Prevalência dos agentes sexualmente transmissíveis Chlamydia trachomatis, Trichomonas vaginalis e Neisseria gonorrhoeae em amostras cervicais de mulheres Quilombolas de Caxias – Maranhão

Abstract

Introduction: Sexually transmitted infections (STIs) are caused by viruses, bacteria or protozoa and transmitted throughun protected sexual contact. In 2018, there was a considerableincrease in new cases of STIs in Brazil duetoriskybehaviorssuch as pooradherencetocondom use. There are few studies that address the prevalenceofSTIs in quilombola women. Objective: Toinvestigatetheprevalenceofsexuallytransmittedagents - Chlamydia trachomatis (Ct), Neisseria gonorrhoeae (Ng) andTrichomonasvaginalis (Tv) as well as associatedfactors in quilombola women in thecityof Caxias,

Maranhão.Materials and Methods: The studywasobservational, cross- sectionalandprospective, carried out fromMarch 2021toMarch 2022. A

questionnairewithsociodemographic, behavioralandclinicalinformationwasused. A gynecologicalexaminationwasperformedtocollect cervical cells for oncoticcytologyandtodetecttheagentsthroughthepolymerasechainreaction test. Results: 145 womenwereevaluated. The prevalenceofatleastone STI was 18.62%. The highestprevalencewas 13.1% for Ctfollowedby 11.03% for Tv. Therewas no case ofNg. Cervicovaginalcytologywasaltered in 6.2%. The detectionofoneor more STIswassignificantlyassociatedwiththelocationofthe quilombo, as well as occupation, income andwhetherornottheywere in menopause.Conclusion: There are few data availableonSTIs in samples of quilombola womenwho are mostlyvulnerable in termsofhealth. The resultsfound in thisstudycanbeused as support for carrying out measures for thepreventionandcontrolofSTIs in the quilombola population, rangingfromthequalificationofhealthprofessionals in counselingandrapidtesting for STIs, healtheducationandprovisionofcondoms, even for managers in theimplementationofpublic policies aimedatthispopulation.