scholarly journals A prevenção das infecções sexualmente transmissíveis entre jovens e a importância da educação em saúde

2022 ◽  
Vol 21 (1) ◽  
pp. 74-115
Author(s):  
Laercio Deleon De Melo ◽  
Carolina Passos Sodré ◽  
Thelma Spindola ◽  
Elizabeth Rose Costa Martins ◽  
Nathália Lourdes Nepomuceno De Oliveira André ◽  
...  

Objective: To analyze sexual practices and the adoption of prevention practices for sexually transmitted infections among university students.Method: A descriptive, cross-sectional and quantitative study, carried out in a public higher education institution, located in the city of Rio de Janeiro. A sample of 173 students from the Nutrition, Medicine, Nursing and Biological Sciences courses was selected from the matrix research database.Results: There was predominance of young women (76.88%), aged between 18 and 23 years old (84.39%), sexually active (78.03%), who did not use condoms continuously with stable (47.22%) and casual (30.36%) partners; the majority negotiated condom use (37.78%); never performed a test to detect HIV (56.07%) and denied previous occurrence of STIs (91.33%).Conclusion: The low adherence of young people to condoms with stable and casual partners is a risky sexual behavior that can contribute to acquiring STIs. Expansion of the provision of timely testing and intensification of educational activities in the university environment are necessary practices to reduce the group's vulnerability to STIs. Objetivo: Analizar las prácticas sexuales y la adopción de prácticas de prevención de infecciones de transmisión sexual entre estudiantes universitarios.Método: Investigación descriptiva, transversal, cuantitativa, realizada en una institución pública de educación superior, ubicada en la ciudad de Río de Janeiro. Se seleccionaron 173 estudiantes de las carreras de nutrición, medicina, enfermería y ciencias biológicas como muestra en la base de datos matricial de investigación.Resultados: Hubo predominio de mujeres jóvenes (76,88%), de 18 a 23 años (84,39%), sexualmente activas (78,03%), que no usaban preservativo de forma continuada con parejas estables (47,22%) y casuales (30,36%); la mayoría negoció el uso del condón (37,78%); nunca realizó una prueba para detectar el VIH (56,07%) y negó la ocurrencia previa de ITS (91,33%).Conclusión: La baja adherencia de los jóvenes al condón con parejas estables y casuales son conductas sexuales de riesgo que pueden contribuir a contraer ITS. La ampliación de la oferta de pruebas oportunas y la intensificación de las actividades educativas en el ámbito universitario son prácticas necesarias para reducir la vulnerabilidad del grupo a las ITS. Objetivo: Analisar as práticas sexuais e a adoção de práticas de prevenção de infecções sexualmente transmissíveis entre estudantes universitários. Método: Pesquisa descritiva, transversal, quantitativa, realizada em instituição pública de ensino superior, localizada no município do Rio de Janeiro. Foram selecionados como amostra 173 estudantes dos cursos de nutrição, medicina, enfermagem e ciências biológicas, no banco de dados da pesquisa-matriz. Resultados: Houve predomínio de jovens do sexo feminino (76,88%), faixa etária 18 a 23 anos (84,39%), sexualmente ativos (78,03%); não faziam uso contínuo do preservativo com parceiros fixos (47,22%) e casuais (30,36%); a maioria negociava o uso do preservativo (37,78%); nunca realizaram teste para detectar o HIV (56,07%) e negaram ocorrência prévia de Infecções Sexualmente Transmissíveis (IST) (91,33%). Conclusão: A baixa adesão dos jovens ao preservativo com parceiros fixos e casuais são comportamentos sexuais de risco que podem contribuir para adquirir IST. A ampliação da oferta de testagem oportuna e a intensificação de ações educativas no ambiente universitário são práticas necessárias para reduzir a vulnerabilidade do grupo às IST.

2020 ◽  
Vol 10 (32) ◽  
pp. 81-91
Author(s):  
Thelma Spindola ◽  
Cláudia Silva Rocha Oliveira ◽  
Daniela Marques da Costa ◽  
Nathália Lourdes Nepomuceno de Oliveira ◽  
Catarina Valentim Vieira da Motta ◽  
...  

Identificar o uso e a negociação do preservativo por acadêmicos de enfermagem e discutir as práticas sexuais destes estudantes na perspectiva da prevenção das infecções sexualmente transmissíveis. Descritivo, transversal com abordagem quantitativa, realizado com 153 estudantes de enfermagem de uma instituição privada. Foi empregado um questionário estruturado com 60 perguntas fechadas. Para a análise, utilizou-se a estatística descritiva com o auxílio do Excel for Windows. Foram atendidos todos os aspectos ético-legais. 91% participantes tinham vida sexual ativa. Destes: 72% não faziam uso do preservativo em todos os intercursos sexuais; 59% não usavam com parceria fixa; 76% utilizavam-no nas parcerias sexuais casuais e 90) informaram não usar preservativo feminino. A negociação do uso era realizada por 32 dos participantes. Evidenciou-se uma baixa adesão para o uso contínuo de preservativo, o que, juntamente com as situações de negociações de seu uso, favoreceu a exposição às infecções sexualmente transmissíveis.Descritores: Negociação, Preservativos, Comportamento Sexual, Infecções Sexualmente Transmissíveis. Use and negotiation of condoms by nursing academicsAbstract: To identify the use and negotiation of condoms by nursing students and discuss the sexual practices of these students with a view to preventing sexually transmitted infections. Descriptive, cross-sectional with a quantitative approach, carried out with 153 nursing students from a private institution. A structured questionnaire with 60 closed questions was used. For the analysis, descriptive statistics was used with the aid of Excel for Windows. All ethical and legal aspects were met. 91% participants had an active sex life. Of these: 72% did not use condoms in all sexual intercourse; 59% did not use with a fixed partnership; 76% used it in casual sexual partnerships and 90% reported not using female condom. Use negotiation was carried out by 32 of the participants. There was a low adherence to the continued use of condoms, which, together with situations of negotiation of their use, favored exposure to sexually transmitted infections.Descriptors: Negotiating, Condoms, Sexual Behavior, Sexually Transmitted Diseases. Uso y negociación de condones por los académicos de enfermeríaResumen: Identificar el uso y la negociación de condones por parte de académicos de enfermería y discutir las prácticas sexuales de estos estudiantes con miras a prevenir las infecciones de transmisión sexual. Descriptivo, transversal con enfoque cuantitativo, realizado con 153 estudiantes de enfermería de una institución privada. Se utilizó un cuestionario estructurado con 60 preguntas cerradas. Para el análisis, se utilizó estadística descriptiva con la ayuda de Excel para Windows. Se cumplieron todos los aspectos éticos y legales. El 91% de los participantes tenían una vida sexual activa. De estos: 72% no usaban condones en todas las relaciones sexuales; El 59% no lo usó con una sociedad fija; ell 76% lo usó en parejas sexuales casuales y 90) informaron que no usaban condón femenino. La negociación de uso fue realizada por 32 de los participantes. Hubo una baja adherencia al uso continuado de condones, lo que, junto con situaciones de negociación de su uso, favoreció la exposición a infecciones de transmisión sexual.Descriotores: Negociación, Condones, Conducta Sexual, Enfermedades de Transmisión Sexual.


2017 ◽  
Vol 5 (1) ◽  
Author(s):  
Carmen Lascano Espinoza ◽  
Sonnia Santos Holguín ◽  
Doris Castillo Tomalá

El siguiente trabajo de investigación tiene como objetivo determinar el grado de conocimiento sobre los factores de riesgo y las medidas de prevención que tienen los adolescentes del Colegio Técnico Municipal Siglo XXI de la parroquia José Luis Tamayo del Cantón Salinas. La investigación emplea una metodología de diseño cuantitativa, tipo descriptiva y de corte transversal. Para recolectar la información se aplicó un cuestionario a 145 estudiantes del bachillerato, a quienes se valoró la intervención educativa. Entre los resultados obtenidos se evidencia que los adolescentes tienen un déficit en el conocimiento sobre los factores de riesgo conductuales de las Infecciones de Transmisión Sexual (ITS), tales como: uso correcto del preservativo femenino y masculino, prácticas sexuales de riesgo, múltiples parejas sexuales, consumo de bebidas alcohólicas. También se constató que tanto la abstinencia sexual como el contacto directo con personas que manifiesten dermatitis o lesiones en la piel, no son las únicas estrategias para prevenir las ITS. Asimismo, se destaca la importancia de que se imparta la materia de educación para la sexualidad, puesto que no es suficiente la información que se difunde en cualquier medio de comunicación. En general, la mayoría de los jóvenes inician su actividad sexual durante la adolescencia, por consiguiente, el incremento de infecciones constituye un problema social. De ahí la necesidad de implementar una guía educativa acerca de la sexualidad e Infecciones de Transmisión Sexual, y utilizarlo como un recurso didáctico durante el proceso de enseñanza - aprendizaje. Palabras claves: Factor de riesgo, infecciones de trasmisión sexual.ABSTRACTThe following research aims to determine the degree of knowledge about risk factors and preventive measures that adolescents have of the Municipal Technical Colegio Siglo XXI of the parish José Luis Tamayo del Cantón Salinas. The research uses a methodology of quantitative design, descriptive and cross-sectional type. To collect the information, a questionnaire was applied to 145 high school students, in which the educational intervention was evaluated. Among the results obtained, it is evident that adolescents have a deficit in knowledge about the behavioral risk factors of Sexually Transmitted Infections, such as: correct use of female and male condoms, risky sexual practices, multiple sexual partners, alcoholic drinks. It was also found that both sexual abstinence and direct contact with people who exhibit dermatitis or skin lesions are not the only strategies to prevent STIs. Likewise, the importance of the education of sexuality is emphasized, since the information disseminated in any medium of communication is not enough. In general, the majority of young people begin their sexual activity during adolescence, therefore, the increase of infections is a social problem. Hence the need to implement an educational guide about sexuality and Sexually Transmitted Infections, and use it as a didactic recruiter during the teaching - learning process.Key words: Risk factor, sexually transmitted infections.


2020 ◽  
Vol 19 (2) ◽  
pp. 109-140
Author(s):  
Thelma Spindola ◽  
Agatha Soares De Barro de Araujo ◽  
Erica De Jesus Brochado ◽  
Débora Fernanda Sousa Marinho ◽  
Elizabeth Rose Costa Martins ◽  
...  

Objetivo: Analizar las prácticas sexuales y el comportamiento de jóvenes universitarios frente a las Infecciones Sexualmente Transmisibles. Metodología: Se trata de un estudio descriptivo, transversal, en abordaje cuantitativo realizado en una universidad privada en Río de Janeiro. Participaron 768 estudiantes, con edades entre 18 y 29 años, regularmente matriculados. Resultados: Los universitarios son solteros (58,72%), heterosexuales (85,80%) y sexualmente activos (85,16%); iniciaron actividades sexuales en el grupo de edad de 12-17 años (76,9%); el 77,83% relató tener una alianza fija y de esos 54,62% no utilizan preservativo; 50,31% informaron una multiplicidad de asociaciones sexuales, y el 62,84% no usa el preservativo en todas las relaciones sexuales. Los estudiantes informaron consumir alcohol (66,41%), siendo uso esporádico (50,39%), sin embargo, añaden que no tomaron antes de la última relación sexual (69,42%). En cuanto a los cuidados con la salud, el 57,81% buscó atención en los últimos 12 meses, siendo informada por 4,82% jóvenes la ocurrencia de infecciones sexualmente transmisibles. Conclusión: La asunción del comportamiento de riesgo por los jóvenes los hace vulnerables a las IST. Las acciones de educación en salud y estímulo para el autocuidado del grupo son relevantes para reducir perjuicios a la salud sexual de ese contingente poblacional. Objective: To analyze the sexual practices and the behavior of university students regarding Sexually Transmitted Infections. Methodology: This is a descriptive, cross-sectional, quantitative study conducted at a private university in Rio de Janeiro. A total of 768 students, aged 18 to 29 years, and regularly enrolled in the institution participated in the study. Results: University students were mostly single (58.72%), heterosexual (85.80%), sexually active (85.16%), had initiated sexual life in the age group of 12-17 years (76.9%), reported having a steady partnership (77.83%), did not use condoms (54.62%), reported multiplicity of sexual partners (50.31%), and did not use condoms in all sexual intercourses (62.84%). The students reported using alcohol (66.41%), although sporadically (50.39%), but they had not used before the last sexual intercourse (69.42%). Regarding health care, 57.81% sought care in the last 12 months, and the occurrence of sexually transmitted infections was reported by 4.82% of them. Conclusion: The adoption of risky behaviors by young people makes them vulnerable to STIs. Health education actions and encouragement of self-care are relevant to reduce the sexual health problems of this population contingent


BMJ Open ◽  
2020 ◽  
Vol 10 (11) ◽  
pp. e037608
Author(s):  
Mario Martín-Sánchez ◽  
Richard Case ◽  
Christopher Fairley ◽  
Jane S Hocking ◽  
Catriona Bradshaw ◽  
...  

ObjectivesIn the 2010s, there has been an increase in sexually transmitted infections (STI) in men who have sex with men (MSM) in Australia, and since 2015 also in urban heterosexuals. Men who have sex with both men and women (MSMW) have characteristics that may differ from both men who have sex with men only (MSMO) and heterosexual men. We aimed to compare the sexual practices and the trends in HIV/STI positivity between MSMO and MSMW.DesignRepeated cross-sectional study.SettingA sexual health centre in Melbourne, Australia.ParticipantsMSM aged 18 years and above who attended the Melbourne Sexual Health Centre for the first time between 2011 and 2018. This includes 12 795 MSMO and 1979 MSMW.Primary outcome measuresDemographic characterics, sexual practices and HIV/STI positivity.ResultsCompared with MSMW, MSMO were more likely to practice anal sex and to have condomless receptive anal sex with casual male partners, and less likely to have a current regular relationship. Over the 8-year period, there was an increase in condomless receptive anal sex with casual male partners for both groups (MSMO: from 46.2% to 63.3%, ptrend <0.001; MSMW: from 41.3% to 57.9%, ptrend=0.011). Syphilis positivity increased in MSMO (from 5.5% to 7.9%, ptrend=0.012) and MSMW (from 0.9% to 6.4%, ptrend=0.004) and HIV remained stable. Gonorrhoea increased among MSMO from 2011 to 2014 (from 6.7% to 9.6%, ptrend=0.002), and remained stable from 2015 to 2018. MSMO had higher odds of testing positive for gonorrhoea (adjusted OR (aOR) 1.36, 95% CI 1.13 to 1.64), chlamydia (aOR 1.39, 95% CI 1.16 to 1.67), syphilis (aOR 1.74, 95% CI 1.37 to 2.22) and HIV (aOR 4.60, 95% CI 2.43 to 8.70) than MSMW.ConclusionsMSMW have overall lower condomless sex and lower HIV/STI positivity. In the last years, changes in sexual practices in MSM have affected both MSMW and MSMO leading to an increased STI risk.


Author(s):  
Krishna C. Poudel ◽  
Kalpana Poudel-Tandukar ◽  
Paula H. Palmer ◽  
Tetsuya Mizoue ◽  
Masamine Jimba ◽  
...  

In Asian concentrated HIV epidemics, data on coinfection of sexually transmitted infections (STIs) among HIV-positive individuals are limited. The authors measured the prevalence of Chlamydia trachomatis (CT), Neisseria gonorrhea (NG), and syphilis, and their correlates among 319 HIV-positive individuals in Kathmandu, Nepal. The authors tested blood samples for syphilis and urine samples for CT and NG. Overall, 17 (5.3%) participants had at least 1 STI (CT: 1.3%, NG: 2.8%, and syphilis: 1.2%). Of 226 participants who had sex in past 6 months, 51.3% did not always use condoms. Older (aged 35-60 years) participants were more likely (adjusted odds ratio [AOR] = 3.83; 95% confidence interval [CI] = 1.19-12.33; P = .024) and those who were currently married (AOR = 0.30; 95% CI = 0.09-0.97; P = .046) or on antiretroviral therapy (AOR = 0.21; 95% CI = 0.06-0.71; P = .012) were less likely to have at least 1 STI. Our results suggest the need to strengthen the efforts to screen and treat STIs and to promote safer sexual practices among Nepalese HIV-positive individuals.


2021 ◽  
Vol 10 (13) ◽  
pp. e491101321468
Author(s):  
Jéssica Kelly Ramos Cordeiro ◽  
Waleska Fernanda Souto Nóbrega ◽  
Milena Edite Casé de Oliveira ◽  
Kedma Anne Lima Gomes ◽  
Tiago Almeida de Oliveira ◽  
...  

Objective: to assess the knowledge and practices of adolescent students in relation to HIV/AIDS and other STIs. Methods: this is a cross-sectional study, with a quantitative approach, which included twelve public schools from seven cities in Rio Grande do Norte, with a sample of 623 individuals. Two electronic and interactive questionnaires were used for data collection. Data processing was performed using SPSS 25.0® and Stata 14.0. For the analysis of associated factors, the Item Response Theory was used. The project of this study was approved by the Research Ethics Committee of the Federal University of Rio Grande do Norte, Protocol No. 99473118.2.0000.5292. Results: The participants who achieved the highest means of knowledge level were female (6.04 ± 4.47), with a partner (6.13 ± 4.49), white (6.10 ± 4.46) and received financial assistance from the government (6.72 ± 4.40). Most teenagers reported that they had already had their first sexual intercourse. Of those who continued to have sex in the last 6 months, only 31.3% used a condom. Final considerations: Adolescents have a considerable level of knowledge about the prevention of HIV/AIDS and other STIs, but their sexual practices do not follow the recommended preventive measures.


2020 ◽  
Vol 19 (3) ◽  
pp. 422-449
Author(s):  
María Badillo-Viloria ◽  
Xilene Mendoza-Sánchez ◽  
Marisol Barreto Vásquez ◽  
Anderson Díaz-Pérez

Introducción: Adolescentes y adultos jóvenes participan frecuentemente en comportamientos sexuales riesgosos (relaciones sexuales sin protección, sexo con parejas casuales, promiscuidad, iniciación sexual temprana, etc.), trayendo consigo embarazos no planeados, Infecciones de Transmisión Sexual, suicidios, abortos, afectaciones académicas y laborales. El objetivo del estudio, fue identificar los comportamientos sexuales riesgosos y factores asociados en estudiantes de una universidad en Barranquilla, 2019. Materiales y métodos: Estudio de tipo descriptivo-correlacional de corte transversal, se utilizó la Encuesta de Riesgo Sexual, que evaluó comportamientos sexuales riesgosos en universitarios de Barranquilla, en los últimos seis meses, se generaron los coeficientes de correlación Chi cuadrado de Pearson (nivel de confianza 95%; p≤0.05) para medir la asociación entre los puntajes de riesgo sexual y factores sociodemográficos y académicos. Resultados: El 63% de los participantes inició actividad sexual antes de los 18 años. 87% han participado una o más veces en comportamientos sexuales de riesgo: sexo vaginal sin condón (73%), fellatio sin condón (60.3%), número de parejas con quién tienen comportamientos sexuales (66.2%) y experiencias sexuales inesperadas (54.4%). Los hombres y estudiantes de Derecho tenían puntajes de riesgo sexual más altos que las mujeres y los estudiantes de Enfermería. Conclusión: Los universitarios están en riesgo y participando en comportamientos sexuales riesgosos, que podrían afectar su salud y proyecto de vida. Los factores de mayor riesgo fueron; sexo temprano, género, edad >20 años, prácticas sexuales arriesgadas como el sexo vaginal, oral y anal sin protección y conductas sexuales impulsivas y no planificadas. Introduction: Adolescents and young adults are frequently involved in risky sexual behavior (unprotected sex, sex with casual partners, promiscuity, early sexual initiation, etc.) bringing with them, unplanned pregnancies, sexually transmitted infections, suicides, abortions, academic and labor affectations. The objective of the study was to identify risky sexual behaviors and associated factors in students at a university in Barranquilla, 2019.Materials and methods: Study descriptive-correlational cross-sectional, the sexual risk survey was used, which evaluated risky sexual behavior in university students of Barranquilla in the last six months, were generated correlation coefficients Chi-square Pearson (95% confidence level; p≤0.05) to measure the association between sexual risk scores and sociodemographic and academic factors.Results: 63% of participants initiated sexual activity before the age of 18. The 87% have participated one or more times in risky sexual behaviors: vaginal sex without a condom (73%), fellatio without a condom (60.3%), number of partners with whom they have sexual behaviors (66.2%) and unexpected sexual experiences (54.4%). Men and law students had higher sexual risk scores than women and nursing students.Conclusion: The university students are at risk and participating in risky sexual behavior, which could affect their health and life Project. The major risk factors were; early sex, gender, age >20 years, risky sexual practices such as vaginal, oral, and anal unprotected sex and impulsive and unplanned sexual behaviors.


2018 ◽  
Vol 13 (1) ◽  
pp. 1
Author(s):  
Nina Maria Desi ◽  
Zahroh Shaluhiyah ◽  
Sutopo Patria Djati

ABSTRAKTingkat migrasi penduduk yang makin tinggi mengakibatkan populasi berisiko tertular infeksi menular seksual juga meningkat. Dari studi pendahuluan yang dilakukan terhadap pedagang bawang merah di wilayah Kec. Wanasari Kab. Brebes terungkap bahwa pengetahuan mengenai perilaku seksual beresiko kurang dan perilaku seksual beresiko tanpa kondom yang tinggi. Penelitian ini merupakan penelitian deskriptif analitik kuantitatif dengan rancangan cross sectional, metode pengumpulan data dengan penyebaran kuisioner untuk mencari gambaran perilaku seksual berisiko. Sampel penelitian yaitu pedagang bawang merah di Kec. Wanasari Kab. Brebes yaitu sebesar 120 orang. Sebanyak 86,7% responden berperilaku seksual berisiko IMS. 70,8% responden berumur ≥32 tahun dengan pendidikan rendah sebanyak 57,5% dan belum menikah sebanyak 52,5%. Sebagian besar responden berpengetahuan kurang baik dan 61,7% melakukan kegiatan berisiko untuk mengisi waktu luang. Variabel yang berhubungan terhadap perilaku seksual berisiko IMS adalah umur dan kegiatan pengisi waktu luang. Analisis multivaritat menunjukan factor yang paling berpengaruh adalah umur, kegiatan pengisi waktu luang dan religiusitas. Saran bagi Dinas Kesehatan Kabupaten Brebes lebih meningkatkan pengetahuan para pedagang bawang dalam hal perilaku seksual berisiko dan memfasilitasi para pedagang untuk mengisi waktu luang dengan hal yang bermanfaat dan terhindar dari perilaku seksual berisiko.Kata Kunci : Pedagang bawang, Infeksi Menular SeksualABSTRACTSEXUAL BEHAVIOR AT RISK OF ONION TRADERS IN WANASARI, BREBES; Along with the times, the population at high risk of sexually transmitted infections increase rapidly. From a preliminary study in the district Wanasari Brebes revealed that their knowledge about sexual behavior said to be low risk and lots of sexual risk behavior without condom. This research is descriptive quantitative analytical with cross-sectional design study, methods for collecting the data by distributing questionnaires to find a picture on the risky sexual behaviors of respondent. The sample in this research is 120 people. 86,7% respondent has risky sexual behavior. 70,8% of respondent is above 32 years old with low education as much as 57,5% and not marriage yet 52,5%. 61,7% of respondent has risky behavior in their leisure time. Variables that significantly relationship against sexual behavior are ages and leisure activity.based on multivariate analisys, variables that strongly connected to sexual behavior is ages, leisure activity, and religiousity. Advice given to Departemen Kesehatan Brebes for further enhance the knowledge of onion traders in terms of risky sexual behavior, include facilitating spare time with things that are more useful to avoid risky sexual behavior.Keyword : Behavior, sexual risk, Brebes


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