Doenças sexualmente transmissíveis em mulheres grávidas: um estudo sobre prevalência e fatores de risco

Abstract

To identify the prevalence of diseases sexually transmissible (DST), and to analyze risk factors associated it these diseases in pregnant women in Ceará, Northeast of Brazil. A traverse study with 1019 women in first consultation of native pre was led from March to September of 2000, in Fortaleza and Aracati. A questionnaire structured semi was applied among the participants of the study, and exams were accomplished of: PCR (Polymerase Chain Reation) for diagnosis of Chlamydia trachomatis and gonorrhea; fresh and GRAM for trichomoniase; and RPR (Rapid Shapes Reagin) for syphilis. After analysis bivarida, the variables that showed positive association with presence of some DST (p <0,15) they were included in a regression logistics. The gonorrhea prevalence was 1,3% in the two municipal districts, of Chlamydia trachomatis 11,0% in Fortaleza and 6,4% in Aracati, of tricomoníase 6,2% in Fortaleza and 4,4% in Aracati, of syphilis 2,1% in Fortaleza and 0,3% in Aracati. To be single, widow, divorced, to have more than two partners in the last 12 months and not to have income personnel was associated factors with having DST in Fortaleza. For the pregnant women in Aracati, to be illiterate, to begin sexual life, before the 16 years to have more than three partners in the life was related factors to have DST. These discoveries we allow to end that the prevalence of DST in pregnant women was high in the two municipal districts, and that the preventive strategies should be different and appropriate for the reality of each municipal district.