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Risk Factors for Incident HIV Infection Among Anonymous HIV Testing Site Clients in Santos, Brazil: 1996–1999

Alves, Katia ; Shafer, Kimberly Page ; Caseiro, Marcos ; Rutherford, George ; Falcao, Maria Elvira ; Sucupira, Maria Cecília ; Busch, Michael P ; Rawal, Bhupat D ; Diaz, Ricardo S

Journal of acquired immune deficiency syndromes (1999), 2003-04, Vol.32 (5), p.551-559 [Periódico revisado por pares]

Hagerstown, MD: Lippincott Williams & Wilkins, Inc

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Título:
Risk Factors for Incident HIV Infection Among Anonymous HIV Testing Site Clients in Santos, Brazil: 1996–1999
Autor: Alves, Katia ; Shafer, Kimberly Page ; Caseiro, Marcos ; Rutherford, George ; Falcao, Maria Elvira ; Sucupira, Maria Cecília ; Busch, Michael P ; Rawal, Bhupat D ; Diaz, Ricardo S
Assuntos: Adult ; AIDS/HIV ; Algorithms ; Ambulatory Care Facilities ; Anonymous Testing ; Biological and medical sciences ; Brazil - epidemiology ; Female ; HIV ; HIV Antibodies - blood ; HIV Infections - diagnosis ; HIV Infections - epidemiology ; HIV Infections - transmission ; HIV-1 - immunology ; Human immunodeficiency virus ; Human viral diseases ; Humans ; Incidence ; Infectious diseases ; Male ; Medical sciences ; Medical screening ; Multivariate Analysis ; Prevalence ; Risk Factors ; Sensitivity and Specificity ; Sexual Behavior ; Tropical medicine ; Viral diseases ; Viral diseases of the lymphoid tissue and the blood. Aids
É parte de: Journal of acquired immune deficiency syndromes (1999), 2003-04, Vol.32 (5), p.551-559
Notas: ObjectType-Article-1
SourceType-Scholarly Journals-1
ObjectType-Feature-2
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Descrição: OBJECTIVESTo determine temporal trends in HIV infection and risk factors among persons seeking anonymous HIV testing in Santos, Brazil. METHODSData and sera from persons testing for HIV from 1996 to 1999 were used. Exposures were abstracted from HIV testing risk assessments. Stored HIV-positive sera were tested to identify recently acquired HIV infection using a serologic testing algorithm for detecting recent HIV seroconversion (STARHS). Independent associations between exposures and recently acquired HIV infection were determined using multivariate analyses. RESULTSOverall, estimated HIV incidence was 2.0% (95% CI1.1–3.5) for the 4-year period1.2% (95% CI0.5–2.6) in women and 2.7% (95% CI1.3–5.0) in men. Incidence increased among women but remained stable among men. Exposures independently associated with incident infection included a history of sex work (OR= 5.4, 95% CI1.5–18.7), concurrent syphilis infection (OR =4.1, 95% CI1.4–11.9), anal sex (OR = 3.0, 95% CI1.3–7.1), and having an HIV-positive sexual partner (OR= 1.4, 95% CI1.1–1.9). CONCLUSIONSThis study further demonstrates the public health utility of using the STARHS for the assessment of emerging trends in the HIV epidemic. Results from this study will help to target appropriate prevention strategies directed toward at-risk populations in Santos.
Editor: Hagerstown, MD: Lippincott Williams & Wilkins, Inc
Idioma: Inglês

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Risk Factors for Incident HIV Infection Among Anonymous HIV Testing Site Clients in Santos, Brazil: 1996–1999

Alves, Katia ; Shafer, Kimberly Page ; Caseiro, Marcos ; Rutherford, George ; Falcao, Maria Elvira ; Sucupira, Maria Cecília ; Busch, Michael P ; Rawal, Bhupat D ; Diaz, Ricardo S

Hagerstown, MD: Lippincott Williams & Wilkins, Inc

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