Determinants of coinfection tuberculosis and HIV in prisons in Brazil

Introduction: Prisons context has the potential for the spread of infectious diseases, like HIV and tuberculosis, which prevalence is higher in the people deprived of liberty compared to the general population. Objective: to analyze which are the determinants of coinfection tuberculosis and HIV...

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Main Authors: Nanci Michele Saita, Rubia Laine de Paula Andrade, Pedro Augusto Bossonário, Rafaele Oliveira Bonfim, Jordana de Almeida Nogueira, Antônio Ruffino Netto, Ricardo Alexandre Arcêncio, Tereza Cristina Scatena Villa, Aline Aparecida Monroe
Format: Article
Language:English
Published: The Journal of Infection in Developing Countries 2021-03-01
Series:Journal of Infection in Developing Countries
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Online Access:https://jidc.org/index.php/journal/article/view/13375
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author Nanci Michele Saita
Rubia Laine de Paula Andrade
Pedro Augusto Bossonário
Rafaele Oliveira Bonfim
Jordana de Almeida Nogueira
Antônio Ruffino Netto
Ricardo Alexandre Arcêncio
Tereza Cristina Scatena Villa
Aline Aparecida Monroe
author_facet Nanci Michele Saita
Rubia Laine de Paula Andrade
Pedro Augusto Bossonário
Rafaele Oliveira Bonfim
Jordana de Almeida Nogueira
Antônio Ruffino Netto
Ricardo Alexandre Arcêncio
Tereza Cristina Scatena Villa
Aline Aparecida Monroe
author_sort Nanci Michele Saita
collection DOAJ
description Introduction: Prisons context has the potential for the spread of infectious diseases, like HIV and tuberculosis, which prevalence is higher in the people deprived of liberty compared to the general population. Objective: to analyze which are the determinants of coinfection tuberculosis and HIV in prisons. Methodology: Case-control study conducted in the state of São Paulo, Brazil. New cases of tuberculosis in the population deprived of liberty in the period between 2015 and 2017 were considered. Data were obtained through the notification and monitoring system for tuberculosis cases in the state of São Paulo and included sociodemographic and clinical variables and diagnosis and treatment information. The data were analyzed through frequency distribution and bivariate analysis, testing the association of the dependent variable (tuberculosis/HIV coinfection vs. tuberculosis/HIV non-coinfection) with independent variables (sociodemographic, clinical and diagnostics variables) by calculating the odds ratio and p-value. Results: Among the determinants of tuberculosis/HIV coinfection in prisons, we identified: age between 26-35, 36-55 and 56-84 years, notification in hospitals, negative sputum smear microscopy and culture, X-ray suggestive of another pathology, extrapulmonary and mixed clinical form, and alcoholism. A high percentage of death was also identified among coinfected people. Conclusions: identifying the determinants of the tuberculosis/HIV coinfected individual can assist in the development and implementation of guidelines aimed at controlling both infections in the prison environment.
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spelling doaj-art-e71821546eec4de986fcc23eae81fccc2025-08-20T02:14:11ZengThe Journal of Infection in Developing CountriesJournal of Infection in Developing Countries1972-26802021-03-01150210.3855/jidc.13375Determinants of coinfection tuberculosis and HIV in prisons in BrazilNanci Michele Saita0Rubia Laine de Paula Andrade1Pedro Augusto Bossonário2Rafaele Oliveira Bonfim3Jordana de Almeida Nogueira4Antônio Ruffino Netto5Ricardo Alexandre Arcêncio6Tereza Cristina Scatena Villa7Aline Aparecida Monroe8Ribeirão Preto College of Nursing, University of São Paulo, Ribeirão Preto, BrazilRibeirão Preto College of Nursing, University of São Paulo, Ribeirão Preto, BrazilRibeirão Preto College of Nursing, University of São Paulo, Ribeirão Preto, BrazilRibeirão Preto College of Nursing, University of São Paulo, Ribeirão Preto, BrazilDepartment of Nursing, Federal University of Paraíba, João Pessoa, BrazilRibeirão Preto Medical School, University of São Paulo, Ribeirão Preto, BrazilRibeirão Preto College of Nursing, University of São Paulo, Ribeirão Preto, BrazilRibeirão Preto College of Nursing, University of São Paulo, Ribeirão Preto, BrazilRibeirão Preto College of Nursing, University of São Paulo, Ribeirão Preto, Brazil Introduction: Prisons context has the potential for the spread of infectious diseases, like HIV and tuberculosis, which prevalence is higher in the people deprived of liberty compared to the general population. Objective: to analyze which are the determinants of coinfection tuberculosis and HIV in prisons. Methodology: Case-control study conducted in the state of São Paulo, Brazil. New cases of tuberculosis in the population deprived of liberty in the period between 2015 and 2017 were considered. Data were obtained through the notification and monitoring system for tuberculosis cases in the state of São Paulo and included sociodemographic and clinical variables and diagnosis and treatment information. The data were analyzed through frequency distribution and bivariate analysis, testing the association of the dependent variable (tuberculosis/HIV coinfection vs. tuberculosis/HIV non-coinfection) with independent variables (sociodemographic, clinical and diagnostics variables) by calculating the odds ratio and p-value. Results: Among the determinants of tuberculosis/HIV coinfection in prisons, we identified: age between 26-35, 36-55 and 56-84 years, notification in hospitals, negative sputum smear microscopy and culture, X-ray suggestive of another pathology, extrapulmonary and mixed clinical form, and alcoholism. A high percentage of death was also identified among coinfected people. Conclusions: identifying the determinants of the tuberculosis/HIV coinfected individual can assist in the development and implementation of guidelines aimed at controlling both infections in the prison environment. https://jidc.org/index.php/journal/article/view/13375TuberculosisHIVAIDSCoinfectionPrisonsHealth Profile
spellingShingle Nanci Michele Saita
Rubia Laine de Paula Andrade
Pedro Augusto Bossonário
Rafaele Oliveira Bonfim
Jordana de Almeida Nogueira
Antônio Ruffino Netto
Ricardo Alexandre Arcêncio
Tereza Cristina Scatena Villa
Aline Aparecida Monroe
Determinants of coinfection tuberculosis and HIV in prisons in Brazil
Journal of Infection in Developing Countries
Tuberculosis
HIV
AIDS
Coinfection
Prisons
Health Profile
title Determinants of coinfection tuberculosis and HIV in prisons in Brazil
title_full Determinants of coinfection tuberculosis and HIV in prisons in Brazil
title_fullStr Determinants of coinfection tuberculosis and HIV in prisons in Brazil
title_full_unstemmed Determinants of coinfection tuberculosis and HIV in prisons in Brazil
title_short Determinants of coinfection tuberculosis and HIV in prisons in Brazil
title_sort determinants of coinfection tuberculosis and hiv in prisons in brazil
topic Tuberculosis
HIV
AIDS
Coinfection
Prisons
Health Profile
url https://jidc.org/index.php/journal/article/view/13375
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