Doenças sexualmente transmissíveis em mulheres em idade fértil : um estudo populacional

• Ano de defesa: 2004
• Autor(a) principal: Oliveira, Fabiola Araujo Sales de
• Orientador(a): Kerr, Ligia Regina Franco Sansigolo
• Tipo de documento: Dissertação
• Tipo de acesso: Acesso aberto
• Idioma: por
• Palavras-chave em Português: Doenças Sexualmente Transmissíveis; HIV; Epidemiologia; Saúde Pública
• Link de acesso: http://www.repositorio.ufc.br/handle/riufc/6953

Sexually transmitted diseases (STD) are an important cause of morbidity throughout the world with considerable medical and socio-economic repercussions. To assess the epidemiological situation of STD among women of reproductive age in a small municipality in the hinterland of Ceará, a population-based study was conducted in January and February 2001. The study consisted of application of structured questionnaires, gynecological examination and laboratory diagnosis to detect HPV, chlamydia, trichomonas, gonorrhea, syphilis and HIV. A total of 734 women aged 12 to 49 years participated in the study (75% of the target population). Among these, 592 had initiated sexual life and were included in the present analysis. The following prevalences were found: HPV 11,7% (IC 95%: 9,3-14,7), chlamydia 4,5% (IC 95%: 3,0-6,6), trichomonas 4,1% (IC 95%: 2,7-6,1), gonorrhea 1,2% (IC 95%: 0,5-2,6) and syphilis 0,2% (IC 95%: 0,0-1,1). There was no case of HIV infection. At least one STD was detected in 19,6% (IC 95%: 16,5-23,2). STD were more prevalent among adolescents. A previous pap smear collection showed an important protective effect against STD (OR=0,4; IC 95%: 0,2-0,6). The following risk factors were identified: >2 partners in life (OR=2,8; IC 95%: 1,8-4,4), first pregnancy <16 years of age (OR=2,1; IC 95%: 1,1-4,1), not knowing if the partner has another partner (OR=1,7; IC 95%: 1,0-2,8), being <20 years of age (OR=1,9; IC 95%: 1,1-3,4), >1 partner in the last 12 months (OR=3,0; IC 95%: 1,4-6,7), early sexual debut (OR=2,0; IC 95%: 1,3-3,1) and not living with a partner (OR=1,7; IC 95%: 1,1-2,7). There was no significant association between STD and socio-economic variables. The above mentioned protective factor and the first three risk factors were independently associated with STD in the multivariate analysis. STD represent an important problem in the population studied, and the identification of protective and risk factors can guide the implementation of gender and age specific control measures. The present study allows to conclude about the STD epidemiology in other municipalities with similar characteristics.