Human immunodeficiency virus infection and syphilis among homeless people in a large city of Central-Western Brazil: prevalence, risk factors, human immunodeficiency virus-1 genetic diversity, and drug resistance mutations

Pinheiro, Raquel Silva; Carvalho, Paulie Marcelly Ribeiro dos Santos; Matos, Marcos André de; Caetano, Karlla Antonieta Amorim; Paula, Andressa Cunha de; Carneiro, Megmar Aparecida dos Santos; Reis, Mônica Nogueira da Guarda; Martins, Regina Maria Bringel; Stefani, Mariane Martins de Araújo; Teles, Sheila Araújo

doi:10.1016/j.bjid.2020.11.001

Cited by 6 publications

(10 citation statements)

References 39 publications

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Section: Discussionsupporting

confidence: 91%

“…In agreement with previous published Brazilian data [11][12][13][14][15][16], the studied population is composed predominantly of single and heterosexual men, with an average age of 30 to 40 years old. However, a irst divergence observed in our study was ethnicity, which attributed a predominance of whites, in disparity of most studies found in the literature [11,13,14,[16][17][18][19]. This discrepancy is probably due to the ethnic diversity of the locations considered and the few samples of this population in some studies, such as a study about the Brazilian Midwest region [19], with 43 individuals, and another about the South region [18], with only ten.…”

Section: Discussionsupporting

confidence: 91%

“…Two other studies [20,21], showed a prevalence of incomplete elementary education, and a third 15 mentions only 'elementary education pro ile'. We found other research conducted in capital cities that addressed public shelters, with 342 [14] and 353 [16] individuals and also therapeutic communities involving 342 [14] and 481 [22,23] participants, who demonstrated an average stay of 5 to 9 years in elementary school, for half of them. These data expose the dif iculties faced by this group in accessing education.…”

Section: Discussionmentioning

confidence: 58%

“…In some cases, higher percentiles can be found, as shown by Farias, et al [20], who obtained an impressive rate of 92.5%. Many other national studies address this theme [11,14,15,20,22,23,25,26]. We emphasize that Sicari and Zanella, [24] discussed the role of substance use/abuse in the lives of this population, including as a reason to be on the street, although it is a mechanism for survival against the adversities suffered in this situation.…”

Section: Discussionmentioning

confidence: 91%

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Epidemiological profile of the homeless population assisted by voluntary initiative and the social impact on access to healthcare: an investigative study in Curitiba, Brazil

Gomes¹,

Passoni²,

Sirigatti³

et al. 2021

J Community Med Health Solut

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Objective: The study aimed to describe the epidemiological profile of the homeless population and report the social impact on healthcare services provided by a voluntary initiative during one-year of follow-up. Method: This is an investigational study, carried out in an important capital-city of southern Brazil, which included 509 individuals in 2019. Findings were divided into three segments: sociodemographic, substance use/abuse and impact on healthcare. Results: The sociodemographic profile found was predominantly male, white, single, heterosexual, educated in elementary or high school, in regular use of legal and/or illegal substances, and living as homeless for less than a year. The impact of assistance provided on the perception of individuals who returned in subsequent actions was evident. Conclusion: The significant increase in the number of homeless people in large urban centers can benefit from the support of non-profit organizations to address the deficiencies faced in accessing basic health services. Based on this, we seek to advance in the development of new policies that improve local healthcare for the vulnerable population, to be more assertive to their needs.

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Section: Discussionsupporting

confidence: 91%

Section: Discussionsupporting

confidence: 91%

Section: Discussionmentioning

confidence: 58%

Section: Discussionmentioning

confidence: 91%

See 2 more Smart Citations

Epidemiological profile of the homeless population assisted by voluntary initiative and the social impact on access to healthcare: an investigative study in Curitiba, Brazil

Gomes¹,

Passoni²,

Sirigatti³

et al. 2021

J Community Med Health Solut

View full text Add to dashboard Cite

show abstract

“…People in this vulnerable and isolated situation are particularly affected by health problems which are associated with higher rates of premature mortality [4][5][6][7]. Harsh living conditions, including the street and crowded shelters, increase the risk of infectious diseases like hepatitis C and HIV [8,9], respiratory infections, hepatitis B [10] or different skin infections (pediculosis, scabies) [11]. As a consequence of the ageing of the population, the number of elderly people who experience homelessness is also increasing in many developed countries, which has implications for the prevalence of age-related chronic diseases in the homeless population [2].…”

Section: Introductionmentioning

confidence: 99%

Health status and health behaviour of the Hungarian homeless people

et al. 2021

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Background Homelessness has risen recently in Europe, but there is lack of comprehensive health data on this population. Our aim was to characterize the health of the Hungarian homeless population. Methods We performed a health survey with 453 homeless individuals. The results were compared to the age and sex standardized data of the general Hungarian population and its lowest income quintile from the European Health Interview Survey 2014. The differences by the ETHOS classification within the homeless population were also studied. Results Significantly fewer homeless people reported good health status than in the general population or in its lowest income quintile (p< 0.001). Of the participants 70% had at least one chronic disease, only 41% of them visited a GP and 35% took medication in the previous 12 months. While 59% of the lowest income quintile and 50% of the general population had at least one chronic disease, almost all of them visited a physician and took medication. The highest prevalence of morbidity (80%) and multimorbidity (46%) was reported in the houseless group. The majority of the homeless people were current smokers, the prevalence was much higher than in the two reference populations (p< 0.001). The prevalence of heavy drinkers was the highest among the roofless participants (40%). Conclusions Homeless people have much poorer health and they utilize health services less than the most disadvantaged quintile of the general population. There is a clear social gradient within the homeless population, as well, which calls for integrated approaches for specific interventions to improve their health.

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Seroprevalence of Treponema pallidum infection in Brazilian indigenous people: a cross-sectional study

Barbosa,

Queiroz,

Schnaufer

et al. 2024

Sci Rep

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Indigenous communities in Brazil have a complex epidemiological profile, which increases their chances of contracting sexually transmitted diseases. However, limited data is available on Treponema pallidum infections in this population. We investigated the seroprevalence and risk factors associated with T. pallidum infection in an indigenous population of Dourados, Mato Grosso do Sul. Blood samples were collected from September 2017 to March 2020, and the participants were interviewed to obtain comprehensive data on demography and sexual behavior. Serological tests were performed to detect T. pallidum infection. Besides conducting descriptive analysis, we performed Chi-squared tests and determined the bivariate odds ratio. The data were also analyzed using logistic regression. Among the 2190 invited individuals, 1927 (88%) were included in this study. The seroprevalence of T. pallidum infection was 2.91%. The results of a multivariate analysis showed that individuals who were 30–39 years old, with up to 4 years of school education, living in households without piped water, with a history of genital lesions, multiple sexual partners, and having a history of STIs had the highest seroprevalence of T. pallidum. This study showed that behavioral, social, and economic factors play an important role in the transmission of T. pallidum within the indigenous population. Thus, targeted intervention, including imparting education in the native language, mass testing initiatives, and implementing public policies to improve socioeconomic indicators, is needed to reduce the cases of syphilis in this community.

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Human immunodeficiency virus infection and syphilis among homeless people in a large city of Central-Western Brazil: prevalence, risk factors, human immunodeficiency virus-1 genetic diversity, and drug resistance mutations

Cited by 6 publications

References 39 publications

Epidemiological profile of the homeless population assisted by voluntary initiative and the social impact on access to healthcare: an investigative study in Curitiba, Brazil

Epidemiological profile of the homeless population assisted by voluntary initiative and the social impact on access to healthcare: an investigative study in Curitiba, Brazil

Health status and health behaviour of the Hungarian homeless people

Seroprevalence of Treponema pallidum infection in Brazilian indigenous people: a cross-sectional study

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