
Risk of Sexually Transmitted Zika Virus in a Cohort of Economically Disadvantaged Urban Residents
Author(s) -
Juan P. Aguilar Ticona,
Huma S. Baig,
Nívison Nery,
Simon Doss-Gollin,
Gielson Almeida do Sacramento,
Haritha Adhikarla,
M. Catherine Muenker,
Elsio A. Wunder,
Eduardo J. M. Nascimento,
Ernesto T. A. Marques,
Mitermayer Galvão dos Reis,
Albert I. Ko,
Federico Costa
Publication year - 2021
Publication title -
the journal of infectious diseases (online. university of chicago press)/the journal of infectious diseases
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 2.69
H-Index - 252
eISSN - 1537-6613
pISSN - 0022-1899
DOI - 10.1093/infdis/jiab001
Subject(s) - zika virus , medicine , demography , odds ratio , cohort , cohort study , casual , confidence interval , sexually transmitted disease , disadvantaged , epidemiology , virology , environmental health , immunology , virus , syphilis , human immunodeficiency virus (hiv) , materials science , sociology , political science , law , composite material
To understand the disease burden of sexually transmitted Zika virus (ZIKV), we prospectively followed a cohort of 359 adult and adolescent residents of an urban community in Salvador, Brazil, through the 2015 ZIKV epidemic. Later, in 2017, we used a retrospective survey to associate sexual behavior during the epidemic with ZIKV infection as defined by immunoglobulin G3 NS1 enzyme-linked immunosorbent assay. We found that males who engaged in casual sexual encounters during the epidemic were more likely (adjusted odds ratio, 6.2 [95% confidence interval, 1.2-64.1]) to be ZIKV positive, suggesting that specific groups may be at increased risk of sexually transmitted infections.