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vol.41 suppl.2Black and non-Black women and vulnerability to HIV/AIDS in São Paulo, BrazilHepatitis B and C among injecting drug users living with HIV in São Paulo, Brazil índice de autoresíndice de materiabúsqueda de artículos
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Revista de Saúde Pública

versión impresa ISSN 0034-8910versión On-line ISSN 1518-8787

Resumen

BRITO, Valquiria O. C.; PARRA, Deolinda; FACCHINI, Regina  y  BUCHALLA, Cassia Maria. HIV infection, hepatitis B and C and syphilis in homeless people, in the city of São Paulo, Brazil. Rev. Saúde Pública [online]. 2007, vol.41, suppl.2, pp.47-56. ISSN 1518-8787.  http://dx.doi.org/10.1590/S0034-89102007000900009.

OBJECTIVE: To estimate the prevalence of HIV infections, as well as hepatitis B and C and syphilis viruses in homeless people. METHODS: Cross-sectional study with educational intervention, conducted in the city of São Paulo, between 2002 and 2003. A convenience sample of homeless people who used night shelters was selected, according to the following criteria: aged 18 or older and not showing psychiatric disturbances. During interviews, sociodemographic and behavioral data were gathered and HIV, hepatitis B and C and syphilis laboratorial tests and post-test counseling were carried out. RESULTS: A total of 330 shelter users participated, with an average age of 40.2 years, 80.9% of them male, having lived on the streets for one year in average. Prevalences of 1.8% for HIV, 8.5% for hepatitis C virus, 30.6% for previous hepatitis B infection, 3.3% for chronic or acute infection by hepatitis B virus, and 5.7% for syphilis. The consistent use of condoms was referred to by 21.3% of interviewees and the use of injecting drugs by 3% of them. Positivity was 10% for HIV and 50% for hepatitis C virus among injectable drug users, versus 1.5% for HIV and 7.3% for hepatitis C among the others, showing an association between the virus and the use of injecting drugs. Previous imprisonment was referred to by 7.9% of women and 26.6% of men, with a prevalence of 2.6% for HIV and 17.1% for hepatitis C virus. CONCLUSIONS: The high prevalences of HIV and hepatitis B and C viruses require prevention programs based on vaccination against hepatitis B, early diagnosis of these infections and placement of homeless people into health services.

Palabras clave : HIV infections [epidemiology]; Hepatitis B [epidemiology]; Hepatitis C [epidemiology]; Syphilis [epidemiology]; Homeless persons; Seroepidemiologic studies; Cross-sectional studies.

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