HIV and infections of similar transmission patterns in a drug injectors community of Santos, Brazil

HIV and infections of similar transmission patterns in a drug injectors community of Santos, Brazil

Author Carvalho, Heráclito Barbosa de Google Scholar
Mesquita, Fábio Google Scholar
Massad, Eduardo Autor UNIFESP Google Scholar
Bueno, Regina Carvalho Google Scholar
Lopes, Giselda Turienzo Google Scholar
Ruiz, Milton Artur Autor UNIFESP Google Scholar
Burattini, Marcelo Nascimento Autor UNIFESP Google Scholar
Institution Universidade de São Paulo (USP)
IEPAS
SECRETARIA ESTADO SAUDE SAO PAULO
Universidade Federal de São Paulo (UNIFESP)
Abstract To study the prevalence of HIV and infections with related transmission patterns, we interviewed and obtained blood samples from 110 injecting drug users (IDUs), sampled by snowballing, from the city of Santos in the state of Sao Paulo, Brazil, where the estimated number of IDUs (10,000) comprises similar to 2% of the entire population. Seroprevalence of HIV, hepatitis B and C. syphilis, and HTLV (1 and 2) was assessed and compared with that in 197 blood donors from the same city, matched for age and gender. Risk behavior related to HIV was assessed by a standard questionnaire applied to the IDU sample. Univariate and multivariate analyses of the risk factors were performed. Seroprevalences found were 62% for HIV, 75% for HCV. 75% for HBV, 34% for syphilis, and 25% for HTLV (1 and 2) among IDUs, which compare with 0.0%, 2%, 23%, 12%, and 1% for blood donors, respectively. The risk for parenterally transmitted infections in this IDU community was higher than that for sexually transmitted infections (odds ratio for syphilis, 3.57; hepatitis B. 10.0: and hepatitis C, 100). The results of the multivariate risk analysis showed that daily rate of ID use >5 times/day (OR = 6.73), not changing behavior to avoid AIDS (OR = 3.28), ID use >15 days/month (OR = 2.72), and ID use in the last 2 months (OR = 2.23) were the risk behaviors significantly associated with HIV infection.
Keywords HIV
HTLV (1 and 2)
hepatitis B
hepatitis C
syphilis
injecting drug users
cocaine
Brazil
Language English
Date 1996-05-01
Published in Journal Of Acquired Immune Deficiency Syndromes And Human Retrovirology. Philadelphia: Lippincott-raven Publ, v. 12, n. 1, p. 84-92, 1996.
ISSN 1077-9450 (Sherpa/Romeo, impact factor)
Publisher Lippincott-raven Publ
Extent 84-92
Origin http://journals.lww.com/jaids/Fulltext/1996/05010/HIV_and_Infections_of_Similar_Transmission.12.aspx
Access rights Open access Open Access
Type Article
Web of Science ID WOS:A1996UK14600012
URI http://repositorio.unifesp.br/11600/44160

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