Blandón-Buelvas Mario, Palacios-Moya Lucia, Berbesí-Fernández Dedsy
MB: Enf. M. Sc. Salud Pública, Universidad CES. Medellín, Colombia.
LP: Admon Salud, M. Sc. Salud Pública. Universidad CES. Medellín, Colombia.
Rev Salud Publica (Bogota). 2019 May 1;21(3):357-361. doi: 10.15446/rsap.V21n3.61039.
To identify the personal and sociodemographic factors associated with the syphilis infection in homeless people in Medellin city, 2016.
Quantitative, observational and cross-sectional study. it surveyed 145 homeless people between 18 and 59 years of age. The study included univariate and bivariate analysis, it used the chi square test, the prevalence ratio, confidence intervals of the 95% with level of significance less than 5%.
For the development of the study a survey and a serological test of syphilis were applied to 145 homeless people. The 64,1% were men, the average age was 42 years (de 9,5), the predominant social stratum was low (71%), the syphilis infection in homeless people was 27.6%. the people with greater risk to acquire syphilis infection were: women (IC=1,57-4,57), single people (0,71-2,80), bazuco consumers (IC=0,86-3,06) and people with previous diagnosis of syphilis (IC=1,81-4,68).
In the homeless people there is a higher than expected presence of syphilis. The women, single people, bazuco consumers and people with previous diagnosis of syphilis are the most predisposed individuals to acquire the infection. This situation suggests the need to increase and focus the health promotion actions. It suggests fomenting the induced demand to sexual and reproductive health services with a differential approach of the population, too.
确定2016年麦德林市无家可归者中与梅毒感染相关的个人及社会人口学因素。
定量、观察性横断面研究。对145名年龄在18至59岁之间的无家可归者进行了调查。该研究包括单变量和双变量分析,采用卡方检验、患病率比、95%置信区间,显著性水平小于5%。
为开展本研究,对145名无家可归者进行了一项调查和梅毒血清学检测。64.1%为男性,平均年龄为42岁(标准差9.5),主要社会阶层为低阶层(71%),无家可归者中的梅毒感染率为27.6%。感染梅毒风险较高的人群为:女性(置信区间=1.57 - 4.57)、单身者(0.71 - 2.80)、吸食bazuco者(置信区间=0.86 - 注:bazuco可能是某种毒品,此处无准确中文释义 3.06)以及既往诊断为梅毒者(置信区间=1.81 - 4.68)。
在无家可归者中,梅毒的存在高于预期。女性、单身者、吸食bazuco者以及既往诊断为梅毒者是最易感染的人群。这种情况表明需要加强并集中开展健康促进行动。这也表明还需采用针对不同人群的差异化方法,激发对性健康和生殖健康服务的需求。