Viral hepatitis in female sex workers using the Respondent-Driven Sampling

Autores

  • Marcos André de Matos Universidade Federal de Goiás; Faculdade de Enfermagem
  • Divânia Dias da Silva França Secretaria Municipal de Saúde
  • Megmar Aparecida dos Santos Carneiro Universidade Federal de Goiás; Instituto de Patologia Tropical e Saúde Pública
  • Regina Maria Bringel Martins Universidade Federal de Goiás; Instituto de Patologia Tropical e Saúde Pública
  • Lígia Regina Franco Sansigolo Kerr Universidade Federal do Ceará; Departamento de Saúde Comunitária
  • Karlla Antonieta Amorim Caetano Universidade Federal de Goiás; Faculdade de Enfermagem
  • Raquel Silva Pinheiro Universidade Federal de Goiás; Faculdade de Enfermagem
  • Lyriane Apolinário de Araújo Instituto Federal de Educação, Ciência e Tecnologia
  • Rosa Maria Salani Mota Universidade Federal do Ceará; Departamento de Estatística e Matemática Aplicada
  • Marcia Alves Dias de Matos Universidade Federal de Goiás; Instituto de Patologia Tropical e Saúde Pública
  • Ana Rita Coimbra Motta-Castro Universidade Federal de Mato Grosso do Sul; Centro de Ciências Biológicas e da Saúde
  • Sheila Araújo Teles Universidade Federal de Goiás; Faculdade de Enfermagem

DOI:

https://doi.org/10.1590/s1518-8787.2017051006540

Palavras-chave:

Sex Workers, Hepatitis B, epidemiology, Hepatitis C, Seroepidemiologic Studies

Resumo

OBJECTIVE To estimate the prevalence of hepatitis B virus and C virus infections and their genotypes and analyze the risk factors for the markers of exposure to hepatitis B virus in female sex workers in a region of intense sex trade. METHODS This is a cross-sectional study performed with four hundred and two female sex workers in Goiânia, Brazil. Data have been collected using the Respondent-Driven Sampling. The women have been interviewed and tested for markers of hepatitis B and C viruses. Positive samples have been genotyped. The data have been analyzed using the Respondent-Driven Sampling Analysis Tool, version 5.3, and Stata 11.0. RESULTS The adjusted prevalence for hepatitis B virus and C virus were 17.1% (95%CI 11.6–23.4) and 0.7% (95%CI 0.1–1.5), respectively. Only 28% (95%CI 21.1–36.4) of the participants had serological evidence of vaccination against hepatitis B virus. Being older (>; 40 years), being single, having a history of blood transfusion and use of cocaine, and ignoring the symptoms of sexually transmitted infections were associated with positivity for hepatitis B virus (p < 0.05). We have detected the subgenotype A1 of hepatitis B virus (n = 3) and the subtypes of hepatitis C virus 1a (n = 3) and 1b (n = 1). CONCLUSIONS We can observe a low prevalence of infection of hepatitis B and C viruses in the studied population. However, the findings of the analysis of the risk factors show the need for more investment in prevention programs for sexual and drug-related behavior, as well as more efforts to vaccinate this population against hepatitis B. The genotypes of the hepatitis B virus and C virus identified are consistent with those circulating in Brazil.

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Publicado

2017-01-01

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Matos, M. A. de, França, D. D. da S., Carneiro, M. A. dos S., Martins, R. M. B., Kerr, L. R. F. S., Caetano, K. A. A., Pinheiro, R. S., Araújo, L. A. de, Mota, R. M. S., Matos, M. A. D. de, Motta-Castro, A. R. C., & Teles, S. A. (2017). Viral hepatitis in female sex workers using the Respondent-Driven Sampling. Revista De Saúde Pública, 51, 65. https://doi.org/10.1590/s1518-8787.2017051006540