{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,14]],"date-time":"2026-04-14T11:21:22Z","timestamp":1776165682788,"version":"3.50.1"},"reference-count":42,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2025,11,20]],"date-time":"2025-11-20T00:00:00Z","timestamp":1763596800000},"content-version":"vor","delay-in-days":323,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2025,1,1]],"date-time":"2025-01-01T00:00:00Z","timestamp":1735689600000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Interdisciplinary Perspectives on Infectious Diseases"],"published-print":{"date-parts":[[2025,1]]},"abstract":"<jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Sexually transmitted infections (STIs) represent a global public health concern, particularly among vulnerable populations. In Brazil, women from quilombola, Roma, and rural communities face increased risks due to socioeconomic and cultural conditions that exacerbate susceptibility to these infections. Furthermore, they are frequently underrepresented in scientific studies, leading to a limited understanding of the epidemiological characteristics of STIs within these groups. This study aimed to estimate the prevalence of STIs among women in vulnerable situations in a neotropical region of Brazil and to analyze the association between the pathogen presence, symptoms, behavioral risk factors, and socioeconomic aspects.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>A cross\u2010sectional study was conducted in eastern Maranh\u00e3o, in the municipality of Caxias, involving 295 quilombola, Roma, and rural women. Data were collected using a structured questionnaire addressing sociodemographic and behavioral factors, along with cervical liquid\u2010based cytology samples. The samples were tested using real\u2010time PCR with the Seegene Allplex STI Essential Assay kit. Statistical analysis employed both descriptive and inferential methods, including chi\u2010square and Fisher\u2019s exact tests, as well as unconditional univariate and multivariate logistic regression models.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      The overall prevalence of STIs was 72.9% (95% CI: 66.8\u201377.3), with\n                      <jats:italic>Ureaplasma parvum<\/jats:italic>\n                      being the most common pathogen (61.7%), followed by\n                      <jats:italic>Mycoplasma hominis<\/jats:italic>\n                      (35.3%).\n                      <jats:italic>Trichomonas vaginalis<\/jats:italic>\n                      was significantly associated with vaginal pruritus (OR\u2009=\u20092.566,\n                      <jats:italic>p<\/jats:italic>\n                      = 0.047). Behavioral and socioeconomic factors associated with the presence of STIs included the absence of previous cytology screening (AOR\u2009=\u20092.39,\n                      <jats:italic>p<\/jats:italic>\n                      = 0.046), high frequency of daily bathing (AOR\u2009=\u20093.28,\n                      <jats:italic>p<\/jats:italic>\n                      = 0.042), and prolonged use of tight underwear (AOR\u2009=\u20091.83,\n                      <jats:italic>p<\/jats:italic>\n                      = 0.027).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>This study revealed a high prevalence of STIs among quilombola, rural, and Roma women. The findings highlight the complexity of sexual and reproductive health in these communities and underscore the need for tailored, culturally sensitive approaches in public health policies.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1155\/ipid\/4600610","type":"journal-article","created":{"date-parts":[[2025,11,21]],"date-time":"2025-11-21T07:51:07Z","timestamp":1763711467000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":2,"title":["Association of Behavioral and Socioeconomic Factors With Sexually Transmitted Infection Positivity in Vulnerable Women From a Neotropical Setting"],"prefix":"10.1155","volume":"2025","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-1774-4853","authenticated-orcid":false,"given":"Gabriel Rodrigues","family":"C\u00f4ra","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9362-8651","authenticated-orcid":false,"given":"Jos\u00e9 de Ribamar","family":"Ross","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4721-6824","authenticated-orcid":false,"given":"Fl\u00e1via Castello Branco","family":"Vidal","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2234-4483","authenticated-orcid":false,"given":"Iagho Jos\u00e9 Lima","family":"Diniz","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2550-8383","authenticated-orcid":false,"given":"Maria Edileuza Soares","family":"Moura","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2025,11,20]]},"reference":[{"key":"e_1_2_10_1_2","doi-asserted-by":"publisher","DOI":"10.1590\/1413-81232018237.20602016"},{"key":"e_1_2_10_2_2","doi-asserted-by":"publisher","DOI":"10.1111\/1753-6405.12680"},{"key":"e_1_2_10_3_2","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0143304"},{"key":"e_1_2_10_4_2","doi-asserted-by":"publisher","DOI":"10.5205\/1981-8963-v12i3a25063p753-762-2018"},{"key":"e_1_2_10_5_2","volume-title":"Sexually Transmitted Infections (STIs)","author":"World Health Organization","year":"2024"},{"key":"e_1_2_10_6_2","volume-title":"Global Progress Report on HIV, Viral Hepatitis and Sexually Transmitted Infections: Accountability for the Global Health Sector Strategies 2016\u20132021: Actions for Impact","author":"World Health Organization","year":"2021"},{"key":"e_1_2_10_7_2","volume-title":"Clinical Protocol and Therapeutic Guidelines for Comprehensive Care for People With Sexually Transmitted Infections","author":"Brazil Ministry of Health","year":"2015"},{"key":"e_1_2_10_8_2","doi-asserted-by":"publisher","DOI":"10.1590\/0034-7167-2018-0726"},{"key":"e_1_2_10_9_2","doi-asserted-by":"publisher","DOI":"10.6018\/eglobal.17.2.275881"},{"key":"e_1_2_10_10_2","doi-asserted-by":"publisher","DOI":"10.1590\/0102-311X00174919"},{"key":"e_1_2_10_11_2","doi-asserted-by":"publisher","DOI":"10.1590\/S0104-129020162901"},{"key":"e_1_2_10_12_2","doi-asserted-by":"publisher","DOI":"10.1590\/s0104-129020162627"},{"key":"e_1_2_10_13_2","volume-title":"Health Evidence About the Roma People: A Literature Review Between 2009 and 2018","author":"Iwano M.","year":"2019"},{"key":"e_1_2_10_14_2","doi-asserted-by":"publisher","DOI":"10.1186\/s12905-023-02239-w"},{"key":"e_1_2_10_15_2","doi-asserted-by":"publisher","DOI":"10.1097\/CEJ.0000000000000522"},{"key":"e_1_2_10_16_2","doi-asserted-by":"publisher","DOI":"10.3390\/ijerph14121579"},{"key":"e_1_2_10_17_2","doi-asserted-by":"publisher","DOI":"10.1590\/S0074-02762007000600015"},{"key":"e_1_2_10_18_2","doi-asserted-by":"publisher","DOI":"10.1186\/s12879-021-06042-6"},{"key":"e_1_2_10_19_2","volume-title":"Control of Cervical and Breast Cancers","author":"Brazil Ministry of Health","year":"2013"},{"key":"e_1_2_10_20_2","doi-asserted-by":"publisher","DOI":"10.3390\/pathogens10121618"},{"key":"e_1_2_10_21_2","volume-title":"State Health Plan 2024\u20132027","author":"State Department of Health","year":"2024"},{"key":"e_1_2_10_22_2","doi-asserted-by":"publisher","DOI":"10.11606\/S1518-8787.2017051007066"},{"key":"e_1_2_10_23_2","doi-asserted-by":"publisher","DOI":"10.33233\/eb.v17i4.1243"},{"key":"e_1_2_10_24_2","doi-asserted-by":"publisher","DOI":"10.5380\/ce.v26i0.76891"},{"key":"e_1_2_10_25_2","doi-asserted-by":"publisher","DOI":"10.5123\/S1679-49742019000200023"},{"key":"e_1_2_10_26_2","doi-asserted-by":"publisher","DOI":"10.1515\/jbcpp-2019-0259"},{"key":"e_1_2_10_27_2","doi-asserted-by":"publisher","DOI":"10.1590\/S0103-73312017000400012"},{"key":"e_1_2_10_28_2","volume-title":"Understanding Vulnerability to HIV\/AIDS Among Two Groups of Elderly People","author":"Santos J. 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