{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,17]],"date-time":"2026-10-17T07:30:39Z","timestamp":1792222239427,"version":"4.4.0"},"reference-count":31,"publisher":"American Society of Tropical Medicine and Hygiene","issue":"4","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2017,10,11]]},"abstract":"<jats:p>\n                    The number of new syphilis cases in Brazil has risen alarmingly in recent years. However, there is limited data regarding syphilis prevalence in the Brazilian prison population. To facilitate the development of effective interventions, a cross-sectional study was undertaken to determine the prevalence of\n                    <jats:italic>Treponema pallidum<\/jats:italic>\n                    infection, active syphilis, and associated risk factors among Brazilian prisoners. We administered a questionnaire to a population-based sample of prisoners from 12 prisons in Central-West Brazil and collected sera for syphilis testing, from January to December 2013. Univariable and multivariable regression analyses were performed to assess associations with active syphilis. We recruited 3,363 prisoners (men: 84.6%; women: 15.4%). The overall lifetime and active syphilis prevalences were 10.5% (9.4% among men; 17% among women,\n                    <jats:italic>P<\/jats:italic>\n                    &lt; 0.001) and 3.8% (2% among men; 9% among women,\n                    <jats:italic>P<\/jats:italic>\n                    &lt; 0.001), respectively. The variables associated with active syphilis in men prisoners were homosexual preference, history of sexually transmitted infections, and human immunodeficiency virus status. Among women, the factors were sex with intravenous drug users, genital ulcer disease, and previous incarceration. Despite the high prevalence of active syphilis, 88.5% reported unawareness of their serological status and 67% reported unprotected sexual practices. Women had the highest rates of infection, including them in a high-risk group for the development of syphilis during pregnancy. Thus, implementing screening programs to enable continuous measures of control and prevention of\n                    <jats:italic>T. pallidum<\/jats:italic>\n                    infection in the prison environment, mainly in women institutions, is important to prevent severe forms of this disease and congenital infections.\n                  <\/jats:p>","DOI":"10.4269\/ajtmh.17-0098","type":"journal-article","created":{"date-parts":[[2017,8,1]],"date-time":"2017-08-01T03:00:52Z","timestamp":1501556452000},"page":"1078-1084","source":"Crossref","is-referenced-by-count":28,"title":["High Prevalence of Treponema pallidum Infection in Brazilian Prisoners"],"prefix":"10.4269","volume":"97","author":[{"given":"Maisa Estopa","family":"Correa","sequence":"first","affiliation":[{"name":"Laborat\u00f3rio de Pesquisa em Ci\u00eancias da Sa\u00fade, Universidade Federal da Grande Dourados (UFGD), Dourados, Mato Grosso do Sul, Brazil;"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Julio","family":"Croda","sequence":"additional","affiliation":[{"name":"Laborat\u00f3rio de Pesquisa em Ci\u00eancias da Sa\u00fade, Universidade Federal da Grande Dourados (UFGD), Dourados, Mato Grosso do Sul, Brazil;"},{"name":"Funda\u00e7\u00e3o Oswaldo Cruz (FIOCRUZ), Campo Grande, Mato Grosso do Sul, Brazil;"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ana Rita","family":"Coimbra Motta de Castro","sequence":"additional","affiliation":[{"name":"Funda\u00e7\u00e3o Oswaldo Cruz (FIOCRUZ), Campo Grande, Mato Grosso do Sul, Brazil;"},{"name":"Laborat\u00f3rio de Imunologia Cl\u00ednica, Universidade Federal de Mato Grosso do Sul (UFMS), Campo Grande, Mato Grosso do Sul, Brazil;"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sandra","family":"Maria do Valle Leone de Oliveira","sequence":"additional","affiliation":[{"name":"Faculdade de Medicina (FAMED), Universidade Federal do Mato Grosso do Sul (UFMS), Campo Grande, Mato Grosso do Sul, Brazil;"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Maur\u00edcio Antonio","family":"Pompilio","sequence":"additional","affiliation":[{"name":"Faculdade de Medicina (FAMED), Universidade Federal do Mato Grosso do Sul (UFMS), Campo Grande, Mato Grosso do Sul, Brazil;"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ronaldo","family":"Omizolo de Souza","sequence":"additional","affiliation":[{"name":"Laborat\u00f3rio de Pesquisa em Ci\u00eancias da Sa\u00fade, Universidade Federal da Grande Dourados (UFGD), Dourados, Mato Grosso do Sul, Brazil;"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"J\u00falio Henrique","family":"Ferreira de S\u00e1 Queiroz","sequence":"additional","affiliation":[{"name":"Laborat\u00f3rio de Pesquisa em Ci\u00eancias da Sa\u00fade, Universidade Federal da Grande Dourados (UFGD), Dourados, Mato Grosso do Sul, Brazil;"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kesia","family":"Esther da Silva","sequence":"additional","affiliation":[{"name":"Laborat\u00f3rio de Pesquisa em Ci\u00eancias da Sa\u00fade, Universidade Federal da Grande Dourados (UFGD), Dourados, Mato Grosso do Sul, Brazil;"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Albert I.","family":"Ko","sequence":"additional","affiliation":[{"name":"Department of Epidemiology of Microbial Disease, Yale School of Public Health, New Haven, Connecticut;"},{"name":"Centro de Pesquisa Gon\u00e7alo Moniz, Funda\u00e7\u00e3o Oswaldo Cruz (FIOCRUZ), Salvador, Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Simone","family":"Simionatto","sequence":"additional","affiliation":[{"name":"Laborat\u00f3rio de Pesquisa em Ci\u00eancias da Sa\u00fade, Universidade Federal da Grande Dourados (UFGD), Dourados, Mato Grosso do Sul, Brazil;"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"2795","reference":[{"key":"b1","series-title":"J Clin Invest","first-page":"4584","article-title":"Syphilis: using modern approaches to understand an old disease","volume":"121","author":"Ho","year":"2011"},{"key":"b2","year":"2012."},{"key":"b3","year":"2014."},{"key":"b4","author":"Minist\u00e9rio da","year":"2008"},{"key":"b5","series-title":"Vaccine","first-page":"1527","article-title":"Toward global prevention of sexually transmitted infections (STIs): the need for STI vaccines","volume":"32","author":"Gottlieb","year":"2014"},{"key":"b6","series-title":"Sex Transm Infect","first-page":"1","article-title":"Syphilis infection, sexual practices and bisexual behaviour among men who have sex with men and transgender women: a cross-sectional study","author":"Fernandes","year":"2014"},{"key":"b7","series-title":"Sex Transm Infect","first-page":"280","article-title":"Female sex workers incarcerated in New York city jails: prevalence of sexually transmitted infections and associated risk behaviors","volume":"89","author":"Parvez","year":"2013"},{"key":"b8","series-title":"BMC Infect Dis","first-page":"33","article-title":"Correlates of HIV, HBV, HCV and syphilis infections among prison inmates and officers in Ghana: a national multicenter study","volume":"8","author":"Adjei","year":"2008"},{"key":"b9","series-title":"Int J Infect Dis","first-page":"60","article-title":"Risk factors and prevalence of tuberculosis, human immunodeficiency virus, syphilis, hepatitis B virus, and hepatitis C virus among prisoners in Pakistan","volume":"14","author":"Kazi","year":"2010"},{"key":"b10","series-title":"Lancet","first-page":"956","article-title":"The health of prisoners","volume":"377","author":"Fazel","year":"2011"},{"key":"b11","series-title":"Rev Saude Publica","first-page":"431","article-title":"Correlation between HIV and HCV in Brazilian prisoners: evidence for parenteral transmission inside prison","volume":"34","author":"Burattini","year":"2000"},{"key":"b12","year":"2014"},{"key":"b13","year":"2014."},{"key":"b14","series-title":"Eur J Intern Med","first-page":"9","article-title":"Syphilis and HIV co-infection","volume":"20","author":"Karp","year":"2009"},{"key":"b15","year":"2014"},{"key":"b16","series-title":"PLoS One","first-page":"1","article-title":"A cross-sectional survey of HIV testing and prevalence in twelve Brazilian correctional facilities","volume":"10","author":"Sgarbi","year":"2015"},{"key":"b17","series-title":"J Clin Microbiol","first-page":"913","article-title":"Novel recombinant-antigen enzyme immunoassay for serological diagnosis of syphilis","volume":"36","author":"Young","year":"1998"},{"key":"b18","series-title":"AIDS Behav","first-page":"S104","article-title":"Syphilis and HIV co-infection in patients who attend an AIDS outpatient clinic in Vitoria, Brazil","volume":"18","author":"Callegari","year":"2014"},{"key":"b19","series-title":"PLoS 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users: clues for high-risk sexual behaviour in female IDUs","volume":"8","author":"Muga","year":"1997"},{"key":"b28","series-title":"Rev Soc Bras Med Trop","first-page":"493","article-title":"HIV, hepatitis B and C, and syphilis prevalence and coinfection among sex workers in Southern Brazil","volume":"46","author":"Schuelter-Trevisol","year":"2013"},{"key":"b29","year":"2015"},{"key":"b30","series-title":"PLoS One","first-page":"e44094","article-title":"A systematic review and meta-analysis of risk factors for sexual transmission of HIV in India","volume":"7","author":"Arora","year":"2012"},{"key":"b31","series-title":"Sex Transm Dis","first-page":"1022","article-title":"Prevalence of syphilis and human immunodeficiency virus infections among men who have sex with men in Shenzhen, China: 2005 to 2007","volume":"35","author":"Feng","year":"2008"}],"container-title":["The American Journal of Tropical Medicine and 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