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Sexually transmitted bacterial infections among young women in Central Western Brazil.
de Lima, Yanna Andressa Ramos; Turchi, Marília Dalva; Fonseca, Zulmirene Cardoso; Garcia, Fernanda Lopes Brito; de Brito e Cardoso, Fernanda Alves; da Guarda Reis, Mônica Nogueira; de Britto Guimarães, Eleuse Machado; Alves, Rosane Ribeiro Figueiredo; Carvalho, Nígela Rodrigues; de Fátima Costa Alves, Maria.
Afiliação
  • de Lima YA; Institute of Tropical Pathology and Public Health, Federal University of Goiás, Rua 235, s/n, Setor Universitário, CEP 74605050, Goiânia, Goiás, Brazil. Electronic address: yanna.and@gmail.com.
  • Turchi MD; Institute of Tropical Pathology and Public Health, Federal University of Goiás, Rua 235, s/n, Setor Universitário, CEP 74605050, Goiânia, Goiás, Brazil.
  • Fonseca ZC; Institute of Tropical Pathology and Public Health, Federal University of Goiás, Rua 235, s/n, Setor Universitário, CEP 74605050, Goiânia, Goiás, Brazil.
  • Garcia FL; Institute of Tropical Pathology and Public Health, Federal University of Goiás, Rua 235, s/n, Setor Universitário, CEP 74605050, Goiânia, Goiás, Brazil.
  • de Brito e Cardoso FA; Institute of Tropical Pathology and Public Health, Federal University of Goiás, Rua 235, s/n, Setor Universitário, CEP 74605050, Goiânia, Goiás, Brazil.
  • da Guarda Reis MN; Institute of Tropical Pathology and Public Health, Federal University of Goiás, Rua 235, s/n, Setor Universitário, CEP 74605050, Goiânia, Goiás, Brazil.
  • de Britto Guimarães EM; Faculty of Medicine, Federal University of Goiás, Goiânia, Brazil.
  • Alves RR; Faculty of Medicine, Federal University of Goiás, Goiânia, Brazil.
  • Carvalho NR; Institute of Tropical Pathology and Public Health, Federal University of Goiás, Rua 235, s/n, Setor Universitário, CEP 74605050, Goiânia, Goiás, Brazil.
  • de Fátima Costa Alves M; Institute of Tropical Pathology and Public Health, Federal University of Goiás, Rua 235, s/n, Setor Universitário, CEP 74605050, Goiânia, Goiás, Brazil.
Int J Infect Dis ; 25: 16-21, 2014 Aug.
Article em En | MEDLINE | ID: mdl-24818991
BACKGROUND: Studies on sexually transmitted infections in Brazil are done mainly in large metropolises and screening is available for pregnant women only. We aimed to estimate the prevalence and risk factors for Chlamydia trachomatis, Neisseria gonorrhoeae, and Treponema pallidum infection among young non-pregnant women in non-clinical settings in middle-sized cities of Central Brazil. METHODS: A cross-sectional community-based sample of 1072 participants was included. Sexually active women (64.9%) provided first-catch urine samples for PCR investigation of chlamydial and gonococcal infection. Syphilis was tested in serum. Univariate analysis investigated risk factors for chlamydial infection. Multivariate logistic regression included associations with a p-value <0.20. RESULTS: The mean age of participants was 18 years; 73.2% reported unprotected intercourse, 37.6% were married/cohabiting, and 5% reported a previous STI. Prevalence rates of C. trachomatis, N. gonorrhoeae, and T. pallidum were 9.6% (95% confidence interval (CI) 7.4-12.4%), 0.7% (95% CI 0.2-1.9%), and 0.15% (95% CI 0.0-0.7%), respectively. After adjustments, being <20 years old (adjusted odds ratio (aOR) 1.90, 95% CI 1.07-3.37) and having three or more lifetime sexual partners (aOR 2.57, 95% CI 1.46-4.53) were associated with the risk for chlamydial infection. CONCLUSIONS: We observed a high prevalence of chlamydial infection and sexual risk behaviors in this population. These findings are important to guide screening strategies in Brazil.
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Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Doenças Bacterianas Sexualmente Transmissíveis Tipo de estudo: Etiology_studies / Observational_studies / Prevalence_studies / Risk_factors_studies / Screening_studies Limite: Adolescent / Adult / Female / Humans País/Região como assunto: America do sul / Brasil Idioma: En Revista: Int J Infect Dis Assunto da revista: DOENCAS TRANSMISSIVEIS Ano de publicação: 2014 Tipo de documento: Article País de publicação: Canadá

Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Doenças Bacterianas Sexualmente Transmissíveis Tipo de estudo: Etiology_studies / Observational_studies / Prevalence_studies / Risk_factors_studies / Screening_studies Limite: Adolescent / Adult / Female / Humans País/Região como assunto: America do sul / Brasil Idioma: En Revista: Int J Infect Dis Assunto da revista: DOENCAS TRANSMISSIVEIS Ano de publicação: 2014 Tipo de documento: Article País de publicação: Canadá