Epidemiology and Risk Factors for Chlamydia trachomatis, Treponema pallidum,Hepatitis B Virus and Hepatitis C Virus in the Maraj? Archipelago, Brazilian Amazon

Journal of community medicine & health education Pub Date : 2019-01-01 DOI:10.4172/2161-0711.1000643

F. Gron, Freitas Fb, Queiroz Maf, Li Ss, Vallinoto Acr, de O Guimaraes Ishaka M, Ishak R

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引用次数: 6

Abstract

Background: The dynamics of hepatitis B virus, hepatitis C virus, Treponema pallidum and Chlamydia trachomatis infections were investigated in four municipalities of the Marajó Archipelago. Methods: Epidemiological characteristics and detection of specific antibodies were investigated in 1,208 resident persons. Persistence was defined by the presence of HBsAg and viral RNA. Results: Prevalence of antibodies was 30.9% (C. trachomatis), 8.9% (T. pallidum), 12.4% (anti-HBc/IgG) and 1.3% (anti-hepatitis C virus). Vaccination coverage for hepatitis B virus was 19.8%. C. trachomatis infection was significantly associated among women, 28 to 37 years old. T. pallidum was significantly associated with older age (>68 years), being separated or widowed and illiterate persons. hepatitis B virus was significantly associated with males, 48 to 57 years old and those with low educational level. Consumption of alcoholic beverages and use of illicit drugs were more likely to be infected with C. trachomatis. More than one sexual partner and absence of condoms during sexual intercourse were risk factors for T. pallidum infections. Discussion: The transmission of infections will only be interrupted by the consistent application of measures including health education, routine examination, immediate treatment and recognition of risk factors associated with infections. Conclusion: Severe infectious agents circulate in areas far from large urban centers where population have restricted access to healthcare providers.

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沙眼衣原体、梅毒螺旋体、乙型肝炎病毒和丙型肝炎病毒的流行病学及危险因素分析群岛，巴西亚马逊

背景:在Marajó群岛的四个城市调查了乙型肝炎病毒、丙型肝炎病毒、梅毒螺旋体和沙眼衣原体感染的动态。方法:对1208例常住人口进行流行病学特征和特异性抗体检测。持久性的定义是HBsAg和病毒RNA的存在。结果:抗体阳性率分别为:沙眼衣原体30.9%、苍白衣原体8.9%、抗hbc /IgG 12.4%、抗丙型肝炎病毒1.3%。乙型肝炎病毒疫苗接种率为19.8%。沙眼衣原体感染在28 ~ 37岁的女性中有显著相关性。苍白体与老年(60 ~ 68岁)、丧偶和文盲有显著相关性。乙型肝炎病毒感染率与男性、48 ~ 57岁、文化程度较低者显著相关。饮用酒精饮料和使用非法药物更有可能感染沙眼原体。多个性伴侣和性交时未使用避孕套是梅毒螺旋体感染的危险因素。讨论:只有始终如一地采取措施，包括健康教育、常规检查、立即治疗和认识与感染有关的危险因素，才能阻断感染的传播。结论:严重传染性病原体在远离大城市中心的地区传播，那里的人口获得医疗保健提供者的机会有限。

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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Journal of community medicine & health education

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