1
|
de Carvalho Mesquita Ayres JR, Junqueira Calazans G, Gianini RJ, Cangussu Botelho F, Urrestarazu Devincenzi M, Bellenzani R, Silva VN, de Oliveira Amorim GH. Testing, Inequities and Vulnerability of Adolescents to Sexually Transmitted Infections. J Community Health 2021; 47:118-126. [PMID: 34480248 DOI: 10.1007/s10900-021-01028-6] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 08/19/2021] [Indexed: 01/22/2023]
Abstract
Sexually transmitted infections (STIs) should form part of the comprehensive healthcare agenda for adolescents and young people (A&Y) and testing plays a strategic role in STI prevention. However, little attention has been paid to the social and programmatic obstacles to this practice among A&Y. The aim of this study is to describe the prevalence of testing for syphilis and HIV reported by a group of A&Y, analyzing its relationship with variables potentially indicative of inequities related to vulnerability to STIs. This was a cross-sectional survey applied to students at public high schools in three cities in the state of São Paulo, Brazil. The responses of 369 young people who reported having started sexual life were analyzed. The analysis included description of the frequencies of demographic and socioeconomic variables and their associations with testing for syphilis and HIV through the chi-square test. The concentration index (CI) was also calculated, with construction of the respective concentration curve for the associated variables. Positive associations were found between occurrence of testing and living in homes with up to three inhabitants, living in a marital situation with a regular or committed partnership, previous use of primary care services and previous use of hospitals or emergency services. The concentration curve for testing STIs showed significant contributions from the associated variables. The findings indicated that situations of inequity need to be addressed in order to reduce A&Y's vulnerability to STIs.
Collapse
Affiliation(s)
| | - Gabriela Junqueira Calazans
- Hospital das Clínicas HCFMUSP, Departamento de Medicina Preventiva, Faculdade de Medicina, Universidade de São Paulo, Av. Dr. Arnaldo 455, São Paulo, SP, 01246-903, Brazil
| | - Reinaldo José Gianini
- Faculdade de Ciências Médicas e da Saúde - PUCSP, R. Joubert Wey 290, Sorocaba, SP, 18030-070, Brazil
| | - Fernanda Cangussu Botelho
- Dep. Medicina Preventiva, Faculdade de Medicina FMUSP, Universidade de São Paulo, Av. Dr. Arnaldo 455, São Paulo, SP, 01246-903, Brazil
| | | | - Renata Bellenzani
- Universidade Federal de Mato Grosso do Sul, Rua José Delfino Guimarães 145. Universitário 1, Paranaíba, MS, 79.500-000, Brazil
| | - Valeria Nanci Silva
- Dep. de Psicologia Social, Instituto de Psicologia, Universidade de São Paulo, Av. Professor Mello Moraes 1721, São Paulo, SP, 05508-030, Brazil
| | | | | |
Collapse
|
2
|
Préau M, Lorente N, Sagaon-Teyssier L, Champenois K, Gall JML, Mabire X, Spire B, Mora M, Yazdanpanah Y, Suzan M. Factors associated with satisfaction with community-based non-medicalized counseling and testing using HIV rapid tests among MSM in France. AIDS Care 2016; 28:1240-8. [DOI: 10.1080/09540121.2016.1173636] [Citation(s) in RCA: 8] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/21/2022]
|