Prevalência de infecção por papilomavírus humano e perfil comportamental de mulheres soropositivas e soronegativas para HIV, atendidas em clínica de DST em Vitória, ES

AUTOR(ES)
FONTE

IBICT - Instituto Brasileiro de Informação em Ciência e Tecnologia

DATA DE PUBLICAÇÃO

26/01/2009

RESUMO

HPV is considered the main sexually transmitted virus and HIV positive women at greater risk for infection, persistence and progression of cervical lesions by HPV.This study aimed to study the prevalence of HPV and its genotypes in a population of HIV seropositive and seronegative women from 18 to 49 years old, attended at the STD clinic in Vitória- ES ,as well to assess the knowledge, attitudes and practices of women in relation to sexuality and STD and Aids. A crosssectional study conducted with women attended in the service of gynecology of the Reference Center for STD/AIDS, in the period from March to December 2006. We administered a questionnaire containing socio-demographic data, statements and behavior, knowledge, attitudes and strategies to prevent STDs and HIV. The participants were subjected to i) gynecological examination for collection of specimen for Pap smear tests and research of HPV by PCR and ii) blood sample to determine serological tests for HIV. The samples positive for HPV were genotyped by PCR for types described as more common. The study included 284 women and 112 (39.5%) HIV positive and 172 (60.5%) seronegative for HIV.DNA of HPV was detected in 46.8% (133/284) of women, and 56.2% (63/112) and 40.7% (70/172) in the seropositive and seronegative for HIV, respectively genotypes of HPV determined in samples: 16 (21.9%), 6 (19.2%), 18 (9.6%), 11 (8.2%), 31 (13.7%), 33 (15.1 %). Genotypes were not determined in 45.1% of samples (60/133). In the final logistic regression model, the related factors associated with HIV infection were: HPV infection, have more than one sexual partner in the last 12 months, lower educational level and less reporting of previous STD. The questionnaire for assessing knowledge, attitudes, practices and history of sexual and domestic violence was answered by 276 women with 109 (39.5%) HIV positive and 167 (60.5%) HIV-negative. It was identified in HIV seropositive women compared to HIV seronegative : i) more frequent use of condoms (82.6% vs 59.3%), ii) less a history of STDs (41.3% vs 64.1%), and iii) less history of fear of catching AIDS (38.5% vs 67.6%).History of violence due to alcohol was reported by 41.6% (115/276) and history of rape was reported by 28.6% (79/276) of the participants. In relation to prostitution, there was no significant difference between the two groups. HIV seropositive women reported less frequently "to ask their partners to use condoms shows a lack of confidence" when compared with the HIV negative group (31.2% vs. 41.9%, p = 0022). They used condoms more than the group HIV negative (65.1% vs. 32.9%, p = 0000). The highest frequency of correct answers with respect to the transmission of AIDS was transmitted through sexual intercourse (99.6%) and sharing syringes (99.2%) and less frequent was the donation of blood (55.8%). These results show a high prevalence of HPV in women seen in clinic for STDs, especially HIV positive women (p <0.05), women in situations of social vulnerability and level of knowledge not sufficient for perception of risk for adoption the change of behavior and practice safer.

ASSUNTO(S)

práticas hiv mulheres conhecimento comportamentos hiv hpv women knowledge practices behavior doencas infecciosas e parasitarias hpv

ACESSO AO ARTIGO

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