Universidade Federal da Paraíba, Programa de Pós-Graduação em Enfermagem, João Pessoa, PB, Brazil.
Universidade Federal de Campina Grande, Centro de Educação e Saúde, Cuité, PB, Brazil.
Rev Esc Enferm USP. 2022 Jan 7;56:e20210258. doi: 10.1590/1980-220X-REEUSP-2021-0258. eCollection 2022.
To estimate the prevalence of syphilis and associated factors in riverine communities.
This is a cross-sectional and analytical study carried out with 250 riverside dwellers living in five communities in the city of João Pessoa, state of Paraíba. Data were collected through interviews and rapid screening tests to investigate syphilis. Bivariate, logistic regression and weight of evidence analysis were performed to identify the association between risk factors and behavior variables and rapid test positivity.
he prevalence of syphilis was 11.6% (95%CI: 7.5-15.6). Riverside dwellers who have a previous history of Sexually Transmitted Infection (OR 8.00; 95%CI: 2.76-23.2), history of imprisonment (OR 7.39; 95%CI: 1.61-33.7) and who reported having more than two sexual partners in the last 12 months (OR 4.31; 95%CI: 1.55-11.9) were more likely to be positive for syphilis.
High prevalence of syphilis among riverside dwellers and the presence of behavioral factors that increase vulnerability to acquiring the infection. The need to invest in preventive and screening strategies for syphilis in populations considered vulnerable is highlighted.
估计河流社区梅毒的患病率及相关因素。
这是一项横断面分析研究，共纳入了居住在帕拉伊巴州若昂佩索阿市 5 个社区的 250 名河边居民。通过访谈和快速筛查试验收集数据，以调查梅毒情况。采用双变量、逻辑回归和证据权重分析，以确定危险因素和行为变量与快速检测阳性之间的关联。
梅毒的患病率为 11.6%（95%CI：7.5-15.6）。有性传播感染既往史（OR 8.00；95%CI：2.76-23.2）、有监禁史（OR 7.39；95%CI：1.61-33.7）和报告在过去 12 个月中有超过 2 个性伴侣的河边居民更有可能梅毒检测呈阳性（OR 4.31；95%CI：1.55-11.9）。
河边居民梅毒患病率较高，且存在增加感染易感性的行为因素。强调需要为被认为处于弱势地位的人群投资开展梅毒预防和筛查策略。
