Risk factors associated with syphilis among patients at a sexual health center in Brazil: A retrospective study

IF 3 4区医学 Q2 INFECTIOUS DISEASES

Brazilian Journal of Infectious Diseases Pub Date : 2025-06-28 DOI:10.1016/j.bjid.2025.104558

Cristhiane Campos Marques , Fabiana Nunes de Carvalho Mariz , Thaisa Campos Marques , Juliana Tessari Dias Rohr , Berenice Moreira , Paula Beatriz Santiago , Nathália Araujo Varela da Costa , Juliana Marques de Oliveira , Otávio Toledo Nóbrega , Carla Nunes de Araújo

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引用次数: 0

Abstract

Syphilis has reemerged worldwide, and knowledge about at-risk populations can assist in disease prevention and control. This study aimed to estimate the prevalence of syphilis among attendees at a Brazilian sexual health center and explore the association between sociodemographic and sexual behavioral factors with syphilis infection. A cross-sectional study was conducted at a Counselling and Testing Center (CTC) in Goiás, Brazil. We collected data from January to December 2018 to conduct a population-based study. Of 3526 patient records included in the analysis, 344 (9.8 %) belonged to participants who had syphilis, mainly at the age of 20 to 39 years old (63.1 %, p = 0.0683) and not married (62.1 %, p = 0.0042). Individuals who reported having homosexual relationships (Odds Ratio [OR = 2.93], p < 0.0001), previous sexually transmitted infections (OR = 2.36, p < 0.0001), and use of drugs (OR = 1.29, p < 0.0001) were more frequently diagnosed with the disease. Among patients with syphilis, MSM had a higher HIV co-infection rate (OR = 2.37, p = 0.0195) and also higher co-infection rates with other previous STIs (OR = 2.84, p = 0.00883). A high prevalence of syphilis among patients who attended the CTC in Goiás was revealed. Effective control of syphilis among populations at higher risk needs to be addressed to achieve disease control in Brazil.

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巴西性健康中心患者中与梅毒相关的危险因素：一项回顾性研究

梅毒在世界范围内重新出现，对高危人群的了解有助于疾病的预防和控制。本研究旨在估计巴西性健康中心参与者中梅毒的患病率，并探讨社会人口统计学和性行为因素与梅毒感染之间的关系。在巴西Goiás的咨询和测试中心（CTC）进行了一项横断面研究。我们收集了2018年1月至12月的数据，进行了一项基于人群的研究。在纳入分析的3526例患者记录中，344例（9.8%）属于梅毒患者，主要是20至39岁（63.1%,p = 0.0683）和未婚（62.1%,p = 0.0042）。报告有同性恋关系的个体(优势比[OR = 2.93], p <；0.0001)，既往性传播感染(OR = 2.36, p <；0.0001)和药物使用(OR = 1.29, p <；0.0001)更常被诊断为该疾病。梅毒患者中，男男性行为者HIV合并感染率较高（OR = 2.37, p = 0.0195），与其他性传播感染合并感染率较高（OR = 2.84, p = 0.00883）。在Goiás参加CTC的患者中发现了梅毒的高患病率。为在巴西实现疾病控制，需要在高风险人群中有效控制梅毒。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Brazilian Journal of Infectious Diseases 医学-传染病学

CiteScore

5.50

自引率

0.00%

发文量

925

审稿时长

41 days

期刊介绍： The Brazilian Journal of Infectious Diseases is the official publication of the Brazilian Society of Infectious Diseases (SBI). It aims to publish relevant articles in the broadest sense on all aspects of microbiology, infectious diseases and immune response to infectious agents. The BJID is a bimonthly publication and one of the most influential journals in its field in Brazil and Latin America with a high impact factor, since its inception it has garnered a growing share of the publishing market.