Prevalence of HIV, syphilis, hepatitis B and C among adults with mental illness: a multicenter study in Brazil

Revista Brasileira de Psiquiatria

Mark Drew Crosland Guimarães²  Lorenza Nogueira Campos²  Ana Paula Souto Melo²  Ricardo Andrade Carmo¹  Carla Jorge Machado¹  Francisco De Assis Acurcio¹ 

[1] ,Universidade Federal de Minas Gerais School of Medicine Department of Preventive and Social MedicineBelo Horizonte MG ,Brazil

关键词: Mental disorders;    HIV seroprevalence;    Syphilis;    Multicenter study;    Hepatitis B;    Transtornos mentais;    Soroprevalência de HIV;    Sífilis;    Estudo multicêntrico;    Hepatite B;   

DOI  :  10.1590/S1516-44462009000100011

来源: SciELO

【 摘 要 】

ABSTRACT OBJECTIVE: There is evidence that patients with mental illness have increased prevalence of sexually transmitted infections, but data in Brazil are scarce. The objective of this study was to determine the prevalence of HIV, hepatitis C and B, and syphilis among patients with mental illness in Brazil. METHOD: A multicenter representative sample of adults with mental illness was randomly selected from 26 mental health institutions throughout Brazil. Sociodemographic, sexual behavior and clinical data were obtained from person-to-person interviews and blood was collected for serology testing. Seroprevalence with 95% confidence limits were obtained correcting for sampling scheme. RESULTS: Of the 2,475 patients interviewed, 2,238 had blood collected. Most participants were sexually active ever (88.8%) or in the last 6 months (61.6%), female (51.9%), and single (66.6%). Half of the sample had less than 5 years of schooling and the mean monthly individual income was low (US$ 210.00). Condom use was very low either during lifetime (8%) or in the last 6 months (16%). Overall seroprevalence were 1.12%, 0.80%, 1.64%, 14.7% and 2.63% for, respectively, syphilis, HIV, HBsAg, anti-HBc and anti-HCV. CONCLUSIONS: Seroprevalences found were higher than other populations with representative studies in Brazil, with high rates of sexual risk behavior. This is of public health concern, and prevention and care strategies for sexually transmitted infections among psychiatric patients should urgently be implemented by health authorities.

【 授权许可】

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