Factors associated with syphilis seroreactivity among polydrug users in Northeast Brazil: A cross-sectional study using Respondent Driven Sampling

dc.creatorBaptista, Cremildo João
dc.creatorDourado, Ines
dc.creatorBrignol, Sandra
dc.creatorAndrade, Tarcísio de Matos
dc.creatorBastos, Francisco Inácio
dc.date2023-06-23T13:09:37Z
dc.date2023-06-23T13:09:37Z
dc.date2017
dc.date.accessioned2023-09-26T23:23:47Z
dc.date.available2023-09-26T23:23:47Z
dc.identifierBAPTISTA, Cremildo João et al. Factors associated with syphilis seroreactivity among polydrug users in Northeast Brazil: A cross-sectional study using Respondent Driven Sampling. International Journal of Drug Policy, v. 39, p. 37-42, 2017.
dc.identifier0955-3959
dc.identifierhttps://www.arca.fiocruz.br/handle/icict/59144
dc.identifier10.1016/j.drugpo.2016.08.017
dc.identifier.urihttps://repositorioslatinoamericanos.uchile.cl/handle/2250/8890119
dc.descriptionThe burden of sexually transmitted infections (STIs), such as syphilis, is higher in lowincome countries, with serious consequences and profound impact on sexual and reproductive health and human immunodeficiency virus (HIV) spread. Syphilis prevalence tend to be higher among people who misuse drugs than in the general population. To assess syphilis and associated factors among polydrug users (PDU) in the city of Salvador, Northeast Brazil. A cross-sectional study was conducted in 10 Brazilian cities between September and November 2009 using Respondent Driven Sampling (RDS). Participants answered an Audio Computer-Assisted Self Interview (ACASI) and were rapid tested for HIV and syphilis. We performed multivariable regression models for correlates of syphilis on Stata 10.0. Estimates were weighted by the inverse size of the individual social network size and homophily. Mean age was 29.3 years (range: 18–62), 74.0% were males, and 89.8% were non-white. Syphilis prevalence was 16.6%. Females (adjwOR:2.14; 95%CI:1.09–4.20), individuals over 29 years old (adjwOR:4.44; 95%CI:2.41–8.19), those who exchanged sex for money or drugs (adjwOR:3.51; 95% CI:1.84–6.71), “No/low” self-perceived risk of HIV infection (adjwOR:5.13; 95%CI:1.36–19.37), and having nine or less years of education (adjwOR:2.92; 95%CI:1.08–7.88) were associated with syphilis. One of the most pressing needs for syphilis prevention/control is the availability of rapid point-of-care diagnostic tests and treatment. Interventions should be tailored to PDU needs and their multiple burdens as shown in the present study, that may contribute to future studies aiming to better understand the relationships between drug use and syphilis.
dc.formatapplication/pdf
dc.languageeng
dc.publisherElsevier
dc.rightsopen access
dc.subjectDrug use
dc.subjectSexual behaviour
dc.subjectSyphilis seroreactivity
dc.subjectRisk factors
dc.subjectHard-to-reach populations
dc.subjectBrazil
dc.titleFactors associated with syphilis seroreactivity among polydrug users in Northeast Brazil: A cross-sectional study using Respondent Driven Sampling
dc.typeArticle


Este ítem pertenece a la siguiente institución