Mobility restrictions during the COVID-19 pandemic and reduced outpatient HIV and syphilis testing in Brazil

Seara-Morais, Gabriel J.; Pousada, Bruna F.; Escaleira, Fábio F.; Doi, André Mario; Welter, Eliane Aparecida Rosseto; Avelino‐Silva, Vivian Iida

doi:10.1016/j.bjid.2023.102771

Cited by 4 publications

(2 citation statements)

References 13 publications

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“…In 2022, 213,129 cases of acquired syphilis were reported (99,2 cases/100,000 inhabitants). The infection is also more prevalent in men and people with low education [ 2 , 3 ].…”

Section: Introductionmentioning

confidence: 99%

Social and individual vulnerability factors associated with syphilis among populations living on islands in the Brazilian Amazon

Pinho,

da Silva Galvão,

Ramos

et al. 2024

BMC Infect Dis

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Background The repercussions of the syphilis epidemic differ according to populations. Identifying and acknowledging the differences and specificities of populations is fundamental in the design and implementation of policies aimed at assisting the groups most vulnerable to syphilis. Objective To estimate the prevalence of antibodies against Treponema pallidum and associated vulnerability factors among riverside populations of a capital city in the Brazilian Amazon. Methods Cross-sectional study was conducted among residents of the periurban islands in Belém, northern Brazil, from August 2020 to January 2021. The inclusion criterion was being a resident of the riverside communities of the Combú Environmental Protection Area, aged 18 years or over. The participants responded to questionnaire and were tested for syphilis using rapid test. Data were analyzed using multiple logistic regression by Minitab version 20® software. Results Overall, a total of 325 riverine were included. Age varied from 18 to 91 years (average 40 years). Prevalence of markers for syphilis was 5.9% (95% CI: 3.3%-8.4%). The multiple regression showed that as age increases, the chances of having syphilis also increase (p = 0.001; aOR: 1.04) and riverside dwellers with more than one sexual partner in the last 6 months had more than four chances of having syphilis compared to people who had only one sexual partner (p = 0.007; aOR: 4.20). Conclusion Syphilis circulates among traditional populations in the Amazon and is associated with factors of social and individual vulnerability.

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“…In 2022, 213,129 cases of acquired syphilis were reported (99,2 cases/100,000 inhabitants). The infection is also more prevalent in men and people with low education [ 2 , 3 ].…”

Section: Introductionmentioning

confidence: 99%

Social and individual vulnerability factors associated with syphilis among populations living on islands in the Brazilian Amazon

Pinho,

da Silva Galvão,

Ramos

et al. 2024

BMC Infect Dis

View full text Add to dashboard Cite

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“…Europe accounts for only 0.3% of the global burden of congenital syphilis, and from 2012 to 2016, the number of cases there decreased from an estimated 3,400 to 2,200 cases (a decrease from 30 to 19 cases per 100,000 live births) ( 10 ). Additionally, the impact of the COVID-19 pandemic in 2019 on global syphilis is still uncertain, but reduced funding, changes in outpatient environments, travel restrictions, and decreased capacity for sexual health projects may lead to a sharp increase in syphilis cases in the coming years ( 12 , 13 ).…”

Section: Introductionmentioning

confidence: 99%

Adverse pregnancy outcomes and associated risk factors among pregnant women with syphilis during 2013–2018 in Hunan, China

et al. 2023

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ObjectiveTo investigate the adverse pregnancy outcomes and associated risk factors among pregnant women with syphilis.DesignPregnant women with syphilis in the registry for the prevention of mother-to-child transmission of AIDS, syphilis and hepatitis B in Hunan Province, China, from January 1, 2013 to December 31, 2018 were included in the study.ResultsAmong the 14,219 pregnant women with syphilis, 11,346 had definite pregnancy outcomes and were in singleton pregnancy. The risk factors related to adverse pregnancy outcomes include the age of pregnant women with syphilis <20 years old (aOR = 1.274, 95% CI: 1.088–1.493) or ≥ 35 years old (aOR = 1.402, 95% CI: 1.167–1.686), not married (aOR = 1.855, 95% CI: 1.453–2.367), initial syphilis detection in the late pregnancy (aOR = 1.266, 95% CI: 1.032–1.555), diagnosis of syphilis in the late pregnancy (aOR = 5.806, 95% CI: 1.796–18.770), diagnosis of syphilis during labor (aOR = 4.102, 95% CI: 1.263–13.330), husband/sexual partner infected with syphilis (aOR = 1.222, 95% CI: 1.068–1.398), untreated (aOR = 6.756, 95% CI: 5.586–8.197), and nonstandard medication (aOR = 3.300, 95% CI: 2.841–3.846).ConclusionThe prevalence of adverse pregnancy outcomes among pregnant women with syphilis in Hunan Province, China from 2013 to 2018 was relatively high. The adverse pregnancy outcomes associated with syphilis could be reduced by early detection and standard treatment of syphilis for pregnant women and their husbands/sexual partners.

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Impact of COVID-19 Pandemic on HIV Testing, Recent Infections, and Annualized Incidence Among Cisgender Men Who Have Sex With Men and Transgender Women in Brazil

Jalil,

Teixeira,

Coutinho

et al. 2024

JAIDS Journal of Acquired Immune Deficiency Syndromes

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Background: The Covid-19 pandemic had great impact on HIV care and prevention worldwide, including in Brazil. We compared HIV testing, recent infection, and annualized incidence according to Covid-19 pandemic period among men who have sex with men (MSM) and transgender women (TGW). Setting: HIV/STI testing, prevention and treatment referral service in Rio de Janeiro, Brazil Methods: We used Maxim HIV-1 Limiting Antigen Avidity EIA as part of recent infection testing algorithm to identify recent HIV infections and estimate annualized HIV incidences in pre- (March/2018-February/2020) and post-Covid-19 pandemic onset period (March/2020-January 2022). Multivariable logistic regression model assessed factors associated with recent HIV infection. Results: Among 4590 MSM and TGW, 593 (12.9%) tested positive for HIV and 119 (2.6%) were identified as having recent infection. Percentage of recent HIV infection did not differ between Covid-19 periods. Overall annualized HIV incidence rates were 6.0% (95%CI:4.2-7.7) and 6.6% (95%CI:4.3-9.0) in pre- and post-Covid-19 periods, respectively. During the post-Covid-19 period, higher incidence rates were observed among TGW (8.4%[95%CI:2.9-13.9]), those aged 18-24 years (7.8%[ 95%CI:4.0-11.7]), Black race (7.9%[95%CI:3.8-12.0]), and with <12 years of schooling (7.8%[95%CI:4.8-10.8]). Incidence rates were significantly higher in the post-Covid-19 period for those aged>30 years and TGW, and lower for those with more years of schooling. Conclusion: HIV incidence estimates remain high among MSM and TGW in Brazil, especially among the most vulnerable. The consequences of the Covid-19 pandemic on the HIV epidemic will likely persist and contribute to worsening HIV outcomes.

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Mobility restrictions during the COVID-19 pandemic and reduced outpatient HIV and syphilis testing in Brazil

Cited by 4 publications

References 13 publications

Social and individual vulnerability factors associated with syphilis among populations living on islands in the Brazilian Amazon

Social and individual vulnerability factors associated with syphilis among populations living on islands in the Brazilian Amazon

Adverse pregnancy outcomes and associated risk factors among pregnant women with syphilis during 2013–2018 in Hunan, China

Impact of COVID-19 Pandemic on HIV Testing, Recent Infections, and Annualized Incidence Among Cisgender Men Who Have Sex With Men and Transgender Women in Brazil

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