艾滋病毒感染患者的流行病学数据以及关于感染率的教育的重要性。一项分析性横断面研究。

Epidemiological data on HIV-infected patients and the importance of education regarding the infection rate. An analytical cross-sectional study.

机构信息

MD. Physician, Internal Medicine, Faculdade de Ciências Médicas e da Saúde de Juiz de Fora (SUPREMA), Juiz de Fora (MG), Brazil; and Undergraduate Student, Physics, Universidade Federal de Juiz de Fora (UFJF), Juiz de Fora (MG), Brazil.

Undergraduate Student, Medicine, Universidade Federal de Juiz de Fora (UFJF), Juiz de Fora (MG), Brazil.

出版信息

Sao Paulo Med J. 2022 Mar-Apr;140(2):278-283. doi: 10.1590/1516-3180.2021.0368.R1.23072021.

DOI:10.1590/1516-3180.2021.0368.R1.23072021

PMID:35137908

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9610240/

Abstract

BACKGROUND

Sexually transmitted diseases (STIs) are an important public health problem in all countries. Knowledge of their relationship with the various socioeconomic levels is necessary for an understanding of their epidemiology and behavior in society.

OBJECTIVE

To investigate the epidemiology of human immunodeficiency virus (HIV)-positive patients and to correlate education with history of sexually transmitted diseases, especially for syphilis.

DESIGN AND SETTING

Analytical cross-sectional study carried out in the city of Juiz de Fora, Minas Gerais, Brazil.

METHODS

The medical records of HIV/acquired immunodeficiency syndrome (AIDS) patients who started antiretroviral therapy (ART) between January 2010 and July 2018 were assessed. These patients were attended at the specialized assistance service for HIV/AIDS) of the Department of Sexually Transmitted Diseases (STD/AIDS) of the city of Juiz de Fora. In total, 335 patients were selected.

RESULTS

In our sample, 73.13% were male; 57.36% were aged between 25 and 45 years and 24.23% were over 45 years of age. Regarding sexual orientation, 61.78% were homosexual. Regarding education, 52.88% had "unskilled education", while 47.12% had "qualified education". Analysis on the relationship between schooling and syphilis, a positive relationship between qualified schooling and syphilis was observed: odds ratio = 3.588; 95% confidence interval: 1.090-11.808.

CONCLUSION

Homosexual male patients are most affected by HIV. Furthermore, this disease is not limited only to individuals with low education. Syphilis should be suspected in all individuals.

摘要

背景

性传播疾病（STIs）是所有国家的一个重要公共卫生问题。了解它们与各种社会经济水平的关系，对于理解它们在社会中的流行病学和行为是必要的。

目的

调查人类免疫缺陷病毒（HIV）阳性患者的流行病学，并将教育与性传播疾病史相关联，特别是梅毒。

设计和设置

在巴西米纳斯吉拉斯州茹伊斯-迪福拉市进行的分析性横断面研究。

方法

评估了 2010 年 1 月至 2018 年 7 月期间开始接受抗逆转录病毒治疗（ART）的 HIV/获得性免疫缺陷综合征（AIDS）患者的病历。这些患者在茹伊斯-迪福拉市性传播疾病（STD/AIDS）科的专门艾滋病毒/艾滋病援助服务处接受治疗。总共选择了 335 名患者。

结果

在我们的样本中，73.13%是男性；57.36%年龄在 25 至 45 岁之间，24.23%年龄超过 45 岁。关于性取向，61.78%是同性恋。关于教育程度，52.88%的人受过“非熟练教育”，而 47.12%的人受过“合格教育”。对教育程度与梅毒之间的关系进行分析，发现合格教育程度与梅毒呈正相关：优势比=3.588；95%置信区间：1.090-11.808。