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The vulnerability of Brazilian female prisoners to HIV infection.
Strazza, L; Azevedo, R S; Carvalho, H B; Massad, E.
Afiliação
  • Strazza L; Laboratório de Investigação Médica, LIM-01, Hospital das Clínicas, Universidade de São Paulo, Sao Paulo, SP, Brazil. strazza@usp.br
Braz J Med Biol Res ; 37(5): 771-6, 2004 May.
Article em En | MEDLINE | ID: mdl-15107941
The purpose of the present study was to determine the vulnerability of women in prison to HIV infection. The study was carried out from August to October 2000 in a São Paulo State Penitentiary, where 299 female prisoners were serving time. We interviewed and obtained a blood sample from 290 females who agreed to enter the study. Sera were tested for the presence of antibodies to HIV, hepatitis C virus (HCV) and syphilis and the odds ratio (OR) was calculated for variables related to HIV positivity on the basis of a questionnaire. The overall prevalence data were: 13.9% for HIV (37 of 267), 22.8% for syphilis (66 of 290), and 16.2% for HCV (47 of 290). Sexual partnership variables were significantly related to HIV infection. These included HIV-positive partners (OR = 7.36, P = 0.0001), casual partners (OR = 8.96, P = 0.009), injectable drug user partners (OR = 4.7, P = 0.0001), and history of sexually transmitted disease (OR = 2.07, P = 0.05). In addition, a relationship was detected between HIV infection and drug use (OR = 2.48, P = 0.04) and injectable drug use (OR = 4.2, P = 0.002). Even women with only one partner presented a significant OR for HIV infection (OR = 2.57, P = 0.009), reflecting their vulnerability due to their trust in their partner, who did not use a condom. Although the use of injectable substances is associated with HIV infection, our results point to sexual behavior as the most important component of HIV transmission in the female prisoner population.
Assuntos
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Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Prisioneiros / Infecções por HIV Tipo de estudo: Diagnostic_studies / Etiology_studies / Risk_factors_studies Limite: Female / Humans / Male País/Região como assunto: America do sul / Brasil Idioma: En Revista: Braz J Med Biol Res Ano de publicação: 2004 Tipo de documento: Article País de afiliação: Brasil País de publicação: Brasil
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Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Prisioneiros / Infecções por HIV Tipo de estudo: Diagnostic_studies / Etiology_studies / Risk_factors_studies Limite: Female / Humans / Male País/Região como assunto: America do sul / Brasil Idioma: En Revista: Braz J Med Biol Res Ano de publicação: 2004 Tipo de documento: Article País de afiliação: Brasil País de publicação: Brasil