Heber José de Moura

Prevalence and factors associated with syphilis in parturient women in Northeast, Brazil

BackgroundCongenital syphilis is a major public health concern, even after the implementation of intervention protocols in several countries. This study aimed to analyze the prevalence and socio-demographic, behavioral and institutional factors associated with syphilis in parturient women attending public maternity hospitals in Northeast, Brazil.MethodsA cross-sectional study was conducted from June to September 2010 with a proportionate stratified sampling of 222 parturient women using a structured questionnaire. The study analyzed socio-demographic, behavioral and institutional variables. The structured questionnaire was conducted with parturient women and complementary information was obtained through hospitals records, admission forms and prenatal cards. Data were stored using the Statistical Package SPSS version 18. A descriptive statistical analysis was performed using frequency distribution, central tendency and measures of spread for the variables. A bivariate analysis was done using chi square test and Fisher’s exact test, with a significance level of 5% and a 95% confidence interval, in order to analyze the relation between the variables and risk factors for syphilis. The multivariate logistic regression analysis was done in the statistical package STATA, version 11.0.ResultsThe prevalence of syphilis in parturient women was 7.7%. The bivariate analyses showed that the rate was higher among women who: were from Fortaleza (p = 0.019), studied for less than nine years (p = 0.044), had more than one sexual partner in life (p = 0.021), did not live with partner (p = 0.022), used illegal drugs (p < 0.0001), whose partner used illegal drugs and had diagnosis of syphilis (p = 0.001 and p < 0.0001 respectively). The non-adjusted analysis found significant positive association between syphilis and the following variable: being from Fortaleza (OR = 7.26; CI 95% = 1.49-100.20), having studied for less than nine years (OR = 7.97; CI 95% = 0.87-12.89), having more than one sexual partner in life (OR = 3.75; CI 95% = 1.59-107.11), not living with partner (OR = 3.75; CI95% = 1.03-12.15), and parturient women and partner used illegal drugs (OR = 7.34; CI95% = 1.69-27.57; OR = 4.93; CI95% = 1.58-16.05), respectively. The adjusted multiple logistic regression analysis showed that none of the variables remained significant.ConclusionThis study enabled to identify a high prevalence of syphilis in parturient women and that this situation is associated with socio-demographic, behavioral and institutional variables.

Quality of life of Brazilian women with urinary incontinence and the impact on their sexual function

INTRODUCTION AND OBJECTIVE Sexual function may be affected in women with urinary incontinence (UI), but data regarding this association are controversial. The aim of this study was to assess the impact of sociodemographic characteristics in the sexual function of Brazilian women with UI. STUDY DESIGN Cross-sectional study with 251 women with UI in the period from April to June 2014. Firstly, sociodemographic and pelvic floor dysfunctions (PFD) characteristics were compared between groups of women with and without sexual activity. Secondly, we compared the variables above with the total score of Pelvic Organ Prolapse and/or Urinary Incontinence Sexual Questionnaire (PISQ-12). For continuous variables, we used the Mann-Whitney or Kruskal-Wallis test; for categorical variables we used the chi-square statistic considering the difference of p<0.05. RESULTS Women with sexual activity tend to be younger, to be premenopausal, have a steady partner and not be hypertensive. The mean total score of PISQ-12 was 27.30. Women who attended elementary school, with coital UI, with moderate constipation and symptomatic prolapse have worse sexual function. Premenopausal women with mixed urinary incontinence have worse sexual function than those with stress urinary incontinence. CONCLUSION The association between sexual dysfunction and UI deserves special attention from health professionals. The care of the maintenance or restoration of sexual well-being should be offered to all women, regardless of age, since UI may affect sexual life and QoL of these women.

Sexually transmitted infections associated syndromes assisted in the primary health care in Northeast, Brazil

BackgroundThe lack of information on the care for sexually transmitted infections (STI) associated syndromes may contribute for its non-inclusion as prevention and control strategy for STI in Brazil. This study aims to analyze the cases of STI – Associated Syndromes assisted in primary health care center in a city in Northeast Brazil associating them with socio-demographic and behavioral variables.MethodsThis is a retrospective study that analyzed 5148 consultation forms and medical records of patients assisted in a primary health care center who presented at least one genital syndrome from 1999 to 2008. Was considered as dependent variables the genital syndromes and serologies for syphilis and HIV and as independent variables the socio-demographic and behavioral aspects. It was used Pearson’s chi-square test to analyze the differences between the categorical variables, with a significance level of 5%. It was performed a multivariate analysis through the multivariate logistic regression model with the variables with p <0.05. We used odds ratio with a confidence interval of 95%.ResultsThe most frequent syndromes were vaginal discharge and/or cervicitis (44%) and genital wart (42.2%). Most people were between 20 and 39 years old (70%) and women (74.2%). Genital ulcer was most prevalent among men (OR = 2.67; CI 95% 1.99-3.58) and people who studied more than eight years (OR = 1.33; CI 95% 1.00-1.75) and wart prevailed among men (OR = 3.92; IC 95% 3.36-4.57), people under 29 years old (OR = 1.81; CI 95% 1.59-2.07) and who studied more than eight years (OR = 1.75; CI 95% 1.54-1.99). The Venereal Disease Research Laboratory (VDRL) was positive in 7.3% of men and in 7.1% of women and the Anti-HIV in 3.1% of men and 0.7% of women.ConclusionVaginal discharge was the most frequent syndrome assisted in primary health care, followed by genital wart. The high prevalence of genital wart justifies the greater effort for the proper follow-up of these cases. Men presented more genital wart and ulcer and reported having more sexual partners, showing their need for a greater access and inclusion in health activities developed in primary health care in Brazil.

Knowledge of healthcare professionals regarding the vertical transmission of syphilis in Fortaleza -CE, Brazil

The aim of this study was to investigate the knowledge of family health strategy professionals regarding the prevention and control of the vertical transmission of syphilis. This cross-sectional study was carried out in Fortaleza, Ceara, Brazil, from August to October 2009. A questionnaire was used, with its correct answers being in line with the recommendations of the Ministry of Health. Univariate analysis was carried out, with frequency distribution, mean and standard deviation. A total of 269 professionals participated, 44.7% had 6 to 10 years of experience in the FHS, and 60% of the questions regarding their knowledge were answered correctly: 75.8% were aware of the request period of the Venereal Disease Research Laboratory (VDRL) test; 78.1% of the alternative drug for the treatment for pregnant women allergic to penicillin, 55.1% of the request period for VDRL for cure and control, and 50.2% of the conduct with a sexual partner. It was concluded that healthcare professionals are unaware of the appropriate actions for the prevention and control of congenital syphilis.The aim of this study was to investigate the knowledge of family health strategy professionals regarding the prevention and control of the vertical transmission of syphilis. This cross-sectional study was carried out in Fortaleza, Ceara, Brazil, from August to October 2009. A questionnaire was used, with its correct answers being in line with the recommendations of the Ministry of Health. Univariate analysis was carried out, with frequency distribution, mean and standard deviation. A total of 269 professionals participated, 44.7% had 6 to 10 years of experience in the FHS, and 60% of the questions regarding their knowledge were answered correctly: 75.8% were aware of the request period of the Venereal Disease Research Laboratory (VDRL) test; 78.1% of the alternative drug for the treatment for pregnant women allergic to penicillin, 55.1% of the request period for VDRL for cure and control, and 50.2% of the conduct with a sexual partner. It was concluded that healthcare professionals are unaware of the appropriate actions for the prevention and control of congenital syphilis.

Uma análise dos serviços de telefonia móvel no Brasil: uma proposta de modelo empírico

The objective of this study is to fulfill a lack from the previous studies about the insufficient information concerning satisfaction from mobile telephone consumers after number portability in Brazil. An original longitudinal research was conducted over three years with mobile telephone consumers after and before number portability in order to evaluate the telephone services providers. There is also a second lack in the literature that refers to the development of a model that could consider the inherent attributes to the mobile phone sector concerning to satisfaction over the provided services. This study aims to analyze the Brazilian mobile phone services. Specifically, it also aims to: (1) verify empirically the fit of a model based on the mobile phone sector; (2) examine the influence of the antecedents and consequents of the satisfaction in mobile phone services; (3) analyze the mobile phone services before and after the number portability in Brazil; and (4) propose a satisfaction index to the Brazilian mobile phone sector. A descriptive survey type study was conducted and the field research was carried out during three years with 1596 telephone mobile consumers, which were divided into two groups: a) before the mobile number portability; and b) after mobile number portability after 12 months the number portability authorization by ANATEL. The collected data were analyzed by statistical tests, including structural equation modeling. The outcomes indicate that there were no great differences concerning the perceptions of the mobile phone consumers before and after the mobile number portability. Thus, there is still a lot to deepen about what led consumers to evaluate from a so similar way the mobile phone providers in the two different periods of time. We also verified that the relationship between perceived value and image, and satisfaction and perceived value were negatively scored during these two different periods of time. Indeed, the strongest significant impacts from the proposed model referred to the relationship between image and satisfaction, and satisfaction and management of complaining.The objective of this study is to fulfill a lack from the previous studies about the insufficient information concerning satisfaction from mobile telephone consumers after number portability in Brazil. An original longitudinal research was conducted over three years with mobile telephone consumers after and before number portability in order to evaluate the telephone services providers. There is also a second lack in the literature that refers to the development of a model that could consider the inherent attributes to the mobile phone sector concerning to satisfaction over the provided services. This study aims to analyze the Brazilian mobile phone services. Specifically, it also aims to: (1) verify empirically the fit of a model based on the mobile phone sector; (2) examine the influence of the antecedents and consequents of the satisfaction in mobile phone services; (3) analyze the mobile phone services before and after the number portability in Brazil; and (4) propose a satisfaction index to the Brazilian mobile phone sector. A descriptive survey type study was conducted and the field research was carried out during three years with 1596 telephone mobile consumers, which were divided into two groups: a) before the mobile number portability; and b) after mobile number portability after 12 months the number portability authorization by ANATEL. The collected data were analyzed by statistical tests, including structural equation modeling. The outcomes indicate that there were no great differences concerning the perceptions of the mobile phone consumers before and after the mobile number portability. Thus, there is still a lot to deepen about what led consumers to evaluate from a so similar way the mobile phone providers in the two different periods of time. We also verified that the relationship between perceived value and image, and satisfaction and perceived value were negatively scored during these two different periods of time. Indeed, the strongest significant impacts from the proposed model referred to the relationship between image and satisfaction, and satisfaction and management of complaining.

Conhecimento dos profissionais de saúde acerca da transmissão vertical da sífilis em Fortaleza

The aim of this study was to investigate the knowledge of family health strategy professionals regarding the prevention and control of the vertical transmission of syphilis. This cross-sectional study was carried out in Fortaleza, Ceara, Brazil, from August to October 2009. A questionnaire was used, with its correct answers being in line with the recommendations of the Ministry of Health. Univariate analysis was carried out, with frequency distribution, mean and standard deviation. A total of 269 professionals participated, 44.7% had 6 to 10 years of experience in the FHS, and 60% of the questions regarding their knowledge were answered correctly: 75.8% were aware of the request period of the Venereal Disease Research Laboratory (VDRL) test; 78.1% of the alternative drug for the treatment for pregnant women allergic to penicillin, 55.1% of the request period for VDRL for cure and control, and 50.2% of the conduct with a sexual partner. It was concluded that healthcare professionals are unaware of the appropriate actions for the prevention and control of congenital syphilis.The aim of this study was to investigate the knowledge of family health strategy professionals regarding the prevention and control of the vertical transmission of syphilis. This cross-sectional study was carried out in Fortaleza, Ceara, Brazil, from August to October 2009. A questionnaire was used, with its correct answers being in line with the recommendations of the Ministry of Health. Univariate analysis was carried out, with frequency distribution, mean and standard deviation. A total of 269 professionals participated, 44.7% had 6 to 10 years of experience in the FHS, and 60% of the questions regarding their knowledge were answered correctly: 75.8% were aware of the request period of the Venereal Disease Research Laboratory (VDRL) test; 78.1% of the alternative drug for the treatment for pregnant women allergic to penicillin, 55.1% of the request period for VDRL for cure and control, and 50.2% of the conduct with a sexual partner. It was concluded that healthcare professionals are unaware of the appropriate actions for the prevention and control of congenital syphilis.

Prevenção da sífilis congênita em Fortaleza, Ceará: uma avaliação de estrutura e processo

Objective: To evaluate the work structure and process of healthcare professionals in order to develop actions for the prevention and control of congenital syphilis in Fortaleza, Ceara. Methods: This is an evaluation research conducted in 89 primary healthcare units between July and October, 2011. The components of physical structure, materials and inputs, human resources, and organizational structure were evaluated; then, the units were classified as satisfactory or unsatisfactory. Results: The general classification showed that only 47.2% of the units were found to be unsatisfactory. In all, 68.5% of the units had a blood-sampling room, 21.3% had professionals qualified to attend syphilis cases, and only 16.9% of the units administered benza-thine penicillin to pregnant women. Conclusion: In general, primary healthcare units did not present structural and procedural conditions to help control congenital syphilis.

P3.161 Factors associated with positive tests for hiv e syphilis centre and advice

Introducion Faced with rapid evolution of sexually transmitted infections (STIs), especially HIV/AIDS, as well as the impacts on society, this study aimed to analyse the factors associated with seropositivity TR for HIV and syphilis in people served in the Testing Centre and counselling - CTA Fortaleza, Ceará. Methods A cross-sectional study that analysed data from Forms Customer Information System of people who performed the rapid test (RT) in the months of June and July 2015. We analysed sociodemographic, behavioural and epidemiological variables. The data were entered into the Statistical Package for the Social Sciences and were analysed using frequency distributions, measures of central tendency and dispersion. Results Were analysed 882 forms. The research result shows that 622 (70.5%) were males and 414 (46.9%) were aged between 19 and 29 years, with a predominance of non-white people, without a partner, with more than four years of study, coming from Fortaleza. Of the 875 tests for HIV and 648 tests for syphilis destecção, 49 (5.3%) and 72 (8.1%) showed reagent test result, respectively. Cases of HIV reagent were associated with the identification of the service by friend/service user (p=0.013), male gender (p=0.006), non-Caucasians (p=0.045), lower education of four years of study (p=0.045) and working (p=0.009). There was statistical association in positive cases of syphilis and present IST (p<0.001) and hoemens sexual partners and women (p=0.012). Conclusion These findings suggest the need for effective measures for control and prevention of STIs aimed at young adults, male and more than one sexual partner.

Doenças sexualmente transmissíveis atendidas em unidade primária de saúde no Nordeste do Brasil

This study aimed to assess cases of sexually transmitted diseases (STDs) in a primary healthcare unit in the city of Fortaleza, Ceara. A retrospective study that analyzed 5,590 medical records of STD cases treated between 1999 and 2009. Data were collected from March to June 2010 and analyzed using SPSS 18.0. Young people with high education levels and those with multiple sex partners in the past three months presented with more ulcers and warts. The presence of warts was associated to reactive HIV result, and the presence of ulcers was associated to reactive VDRL result. As for gender, women presented more ulcers, warts, and more than one genital syndrome at physical examination and were more willing to perform VDRL and HIV testing. Men and women with STDs presented behavioral specificities that make them more vulnerable to HIV and syphilis.

Conocimientos de los profesionales de salud sobre la transmisión vertical de la sífilis en Fortaleza, CE

The aim of this study was to investigate the knowledge of family health strategy professionals regarding the prevention and control of the vertical transmission of syphilis. This cross-sectional study was carried out in Fortaleza, Ceara, Brazil, from August to October 2009. A questionnaire was used, with its correct answers being in line with the recommendations of the Ministry of Health. Univariate analysis was carried out, with frequency distribution, mean and standard deviation. A total of 269 professionals participated, 44.7% had 6 to 10 years of experience in the FHS, and 60% of the questions regarding their knowledge were answered correctly: 75.8% were aware of the request period of the Venereal Disease Research Laboratory (VDRL) test; 78.1% of the alternative drug for the treatment for pregnant women allergic to penicillin, 55.1% of the request period for VDRL for cure and control, and 50.2% of the conduct with a sexual partner. It was concluded that healthcare professionals are unaware of the appropriate actions for the prevention and control of congenital syphilis.The aim of this study was to investigate the knowledge of family health strategy professionals regarding the prevention and control of the vertical transmission of syphilis. This cross-sectional study was carried out in Fortaleza, Ceara, Brazil, from August to October 2009. A questionnaire was used, with its correct answers being in line with the recommendations of the Ministry of Health. Univariate analysis was carried out, with frequency distribution, mean and standard deviation. A total of 269 professionals participated, 44.7% had 6 to 10 years of experience in the FHS, and 60% of the questions regarding their knowledge were answered correctly: 75.8% were aware of the request period of the Venereal Disease Research Laboratory (VDRL) test; 78.1% of the alternative drug for the treatment for pregnant women allergic to penicillin, 55.1% of the request period for VDRL for cure and control, and 50.2% of the conduct with a sexual partner. It was concluded that healthcare professionals are unaware of the appropriate actions for the prevention and control of congenital syphilis.