Lifetime Syphilis Prevalence and Associated Risk Factors Among Female Prisoners in Brazil.

摘要: BACKGROUND In 2016, approximately 42,000 women were incarcerated in Brazil. The objectives of this study to measure the lifetime prevalence syphilis and sociodemographic behavior correlates antibody positivity among female prisoners METHODS We conducted a cross-sectional survey 1327 2014 2015 sampled through multistage cluster design represent penitentiary system throughout A rapid treponemal test approved by Ministry Health (Rapid Test DPP Sifilis Bio-Manguinhos) was used detect history infection. Analyses adjusted using weights based on inverse product probabilities sampling units at each stage design. Variables significantly associated with infection P < 0.05 multivariate analyses retained final model. RESULTS Prevalence Brazil 11.6% (95% confidence interval [CI], 9.8%-13.8%). Higher black/Afro-Brazilian or mixed race/ethnicity (adjusted odds ratio [AOR], 1.78; 95% CI, 1.10-2.87), homelessness (AOR, 4.58; 2.78-7.56), abortion 1.56; 1.02-2.38), sexual violence 1.59; 1.01-2.49). Syphilis lower who had received condoms school 0.28; 0.08-1.00) as marker for reproductive health education. CONCLUSIONS Women within vast Brazilian prison demonstrate high cumulative incidence syphilis. Our data advocate increased screening treatment help identify higher risk their communities origin.