HIV AND SYPHILIS CO-INFECTION IN NORTHEAST BRAZIL: A GENDER ASSESSMENT

Jéssica Menezes Gomes Melo; Luiz Cláudio Arraes de Alencar; Edvaldo da Silva Souza

doi:10.12662/2317-3076jhbs.v11i1.4759.p1-8.2023

Autores

Jéssica Menezes Gomes Melo INSTITUTO DE MEDICINA INTEGRAL PROFESSOR FERNANDO FIGUEIRA https://orcid.org/0000-0002-5414-7409
Luiz Cláudio Arraes de Alencar INSTITUTO DE MEDICINA INTEGRAL PROFESSOR FERNANDO FIGUEIRA https://orcid.org/0000-0003-3985-3847
Edvaldo da Silva Souza INSTITUTO DE MEDICINA INTEGRAL PROFESSOR FERNANDO FIGUEIRA https://orcid.org/0000-0001-7722-4238

DOI:

https://doi.org/10.12662/2317-3076jhbs.v11i1.4759.p1-8.2023

Palavras-chave:

HIV, AIDS, syphilis, co-infection, sexually transmitted diseases.

Resumo

Objective: this study aimed to determine the frequency and the clinical-epidemiological profile of the human immunodeficiency virus (HIV) and syphilis co-infection between genders in specialized care services in Northeast Brazil. Methods: an analytical cross-sectional study was conducted with secondary data from 171 individuals with HIV and syphilis co-infection. Data were collected in a reference center for acquired immunodeficiency syndrome (AIDS) in Northeast Brazil from 2015 to 2020. Welch’s test compared the means of independent samples; the chi-square and Fisher’s exact test assessed the association between categoric variables. The significance level was set at 5%. This study has ethical approval. Results: the HIV and syphilis co-infection frequency was 15.4%. Individuals with co-infection had a mean age of 34.2 (± 11.0) years and were predominantly men. The women sample started their sex life earlier, had a lower education level and per capita family income, used more illicit drugs, and were mostly heterosexual, married or in a stable union, and unemployed. Men had more anal sex. Moreover, most individuals had syphilis in the asymptomatic phase and HIV with undetectable viral load; CD4 T cells were greater than 350 cells/mm³. Conclusion: the high prevalence of HIV and syphilis co-infection in specialized care services, especially in men who have sex with men (MSM), highlights the need to improve counseling to reduce sexual risk behavior and improve prevention and care strategies to control these diseases.

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