{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,11,13]],"date-time":"2026-11-13T12:37:48Z","timestamp":1794573468067,"version":"4.9.1"},"reference-count":30,"publisher":"FapUNIFESP (SciELO)","issue":"4","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Rev. Sa\u00fade P\u00fablica"],"published-print":{"date-parts":[[2012,8]]},"abstract":"<jats:p>OBJETIVO: Analisar a preval\u00eancia e o perfil de vulnerabilidade ao HIV de moradores de rua. M\u00c9TODOS: Estudo transversal com amostra n\u00e3o probabil\u00edstica de 1.405 moradores de rua usu\u00e1rios de institui\u00e7\u00f5es de acolhimento de S\u00e3o Paulo, SP, de 2006 a 2007. Foi realizado teste anti-HIV e aplicado question\u00e1rio estruturado. O perfil de vulnerabilidade foi analisado pela frequ\u00eancia do uso do preservativo, considerando mais vulner\u00e1veis os que referiram o uso nunca ou \u00e0s vezes. Foram utilizadas regress\u00f5es log\u00edstica e multinomial para estimar as medidas de efeito e intervalos de 95% de confian\u00e7a. RESULTADOS: Houve predomin\u00e2ncia do sexo masculino (85,6%), m\u00e9dia de 40,9 anos, ter cursado o ensino fundamental (72,0%) e cor n\u00e3o branca (71,5%). A pr\u00e1tica homo\/bissexual foi referida por 15,7% e a parceria ocasional por 62,0%. O n\u00famero m\u00e9dio de parcerias em um ano foi de 5,4 e mais da metade (55,7%) referiu uso de drogas na vida, dos quais 25,7% relataram uso frequente. No total, 39,6% mencionaram ter tido uma doen\u00e7a sexualmente transmiss\u00edvel e 38,3% relataram o uso do preservativo em todas as rela\u00e7\u00f5es sexuais. A preval\u00eancia do HIV foi de 4,9% (17,4% dos quais apresentaram tamb\u00e9m sorologia positiva para s\u00edfilis). Pouco mais da metade (55,4%) tinha acesso a a\u00e7\u00f5es de preven\u00e7\u00e3o. A maior preval\u00eancia do HIV esteve associada a ser mais jovem (OR 18 a 29 anos = 4,0 [IC95% 1,54;10,46]), hist\u00f3ria de doen\u00e7a sexualmente transmiss\u00edvel (OR = 3,3 [IC95% 1,87;5,73]); pr\u00e1tica homossexual (OR = 3,0 [IC95% 1,28;6,92]) e \u00e0 presen\u00e7a de s\u00edfilis (OR = 2,4 [IC95% 1,13;4,93]). O grupo de maior vulnerabilidade foi caracterizado por ser mulher, jovem, ter pr\u00e1tica homossexual, n\u00famero reduzido de parcerias, parceria fixa, uso de drogas e \u00e1lcool e n\u00e3o ter acesso a a\u00e7\u00f5es de preven\u00e7\u00e3o e apoio social. CONCLUS\u00d5ES: O impacto da epidemia entre moradores de rua \u00e9 elevado, refletindo um ciclo que conjuga exclus\u00e3o, vulnerabilidade social e acesso limitado \u00e0 preven\u00e7\u00e3o.<\/jats:p>","DOI":"10.1590\/s0034-89102012005000037","type":"journal-article","created":{"date-parts":[[2012,6,17]],"date-time":"2012-06-17T23:25:10Z","timestamp":1339975510000},"page":"674-684","source":"Crossref","is-referenced-by-count":22,"title":["Preval\u00eancia e vulnerabilidade \u00e0 infec\u00e7\u00e3o pelo HIV de moradores de rua em S\u00e3o Paulo, SP"],"prefix":"10.1590","volume":"46","author":[{"given":"Alexandre","family":"Grangeiro","sequence":"first","affiliation":[{"name":"Universidade de S\u00e3o Paulo, Brasil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"M\u00e1rcia Moreira","family":"Holcman","sequence":"additional","affiliation":[{"name":"Secretaria de Estado da Sa\u00fade de S\u00e3o Paulo, Brasil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Elisabete Taeko","family":"Onaga","sequence":"additional","affiliation":[{"name":"Secretaria de Estado da Sa\u00fade de S\u00e3o Paulo, Brasil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Herculano Duarte Ramos de","family":"Alencar","sequence":"additional","affiliation":[{"name":"Secretaria de Estado da Sa\u00fade de S\u00e3o Paulo, Brasil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Anna Luiza Nunes","family":"Placco","sequence":"additional","affiliation":[{"name":"Secretaria de Estado da Sa\u00fade de S\u00e3o Paulo, Brasil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Paulo Roberto","family":"Teixeira","sequence":"additional","affiliation":[{"name":"Secretaria de Estado da Sa\u00fade de S\u00e3o Paulo, Brasil"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"530","reference":[{"issue":"3","key":"ref1","doi-asserted-by":"crossref","first-page":"543","DOI":"10.4000\/etnografica.1068","article-title":"Aten\u00e7\u00e3o \u00e0 sa\u00fade, direitos e o diagn\u00f3stico como amea\u00e7a: pol\u00edticas p\u00fablicas e as popula\u00e7\u00f5es em situa\u00e7\u00e3o de rua","volume":"15","author":"Adorno RCF","year":"2011","journal-title":"Etnografica"},{"issue":"2","key":"ref2","first-page":"162","article-title":"Condi\u00e7\u00f5es de sa\u00fade da popula\u00e7\u00e3o de rua da cidade de Belo Horizonte","volume":"1","author":"Botti NCL","year":"2009","journal-title":"Cad Bras Saude Mental"},{"key":"ref3","doi-asserted-by":"crossref","first-page":"47","DOI":"10.1590\/S0034-89102007000900009","article-title":"Infec\u00e7\u00e3o pelo HIV, hepatites B e C e s\u00edfilis em moradores de rua, S\u00e3o Paulo","volume":"41","author":"Brito VOC","year":"2007","journal-title":"Rev Saude Publica","ISSN":"https:\/\/id.crossref.org\/issn\/0034-8910","issn-type":"print"},{"key":"ref4","doi-asserted-by":"crossref","first-page":"457","DOI":"10.1146\/annurev.publhealth.012809.103636","article-title":"The health and health care of lesbian, gay and bisexual adolescents","volume":"31","author":"Coker TR","year":"2010","journal-title":"Annu Rev Public Heath"},{"key":"ref5","doi-asserted-by":"crossref","first-page":"638","DOI":"10.1186\/1471-2458-11-638","article-title":"Effectiveness of interventions to improve the health and housing status of homeless people: a rapid systematic review","volume":"11","author":"Fitzpatrick-Lewis D","year":"2011","journal-title":"BMC Public Heath"},{"issue":"4","key":"ref6","doi-asserted-by":"crossref","first-page":"456","DOI":"10.1007\/s10964-007-9171-9","article-title":"Comparison of HIV risk among gay, lesbian, bisexual and heterosexual homeless youth","volume":"37","author":"Gangamma R","year":"2008","journal-title":"J Youth Adolesc","ISSN":"https:\/\/id.crossref.org\/issn\/0047-2891","issn-type":"print"},{"issue":"1","key":"ref7","doi-asserted-by":"crossref","first-page":"168","DOI":"10.1007\/s10461-011-9882-5","article-title":"Social stability and HIV risk behavior: evaluating the role of accumulated vulnerability","volume":"16","author":"German D","year":"2011","journal-title":"AIDS Behav","ISSN":"https:\/\/id.crossref.org\/issn\/1090-7165","issn-type":"print"},{"issue":"3","key":"ref8","doi-asserted-by":"crossref","first-page":"430","DOI":"10.1590\/S0034-89102010005000013","article-title":"Magnitude e tend\u00eancia da epidemia de Aids em munic\u00edpios brasileiros de 2002-2006","volume":"44","author":"Grangeiro A","year":"2010","journal-title":"Rev Saude Publica","ISSN":"https:\/\/id.crossref.org\/issn\/0034-8910","issn-type":"print"},{"issue":"6","key":"ref9","doi-asserted-by":"crossref","first-page":"842","DOI":"10.1007\/s10461-007-9251-6","article-title":"Physical and sexual abuse among homeless and unstably housed adults living with HIV: prevalence and associated risks","volume":"11","author":"Henny KD","year":"2007","journal-title":"AIDS Behav","ISSN":"https:\/\/id.crossref.org\/issn\/1090-7165","issn-type":"print"},{"issue":"1","key":"ref10","doi-asserted-by":"crossref","first-page":"105","DOI":"10.1097\/QAD.0b013e32834c4be4","article-title":"HIV seroprevalence among orphaned and homeless youth: no place like home","volume":"26","author":"Hillis SD","year":"2012","journal-title":"AIDS","ISSN":"https:\/\/id.crossref.org\/issn\/0269-9370","issn-type":"print"},{"issue":"3","key":"ref11","doi-asserted-by":"crossref","first-page":"546","DOI":"10.2105\/AJPH.2010.193102","article-title":"A population-based assessment of the health of homeless families in New York City, 2001-2003","volume":"101","author":"Kerker BD","year":"2011","journal-title":"Am J Public Heath"},{"key":"ref12","doi-asserted-by":"crossref","first-page":"S85","DOI":"10.1007\/s10461-007-9246-3","article-title":"The effects of housing status on health-related outcomes in people living with HIV: a systematic review of the literature","volume":"11","author":"Leaver CA","year":"2007","journal-title":"AIDS Behav","ISSN":"https:\/\/id.crossref.org\/issn\/1090-7165","issn-type":"print"},{"key":"ref13","doi-asserted-by":"crossref","first-page":"317","DOI":"10.1186\/1471-2458-10-317","article-title":"HIV prevalence among female sex workers, drug users and men who have sex with men in Brazil: a systematic review and meta-analysis","volume":"10","author":"Malta M","year":"2010","journal-title":"BMC Public Heath"},{"issue":"5","key":"ref14","doi-asserted-by":"crossref","first-page":"661","DOI":"10.1097\/QAI.0b013e3181c300d7","article-title":"Survival sex work and increased HIV risk among sexual minority street-involved youth","volume":"53","author":"Marshall BDL","year":"2010","journal-title":"J Acquir Immune Defic Syndr","ISSN":"https:\/\/id.crossref.org\/issn\/0894-9255","issn-type":"print"},{"issue":"3","key":"ref15","doi-asserted-by":"crossref","first-page":"877","DOI":"10.1093\/ije\/dyp160","article-title":"Homelessness as an independent risk factor for mortality: results from a retrospective cohort study","volume":"38","author":"Morrison DS","year":"2009","journal-title":"Int J Epidemiol","ISSN":"https:\/\/id.crossref.org\/issn\/0300-5771","issn-type":"print"},{"issue":"4","key":"ref16","doi-asserted-by":"crossref","first-page":"416","DOI":"10.1353\/hpu.2010.0032","article-title":"Investigating the relationship between economic status and HIV risk","volume":"8","author":"Murrain M","year":"1997","journal-title":"J Health Care Poor Underserved","ISSN":"https:\/\/id.crossref.org\/issn\/1049-2089","issn-type":"print"},{"issue":"2","key":"ref17","doi-asserted-by":"crossref","first-page":"83","DOI":"10.1353\/hpu.2010.0020","article-title":"HIV seroprevalence among Atlanta's homeless","volume":"7","author":"Paris NM","year":"1996","journal-title":"J Health Care Poor Underserved","ISSN":"https:\/\/id.crossref.org\/issn\/1049-2089","issn-type":"print"},{"issue":"7","key":"ref18","doi-asserted-by":"crossref","first-page":"1207","DOI":"10.2105\/AJPH.94.7.1207","article-title":"HIV seroprevalence among homeless and marginally housed adults in San Francisco","volume":"94","author":"Robertson MJ","year":"2004","journal-title":"Am J Public Heath"},{"issue":"1","key":"ref19","doi-asserted-by":"crossref","first-page":"186","DOI":"10.1016\/j.childyouth.2011.09.016","article-title":"Risk factors for homeless among lesbian, gay and bisexual youths: a developmental milestone approach","volume":"34","author":"Rosario M","year":"2011","journal-title":"Child Youth Serv Rev","ISSN":"https:\/\/id.crossref.org\/issn\/0190-7409","issn-type":"print"},{"issue":"4","key":"ref20","doi-asserted-by":"crossref","first-page":"767","DOI":"10.1007\/s11524-011-9574-5","article-title":"Residential trajectory and HIV high-risk behaviors among Montr\u00e9al street youth: a reciprocal relationship","volume":"88","author":"Roy E","year":"2011","journal-title":"J Urban Health","ISSN":"https:\/\/id.crossref.org\/issn\/1099-3460","issn-type":"print"},{"issue":"7-8","key":"ref21","doi-asserted-by":"crossref","first-page":"536","DOI":"10.1007\/s11199-009-9610-z","article-title":"When, where, why and with whom homeless women engage in risk sexual behaviors: a framework for understanding complex and varied decision-making processes","volume":"61","author":"Ryan GW","year":"2009","journal-title":"Sex Roles","ISSN":"https:\/\/id.crossref.org\/issn\/0360-0025","issn-type":"print"},{"issue":"4","key":"ref22","doi-asserted-by":"crossref","first-page":"401","DOI":"10.1016\/j.jadohealth.2007.09.023","article-title":"Predictors of sexual risk behaviors among newly homeless youth: a longitudinal study","volume":"42","author":"Solorio MR","year":"2008","journal-title":"J Adolesc Health","ISSN":"https:\/\/id.crossref.org\/issn\/1054-139X","issn-type":"print"},{"key":"ref23","doi-asserted-by":"crossref","first-page":"S129","DOI":"10.1097\/QAI.0b013e31821e9a36","article-title":"Analysis of data collected by RDS among sex workers in 10 Brazilian cities, 2009: estimation of the prevalence of HIV, variance, and design effect","volume":"57","author":"Szwarcwald CL","year":"2011","journal-title":"J Acquir Immune Defic Syndr","ISSN":"https:\/\/id.crossref.org\/issn\/0894-9255","issn-type":"print"},{"issue":"1","key":"ref24","doi-asserted-by":"crossref","first-page":"154","DOI":"10.1007\/s10461-008-9395-z","article-title":"Individual and environmental protective factors for risky sexual behavior among homeless youth: an exploration of gender differences","volume":"13","author":"Tevendale HD","year":"2009","journal-title":"AIDS Behav","ISSN":"https:\/\/id.crossref.org\/issn\/1090-7165","issn-type":"print"},{"issue":"18","key":"ref25","first-page":"23","article-title":"Accesibilidad de la poblaci\u00f3n habitante de calle a los programas de promoci\u00f3n y prevenci\u00f3n establecidos por la Resoluci\u00f3n 412 de 2000","volume":"11","author":"Tirado Ot\u00e1lvaro AF","year":"2009","journal-title":"Investig Andin"},{"key":"ref26","article-title":"Substance use and other risk factors for unprotect sex: results from an event-based study of homeless youth","author":"Tucker JS","year":"2011","journal-title":"AIDS Behav."},{"issue":"5","key":"ref27","first-page":"483","article-title":"Prevalence of HBV, HCV, HIV, and syphilis among homeless subjects older than fifteen years in Tehran","volume":"12","author":"Vahdani P","year":"2009","journal-title":"Arch Iran Med"},{"issue":"1","key":"ref28","doi-asserted-by":"crossref","first-page":"56","DOI":"10.1590\/S0104-12902004000100007","article-title":"Descart\u00e1veis urbanos: discutindo a complexidade da popula\u00e7\u00e3o de rua e o desafio para pol\u00edticas de sa\u00fade","volume":"13","author":"Varanda W","year":"2004","journal-title":"Saude Soc"},{"key":"ref29","doi-asserted-by":"crossref","first-page":"S167","DOI":"10.1007\/s10461-007-9277-9","article-title":"HIV, homeless, and public health: critical issues and a call for increase action","volume":"11","author":"Wolitski RJ","year":"2007","journal-title":"AIDS Behav."},{"issue":"2","key":"ref30","doi-asserted-by":"crossref","first-page":"98","DOI":"10.1258\/0956462991913718","article-title":"HIV Infection and related risk behaviours in a disadvantaged youth institution of Sao Paulo, Brazil","volume":"10","author":"Zanetta DMT","year":"1999","journal-title":"Int J STD AIDS","ISSN":"https:\/\/id.crossref.org\/issn\/0956-4624","issn-type":"print"}],"container-title":["Revista de Sa\u00fade P\u00fablica"],"original-title":[],"link":[{"URL":"http:\/\/www.scielo.br\/pdf\/rsp\/v46n4\/4111.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2020,7,9]],"date-time":"2020-07-09T06:27:02Z","timestamp":1594276022000},"score":1,"resource":{"primary":{"URL":"http:\/\/www.scielo.br\/scielo.php?script=sci_arttext&pid=S0034-89102012000400012&lng=pt&tlng=pt"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2012,8]]},"references-count":30,"journal-issue":{"issue":"4","published-print":{"date-parts":[[2012,8]]}},"alternative-id":["S0034-89102012000400012"],"URL":"https:\/\/doi.org\/10.1590\/s0034-89102012005000037","relation":{},"ISSN":["0034-8910"],"issn-type":[{"value":"0034-8910","type":"electronic"}],"subject":[],"published":{"date-parts":[[2012,8]]}}}