Prevalence and factors associated with Chlamydia trachomatis infection among women with HIV in São Paulo
Rev. Soc. Bras. Med. Trop
;
49(3): 312-318, tab
Artículo
en Inglés
| LILACS
| ID: lil-785793
ABSTRACT
Abstract INTRODUCTION:
This study aimed to estimate the prevalence and risk factors associated with Chlamydia trachomatis (CT) infection among women with HIV in São Paulo.METHODS:
This cross-sectional study included women with HIV who were receiving care from sixteen public health services in São Paulo (October 2013 to March 2014). All participants answered a questionnaire regarding their sociodemographic, behavioral, and clinical characteristics. A urine sample was tested for CT and Neisseria gonorrhoeae (NG) using the polymerase chain reaction. The chi-square test and a logistic regression model were used to test the associations with CT or NG infections.RESULTS:
We evaluated 853 women and ultimately included 836 (98%) women. The mean age was 40.5 ± 0.34 years, and the prevalences of CT and NG infections were 1.8% and 0.5%, respectively. CT infection was associated with CD4+ T-cell counts of <350 cells/mm3 [adjusted odds ratio (ORadj) 24.5], age of 18-25 years (ORadj 23.2), the non-use of condoms during the last 6 months (ORadj 10.2), a self-reported history of a sexually transmitted infection (ORadj 9.4), and having two or more sexual partners during the last year (ORadj 6.1).CONCLUSIONS:
Although we observed a low prevalence of CT infection among women with HIV, younger age was associated with a high risk of infection. Therefore, it may be appropriate to include screening for CT as part of the routine care for this population.
Texto completo:
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Índice:
LILACS (Américas)
Asunto principal:
Infecciones por Chlamydia
/
Chlamydia trachomatis
/
Infecciones Oportunistas Relacionadas con el SIDA
Tipo de estudio:
Estudio de etiología
/
Estudio observacional
/
Estudio de prevalencia
/
Estudio pronóstico
/
Factores de riesgo
Límite:
Adolescente
/
Adulto
/
Femenino
/
Humanos
País/Región como asunto:
America del Sur
/
Brasil
Idioma:
Inglés
Revista:
Rev. Soc. Bras. Med. Trop
Asunto de la revista:
Medicina Tropical
Año:
2016
Tipo del documento:
Artículo
País de afiliación:
Brasil
Institución/País de afiliación:
Secretaria de Estado da Saúde/BR
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