Author | Ferreira-Júnior, Orlando da Costa | |
Author | Guimarães, Mark Drew Crosland | |
Author | Damacena, Giseli Nogueira | |
Author | Almeida, Wanessa da Silva de | |
Author | Souza-Júnior, Paulo Roberto Borges de | |
Author | Szwarcwald, Célia Landmann | |
Access date | 2023-09-29T12:42:59Z | |
Available date | 2023-09-29T12:42:59Z | |
Document date | 2018 | |
Citation | FERREIRA-JÚNIOR, Orlando da Costa et al. Prevalence estimates of HIV, syphilis, hepatitis B and C among female sex workers (FSW) in Brazil, 2016. Medicine, v. 97, suppl. 1, n. 1S, p. 1-6, 2018. | en_US |
ISSN | 1536-5964 | en_US |
URI | https://www.arca.fiocruz.br/handle/icict/60594 | |
Description | Brazilian FSW Group: Celia Landmann, Szwarcwald, Paulo Roberto Borges de Souza Junior, Orlando C. Ferreira Jr., Giseli Nogueira Damacena, Neide Gravato da Silva, Rita Bacuri, Helena Brigido, Hermelinda Maia Macena, Ana Brito, Inês Dourado, Mark Drew Crosland Guimarães, Wanessa da Silva de Almeida, Alexandre Grangeiro, Carla Luppi, Karin Regina Luhm, Isete Maria Stella, Adriana Varela Espinola, Tânia Varela, and Francisca Sueli da Silva. | |
Sponsorship | Funding financial support for this study was provided by the Brazilian Ministry of Health, through its Secretariat for Health Surveillance and its Department of Prevention, Surveillance and Control of Sexually Transmitted Infections, HIV/AIDS and Viral Hepatitis through a grant number: LN7901-BR. | |
Language | eng | en_US |
Publisher | Wolters Kluwer Health | en_US |
Rights | open access | en_US |
Title | Prevalence estimates of HIV, syphilis, hepatitis B and C among female sex workers (FSW) in Brazil, 2016 | en_US |
Type | Article | |
DOI | 10.1097/MD.0000000000009218 | |
Abstract | Background: Female sex workers (FSW) bear a high burden of sexually transmitted infections (STI). In this paper, we estimate the prevalence of human immunodeficiency virus (HIV), HBV = hepatitis B virus (HBV), HCV = hepatitis C virus (HCV), syphilis and coinfections in the second Biological and Behavioral Surveillance Survey among FSW in Brazil. Method: The survey was conducted in 12 Brazilian cities from July to November 2016. We used respondent-driven sampling (RDS) to recruit 350 FSW in each city. Rapid tests were used for screening HIV, syphilis, HCV, and HBV. Confirmatory tests were performed on all samples with reactive rapid test result. All testing algorithms and interpretations were done according to the recommendations of the Department of STI/AIDS and viral hepatitis, Ministry of Health. The STI diagnoses were given by: confirmed HIV infection by a positive result on Western blot; active syphilis infection, defined by a RPR titer equal or greater than 1/8; viremia period of HBV and HCV infections, characterized by a detectable (or quantifiable) viral load. Prevalence estimates and standard errors were calculated using statistical procedures suitable for data collected by RDS. Results:Excluding the seeds, 4245 FSW were enrolled. Prevalence estimates were: HIV 5.3% (95% CI: 4.4%–6.2%); active syphilis 8.5% (95% CI: 7.3%–9.7%); HBV 0.4% (95% CI: 0.2%–0.7%); and, HCV 0.9% (95% CI: 0.6%–1.3%). Among the 4154 FSW tested for the 4 infections, 13.3%; (95% CI 12.0%–14.8%) were diagnosed with at least one of the infections, of which 87.6% (95% CI: 83.3%–90.9%) had single infections. The prevalence of HIV/syphilis co-infection was 1.09% (95% CI: 0.7%– 1.6%) and of HIV/HCV or HBV infections was 0.4% (95% CI: 0.2%–0.7%). Conclusions:Our results reveal the need to conduct more studies to estimate the prevalence of STI and co-infections among FSW in Brazil. Longitudinal trends in the prevalence estimates of HIV and other STI provide information to monitor changes in this high-risk population. Additionally, the study highlights the importance of measuring the hepatitis burden among FSW living with HIV, and the need of including FSW in all aspects of STI prevention, care, and treatment programs. | en_US |
Affilliation | Federal University of Rio de Janeiro. Institute of Biology. Rio de janeiro, RJ, Brazil. | en_US |
Affilliation | Federal University of Minas Gerais. Belo Horizonte, MG, Brazil. | en_US |
Affilliation | Fundação Oswaldo Cruz. Instituto de Comunicação e Informação Científica e Tecnológica em Saúde. Laboratório de Informação em Saúde. Rio de Janeiro, RJ, Brasil. | en_US |
Affilliation | Fundação Oswaldo Cruz. Instituto de Comunicação e Informação Científica e Tecnológica em Saúde. Laboratório de Informação em Saúde. Rio de Janeiro, RJ, Brasil. | en_US |
Affilliation | Fundação Oswaldo Cruz. Instituto de Comunicação e Informação Científica e Tecnológica em Saúde. Laboratório de Informação em Saúde. Rio de Janeiro, RJ, Brasil. | en_US |
Affilliation | Fundação Oswaldo Cruz. Instituto de Comunicação e Informação Científica e Tecnológica em Saúde. Laboratório de Informação em Saúde. Rio de Janeiro, RJ, Brasil. | en_US |
Subject | Brazil | en_US |
Subject | Co-infections | en_US |
Subject | Female sex workers | en_US |
Subject | HBV | en_US |
Subject | HCV | en_US |
Subject | HIV | en_US |
Subject | Prevalence | en_US |
Subject | Respondent-driven sampling | en_US |
Subject | Syphilis | en_US |