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da Silva Carvalho I, Mendes RCMG, de Souza Soares Lima LH, da Silva GP, de Freitas Gonçalves Lima M, Guedes TG, Linhares FMP. Board game on sexually transmitted infections for imprisoned women. BMC Womens Health 2024; 24:24. [PMID: 38183024 PMCID: PMC10770977 DOI: 10.1186/s12905-023-02801-6] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/06/2022] [Accepted: 11/23/2023] [Indexed: 01/07/2024] Open
Abstract
INTRODUCTION The board games is an educational technology that represents an appealing, active and playful pedagogical strategy and may be capable of motivating imprisoned women to learn about Sexually Transmitted Infections. METHODS A methodological study to develop and evaluate a board game, following these stages: 1. Integrative literature review to identify educational technologies on Sexually Transmitted Infections used by imprisoned women; 2. Development of the board game; and 3. Content validation performed by 23 evaluators and semantic evaluation carried out with 10 imprisoned women who were enrolled in a school located within a female prison unit in the city of Recife, state of Pernambuco, Brazil. RESULTS The board game consisted of the following: 01 board; 01 instructions manual; 05 pawns; 52 cards; and 01 dice. A global Content Validity Index of 0.966 was reached in the content validation process performed by health and education professionals. In the validation of the board game content regarding appearance, performed by designers/developers, most of the items obtained a Content Validity Coefficient below 0.85, which resulted in the need for adjustments and a new validation round with these professionals, in which Content Validity Coefficient = 0.917 was obtained. In the semantic evaluation, all the women stated that they improved their knowledge, increased their motivation to attend the class and would like to play the board game again. CONCLUSIONS The "Previna" board game has been validated and can be considered an important pedagogical tool in the construction of knowledge in relation to the prevention, treatment and control of Sexually Transmitted Infections in the female prison context. The quality of this educational technology is directly related to its development based on an appropriate theoretical and methodological framework, in addition to satisfactory feedback from the target audience. TRIAL REGISTRATION Not applicable.
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Affiliation(s)
| | | | | | | | | | - Tatiane Gomes Guedes
- Graduate Program in Nursing, Federal University of Pernambuco, Recife, PE, Brazil
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Valentim JLRS, Dias-Trindade S, Oliveira ESG, Romão MH, Fernandes F, Caitano AR, Bonfim MAA, Dias AP, Gusmão CMG, Morais PSG, Melo RS, Fontoura de Souza G, Medeiros KC, Rêgo MCFD, Ceccim RB, Valentim RAM. Evaluation of massive education in prison health: a perspective of health care for the person deprived of freedom in Brazil. Front Public Health 2023; 11:1239769. [PMID: 37680276 PMCID: PMC10480506 DOI: 10.3389/fpubh.2023.1239769] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/13/2023] [Accepted: 08/08/2023] [Indexed: 09/09/2023] Open
Abstract
Education, with an emphasis on prison health, has acted as a policy inducing changes in work processes, which the Brazilian National Health System (SUS) has used, and which is present in permanent health education, which promotes health care for people deprived of liberty. This article aims to present an analysis of the impacts of the strategy of massive education on prison health in Brazil from the perspective of health professionals and other actors operating in the Brazilian prison system. The data used in the study come from a questionnaire consisting of 37 questions applied nationwide between March and June 2022. Responses were collected from students who completed the course "Health Care for People Deprived of Freedom" of the learning pathway "Prison System", available in the Virtual Learning Environment of the Brazilian Health System (AVASUS). This course was offered nationally, whose adhesion (enrollment) occurred spontaneously, i.e., the course was not a mandatory. The data collected allowed us to analyze the impacts of massive education on prison health. The study also shows that the search for the course is made by several areas of knowledge, with a higher incidence in the health area, but also in other areas, such as humanities, which also work directly with the guarantee of the rights of people deprived of liberty, which are professionals in the areas of social work, psychology, and education. The analysis based on the data suggests that the massive education mediated by technology through the courses of the learning pathway, besides disseminating knowledge-following the action plan of the 2030 Agenda of the United Nations Educational, Scientific and Cultural Organization (UNESCO)-, are an effective tool to promote resilience in response to prison health and care demands of people deprived of liberty.
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Affiliation(s)
- Janaína L. R. S. Valentim
- Laboratory of Technological Innovation in Health (LAIS), Federal University of Rio Grande do Norte (UFRN), Natal, State of Rio Grande do Norte, Brazil
- Centre for Interdisciplinary Studies, University of Coimbra, Coimbra, Portugal
| | - Sara Dias-Trindade
- Centre for Interdisciplinary Studies, University of Coimbra, Coimbra, Portugal
- Department of History, Political and International Studies (DHEPI), Faculty of Arts, University of Porto, Porto, Portugal
| | - Eloiza S. G. Oliveira
- Laboratory of Technological Innovation in Health (LAIS), Federal University of Rio Grande do Norte (UFRN), Natal, State of Rio Grande do Norte, Brazil
- Institute of Human Formation With Technologies, State University of Rio de Janeiro (UERJ), Rio de Janeiro, Brazil
| | - Manoel H. Romão
- Laboratory of Technological Innovation in Health (LAIS), Federal University of Rio Grande do Norte (UFRN), Natal, State of Rio Grande do Norte, Brazil
| | - Felipe Fernandes
- Laboratory of Technological Innovation in Health (LAIS), Federal University of Rio Grande do Norte (UFRN), Natal, State of Rio Grande do Norte, Brazil
| | - Alexandre R. Caitano
- Laboratory of Technological Innovation in Health (LAIS), Federal University of Rio Grande do Norte (UFRN), Natal, State of Rio Grande do Norte, Brazil
| | - Marilyn A. A. Bonfim
- Laboratory of Technological Innovation in Health (LAIS), Federal University of Rio Grande do Norte (UFRN), Natal, State of Rio Grande do Norte, Brazil
- Oswaldo Cruz Foundation (FIOCRUZ), Rio de Janeiro, Brazil
| | - Aline P. Dias
- Laboratory of Technological Innovation in Health (LAIS), Federal University of Rio Grande do Norte (UFRN), Natal, State of Rio Grande do Norte, Brazil
| | - Cristine M. G. Gusmão
- Laboratory of Technological Innovation in Health (LAIS), Federal University of Rio Grande do Norte (UFRN), Natal, State of Rio Grande do Norte, Brazil
- Department of Biomedical Engineering, Federal University of Pernambuco, Recife, Brazil
- International Council for Open and Distance Education, Oslo, Norway
| | - Philippi S. G. Morais
- Laboratory of Technological Innovation in Health (LAIS), Federal University of Rio Grande do Norte (UFRN), Natal, State of Rio Grande do Norte, Brazil
| | - Ronaldo S. Melo
- Laboratory of Technological Innovation in Health (LAIS), Federal University of Rio Grande do Norte (UFRN), Natal, State of Rio Grande do Norte, Brazil
- Institute of Human Formation With Technologies, State University of Rio de Janeiro (UERJ), Rio de Janeiro, Brazil
| | - Gustavo Fontoura de Souza
- Laboratory of Technological Innovation in Health (LAIS), Federal University of Rio Grande do Norte (UFRN), Natal, State of Rio Grande do Norte, Brazil
| | - Kelson C. Medeiros
- Laboratory of Technological Innovation in Health (LAIS), Federal University of Rio Grande do Norte (UFRN), Natal, State of Rio Grande do Norte, Brazil
| | - Maria C. F. D. Rêgo
- Laboratory of Technological Innovation in Health (LAIS), Federal University of Rio Grande do Norte (UFRN), Natal, State of Rio Grande do Norte, Brazil
- Postgraduate Program in Education, Federal University of Rio Grande do Norte (UFRN), Natal, State of Rio Grande do Norte, Brazil
| | - Ricardo B. Ceccim
- Laboratory of Technological Innovation in Health (LAIS), Federal University of Rio Grande do Norte (UFRN), Natal, State of Rio Grande do Norte, Brazil
- Postgraduate Program in Education, Federal University of Rio Grande do Sul (UFRGS), Porto Alegre, State of Rio Grande do Sul, Brazil
| | - Ricardo A. M. Valentim
- Laboratory of Technological Innovation in Health (LAIS), Federal University of Rio Grande do Norte (UFRN), Natal, State of Rio Grande do Norte, Brazil
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Adem Beriso J, Lemessa F, Fereda A, Kaso AW. Magnitude of syphilis and associated factors among pregnant women attending ANC in public facilities in Shashamene town, Oromia Region, Ethiopia. CLINICAL EPIDEMIOLOGY AND GLOBAL HEALTH 2023. [DOI: 10.1016/j.cegh.2023.101288] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 04/04/2023] Open
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Brito T, Lima T, Cunha-Oliveira A, Noronha A, Brito C, Farias F, Morais S, Paiva J, Honorato C, Queirós P, Gómez-Cantarino S, Lucena M, Valentim R. Salus Platform: A Digital Health Solution Tool for Managing Syphilis Cases in Brazil-A Comparative Analysis. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2023; 20:5258. [PMID: 37047873 PMCID: PMC10094047 DOI: 10.3390/ijerph20075258] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Figures] [Subscribe] [Scholar Register] [Received: 02/17/2023] [Revised: 03/11/2023] [Accepted: 03/16/2023] [Indexed: 06/19/2023]
Abstract
(1) Introduction: Syphilis is a sexually transmitted infection (STI) that constitutes a serious public health problem in Brazil and worldwide; (2) Methods: This was a descriptive and exploratory study that sought to analyze and compare the characteristics of Brazilian health systems with a new platform (Salus) developed by the Laboratory of Technological Innovation in Health in the scope of notification and management of disease data, including syphilis. In addition, this analysis aimed to assess whether Salus fully meets the necessary data management fields and can be indicated as a tool to improve health management in the context of syphilis in Brazil. (3) Results: In this study, the Salus functionalities were demonstrated and compared with the current Brazilian systems by discovering the existing gaps in the evaluated systems. The gaps found may explain the delay in meeting demands, the difficulty of making routine therapeutic follow-ups, in addition to interference with the vital purpose of follow-up in the epidemiological surveillance of diseases. As a result, Salus demonstrates functionalities that surpass all others and meet case management demands in a superior way to the systems currently used in the country. (4) Conclusions: The Brazilian health information systems related to the response to syphilis do not fulfill the purpose for which they were developed. Instead, they contribute to the fragmentation of health data and information, delays in diagnosis, incomplete case management, and loss of data due to inconsistencies and inadequate reporting. In addition, they are systems without interconnection, which do not articulate epidemiological surveillance actions with primary health care. All these factors may be obscuring accurate data on syphilis in Brazil, resulting in high and unnecessary public spending and late care for users of the Unified Health System (SUS).
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Affiliation(s)
- Talita Brito
- Laboratory of Technological Innovation in Health, Federal University of Rio Grande do Norte, Natal 59072-970, Brazil
- Health Sciences Research Unit: Nursing (UICISA: E), Coimbra Nursing School (ESEnfC), 3004-011 Coimbra, Portugal
| | - Thaísa Lima
- Laboratory of Technological Innovation in Health, Federal University of Rio Grande do Norte, Natal 59072-970, Brazil
- Ministry of Health, Esplanada dos Ministérios, Block G, Headquarters Building, Brasília 70058-900, Brazil
| | - Aliete Cunha-Oliveira
- Health Sciences Research Unit: Nursing (UICISA: E), Coimbra Nursing School (ESEnfC), 3004-011 Coimbra, Portugal
- Center for Interdisciplinary Studies of the 20th Century (CEIS-20), University of Coimbra, 3000-456 Coimbra, Portugal
| | - André Noronha
- Laboratory of Technological Innovation in Health, Federal University of Rio Grande do Norte, Natal 59072-970, Brazil
- Department of Pharmacy, Federal University of Rio Grande do Norte, Natal 59072-970, Brazil
| | - Cintia Brito
- Laboratory of Technological Innovation in Health, Federal University of Rio Grande do Norte, Natal 59072-970, Brazil
- Department of Physical Education, University of Pernambuco, Recife 52012-570, Brazil
| | - Fernando Farias
- Laboratory of Technological Innovation in Health, Federal University of Rio Grande do Norte, Natal 59072-970, Brazil
- Federal Institute of Sergipe, Aracaju 49680-000, Brazil
| | - Sedir Morais
- Laboratory of Technological Innovation in Health, Federal University of Rio Grande do Norte, Natal 59072-970, Brazil
| | - Jailton Paiva
- Laboratory of Technological Innovation in Health, Federal University of Rio Grande do Norte, Natal 59072-970, Brazil
- Federal Institute of Rio Grande do Norte, Natal 59015-000, Brazil
| | - Cintia Honorato
- Laboratory of Technological Innovation in Health, Federal University of Rio Grande do Norte, Natal 59072-970, Brazil
- Hospital of State Servers, Rio de Janeiro 20221-161, Brazil
| | - Paulo Queirós
- Health Sciences Research Unit: Nursing (UICISA: E), Coimbra Nursing School (ESEnfC), 3004-011 Coimbra, Portugal
| | - Sagrario Gómez-Cantarino
- Health Sciences Research Unit: Nursing (UICISA: E), Coimbra Nursing School (ESEnfC), 3004-011 Coimbra, Portugal
- Faculty of Physiotherapy and Nursing, Campus Toledo, University of Castilla-La Mancha, 45071 Toledo, Spain
| | - Márcia Lucena
- Department of Informatics and Applied Mathematics (DIMAP), Federal University of Rio Grande do Norte, Natal 59078-900, Brazil
| | - Ricardo Valentim
- Laboratory of Technological Innovation in Health, Federal University of Rio Grande do Norte, Natal 59072-970, Brazil
- Department of Biomedical Engineering, Federal University of Rio Grande do Norte, Natal 59077-080, Brazil
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Guedes ALDL, Guimarães DCDS, Sarkis DJ, Gabriel TT, Delgado CS, Campos AAL, Nogueira MC, Ribeiro LC. Factors associated with women diagnosed with syphilis who received prenatal care in a primary healthcare unit. EINSTEIN-SAO PAULO 2023; 21:eAO0046. [PMID: 36946823 PMCID: PMC10010254 DOI: 10.31744/einstein_journal/2023ao0046] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/02/2022] [Accepted: 08/30/2022] [Indexed: 03/11/2023] Open
Abstract
OBJECTIVE To estimate the prevalence of syphilis and its associated factors in women who were treated at public maternity hospitals and received prenatal care in a primary healthcare unit. METHODS This cross-sectional study included 399 postpartum women. Interviews were conducted, and additional data were extracted from the pregnant woman's booklet, medical records, and printed tests. The dependent variable was a gestational syphilis diagnosis. The independent variables were grouped into socioeconomic and demographic, behavioral, reproductive, and prenatal blocks. The prevalence, prevalence ratios, and 95% confidence intervals (95%CI) were calculated. The χ 2 test was also performed (p≤0.05). Multivariate analysis was performed using Poisson regression models. RESULTS The prevalence of gestational syphilis was 9.61% (95%CI: 7.14-12.83). We identified the following determining factors (adjusted prevalence ratios): history of sexually transmitted infections (2.3), first sexual intercourse by the age of 15 (2.42), partner having a history of syphilis (5.98), partner using crack/cocaine (6.42) and marijuana and others (3.02), not having a partner (3.07), low income (2.85), history of stillbirth (5.21), beginning prenatal care in the third trimester (3.15), and prenatal care received in a primary healthcare unit (without a Family Health Strategy team) (0.35). CONCLUSION Individual and prenatal factors were associated with gestational syphilis. To control congenital syphilis, targeted interventions are needed to control syphilis in the adult population including expansion of access to quality prenatal care with identification of risks for syphilis and connection between prevention and treatment actions, implementation of strategies focused on early sexual education, effective establish prenatal care involving both partners, and effective implementation of the National Men's Health Policy (PNAISH - Política Nacional de Atenção Integral à Saúde dos Homens ).
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Affiliation(s)
- Ana Lúcia de Lima Guedes
- Universidade Federal de Juiz de ForaJuiz de ForaMGBrazil
Universidade Federal de Juiz de Fora
,
Juiz de Fora
,
MG
,
Brazil
.
| | | | - Diego Junqueira Sarkis
- Universidade Federal de Juiz de ForaJuiz de ForaMGBrazil
Universidade Federal de Juiz de Fora
,
Juiz de Fora
,
MG
,
Brazil
.
| | - Tamiris Tiango Gabriel
- Universidade Federal de Juiz de ForaJuiz de ForaMGBrazil
Universidade Federal de Juiz de Fora
,
Juiz de Fora
,
MG
,
Brazil
.
| | - Camila Silva Delgado
- Universidade Federal de Juiz de ForaJuiz de ForaMGBrazil
Universidade Federal de Juiz de Fora
,
Juiz de Fora
,
MG
,
Brazil
.
| | - Angélica Atala Lombelo Campos
- Universidade Federal de Juiz de ForaJuiz de ForaMGBrazil
Universidade Federal de Juiz de Fora
,
Juiz de Fora
,
MG
,
Brazil
.
| | - Mário Círio Nogueira
- Universidade Federal de Juiz de ForaJuiz de ForaMGBrazil
Universidade Federal de Juiz de Fora
,
Juiz de Fora
,
MG
,
Brazil
.
| | - Luiz Cláudio Ribeiro
- Universidade Federal de Juiz de ForaJuiz de ForaMGBrazil
Universidade Federal de Juiz de Fora
,
Juiz de Fora
,
MG
,
Brazil
.
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Carvalho IDS, Mendes RCMG, Souza Soares Lima LHD, Leal LP, Guedes TG, Linhares FMP. Effect of a board game about sexually transmitted infections on imprisoned women's knowledge: protocol for a quasi-experimental study. BMJ Open 2022; 12:e062475. [PMID: 36375980 PMCID: PMC9664279 DOI: 10.1136/bmjopen-2022-062475] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/16/2022] Open
Abstract
INTRODUCTION The prevalence of sexually transmitted infections in imprisoned women is high. In the prison school context, education in health is one of the best strategies to achieve positive indicators in terms of health promotion and disease prevention. The use of educational technologies, such as board games, can aid in the process of knowledge acquisition on a given subject matter. This article describes the protocol of a health educational intervention that addresses content about sexually transmitted infections directed to imprisoned women in a prison school. METHODS AND ANALYSIS A quasi-experimental study to test the effect of a board game on 64 imprisoned women's level of knowledge about sexually transmitted infections. The Previna board game was specifically created and validated for these women. The primary outcome will be the level of knowledge on sexually transmitted infections, measured using a score obtained after the assessment conducted during the initial interview, immediately after the intervention and after 15 days. ETHICS AND DISCLOSURE This study was approved by the Research Ethics Committee of the Federal University of Pernambuco (Opinion No. 3 986 050 and CAAE: 30035520.7.0000.5208). The results will be presented to the school and to the Federal University of Pernambuco, as part of the activities of a PhD Thesis in Nursing, and will be disclosed in peer-reviewed journals and scientific events. TRIAL REGISTRATION NUMBER RBR-2JWS7DV.
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Affiliation(s)
| | | | | | - Luciana Pedrosa Leal
- Graduate Program in Nursing, Federal University of Pernambuco, Recife, Pernambuco, Brazil
| | - Tatiane Gomes Guedes
- Graduate Program in Nursing, Federal University of Pernambuco, Recife, Pernambuco, Brazil
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Clinical and Biological Risk Factors Associated with Increased Mother-to-Child Transmission of HIV in Two South-East HIV-AIDS Regional Centers in Romania. Medicina (B Aires) 2022; 58:medicina58020275. [PMID: 35208597 PMCID: PMC8877470 DOI: 10.3390/medicina58020275] [Citation(s) in RCA: 4] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/16/2021] [Revised: 02/07/2022] [Accepted: 02/09/2022] [Indexed: 11/16/2022] Open
Abstract
Background and Objectives: The occurrence of human immunodeficiency virus (HIV) infection in children in Romania has been reported since 1989. This retrospective study was aimed at assessing clinical and biological risk factors for mother-to-child transmission (MTCT) of HIV in two HIV-acquired immune deficiency syndrome (AIDS) Regional Centers (RCs), Constanta and Craiova in Romania. Materials and Methods: During the study period (2008–2019), 408 HIV-positive pregnant women, 244 from Constanta RC and 164 from Craiova RC who attended antenatal visits, were included. All HIV-positive pregnant women were under combined antiretroviral therapy (cART) during pregnancy and childbirth, being followedup with their infants up to 18 months after delivery. We investigated the clinical as well as biological risk factorsassociated with increased MTCT of HIV. Results: Comparing different variables of HIV-positive pregnant women from the two HIV-AIDS CRs, we find that there are significant differences between the mean value of hemoglobin, CD4 level, environmental area, marital and amniotic membranes status, and HIV patient stage in the last trimester of pregnancy (p < 0.05), but without any differences in mother’s mean age, education level, type of delivery, breastfeeding, the duration of cART administration, HIV viral load, and survival rate. Conclusions: In 408 HIV-positive pregnant women followed up at two HIV-AIDS RCs in Romania, the most important clinical and biological risk factors associated with increased MTCT of HIV are represented by anemia, CD4 level, and HIV patient stage.
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Carvalho IDS, Mendes RCMG, Melo PDOC, Simões CF, Leal LP, Guedes TG, Ormeno GIR, Linhares FMP. Effect of interventions based on educational technologies on the prevention of sexually transmitted infections in incarcerated women: protocol of a systematic review and meta-analysis. BMJ Open 2021; 11:e043373. [PMID: 33858868 PMCID: PMC8055134 DOI: 10.1136/bmjopen-2020-043373] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/05/2022] Open
Abstract
INTRODUCTION Prisons are places with high vulnerability and high risk for the development of sexually transmitted infections. World Health Agencies recommend establishing intervention measures, such as information and education, on the prevention of diseases. Thus, technologies as tools for health education have been used to reduce sexually transmitted infections. However, no systematic review has investigated the effectiveness of these interventions. Therefore, this review's objective is to examine the effect of educational technologies used for preventing sexually transmitted infections in incarcerated women. METHODS AND ANALYSIS Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines will be strictly followed. The following electronic databases will be searched: Scopus; Cumulative Index of Nursing and Allied Health, Education Resources Information Center, Embase, PsycINFO, PubMed/Medline, Web of Science and Google Scholar. Randomised clinical trials of interventions that used educational technologies to prevent sexually transmitted infections in incarcerated women will be searched in the databases from the beginning of 2020 until December by two researchers independently. A narrative synthesis will be constructed for all included studies, and if there are sufficient data, a meta-analysis will be performed using the Review Manager software (V.5.3). Continuous results will be presented as the weighted mean difference or the standardised mean difference with 95% CIs. Under the heterogeneity of the included studies, a random-effects or fixed-effects model will be used. The studies' heterogeneity will be assessed by the I2 method. The sensitivity analysis will be carried out to examine the magnitude of each study's influence on the general results. A significance level of p≤0.05 will be adopted. ETHICS AND DISCLOSURE Ethical approval is not required because no primary data will be collected. The results will be published in journals reviewed by peers. PROSPERO REGISTRATION NUMBER CRD42020163820.
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Carvalho IDS, Guedes TG, Bezerra SMMDS, Alves FAP, Leal LP, Linhares FMP. Educational technologies on sexually transmitted infections for incarcerated women. Rev Lat Am Enfermagem 2020; 28:e3392. [PMID: 33174996 PMCID: PMC7647417 DOI: 10.1590/1518-8345.4365.3392] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/06/2020] [Accepted: 07/15/2020] [Indexed: 01/06/2023] Open
Abstract
OBJECTIVE to analyze in the scientific literature the educational technologies on sexually transmitted infections used in health education for incarcerated women. METHOD an integrative review carried out by searching for articles in the following databases: Scopus, Cumulative Index of Nursing and Allied Health, Education Resources Information Center, PsycInFO, Medical Literature Analysis and Retrieval System Online, Latin American Literature in Health Sciences, Cochrane, and the ScienceDirect electronic library. There were no language and time restrictions. A search strategy was developed in PubMed and later adapted to the other databases. RESULTS a total of 823 studies were initially identified and, after applying inclusion and exclusion criteria, eight articles were selected. Most of them were developed in the United States with a predominance of randomized clinical trials. The technologies identified were of the printed materials type, isolated or associated to simulators of genital organs, videos, and games. CONCLUSION the technologies on sexually transmitted infections used in health education for incarcerated women may contribute to adherence to the prevention of this serious public health problem in the context of deprivation of liberty.
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de Araújo PF, Kerr LRFS, Kendall C, Rutherford GW, Seal DW, da Justa Pires Neto R, da Costa Pinheiro PN, Galvão MTG, Araújo LF, Pinheiro FML, da Silva AZ. Behind bars: the burden of being a woman in Brazilian prisons. BMC INTERNATIONAL HEALTH AND HUMAN RIGHTS 2020; 20:28. [PMID: 33121484 PMCID: PMC7594946 DOI: 10.1186/s12914-020-00247-7] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Subscribe] [Scholar Register] [Received: 06/10/2020] [Accepted: 10/20/2020] [Indexed: 11/10/2022]
Abstract
Background Brazil has the third largest prison population in the world. In 2016, the female prison population totaled 42,000, an increase of 656% over the population recorded in the early 2000s. The objective of this study was to describe the socialeconomic and reproductive health of women in Brazilian prisons, and the specific assistance received within the prison system. Methods This is a first of its kind national survey conducted in 15 female prisons in eight Brazilian states between 2014 and 2015. The sample consisted of 1327 women in closed or semi-open prison regimes. Data collection used Audio Computer-Assisted Self-Interviewing (ACASI). STATA v.15. Was use in analysis. The study was submitted to the Research Ethics Committee of the Federal University of Ceará, under CEP protocol No. 1,024,053. Results The population was overwhelmingly Black or Brown, poor and little educated. When women worked previously, they had worked as domestic servants and were the sole source of income for their families. Most were mothers, with 39% having children less than 10 years old, now in the care of others. Most were in jail for drug-related crimes. Prisons were crowded, with more than 2/3rds of the inmates sharing a cell with 6 or more inmates. Services were provide, but women had not had a cervical cancer screening within the past 3 years and breast cancer screening was not conducted. Conclusions Overall, given their backround and prison conditions they are unlikely to change the circumstances that brought them to prison in the first place. Supplementary Information The online version contains supplementary material available at 10.1186/s12914-020-00247-7.
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Affiliation(s)
- Priscila França de Araújo
- Department of Public Health, Federal University of Ceara, Professor Costa Mendes, 1608 - Didactic Block, 5th floor Neighboor Rodolfo Teófilo, Fortaleza, Ceará, 60.430-140, Brazil.
| | - Ligia Regina Franco Sansigolo Kerr
- Department of Public Health, Federal University of Ceara, Professor Costa Mendes, 1608 - Didactic Block, 5th floor Neighboor Rodolfo Teófilo, Fortaleza, Ceará, 60.430-140, Brazil
| | - Carl Kendall
- Department of Public Health, Federal University of Ceara, Professor Costa Mendes, 1608 - Didactic Block, 5th floor Neighboor Rodolfo Teófilo, Fortaleza, Ceará, 60.430-140, Brazil.,School of Public Health and Tropical Medicine Tulane University, New Orleans, USA
| | | | - David W Seal
- School of Public Health and Tropical Medicine Tulane University, New Orleans, USA
| | - Roberto da Justa Pires Neto
- Department of Public Health, Federal University of Ceara, Professor Costa Mendes, 1608 - Didactic Block, 5th floor Neighboor Rodolfo Teófilo, Fortaleza, Ceará, 60.430-140, Brazil
| | - Patrícia Neyva da Costa Pinheiro
- Department of Public Health, Federal University of Ceara, Professor Costa Mendes, 1608 - Didactic Block, 5th floor Neighboor Rodolfo Teófilo, Fortaleza, Ceará, 60.430-140, Brazil
| | - Marli Teresinha Gimeniz Galvão
- Department of Public Health, Federal University of Ceara, Professor Costa Mendes, 1608 - Didactic Block, 5th floor Neighboor Rodolfo Teófilo, Fortaleza, Ceará, 60.430-140, Brazil
| | - Larissa Fortunato Araújo
- Department of Public Health, Federal University of Ceara, Professor Costa Mendes, 1608 - Didactic Block, 5th floor Neighboor Rodolfo Teófilo, Fortaleza, Ceará, 60.430-140, Brazil
| | - Francisco Marto Leal Pinheiro
- Department of Public Health, Federal University of Ceara, Professor Costa Mendes, 1608 - Didactic Block, 5th floor Neighboor Rodolfo Teófilo, Fortaleza, Ceará, 60.430-140, Brazil
| | - Ana Zaira da Silva
- Department of Public Health, Federal University of Ceara, Professor Costa Mendes, 1608 - Didactic Block, 5th floor Neighboor Rodolfo Teófilo, Fortaleza, Ceará, 60.430-140, Brazil
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Batista MIHDM, Paulino MR, Castro KS, Gueiros LAM, Leão JC, Carvalho AAT. High prevalence of syphilis in a female prison unit in Northeastern Brazil. EINSTEIN-SAO PAULO 2020; 18:eAO4978. [PMID: 32428062 PMCID: PMC7206982 DOI: 10.31744/einstein_journal/2020ao4978] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/01/2019] [Accepted: 08/16/2019] [Indexed: 11/10/2022] Open
Abstract
Objective To determine the prevalence of syphilis and the associated risk factors in a female prison unit. Methods This was a cross-sectional study including 113 women whom data were collected in two stages: first, blood test to check for syphilis seropositivity; and then collection of information through a form to assess risk situations for sexually transmitted infections. Results Overall, syphilis prevalence was found to be 22.1% among the female prison population (n=25) and 28.6% among pregnant women. A statistically significant relationship was found between syphilis infection and previous history of sexually transmitted infections (p=0.04). However, most participants diagnosed with the disease were unaware of a history of sexually transmitted infection in the last 12 months (n=20/80.0%). The use of condom with fixed partners was considered to be a protective factor (odds ratio of 0.76; 95% of confidence interval 0.68-0.85). Conclusion The prevalence of syphilis among the female prison population was high, particularly among pregnant women. Preventive and therapeutic measures as well as appropriate prenatal care can minimize the impact of syphilis in prison systems and, consequently, improve such health outcomes nationwide.
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Schuch LF, da Silva KD, de Arruda JAA, Etges A, Gomes APN, Mesquita RA, Vasconcelos ACU, Tarquinio SBC. Forty cases of acquired oral syphilis and a review of the literature. Int J Oral Maxillofac Surg 2018; 48:635-643. [PMID: 30459066 DOI: 10.1016/j.ijom.2018.10.023] [Citation(s) in RCA: 22] [Impact Index Per Article: 3.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/27/2018] [Revised: 09/20/2018] [Accepted: 10/31/2018] [Indexed: 12/31/2022]
Abstract
The aim of this study was to describe 40 cases of acquired oral syphilis (AOS) and to discuss the distribution of demographic characteristics, clinical features, and differential diagnosis of the disease. A retrospective study was conducted covering a 17-year period at a single institution in southern Brazil. Moreover, a literature review was performed through a search of the PubMed database for articles on AOS published between 1955 and March 2018. Data were analyzed descriptively. The predominant group within the case series was male patients in their twenties. The vast majority of cases (92.5%) were in the secondary stage of the disease. The lips were the most commonly affected site, with greyish-white mucous patches and reddish ulcers. In the literature review, the largest number of reported cases came from North America. Male patients in the third and fourth decades of life were most affected. AOS occurred more commonly as mucous patches and ulcers on the tongue and palate. Similarities regarding the distribution by sex, age, and anatomical location were found in the present study when compared to cases reported elsewhere. Clinicians, oral pathologists, and maxillofacial surgeons should familiarize themselves with the variable spectrum of signs and symptoms of AOS in their clinical practice to improve diagnosis and management.
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Affiliation(s)
- L F Schuch
- Department of Oral Surgery and Pathology, School of Dentistry, Universidade Federal de Minas Gerais, Belo Horizonte, MG, Brazil
| | - K D da Silva
- Department of Oral Surgery and Pathology, School of Dentistry, Universidade Federal de Minas Gerais, Belo Horizonte, MG, Brazil
| | - J A A de Arruda
- Department of Oral Surgery and Pathology, School of Dentistry, Universidade Federal de Minas Gerais, Belo Horizonte, MG, Brazil.
| | - A Etges
- Diagnostic Centre for Oral Diseases, School of Dentistry, Universidade Federal de Pelotas, Pelotas, RS, Brazil
| | - A P N Gomes
- Diagnostic Centre for Oral Diseases, School of Dentistry, Universidade Federal de Pelotas, Pelotas, RS, Brazil
| | - R A Mesquita
- Department of Oral Surgery and Pathology, School of Dentistry, Universidade Federal de Minas Gerais, Belo Horizonte, MG, Brazil
| | - A C U Vasconcelos
- Diagnostic Centre for Oral Diseases, School of Dentistry, Universidade Federal de Pelotas, Pelotas, RS, Brazil
| | - S B C Tarquinio
- Diagnostic Centre for Oral Diseases, School of Dentistry, Universidade Federal de Pelotas, Pelotas, RS, Brazil
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