HIV among the street dwellers of Medellín

Authors

  • Dedsy Y. Berbesi CES University
  • Alejandra Agudelo CES University
  • Angela Segura CES University
  • Liliana P. Montoya CES University

DOI:

https://doi.org/10.17533/udea.rfnsp.12496

Keywords:

HIV, surveillance, prevalence, vulnerability

Abstract

Objective: to determine the prevalence of HIV among the street dwellers of the city of Medellin (Colombia) as well as their socio-demographic characteristics in order to deepen the understanding of the problems faced by this vulnerable group. Methodology: a cross-sectional study was conducted in which HIV seroprevalence and risk behaviors were determined. Data was processed using the SPSS 8.0 software, and the bivariate analysis was conducted using statistical methods. Results: a survey was conducted on 230 street dwellers, 69.6% of which were men. The average age was 38 ± 10.9 years, and HIV prevalence was 7.8%. This prevalence was 10% for men and 2.9% for women. The rate of infected individuals was 12% for those aged 25 to 34, 11% for individuals aged 55, and 8% for those aged 18 to 24. Additionally, 41% of men and 30% of women had correct beliefs regarding HIV transmission. Discussion: the prevalence value of 7.8%, shows that HIV infections in Colombia are concentrated in populations in a state of exclusion, stigma, and discrimination. This value also shows a need for actions targeting vulnerable groups.
|Abstract
= 324 veces | PDF ()
= 113 veces|

Downloads

Download data is not yet available.

Author Biographies

Dedsy Y. Berbesi, CES University

Nurse, specialist in epidemiology, master in epidemiology, CES University. Medellín, Colombia.

Alejandra Agudelo, CES University

Health Information Systems Manager, CES University. Medellín, Colombia.

Angela Segura, CES University

Statistics-Informatics, Master in Epidemiology, PhD in Epidemiology, CES University. Medellín, Colombia.

Liliana P. Montoya, CES University

Health Information Systems Manager, Master in Epidemiology, CES University. Medellín, Colombia.

References

(1). Ministerio de la Protección Social. Plan Nacional de respuesta ante el VIH y el SIDA. Colombia 2008 - 2011. Bogotá: El Ministerio; 2008.

(2). Ministerio de la Protección Social, Fondo de Población de las Naciones Unidas (unfpa). Vulnerabilidad a la infección por VIH en personas en situación de calle en las ciudades de Bucaramanga y Barranquilla. 2011. Bogotá: El Ministerio, unfpa; 2011.

(3). Correa M. La otra ciudad - Otros sujetos: los habitantes de la calle. Trabajo Social 2007;9:37-56.

(4). Correa M. Para una nueva comprensión de las características y la atención social de los habitantes de calle. Revista Eleuthera. 2007;1:91-102.

(5). Metraux S. Homelessness and HIV Risk Behaviors among Injection Drug Users. Journal of Urban Health: Bulletin of the New York Academy of Medicine 2004 12;81(4):618-629. DOI: https://doi.org/10.1093/jurban/jth145

(6). Khan MR, Bolyard M, Sandoval M, Mateu-Gelabert P, Krauss B, Aral SO, et al. Social and behavioral correlates of sexually transmitted infection- and HIV-discordant sexual partnerships in Bushwick, Brooklyn, New York. J. Acquir. Immune Defic. Syndr 2009;51(4):470-485. DOI: https://doi.org/10.1097/QAI.0b013e3181a2810a

(7). Robertson MJ, Clark RA, Charlebois ED, Tulsky J, Long HL, Bangsberg DR, et al. HIV seroprevalence among homeless and marginally housed adults in San Francisco. Am J Public Health 2004 Jul;94(7):1207-1217. DOI: https://doi.org/10.2105/AJPH.94.7.1207

(8). Zolopa AR, Hahn JA, Gorter R, Miranda J, Wlodarczyk D, Pe-terson J, et al. HIV and tuberculosis infection in San Francisco’s homeless adults. Prevalence and risk factors in a representative sample. JAMA 10;272(6):455-461. DOI: https://doi.org/10.1001/jama.272.6.455

(9). Grangeiro A, Holcman MM, Onaga ET, Alencar HDR de, Placco ALN, Teixeira PR. Prevalência e vulnerabilidade à infecção pelo HIV de moradores de rua em São Paulo, SP. Revista de SaúdePública 2012;46(4):674-684. DOI: https://doi.org/10.1590/S0034-89102012005000037

(10). Adler N, Herman D, Susser E. ¿What are homeless persons’ HIV prevention needs? San Francisco: Center for AIDS Prevention Studies, The AIDS Research Institute; 2005.

(11). Clinical Services Policy and Planning Unit. Homelessness and Human Services: a Health Service Response. New South Wales: Clinical Services Policy and Planning Unit; 2000.

(12). Tirado A, Correa M. Accesibilidad de la población habitante de calle a los programas de promoción y prevención establecido por la resolución 412 de 2000. Inv. Andina. 2006;18(11):23-35.

(13). Amon J, Brown T, Hogle J, MacNeil J, Magnani R, Mills S, et al.. Encuestas de Vigilancia del Comportamiento EVC. Directrices para encuestas del comportamiento repetidas en poblaciones en riesgo al VIH. Family Health International; 2000.

(14). Ministerio de la Protección Social, Fondo de Población de las Naciones Unidas (unfpa). Factores de vulnerabilidad a la infección por VIH en las mujeres. Bogotá: El Ministerio, unfpa; 2006.

(15). Agudelo M, Alvarez M, Correa M, Correa N, Estrada P, Franco J. Tuberculosis en población indigente de Medellín: análisis de los patrones de transmisión de Mycobacterium tuberculosis y su aso-ciación con trastornos mentales y factores psicosociales: informe de investigación. Medellín: CIB; 2008.

(16). Milburn N, Stein J, Rice E, Rotheram-Borus M, Mallet S, Ro-senthal D. AIDS risk behaviors among American and Australian homeless youth. Journal of Social Issues 2007;63(3):543-563. DOI: https://doi.org/10.1111/j.1540-4560.2007.00523.x

(17). Kushel MB, Vittinghoff E, Haas JS. Factors associated with the health care utilization of homeless persons. JAMA 2001;285(2):200-206. DOI: https://doi.org/10.1001/jama.285.2.200

(18). Ortiz A. La sensibilización hacia el habitante de calle, brigadas y comunidad desde la lúdica como estrategia de un proceso de inclusión social [Internet] 2004 [Acceso 12 de noviembre de 2011]. Disponible en: http://www.redcreacion.org/documentos/congreso8/comfenalco.html.

(19). National Coalition for the Homeless. ¿Why Are People Home-less? [Internet] Washington: National Coalition for the Homeless; 2009. [Acceso 15 de octubre de 2011]. Disponible en: http://www.nationalhomeless.org/factsheets/why.html.

(20). Departamento Administrativo Nacional de Estadística, Alcaldía Mayor Santa Fe de Bogota. II Censo Sectorial de habitantes de calle. Bogotá: dane; 1999.

Downloads

Published

2013-02-20

How to Cite

1.
Berbesi DY, Agudelo A, Segura A, Montoya LP. HIV among the street dwellers of Medellín. Rev. Fac. Nac. Salud Pública [Internet]. 2013 Feb. 20 [cited 2025 Feb. 24];30(3):310-5. Available from: https://revistas.udea.edu.co/index.php/fnsp/article/view/12496

Issue

Section

Research