Prevalence of Chlamydia trachomatis and Neisseria gonorrhoeae in the homeless population of Medellín, Colombia: a cross-sectional study

ABSTRACT: Objective To determine the prevalence of Chlamydia trachomatis (CT) and Neisseria gonorrhoeae (NG) in the homeless population in Medellín, Colombia, using molecular diagnostic methods. It also intended to develop a demographic profile, exploring associated factors and the dynamics of the s...

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Autores:
Vélez Gómez, Diego Enrique
Torres Vellojín, Natalia
Grajales Zapata, Juan Camilo
McEwen Ochoa, Juan Guillermo
Martínez, Alonso
Ramírez Lopera, Verónica
Villegas Castaño, Aracelly
Tipo de recurso:
Article of investigation
Fecha de publicación:
2022
Institución:
Universidad de Antioquia
Repositorio:
Repositorio UdeA
Idioma:
eng
OAI Identifier:
oai:bibliotecadigital.udea.edu.co:10495/27345
Acceso en línea:
http://hdl.handle.net/10495/27345
https://bmjopen.bmj.com/content/12/3/e054966
Palabra clave:
Personas sin Hogar
Homeless Persons
Enfermedades Transmisibles
Communicable Diseases
Enfermedades Transmisibles - epidemiología
Communicable Diseases - epidemiology
Chlamydia trachomatis
Neisseria gonorrhoeae
Enfermedades de Transmisión Sexual
Sexually Transmitted Diseases
Factores de Riesgo
Risk Factors
Prevalencia
Prevalence
Salud Pública
Public Health
Medellín (Antioquia)
Habitantes de calle
Rights
openAccess
License
https://creativecommons.org/licenses/by-nc/2.5/co/
id UDEA2_7b71d5a29ddfd1ef6fc1121fa21a0c12
oai_identifier_str oai:bibliotecadigital.udea.edu.co:10495/27345
network_acronym_str UDEA2
network_name_str Repositorio UdeA
repository_id_str
dc.title.spa.fl_str_mv Prevalence of Chlamydia trachomatis and Neisseria gonorrhoeae in the homeless population of Medellín, Colombia: a cross-sectional study
title Prevalence of Chlamydia trachomatis and Neisseria gonorrhoeae in the homeless population of Medellín, Colombia: a cross-sectional study
spellingShingle Prevalence of Chlamydia trachomatis and Neisseria gonorrhoeae in the homeless population of Medellín, Colombia: a cross-sectional study
Personas sin Hogar
Homeless Persons
Enfermedades Transmisibles
Communicable Diseases
Enfermedades Transmisibles - epidemiología
Communicable Diseases - epidemiology
Chlamydia trachomatis
Neisseria gonorrhoeae
Enfermedades de Transmisión Sexual
Sexually Transmitted Diseases
Factores de Riesgo
Risk Factors
Prevalencia
Prevalence
Salud Pública
Public Health
Medellín (Antioquia)
Habitantes de calle
title_short Prevalence of Chlamydia trachomatis and Neisseria gonorrhoeae in the homeless population of Medellín, Colombia: a cross-sectional study
title_full Prevalence of Chlamydia trachomatis and Neisseria gonorrhoeae in the homeless population of Medellín, Colombia: a cross-sectional study
title_fullStr Prevalence of Chlamydia trachomatis and Neisseria gonorrhoeae in the homeless population of Medellín, Colombia: a cross-sectional study
title_full_unstemmed Prevalence of Chlamydia trachomatis and Neisseria gonorrhoeae in the homeless population of Medellín, Colombia: a cross-sectional study
title_sort Prevalence of Chlamydia trachomatis and Neisseria gonorrhoeae in the homeless population of Medellín, Colombia: a cross-sectional study
dc.creator.fl_str_mv Vélez Gómez, Diego Enrique
Torres Vellojín, Natalia
Grajales Zapata, Juan Camilo
McEwen Ochoa, Juan Guillermo
Martínez, Alonso
Ramírez Lopera, Verónica
Villegas Castaño, Aracelly
dc.contributor.author.none.fl_str_mv Vélez Gómez, Diego Enrique
Torres Vellojín, Natalia
Grajales Zapata, Juan Camilo
McEwen Ochoa, Juan Guillermo
Martínez, Alonso
Ramírez Lopera, Verónica
Villegas Castaño, Aracelly
dc.subject.decs.none.fl_str_mv Personas sin Hogar
Homeless Persons
Enfermedades Transmisibles
Communicable Diseases
Enfermedades Transmisibles - epidemiología
Communicable Diseases - epidemiology
Chlamydia trachomatis
Neisseria gonorrhoeae
Enfermedades de Transmisión Sexual
Sexually Transmitted Diseases
Factores de Riesgo
Risk Factors
Prevalencia
Prevalence
Salud Pública
Public Health
topic Personas sin Hogar
Homeless Persons
Enfermedades Transmisibles
Communicable Diseases
Enfermedades Transmisibles - epidemiología
Communicable Diseases - epidemiology
Chlamydia trachomatis
Neisseria gonorrhoeae
Enfermedades de Transmisión Sexual
Sexually Transmitted Diseases
Factores de Riesgo
Risk Factors
Prevalencia
Prevalence
Salud Pública
Public Health
Medellín (Antioquia)
Habitantes de calle
dc.subject.lemb.none.fl_str_mv Medellín (Antioquia)
dc.subject.proposal.spa.fl_str_mv Habitantes de calle
description ABSTRACT: Objective To determine the prevalence of Chlamydia trachomatis (CT) and Neisseria gonorrhoeae (NG) in the homeless population in Medellín, Colombia, using molecular diagnostic methods. It also intended to develop a demographic profile, exploring associated factors and the dynamics of the social and sexual interactions of this community. Design Cross-sectional study. Setting Two homeless care centres in Medellín, Colombia. Participants Homeless individuals that assisted to the main homeless care centres of Medellín, Colombia from 2017 to 2019. Primary and secondary outcome measures The prevalence of CT and NG in this population using qPCR detection, factors associated with CT and NG infection, and the sociodemographic profile of the community. Results The prevalence of CT infection was 19.2%, while that of NG was 22.6%. Furthermore, being a female was significantly correlated to CT infection p<0.05 (adjusted OR, AOR 2.42, 95% CI 1.31 to 4.47). NG infection was significantly associated with factors such as: sexual intercourse while having a sexually transmitted infection p<0.05 (AOR 3.19, 95% CI 1.48 to 6.85), having more than 11 sexual partners in the last 6 months p=0.04 (AOR 2.91, 95% CI 1.04 to 8.09) and having daily intercourse p=0.05 (AOR 3.15, 95% CI 1.02 to 9.74). Conclusions The prevalence of CT and NG was higher than that reported in the general population. Additionally, females had a higher percentage of infection compared with males.
publishDate 2022
dc.date.accessioned.none.fl_str_mv 2022-04-07T13:16:32Z
dc.date.available.none.fl_str_mv 2022-04-07T13:16:32Z
dc.date.issued.none.fl_str_mv 2022
dc.type.spa.fl_str_mv info:eu-repo/semantics/article
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dc.type.local.spa.fl_str_mv Artículo de investigación
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dc.identifier.citation.spa.fl_str_mv Vélez-Gómez DE, Torres-Vellojín N, GrajalesZapata JC, et al. Prevalence of Chlamydia trachomatis and Neisseria gonorrhoeae in the homeless population of Medellín, Colombia: a crosssectional study. BMJ Open 2022;12:e054966. doi:10.1136/ bmjopen-2021-054966
dc.identifier.uri.none.fl_str_mv http://hdl.handle.net/10495/27345
dc.identifier.doi.none.fl_str_mv 10.1136/bmjopen-2021-054966
dc.identifier.eissn.none.fl_str_mv 2044-6055
dc.identifier.url.spa.fl_str_mv https://bmjopen.bmj.com/content/12/3/e054966
identifier_str_mv Vélez-Gómez DE, Torres-Vellojín N, GrajalesZapata JC, et al. Prevalence of Chlamydia trachomatis and Neisseria gonorrhoeae in the homeless population of Medellín, Colombia: a crosssectional study. BMJ Open 2022;12:e054966. doi:10.1136/ bmjopen-2021-054966
10.1136/bmjopen-2021-054966
2044-6055
url http://hdl.handle.net/10495/27345
https://bmjopen.bmj.com/content/12/3/e054966
dc.language.iso.spa.fl_str_mv eng
language eng
dc.relation.ispartofjournalabbrev.spa.fl_str_mv BMJ Open.
dc.rights.spa.fl_str_mv info:eu-repo/semantics/openAccess
dc.rights.uri.*.fl_str_mv https://creativecommons.org/licenses/by-nc/2.5/co/
dc.rights.accessrights.spa.fl_str_mv http://purl.org/coar/access_right/c_abf2
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eu_rights_str_mv openAccess
rights_invalid_str_mv https://creativecommons.org/licenses/by-nc/2.5/co/
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dc.format.mimetype.spa.fl_str_mv application/pdf
dc.publisher.spa.fl_str_mv BMJ Publishing Group
dc.publisher.group.spa.fl_str_mv Bacterias y Cáncer
Biología Celular y Molecular CIB U. de A. U. del Rosario
dc.publisher.place.spa.fl_str_mv Londres, Inglaterra
institution Universidad de Antioquia
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http://bibliotecadigital.udea.edu.co/bitstream/10495/27345/1/GrajalesJuan%20Camilo_2022_ChlamydiaTrachomatisNeisseriaGonorrhoeae.pdf
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spelling Vélez Gómez, Diego EnriqueTorres Vellojín, NataliaGrajales Zapata, Juan CamiloMcEwen Ochoa, Juan GuillermoMartínez, AlonsoRamírez Lopera, VerónicaVillegas Castaño, Aracelly2022-04-07T13:16:32Z2022-04-07T13:16:32Z2022Vélez-Gómez DE, Torres-Vellojín N, GrajalesZapata JC, et al. Prevalence of Chlamydia trachomatis and Neisseria gonorrhoeae in the homeless population of Medellín, Colombia: a crosssectional study. BMJ Open 2022;12:e054966. doi:10.1136/ bmjopen-2021-054966http://hdl.handle.net/10495/2734510.1136/bmjopen-2021-0549662044-6055https://bmjopen.bmj.com/content/12/3/e054966ABSTRACT: Objective To determine the prevalence of Chlamydia trachomatis (CT) and Neisseria gonorrhoeae (NG) in the homeless population in Medellín, Colombia, using molecular diagnostic methods. It also intended to develop a demographic profile, exploring associated factors and the dynamics of the social and sexual interactions of this community. Design Cross-sectional study. Setting Two homeless care centres in Medellín, Colombia. Participants Homeless individuals that assisted to the main homeless care centres of Medellín, Colombia from 2017 to 2019. Primary and secondary outcome measures The prevalence of CT and NG in this population using qPCR detection, factors associated with CT and NG infection, and the sociodemographic profile of the community. Results The prevalence of CT infection was 19.2%, while that of NG was 22.6%. Furthermore, being a female was significantly correlated to CT infection p<0.05 (adjusted OR, AOR 2.42, 95% CI 1.31 to 4.47). NG infection was significantly associated with factors such as: sexual intercourse while having a sexually transmitted infection p<0.05 (AOR 3.19, 95% CI 1.48 to 6.85), having more than 11 sexual partners in the last 6 months p=0.04 (AOR 2.91, 95% CI 1.04 to 8.09) and having daily intercourse p=0.05 (AOR 3.15, 95% CI 1.02 to 9.74). Conclusions The prevalence of CT and NG was higher than that reported in the general population. Additionally, females had a higher percentage of infection compared with males.COL0000962COL007045710application/pdfengBMJ Publishing GroupBacterias y CáncerBiología Celular y Molecular CIB U. de A. U. del RosarioLondres, Inglaterrainfo:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/articlehttp://purl.org/coar/resource_type/c_2df8fbb1https://purl.org/redcol/resource_type/ARTArtículo de investigaciónhttp://purl.org/coar/version/c_970fb48d4fbd8a85info:eu-repo/semantics/openAccesshttps://creativecommons.org/licenses/by-nc/2.5/co/http://purl.org/coar/access_right/c_abf2https://creativecommons.org/licenses/by-nc/4.0/Prevalence of Chlamydia trachomatis and Neisseria gonorrhoeae in the homeless population of Medellín, Colombia: a cross-sectional studyPersonas sin HogarHomeless PersonsEnfermedades TransmisiblesCommunicable DiseasesEnfermedades Transmisibles - epidemiologíaCommunicable Diseases - epidemiologyChlamydia trachomatisNeisseria gonorrhoeaeEnfermedades de Transmisión SexualSexually Transmitted DiseasesFactores de RiesgoRisk FactorsPrevalenciaPrevalenceSalud PúblicaPublic HealthMedellín (Antioquia)Habitantes de calleBMJ Open.BMJ Open12CC-LICENSElicense_rdflicense_rdfapplication/rdf+xml; charset=utf-8712http://bibliotecadigital.udea.edu.co/bitstream/10495/27345/2/license_rdffd0548b8694973befb689f3e7a707f1dMD52LICENSElicense.txtlicense.txttext/plain; charset=utf-81748http://bibliotecadigital.udea.edu.co/bitstream/10495/27345/3/license.txt8a4605be74aa9ea9d79846c1fba20a33MD53ORIGINALGrajalesJuan Camilo_2022_ChlamydiaTrachomatisNeisseriaGonorrhoeae.pdfGrajalesJuan Camilo_2022_ChlamydiaTrachomatisNeisseriaGonorrhoeae.pdfArtículo de investigaciónapplication/pdf584031http://bibliotecadigital.udea.edu.co/bitstream/10495/27345/1/GrajalesJuan%20Camilo_2022_ChlamydiaTrachomatisNeisseriaGonorrhoeae.pdf195f163483964a99f5425948fe67e4a1MD5110495/27345oai:bibliotecadigital.udea.edu.co:10495/273452022-04-08 08:32:44.416Repositorio Institucional Universidad de Antioquiaandres.perez@udea.edu.coTk9URTogUExBQ0UgWU9VUiBPV04gTElDRU5TRSBIRVJFClRoaXMgc2FtcGxlIGxpY2Vuc2UgaXMgcHJvdmlkZWQgZm9yIGluZm9ybWF0aW9uYWwgcHVycG9zZXMgb25seS4KCk5PTi1FWENMVVNJVkUgRElTVFJJQlVUSU9OIExJQ0VOU0UKCkJ5IHNpZ25pbmcgYW5kIHN1Ym1pdHRpbmcgdGhpcyBsaWNlbnNlLCB5b3UgKHRoZSBhdXRob3Iocykgb3IgY29weXJpZ2h0Cm93bmVyKSBncmFudHMgdG8gRFNwYWNlIFVuaXZlcnNpdHkgKERTVSkgdGhlIG5vbi1leGNsdXNpdmUgcmlnaHQgdG8gcmVwcm9kdWNlLAp0cmFuc2xhdGUgKGFzIGRlZmluZWQgYmVsb3cpLCBhbmQvb3IgZGlzdHJpYnV0ZSB5b3VyIHN1Ym1pc3Npb24gKGluY2x1ZGluZwp0aGUgYWJzdHJhY3QpIHdvcmxkd2lkZSBpbiBwcmludCBhbmQgZWxlY3Ryb25pYyBmb3JtYXQgYW5kIGluIGFueSBtZWRpdW0sCmluY2x1ZGluZyBidXQgbm90IGxpbWl0ZWQgdG8gYXVkaW8gb3IgdmlkZW8uCgpZb3UgYWdyZWUgdGhhdCBEU1UgbWF5LCB3aXRob3V0IGNoYW5naW5nIHRoZSBjb250ZW50LCB0cmFuc2xhdGUgdGhlCnN1Ym1pc3Npb24gdG8gYW55IG1lZGl1bSBvciBmb3JtYXQgZm9yIHRoZSBwdXJwb3NlIG9mIHByZXNlcnZhdGlvbi4KCllvdSBhbHNvIGFncmVlIHRoYXQgRFNVIG1heSBrZWVwIG1vcmUgdGhhbiBvbmUgY29weSBvZiB0aGlzIHN1Ym1pc3Npb24gZm9yCnB1cnBvc2VzIG9mIHNlY3VyaXR5LCBiYWNrLXVwIGFuZCBwcmVzZXJ2YXRpb24uCgpZb3UgcmVwcmVzZW50IHRoYXQgdGhlIHN1Ym1pc3Npb24gaXMgeW91ciBvcmlnaW5hbCB3b3JrLCBhbmQgdGhhdCB5b3UgaGF2ZQp0aGUgcmlnaHQgdG8gZ3JhbnQgdGhlIHJpZ2h0cyBjb250YWluZWQgaW4gdGhpcyBsaWNlbnNlLiBZb3UgYWxzbyByZXByZXNlbnQKdGhhdCB5b3VyIHN1Ym1pc3Npb24gZG9lcyBub3QsIHRvIHRoZSBiZXN0IG9mIHlvdXIga25vd2xlZGdlLCBpbmZyaW5nZSB1cG9uCmFueW9uZSdzIGNvcHlyaWdodC4KCklmIHRoZSBzdWJtaXNzaW9uIGNvbnRhaW5zIG1hdGVyaWFsIGZvciB3aGljaCB5b3UgZG8gbm90IGhvbGQgY29weXJpZ2h0LAp5b3UgcmVwcmVzZW50IHRoYXQgeW91IGhhdmUgb2J0YWluZWQgdGhlIHVucmVzdHJpY3RlZCBwZXJtaXNzaW9uIG9mIHRoZQpjb3B5cmlnaHQgb3duZXIgdG8gZ3JhbnQgRFNVIHRoZSByaWdodHMgcmVxdWlyZWQgYnkgdGhpcyBsaWNlbnNlLCBhbmQgdGhhdApzdWNoIHRoaXJkLXBhcnR5IG93bmVkIG1hdGVyaWFsIGlzIGNsZWFybHkgaWRlbnRpZmllZCBhbmQgYWNrbm93bGVkZ2VkCndpdGhpbiB0aGUgdGV4dCBvciBjb250ZW50IG9mIHRoZSBzdWJtaXNzaW9uLgoKSUYgVEhFIFNVQk1JU1NJT04gSVMgQkFTRUQgVVBPTiBXT1JLIFRIQVQgSEFTIEJFRU4gU1BPTlNPUkVEIE9SIFNVUFBPUlRFRApCWSBBTiBBR0VOQ1kgT1IgT1JHQU5JWkFUSU9OIE9USEVSIFRIQU4gRFNVLCBZT1UgUkVQUkVTRU5UIFRIQVQgWU9VIEhBVkUKRlVMRklMTEVEIEFOWSBSSUdIVCBPRiBSRVZJRVcgT1IgT1RIRVIgT0JMSUdBVElPTlMgUkVRVUlSRUQgQlkgU1VDSApDT05UUkFDVCBPUiBBR1JFRU1FTlQuCgpEU1Ugd2lsbCBjbGVhcmx5IGlkZW50aWZ5IHlvdXIgbmFtZShzKSBhcyB0aGUgYXV0aG9yKHMpIG9yIG93bmVyKHMpIG9mIHRoZQpzdWJtaXNzaW9uLCBhbmQgd2lsbCBub3QgbWFrZSBhbnkgYWx0ZXJhdGlvbiwgb3RoZXIgdGhhbiBhcyBhbGxvd2VkIGJ5IHRoaXMKbGljZW5zZSwgdG8geW91ciBzdWJtaXNzaW9uLgo=