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All Journal Medical Journal of Indonesia
Nguyen, Thanh Tran Ai
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Medicine & Pharmacology

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Predictors of syphilis infection among HIV pre-exposure prophylaxis users Nguyen, Thanh Tran Ai; Vu-Tri, Thanh; Nguyen, Vu Hoang Anh; Nguyen-Thi, My-Tien; Luu-Thi, Huyen-Trang; Ly, Thanh-Thao; Phan, Yen Thi Hoai
Medical Journal of Indonesia Vol. 34 No. 1 (2025): March
Publisher : Faculty of Medicine Universitas Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.13181/mji.oa.257601

Abstract

BACKGROUND Pre-exposure prophylaxis (PrEP) has revolutionized HIV prevention worldwide. However, research has shown a contradictory trend in which PrEP helps reduce HIV incidence, but increases sexually transmitted infections (STIs), especially in high-risk groups like men who have sex with men and female sex workers. This study aimed to examine the association between sex, age, occupational status, hepatitis B virus (HBV) infection, and hepatitis C virus (HCV) infection with syphilis infection among PrEP users. METHODS The cross-sectional survey was conducted over 1 year, with 864 participants in Thu Duc City Hospital, Vietnam. The chi-square test was utilized for descriptive analysis. Binary logistic regression models estimated the association between sex, age, occupational status, HBV infection, and HCV infection with syphilis infection. Odds ratio (OR) and 95% confidence intervals (CIs) were calculated. RESULTS Of 864 participants, 147 (18.2%) men and 68 (23.7%) employed individuals were tested positive for syphilis. The findings indicated that men (OR = 13.805; 95% CI = 1.886−101.024), employed individuals (OR = 1.838; 95% CI = 1.191−2.834), and HBV infection (OR = 2.076; 95% CI = 1.108−3.891) were significantly associated with an increased risk of syphilis infection. CONCLUSIONS Men, employed individuals, and individuals infected with HBV face a higher risk of syphilis infection among PrEP users.
Co-Authors Luu-Thi, Huyen-Trang Ly, Thanh-Thao Nguyen, Vu Hoang Anh Nguyen-Thi, My-Tien Phan, Yen Thi Hoai Vu-Tri, Thanh