Sexual behaviour and infection rates for HIV, blood-borne and sexually transmitted infections among patients attending drug treatment centres in Rio de Janeiro, Brazil

被引:26
|
作者
Bastos, FI [1 ]
Lowndes, CM [1 ]
Derrico, M [1 ]
Castello-Branco, LR [1 ]
Linhares-de-Carvalho, MI [1 ]
Oelemann, W [1 ]
Bernier, F [1 ]
Morgado, MG [1 ]
Yoshida, CF [1 ]
Rozental, T [1 ]
Alary, M [1 ]
机构
[1] Fundacao Oswaldo Cruz, CICT, DIS, Dept Informacoes Saude, BR-21045900 Rio De Janeiro, Brazil
关键词
drug users; HIV infection; sexually transmitted infections; viral hepatitis; drug treatment centres;
D O I
10.1258/0956462001916100
中图分类号
R392 [医学免疫学]; Q939.91 [免疫学];
学科分类号
100102 ;
摘要
A survey was carried out in 2 drug use treatment centres (TCs) in Rio de Janeiro, Brazil, to assess risk behaviours, HN infection and other sexually transmitted infections/blood-borne infections (STIs/BBIs). Two hundred and twenty-five drug users (195 males and 30 females) were interviewed and clinically examined, and their blood and urine were tested for STIs/BBIs. Prevalences (%) for these infections were as follows - HIV: 0.9, hepatitis B virus (HBV): 14.7, hepatitis C virus (HCV): 5.8, syphilis: 5.3, gonorrhoea/chlamydia (CT/NG): 4.7. In bivariate analyses CT/NG infection was associated with younger age (P=0.003); current genitourinary symptoms (odds ratio [OR]=6.2) and a mainly illegal source of income (OR=9.1). Hepatitis C infection was associated with a history of ever having injected any drug (OR=19.6), and with each one of the injected drugs. After multiple logistic regression, lower educational level (adjusted odds ratio [AOR]=3.70) and 'ever having injected drugs' (AOR=3.69) remained as independent risk factors for hepatitis B infection. In conclusion, TCs must implement programmes directed towards the prevention of STIs/BBIs.
引用
收藏
页码:383 / 392
页数:10
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