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dc.contributorSistema FMUSP-HC: Faculdade de Medicina da Universidade de São Paulo (FMUSP) e Hospital das Clínicas da FMUSP-
dc.contributor.authorPINTO, Valdir Monteiro-
dc.contributor.authorTANCREDI, Mariza Vono-
dc.contributor.authorGOLUB, Jonathan Eric-
dc.contributor.authorCOELHO, Ariane de Castro-
dc.contributor.authorTANCREDI NETO, Antonio-
dc.contributor.authorMIRANDA, Angelica Espinosa-
dc.identifier.citationBRAZILIAN JOURNAL OF INFECTIOUS DISEASES, v.16, n.3, p.226-231, 2012-
dc.description.abstractObjectives: To describe the epidemiological profile, risk behaviors, and the prior history of sexually transmitted diseases (STDs) in women living with acquired immunodeficiency syndrome (AIDS). Methods: Cross-sectional study, performed at the Centro de Referencia e Treinamento em DST/AIDS of Sao Paulo. The social, demographic, behavioral, and clinical data such as age, schooling, marital status, age at first sexual intercourse, number of sexual partners, parity, use of drugs, time of HIV diagnosis, CD4 count, and viral load determination were abstracted from the medical records of women living with AIDS who had gynecological consultation scheduled in the period from June 2008 to May 2009. Results: Out of 710 women who were scheduled to a gynecological consultation during the period of the study, 598 were included. Previous STD was documented for 364 (60.9%; 95% CI: 56.9%-64.8%) women. The associated factors with previous STDs and their respective risks were: human development index (HDI) <0.50 (ORaj = 5.5; 95% CI: 2.8-11.0); non-white race (ORaj = 5.2; 95% CI: 2.5-11.0); first sexual intercourse at or before 15 years of age (ORaj = 4.4; 95% CI: 2.3-8.3); HIV infection follow-up time of nine years or more (ORaj = 4.2; 95% CI: 2.3-7.8)]; number of sexual partners during the entire life between three and five partners (ORaj = 2.2; 95% CI: 1.1-4.6), and six or more sexual partners (ORaj = 3.9; 95% CI: 1.9-8.0%); being a sex worker (ORaj = 1.9; 95% CI: 1.1-3.1). Conclusions: A high prevalence of a prior history of STDs in the studied population was found. It is essential to find better ways to access HIV infection prevention, so that effective interventions can be more widely implemented.-
dc.description.sponsorshipNational Institute of Health (NIH) [3D43TW000010-21S1, AI06699]-
dc.relation.ispartofBrazilian Journal of Infectious Diseases-
dc.subjectSexually transmitted diseases-
dc.subject.othersquamous intraepithelial lesions-
dc.subject.otherinvasive cervical-cancer-
dc.subject.otherhiv-infected women-
dc.subject.otherepidemiologic synergy-
dc.subject.otherincreased risk-
dc.titlePrior history of sexually transmitted diseases in women living with AIDS in Sao Paulo, Brazil-
dc.rights.holderCopyright CONTEXTO-
dc.subject.wosInfectious Diseases-
dc.type.categoryoriginal article-
dc.type.versionpublishedVersion-, Valdir Monteiro:CRT DST AIDS, Sao Paulo, SP, Brazil-, Mariza Vono:CRT DST AIDS, Sao Paulo, SP, Brazil-, Jonathan Eric:Johns Hopkins Univ, Baltimore, MD USA-, Ariane de Castro:CRT DST AIDS, Sao Paulo, SP, Brazil-
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