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Prevalence of Sexually Transmitted Infections and Predictors for Loss to Follow Up among Marginalized Homeless and Migrant Communities: a Cross-Sectional Study Cover

Prevalence of Sexually Transmitted Infections and Predictors for Loss to Follow Up among Marginalized Homeless and Migrant Communities: a Cross-Sectional Study

Open Access
|Apr 2024

Figures & Tables

Table 1

Characteristics of the population stratified for subpopulation and return rate.

OVERALL (N = 149)SUB-POPULATIONRETURN FOR TEST RESULTS
AGRICULTURAL MIGRANT WORKERS (N = 64)HOMELESS PEOPLE (N = 85)P-VALUE FOR SETTINGNOT RETURNED (N = 74)RETURNED (N = 75)P-VALUE FOR RETURNING
Age, median [Q1, Q3]35 [27, 45]34 [26, 42]35 [29, 48]0.32833.0 [26.3, 41.8]36.0 [28.5, 50.0]0.171
Gender
        F29 (19.5%)8 (12.5%)21 (24.7%)0.098211 (14.9%)18 (24.0%)0.23
        M120 (80.5%)56 (87.5%)64 (75.3%)63 (85.1%)57 (76.0%)
Sub-populations
        Agricultural migrant workers64 (43.0%)38 (51.4%)26 (34.7%)0.0585
        Homeless people85 (57.0%)36 (48.6%)49 (65.3%)
Marital Status
        Divorced11 (7.4%)3 (4.7%)8 (9.4%)0.4423 (4.1%)8 (10.7%)0.478
        In an open relationship4 (2.7%)2 (3.1%)2 (2.4%)2 (2.7%)2 (2.7%)
        Single84 (56.4%)34 (53.1%)50 (58.8%)44 (59.5%)40 (53.3%)
        Married49 (32.9%)25 (39.1%)24 (28.2%)25 (33.8%)24 (32.0%)
        Missing1 (0.7%)0 (0%)1 (1.2%)0 (0%)1 (1.3%)
Region of origin
        Eastern Europe10 (6.7%)6 (9.4%)4 (4.7%)<0.0014 (5.4%)6 (8.0%)0.25
        Middle East10 (6.7%)1 (1.6%)9 (10.6%)8 (10.8%)19 (25.3%)
        North Africa24 (16.1%)13 (20.3%)11 (12.9%)4 (5.4%)6 (8.0%)
        Other2 (1.3%)1 (1.6%)1 (1.2%)14 (18.9%)10 (13.3%)
        Southeast Asia7 (4.7%)2 (3.1%)5 (5.9%)1 (1.4%)1 (1.3%)
        Sub-Saharan Africa69 (46.3%)41 (64.1%)28 (32.9%)3 (4.1%)4 (5.3%)
        Italy27 (18.1%)0 (0%)27 (31.8%)40 (54.1%)29 (38.7%)
Education
        Primary school56 (37.6%)29 (45.3%)27 (31.8%)0.087233 (44.6%)23 (30.7%)0.373
        Lower secondary school36 (24.2%)13 (20.3%)23 (27.1%)15 (20.3%)21 (28.0%)
        Higher secondary school14 (9.4%)4 (6.3%)10 (11.8%)5 (6.8%)9 (12.0%)
        University3 (2.0%)3 (4.7%)0 (0%)1 (1.4%)2 (2.7%)
        No formal education40 (26.8%)15 (23.4%)25 (29.4%)20 (27.0%)20 (26.7%)
Comorbidities
        Diabetes12 (8.1%)2 (3.1%)10 (11.8%)0.1064 (5.4%)8 (10.7%)0.379
        Hypertension9 (6.0%)2 (3.1%)7 (8.2%)0.3434 (5.4%)5 (6.7%)1
        Cardiopathy4 (2.7%)0 (0%)4 (4.7%)0.2121 (1.4%)3 (4.0%)0.622
        Pneumopathy6 (4.0%)0 (0%)6 (7.1%)0.08033 (4.1%)3 (4.0%)1
        Neuropsychiatric disorder4 (2.7%)0 (0%)4 (4.7%)0.2122 (2.7%)2 (2.7%)1
        Cancer2 (1.3%)1 (1.6%)1 (1.2%)10 (0%)2 (2.7%)0.482
        TB History3 (2.0%)1 (1.6%)2 (2.4%)11 (1.4%)2 (2.7%)1
Chem sex14 (9.4%)2 (3.1%)12 (14.1%)0.04944 (5.4%)10 (13.3%)0.177
        Missing1 (0.7%)1 (1.6%)0 (0%)1 (1.4%)0 (0%)
Consistent condom use21 (14.1%)10 (15.6%)11 (12.9%)0.8199 (12.2%)12 (16.0%)0.662
Access to primary healthcare46 (30.9%)9 (14.1%)37 (43.5%)<0.00115 (20.3%)31 (41.3%)0.009
Fear of community exclusion in case of HIV positivity88 (59.1%)37 (57.8%)51 (60.0%)0.9243 (58.1%)45 (60.0%)0.946
Fear of community exclusion in case of HCV positivity38 (25.5%)16 (25.0%)22 (25.9%)116 (21.6%)22 (29.3%)0.372
Being tested for HIV or HCV in the past38 (25.5%)14 (21.9%)24 (28.2%)0.48918 (24.3%)20 (26.7%)0.889
HCV Knowledge Score, median [Q1, Q3]0 [0, 2]0 [0, 1]1 [0, 3]0.0010 [0, 1]0 [0, 3]0.04
HIV Knowledge Score, median [Q1, Q3]2 [0, 4]2 [0, 3]3 [1, 4]0.0192 [0, 3]2 [0, 4]0.512
Infections
        HIV3 (2.0%)2 (3.1%)1 (1.2%)0.8031 (1.4%)2 (2.7%)1
        Syphilis5 (3.4%)2 (3.1%)3 (3.5%)15 (6.8%)0 (0%)0.0665
        HCV14 (9.4%)6 (9.4%)8 (9.4%)112 (16.2%)2 (2.7%)0.01
        HBV Infection21 (14.1%)10 (15.6%)11 (12.9%)0.81911 (14.9%)10 (13.3%)0.974
        Any infection37 (24.8%)17 (26.6%)20 (23.5%)0.81624 (32.4%)13 (17.3%)0.052
        More than one infection6 (4.0%)3 (4.7%)3 (3.5%)15 (6.8%)1 (1.3%)0.205
Vaccinated against HBV21 (14.1%)5 (7.8%)16 (18.8%)0.0787 (9.5%)58 (77.3%)0.138
        Missing3 (2.0%)0 (0%)3 (3.5%)0 (0%)14 (18.7%)
Returned for test results75 (50.3%)26 (40.6%)49 (57.6%)0.058
agh-90-1-4388-g1.png
Figure 1

Distribution of infections among migrants and homeless people.

agh-90-1-4388-g2.png
Figure 2

HBV serologies stratified per subpopulation.

Table 2

Multivariable logistic regression model for return for test results.

FACTORaORlowCIhighCIpVALUE
(Intercept)0.8450.3981.7750.657
Living in Apulian Ghettos0.6970.3321.4620.337
Having access to primary healthcare2.1010.9284.8810.077
Good HCV knowledge2.2080.9115.5830.083
Having contracted HCV0.1360.0170.7030.028
Having contracted at least one STD0.8700.3342.2490.773
Fear that positive HIV test would result in social exclusion1.2140.5962.4830.592
DOI: https://doi.org/10.5334/aogh.4388 | Journal eISSN: 2214-9996
Language: English
Submitted on: Jan 6, 2024
Accepted on: Mar 8, 2024
Published on: Apr 1, 2024
Published by: Ubiquity Press
In partnership with: Paradigm Publishing Services
Publication frequency: 1 issue per year

© 2024 Francesco Vladimiro Segala, Roberta Novara, Gianfranco Panico, Renato Laforgia, Lucia Raho, Marcella Schiavone, Giovanni Civile, Nicole Laforgia, Stefano Di Gregorio, Giacomo Guido, Mariangela Cormio, Angelo Dargenio, Roberta Papagni, Angelo L’Erario, Luca L’Erario, Valentina Totaro, Vito Spada, Lauriana Valentini, Luisa Frallonardo, Rossana Lattanzio, Carmine Falanga, Giovanni Putoto, Annalisa Saracino, Francesco Di Gennaro, published by Ubiquity Press
This work is licensed under the Creative Commons Attribution 4.0 License.