scholarly journals Infecções sexualmente transmissíveis na população ribeirinha: prevalência e comportamento de risco

2022 ◽  
Vol 21 (1) ◽  
pp. 295-327
Author(s):  
Isabella Martelleto Teixeira De Paula ◽  
Maria Hellena Ferreira Brasil Ferreira Brasil ◽  
Patrícia da Silva Araújo ◽  
Wynne Pereira Nogueira ◽  
Gabriela Silva Esteves de Hollanda ◽  
...  

Introduction: The riparians population is considered vulnerable to Sexually Transmitted Infections due to restrictions related to access to health, information and education.Objective: To analyze the prevalence of self-reported Sexually Transmitted Infections among the riparians population and associated sociodemographic and behavioral factors.Material and Method: Cross-sectional, analytical study, conducted with 250 riparians dwellers from João Pessoa, Paraiba state, from June to October 2019. Data were collected through interviews using a structured questionnaire. Logistic regression analysis was performed. The research was approved by the Research Ethics Committee under opinion number 3,340,273.Results: The prevalence of Sexually Transmitted Infections was 20.8%. Male ribs (OR=3.27; CI95%:1.74-6.15), who reported sexual intercourse with sex workers (OR=6.54; CI95%:3.05-14.0) and illicit drug use (OR 2.13; CI95%:1.10-4.13) were more likely to develop sexually transmitted infection.Conclusions: High prevalence of sexually transmitted infections and presence of risk behaviors among riparians. Screening, early diagnosis and health education is essential for discontinuation of the transmission chain. Introducción: La población ribereña se considera vulnerable a las infecciones de transmisión sexual debido a cambios relacionados con el acceso a la salud, la información y la educación.Objetivo: Analizar la prevalencia de infecciones de transmisión sexual autoinformadas en una población ribereña y los factores sociodemográficos y conductuales asociados.Material y Método: Estudio transversal, analítico, realizado con 250 habitantes ribereños de João Pessoa, en el estado de Paraíba, de junio a octubre de 2019. Los datos fueron recolectados a través de entrevistas mediante un cuestionario estructurado. Se realizó un análisis de regresión logística. La investigación fue aprobada por el Comité de Ética en Investigación con el dictamen número 3.340.273.Resultados: La prevalencia de Infecciones de Transmisión Sexual fue de 20,8%. Hombres habitantes de la ribera (OR = 3,27; IC del 95%: 1,74-6,15), que informaron haber tenido relaciones sexuales con una trabajadora sexual (OR = 6,54; IC del 95%: 3,05-14,0) y uso de drogas ilícitas (OR 2,13; IC del 95%: 1.10-4.13) disipación mayores posibilidades de desarrollar una infección de transmisión sexual.Conclusiones: Alta prevalencia de riesgo de transmisión sexual y presencia de tendencia de riesgo entre los habitantes de las riberas. El cribado, el diagnóstico precoz y la educación sanitaria son fundamentales para interrumpir la transmisión. Introdução: A população ribeirinha é considerada vulnerável às Infecções Sexualmente Transmissíveis devido às restrições relacionadas ao acesso à saúde, informação e educação.Objetivo: Analisar a prevalência de Infecções Sexualmente Transmissíveis autorreferidas entre a população ribeirinha e fatores sociodemográficos e comportamentais associados. Material e Método: Estudo transversal, analítico, realizado com 250 ribeirinhos de João Pessoa, no estado da Paraíba, no período de junho a outubro de 2019. Os dados foram coletados por meio de entrevista com a utilização de questionário estruturado. Realizou-se análise de regressão logística. A pesquisa foi aprovada pelo Comitê de Ética em Pesquisa sob número de parecer 3.340.273.Resultados: A prevalência de Infecções Sexualmente Transmissíveis foi de 20,8%. Ribeirinhos do sexo masculino (OR=3,27;IC95%: 1,74-6,15), que relataram relação sexual com profissional do sexo (OR=6,54;IC95%:3,05-14,0) e uso de droga ilícita (OR 2,13; IC95%: 1,10-4,13) apresentaram maiores chances de desenvolver alguma infecção sexualmente transmissível. Conclusões: Alta prevalência de infecções sexualmente transmissíveis e presença de comportamentos de risco entre os ribeirinhos. Rastreio, diagnóstico precoce e educação em saúde é fundamental para descontinuação da cadeia de transmissão.

2021 ◽  
Author(s):  
Wei Tu ◽  
Yu-Ye Li ◽  
Yi-Qun Kuang ◽  
Rong-Hui Xie ◽  
Xing-Qi Dong ◽  
...  

Abstract Background Yunnan has the highest rates of HIV in the country. Other treatable sexually transmitted infections (STIs) are associated with accelerated HIV transmission and poor ART outcomes, but are only diagnosed by syndromic algorithms. Methods We recruited 406 HIV-positive participants for a cross-sectional study (204 ART-naive and 202 ART). Blood samples and first-voided urine samples were collected. Real-time polymerase chain reaction methods were used for Chlamydia trachomatis (CT), Neisseria gonorrhoeae (NG) and Mycoplasma genitalium (MG). Syphilis and HSV-2 tests were also performed. Results Among 406 participants, the overall prevalence of STI was 47.0% and 45.1% in ART-naive individuals and 49.0% in ART individuals, respectively. Testing frequency was 11.6% (11.8% vs 11.4%), 33.2% (29.4% vs 37.1%), 3.2% (3.4% vs 3.0%), 2.0% (3.4% vs 0.5%) and 4.7% (6.4% vs 3.0%) for active syphilis, HSV-2, chlamydia, gonorrhoeae and genitalium. Percentage of multiple infections in both groups was 10.8% (22/204) in ART-naive participants and 9.9% (20/202) in ART participants. Females, age between 18 to 35 years, ever injected drugs, homosexual or bisexual, HIV/HBV coinfection, and not receiving ART were identified as risk factors. Self-reported asymptom was not eliminating of having a laboratory-diagnosed STI. Conclusions STI prevalence was 47.0% (45.1% vs 49.0%), HSV-2, syphilis and MG were the most common STIs in HIV-infected individuals. We found high prevalence (6.4%) of Mycoplasma genitalium in ART-naive individuals. ART can reduce the diversity of STI-HIV coinfection but not the prevalence. HIV-positive individuals tend to neglect or maybe hide their genital tract discomfort, thus we suggest strengthening STI joint screening and treatment services among HIV-infected individuals whether they describe genital tract discomfort or not.


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.


2005 ◽  
Vol 32 (12) ◽  
pp. 745-751 ◽  
Author(s):  
Andrea A. Kim ◽  
Ly Penh Sun ◽  
Chhea Chhorvann ◽  
Christina Lindan ◽  
Frits Van Griensven ◽  
...  

2010 ◽  
Vol 86 (7) ◽  
pp. 500-505 ◽  
Author(s):  
A. Znazen ◽  
O. Frikha-Gargouri ◽  
L. Berrajah ◽  
S. Bellalouna ◽  
H. Hakim ◽  
...  

2020 ◽  
Vol 18 (3) ◽  
pp. 483-487
Author(s):  
Shekhar KC ◽  
Manoj Adhikary ◽  
Dharmendra Karn

Background: Venereophobia is fear of getting sexually transmitted disease after first or repeated unprotected sexual activities with unsafe or safe partners. This study aims to study the epidemiological profile, varying clinical presentations and spectrum of psychiatric diagnoses among venereophobia patients Methods: A cross-sectional, prospective and observational study was conducted among 72 consecutive patients of venereophobia. Patients with symptoms of fear of sexually transmitted infections were evaluated with relevant history and genital examination. Additionally psychiatric evaluation was done for associated diagnoses. Patients with symptoms and clinical signs of sexually transmitted infections were excluded from the study. Results: A total of 68 male and 4 females presented with the symptoms. The mean age of presentation was 25.85±5.15 years. Most of them were either servicemen (38.8%) followed by students (23.6%). After a mean time of 11±10.44 days of sexual activity, patients developed symptoms. Common presentations were genital papules (25%), slough (22.2%) and genital itchy sensation (15.3%). A total of 23(33.8%) patients visited to commercial sex workers with mean spells of visiting 3.2±2.67 times. Factors as regular use of condom and knowledge of overall STI was lacking; while self investigation and multiple doctor visit was common. Pearly penile papule 18(25%) was the commonest diagnosis made on clinical examination. A total of 43 (59.7%) cases were diagnosed with psychiatric conditions, most common being anxiety neurosis (58.1%). Conclusions: Venereophobia was commonly found to be associated with psychiatric illnesses. A proper anamnesis, genital and psychiatric evaluation of this common entity may prevent misdiagnosis and associated complications. Keywords: Phobia; sexually transmitted infections; venereal


Sign in / Sign up

Export Citation Format

Share Document