在代表巴西所有地区的横断面调查（N=1327）。数据通过音频计算机辅助自我访谈收集，包括几个模块或领域的变量。49.2%的人有过梅毒检测的终身史。梅毒检测的可能性增加与完成小学教育（调整优势比[aOR]1.75，95%置信区间[CI]1.28-2.40）、完成高中或以上教育（aOR 2.04，95%CI 1.36-3.06）、收入低于最低工资（aOR 1.46，95%CI 1.10-1.94）、无家可归（aOR 1.83，95%CI 1.21-2.76）、听说过女用避孕套（aOR 1.92，95%CI 1.25-2.95）、在监狱或公共卫生服务机构获得避孕套（aOR 1.56，95%CI 1.11-2.21）或在监狱或公共卫生服务机构获得避孕套（aOR 1.50，95%CI 1.13-1.98）、有过妊娠史（aOR 2.55，95%CI 1.67-3.89）、接受过妇科检查（aOR 1.73，95%CI 1.05-2.83）以及认为自己有一定机会（aOR 1.61，95%CI 1.17-2.20）或很大机会（aOR 1.89，95%CI 1.31-2.73）在入狱前感染艾滋病毒的人显著相关。
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