Políticas públicas em infecções sexualmente transmissíveis no Brasil

Miranda, Angélica Espinosa; Freitas, Francisca Lidiane Sampaio; Passos, Mauro Romero Leal; Lopez, Miguel Angel Aragón; Pereira, Gérson Fernando Mendes

doi:10.1590/s1679-4974202100019.esp1

Cited by 37 publications

(38 citation statements)

References 16 publications

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“…Between 2008 and 2018, there was an increase of more than 62% in the AIDS detection rate among young people aged 15-24 years, and in 2018 the highest detection rate was 50.9 cases/100,000 inhabitants in young males, in the age group of 25-29 years 9 . The increased incidence of other STIs, such as chlamydia, gonorrhea, and syphilis, is also noteworthy 10 . A study that evaluated the trend of syphilis cases in the country between 2007 and 2017 showed a substantial increase in acquired syphilis (12.3 cases/100,000 to 81.4), syphilis in pregnant women (2.2 cases/1,000 live births to 16.9), and congenital syphilis (2.2 cases/thousand born children to 8.8), representing a crude growth rate of 561, 660, and 338%, respectively 21 .…”

Section: Discussionmentioning

confidence: 99%

“…The earlier occurrence of sexual initiation in men can be explained by social pressure, as it is considered a proof of masculinity and a gender differential 28 . Several studies have pointed to low education as a risk factor for risky sexual behaviors and practices 10,12,31,32 , which is possibly related to less access to information about the mechanisms of prevention and transmission of STIs. Additionally, studies have pointed to early sexual initiation as a predisposing factor to other risky sexual behaviors, such as multiple sexual partners and the practice of unprotected sex [28][29][30] .…”

Section: Discussionmentioning

confidence: 99%

“…Comparing AIDS detection rates between 2008 and 2018, there was an increase in young male populations between 15 and 19 years of age, which went from 3.7 to 6.0/100 thousand inhabitants; between 20 and 24 years from 18.4 to 35.8 /100 thousand inhabitants; and between 25 and 29 years from 41 to 50.9/100 thousand inhabitants 8 . Another example is the growing increase in syphilis detection rates in pregnant women and acquired syphilis 9,10 , which can be a sentinel event for the high rates of disease circulation in the general population. The same has been observed for other diseases such as chlamydia and gonorrhea 10 .…”

Section: Introductionmentioning

confidence: 99%

“…Another example is the growing increase in syphilis detection rates in pregnant women and acquired syphilis 9,10 , which can be a sentinel event for the high rates of disease circulation in the general population. The same has been observed for other diseases such as chlamydia and gonorrhea 10 .…”

Section: Introductionmentioning

confidence: 99%

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Sexual behaviors and condom use in the Brazilian population: analysis of the National Health Survey, 2019

Felisbino-Mendes

Araújo

Oliveira

et al. 2021

Rev. bras. epidemiol.

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Objective: The objective of this research was to describe the sexual behaviors and condom use in the Brazilian population. Methods: This is a cross-sectional, descriptive study, which used data from 88,531 individuals aged 18 years old or older, who answered the second edition of the National Health Survey carried out in 2019. Prevalence was estimated with the respective 95% confidence intervals for each sexual behavior indicator and condom use according to gender, age, race/skin color, educational level, and region of residence. Results: The majority of the Brazilian population has had sexual intercourse at some point in their lives (93.9%). Mean age of initiation was 17.3 years. Prevalence of consistent condom use was only 22.8%, being even lower among women (20.9%). Moreover, 59% of the population reported not having used a condom in the past 12 months, the main reason being trusting their partner (73.4%). The use of health services to obtain condoms was only 10.7%. It was observed that women, individuals with a higher age group, less education, and income had worse results in relation to the analyzed indicators, in addition to regional disparities. Conclusion: Low prevalence of condom use was observed in the Brazilian population. In addition, important socioeconomic and demographic disparities were observed, pointing out the need to revisit, strengthen and expand public policies in the sexual and reproductive health field in order to prevent risky sexual behaviors and promote condom use, including double protection.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Sexual behaviors and condom use in the Brazilian population: analysis of the National Health Survey, 2019

Felisbino-Mendes

Araújo

Oliveira

et al. 2021

Rev. bras. epidemiol.

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“…A sífilis é uma patologia infectocontagiosa, crônica, com manifestações cutâneas e sistêmicas considerava um grave problema de saúde pública mundial, principalmente nos países em desenvolvimento, sobretudo, pelas consequências sanitária, econômicas e sociais em decorrência aos desafios de prevenção, acesso aos serviços de saúde, diagnóstico precoce e tratamento oportuno, os quais inferem diretamente em um prognóstico inadequado (Brasil, 2020;Gonçalves et al, 2021;Miranda et al, 2021).…”

Section: Introductionunclassified

Perfil epidemiológico da Sífilis gestacional e sua influência na transmissão vertical no Município de Parnamirim-RN

Júnior

Chaves²,

Santos

et al. 2021

RSD

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Objetivo: Analisar o perfil epidemiológico dos casos de sífilis gestacional no Município de Parnamirim – RN e os fatores predispostos à incidência da sífilis congênita, no período de 2010 a 2019. Metodologia: Estudo observacional e descritivo dos indicadores: taxa de detecção/1000 nascidos vivos da sífilis gestacional e congênita; perfil em gestantes e a situação assistencial no Pré-Natal. Resultados: Foi observada oscilação dos casos durante o período, sendo a sífilis gestacional, com máxima de 11,7/1000 em 2018 e congênita, com 2,3/1.000 em 2019. Houve maior frequência na faixa etária de 20 a 29 anos totalizando 51%, de nível fundamental incompleto (39,4%), idade gestacional de diagnóstico no terceiro trimestre (44,1%) e classificação clínica para sífilis latente (53%). Ao modelo assistencial, foi frequente à realização do Pré-Natal, com máxima de 88,5%; ao período diagnóstico no parto e pós-parto (52,9%) e, quanto ao esquema de tratamento, 76% foram inadequados. Referente ao indicador de APS apresenta decréscimo durante o período, com 61,7% para cobertura de ESF e 72,5% para AB em 2019. Conclusão: Foi observado oscilação dos casos de sífilis, expondo lacunas no controle da doença, e falhas no modelo assistencial da Atenção Primária disposto no município, sobretudo, durante Pré-Natal, portanto, aumentando os riscos de transmissão vertical para sífilis.

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HIV in pregnant woman and children: Mother‐to‐child transmission of HIV in the Brazilian land border from 2010 to 2021

de Lannoy,

Fuentes,

Santos

et al. 2024

Intl J Gynecology & Obste

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ObjectiveThe aim of the present study was to analyze the profile and trends of HIV mother‐to‐child transmission (MTCT) in the Brazilian land border strip (LBS).MethodsThis was a quantitative, ecological, and cross‐sectional study using secondary data available in the information systems of the Brazilian Ministry of Health. All cases reported in the Notifiable Diseases Information System between 2010 and 2021 were studied.ResultsBetween 2010 and 2021, 275 children were born infected through MTCT, and 6076 pregnant women were living with HIV in the Brazilian LBS. HIV detection rates in pregnant women increased in all border arcs. The northern arc experienced the highest increase (19.6%), followed by the central arc (11.4%), and the southern arc (6.1%). Despite historically high detection rates, the southern arc exhibited the smallest increase. While MTCT rate decreased by 37.7% in the border area, the central arc showed no statistically significant reduction. In 2021, the average age of pregnant women was 26.2 years, 25.7% had up to 8 years of schooling, and 55.8% identified as non‐white. The majority (92.8%) received antenatal care, and 59.7% were diagnosed with HIV before prenatal care. The use of prophylactic antiretroviral therapy during prenatal care occurred in 69.6% of pregnant women, and infant prophylaxis was provided within first 24 h to 43.6% of live births.ConclusionThe results indicate progress in reducing MTCT cases in Brazilian LBS. Disparities in HIV detection rates may be influenced by differences in testing uptake, despite mandatory testing for all babies. It is crucial to continue implementing strategies to reach these women and ensure equitable access to healthcare services for MTCT prevention.

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Políticas públicas em infecções sexualmente transmissíveis no Brasil

Cited by 37 publications

References 16 publications

Sexual behaviors and condom use in the Brazilian population: analysis of the National Health Survey, 2019

Sexual behaviors and condom use in the Brazilian population: analysis of the National Health Survey, 2019

Perfil epidemiológico da Sífilis gestacional e sua influência na transmissão vertical no Município de Parnamirim-RN

HIV in pregnant woman and children: Mother‐to‐child transmission of HIV in the Brazilian land border from 2010 to 2021

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