{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,19]],"date-time":"2026-06-19T05:54:37Z","timestamp":1781848477065,"version":"3.54.5"},"reference-count":12,"publisher":"SAGE Publications","issue":"8","license":[{"start":{"date-parts":[[2026,4,13]],"date-time":"2026-04-13T00:00:00Z","timestamp":1776038400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"funder":[{"DOI":"10.13039\/501100002322","name":"Coordena\u00e7\u00e3o de Aperfei\u00e7oamento de Pessoal de N\u00edvel Superior","doi-asserted-by":"publisher","id":[{"id":"10.13039\/501100002322","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Int J STD AIDS"],"published-print":{"date-parts":[[2026,7]]},"abstract":"<jats:sec>\n                    <jats:title>Aim<\/jats:title>\n                    <jats:p>This study aimed to describe patterns of persistence and co-occurrence of post-diagnosis sexual risk behaviors among Primary Health Care users with syphilis and to examine their distribution across sociodemographic markers.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>This cross-sectional study was conducted in a Primary Health Care unit in Brazil. Adults with documented positive rapid syphilis tests at least 6\u00a0months prior to interview were actively traced from the registry (August 2017\u2013February 2022). Post-diagnosis sexual risk persistence was assessed using the Sexual Risk Persistence Score (SRPS; 0\u20133), composed of inconsistent condom-use, alcohol-use before sex, and drug-use before sex. Descriptive, bivariate, and correlation analyses were performed.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      The final sample included 42 participants. Most were women (62%), older than 24 years (76%), had only primary education (52%), self-identified as Brown\/mixed race (76%), were single (69%), and unemployed (57%). Persistence of at least one post-diagnosis risk behavior (SRPS \u2265 1) was observed in 93%. Multiple concurrent behaviors were frequent (SRPS 2\u20133: 52%). Sociodemographic markers, including sex, gender identity, race\/skin color, occupation, and education, were associated with behavioral patterns. Educational level was negatively correlated with alcohol use before sex (\u03c1 = \u22120.429;\n                      <jats:italic toggle=\"yes\">p<\/jats:italic>\n                      = 0.005), and alcohol and drug use before sex were positively correlated (\u03c1 = 0.331;\n                      <jats:italic toggle=\"yes\">p<\/jats:italic>\n                      = 0.032).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>In this Primary Health Care setting, inconsistent condom-use and substance-use frequently persisted and co-occurred after syphilis diagnosis. These findings suggest that post-diagnosis vulnerability extends beyond individual behavior and highlight the importance of longitudinal and equity-oriented Primary Health Care strategies beyond diagnosis and treatment alone.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/09564624261442690","type":"journal-article","created":{"date-parts":[[2026,4,13]],"date-time":"2026-04-13T23:29:09Z","timestamp":1776122949000},"page":"906-910","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":0,"title":["Persistent and co-occurring sexual risk behaviors after syphilis diagnosis in primary health care users in Brazil:\u00a0A cross-sectional descriptive study"],"prefix":"10.1177","volume":"37","author":[{"given":"Lorena Guimar\u00e3es","family":"Oliveira","sequence":"first","affiliation":[{"name":"Federal University of Cear\u00e1"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Andrea Gomes","family":"Linard","sequence":"additional","affiliation":[{"name":"University of International Integration of Afro-Brazilian Lusofonia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Maria Jocelane Nascimento da","family":"Silva","sequence":"additional","affiliation":[{"name":"University of International Integration of Afro-Brazilian Lusofonia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2668-7587","authenticated-orcid":false,"given":"Jos\u00e9 Erivelton de Souza Maciel","family":"Ferreira","sequence":"additional","affiliation":[{"name":"University of International Integration of Afro-Brazilian Lusofonia"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2026,4,13]]},"reference":[{"key":"e_1_3_7_2_2","volume-title":"Syphilis","author":"World Health Organization (WHO)","year":"2025","unstructured":"World Health Organization (WHO). Syphilis. WHO. https:\/\/www.who.int\/news-room\/fact-sheets\/detail\/syphilis (2025, Access December 12, 2025)."},{"key":"e_1_3_7_3_2","doi-asserted-by":"publisher","DOI":"10.1001\/jama.2025.17362"},{"key":"e_1_3_7_4_2","volume-title":"Boletim Epidemiol\u00f3gico da S\u00edfilis 2025","author":"Brasil. Minist\u00e9rio da Sa\u00fade. Secretaria de Vigil\u00e2ncia em Sa\u00fade","year":"2025","unstructured":"Brasil. Minist\u00e9rio da Sa\u00fade. Secretaria de Vigil\u00e2ncia em Sa\u00fade. Boletim Epidemiol\u00f3gico da S\u00edfilis 2025. Minist\u00e9rio da Sa\u00fade. https:\/\/www.gov.br\/saude\/pt-br\/centrais-de-conteudo\/publicacoes\/boletins\/epidemiologicos\/especiais\/2025\/boletim-epidemiologico-da-sifilis.pdf (2025, Access December 12, 2025)."},{"key":"e_1_3_7_5_2","volume-title":"Casos de s\u00edfilis aumentam nas Am\u00e9ricas","author":"Organiza\u00e7\u00e3o Pan-Americana da Sa\u00fade (OPAS)","year":"2024","unstructured":"Organiza\u00e7\u00e3o Pan-Americana da Sa\u00fade (OPAS). Casos de s\u00edfilis aumentam nas Am\u00e9ricas. OPAS\/OMS. https:\/\/www.paho.org\/pt\/noticias\/22-5-2024-casos-sifilis-aumentam-nas-americas (2024, Access December 23, 2025)."},{"key":"e_1_3_7_6_2","doi-asserted-by":"crossref","first-page":"e2030207","DOI":"10.1590\/1983-1447.2024.2030207.en","article-title":"Factors associated with inconsistent condom use among young people: systematic review","volume":"45","author":"Silva RS","year":"2024","unstructured":"Silva RS, Bossonario PA, Ferreira MRL, et al. Factors associated with inconsistent condom use among young people: systematic review. Rev Gaucha Enferm 2024; 45: e2030207. https:\/\/doi.org\/10.1590\/1983-1447.2024.2030207.en","journal-title":"Rev Gaucha Enferm"},{"key":"e_1_3_7_7_2","doi-asserted-by":"publisher","DOI":"10.2989\/16085906.2018.1536672"},{"key":"e_1_3_7_8_2","doi-asserted-by":"publisher","DOI":"10.1186\/s12889-025-22315-0"},{"key":"e_1_3_7_9_2","doi-asserted-by":"publisher","DOI":"10.1186\/s12889-023-17188-0"},{"key":"e_1_3_7_10_2","doi-asserted-by":"publisher","DOI":"10.1155\/ipid\/4600610"},{"issue":"6","key":"e_1_3_7_11_2","first-page":"e202510710","article-title":"Congenital syphilis in Argentina: temporal trends and association with income inequality, 2006\u20132021","volume":"123","author":"Tumas N","year":"2025","unstructured":"Tumas N, Scruzzi GF, Peresini V, et al. Congenital syphilis in Argentina: temporal trends and association with income inequality, 2006\u20132021. Arch Argent Pediatr 2025; 123(6): e202510710. https:\/\/doi.org\/10.5546\/aap.2025-10710.eng","journal-title":"Arch Argent Pediatr"},{"issue":"1","key":"e_1_3_7_12_2","doi-asserted-by":"crossref","first-page":"e14022025","DOI":"10.1590\/1413-81232026311.14022025en","article-title":"Syphilis and penicillin shortage: surveillance, pharmaceutical services and federal response (2014\u20132023)","volume":"31","author":"Pereira EDSS","year":"2026","unstructured":"Pereira EDSS, Luiza VL. Syphilis and penicillin shortage: surveillance, pharmaceutical services and federal response (2014\u20132023). Cien Saude Colet 2026; 31(1): e14022025. https:\/\/doi.org\/10.1590\/1413-81232026311.14022025","journal-title":"Cien Saude Colet"},{"issue":"3","key":"e_1_3_7_13_2","first-page":"194","article-title":"The effect of theory-based HIV\/AIDS educational program on preventive behaviors among female adolescents in Tehran: a randomized controlled trial","volume":"21","author":"Khalajabadi Farahani F","year":"2020","unstructured":"Khalajabadi Farahani F, Darabi F, Yaseri M. The effect of theory-based HIV\/AIDS educational program on preventive behaviors among female adolescents in Tehran: a randomized controlled trial. J Reprod Infertil 2020; 21(3): 194\u2013206. https:\/\/pubmed.ncbi.nlm.nih.gov\/32685417\/","journal-title":"J Reprod Infertil"}],"container-title":["International Journal of STD &amp; AIDS"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/09564624261442690","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/09564624261442690","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/09564624261442690","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,6,19]],"date-time":"2026-06-19T05:46:34Z","timestamp":1781847994000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/09564624261442690"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,4,13]]},"references-count":12,"journal-issue":{"issue":"8","published-print":{"date-parts":[[2026,7]]}},"alternative-id":["10.1177\/09564624261442690"],"URL":"https:\/\/doi.org\/10.1177\/09564624261442690","relation":{},"ISSN":["0956-4624","1758-1052"],"issn-type":[{"value":"0956-4624","type":"print"},{"value":"1758-1052","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,4,13]]}}}