Objective: To analyze the factors associated to the condition of to be vaccinated among adolescents in an area of the Strategy Health of the Family, in the city of Teresina, state of Piaui. Methods: Is a study of quantitative nature and sectional type. The sample was constituted by 261 adolescents and the analysis was carried out through the descriptive statistic. Results: The vaccination covering against German measles, measles and mumps was 5.4 %; the vaccination against diphtheria and tetanus was 22.9 %; the vaccination against hepatitis-B was 27.2 % and of 35.2 % against the yellow fever. Conclusion: The low vaccination covering found in this study had the following causes: lost of vaccination opportunities (65.5 %); deficiency of knowledge on vaccines, the age group -more than 15 years (Reason of Predominance (RP) = 2.85; Rate of Confidence (IC) 95 % = 1.63-4.99); and the masculine gender (RP = 2.04; IC95 % =1.15-3.62). Keywords: Hepatitis B; Epidemiology; Imunization; Vaccination RESUMO Objetivo: Analisar os fatores associados à condição de estar vacinado entre adolescentes de uma área da Estratégia Saúde da Família de Teresina -PI. Métodos: Estudo de natureza quantitativa e do tipo seccional. A amostra foi constituída por 261 adolescentes e a análise foi realizada por meio da estatística descritiva. Resultados: A cobertura vacinal contra rubéola, sarampo e caxumba foi de 5,4%; para a vacina contra difteria e tétano, foi de 22,9%; para a vacina contra hepatite-B: foi 27,2% e 35,2% para a vacina contra febre amarela. Conclusão: A baixa cobertura vacinal encontrada neste estudo está relacionada: às oportunidades perdidas de vacinação (65,5%); à deficiência de conhecimento sobre as vacinas, a faixa etária maior de 15 anos (Razão da Prevalência (RP) = 2,85; Índice de Confiança (IC) 95% = 1,63-4,99); o sexo masculino (RP = 2,04; IC95% =1,15-3,62). Descritores: Hepatite B; Epidemiologia; Imunização; Vacinação RESUMENObjetivo: Analizar los factores asociados a la condición de estar vacunado entre adolescentes, en un área de la Estrategia Salud de la Familia, en la ciudad de Teresina, en el estado de Piauí. Métodos: Estudio de naturaleza cuantitativa y de tipo seccional. La muestra fue constituida por 261 adolescentes y el análisis fue realizado por medio de la estadística descriptiva. Resultados: La cobertura por vacuna contra rubéola, sarampión e caxumba fue de 5,4%; para la vacuna contra la difteria y tétano, fue de 22,9%; para la vacuna contra hepatitis-B, fue 27,2% y de 35,2% para la vacuna contra la fiebre amarilla. Conclusión: La baja cobertura por vacunación encontrada en este estudio está relacionada a: 1) las oportunidades perdidas de vacunación (65,5%); a la deficiencia de conocimiento sobre las vacunas, al intervalo de edad mayor de 15 años [Razón de la Prevalencia (RP) = 2,85; Índice de Confianza (IC) 95% = 1,63-4,99]; al sexo masculino (RP = 2,04; IC95% =1,15-3,62).

The study aimed to identify the knowledge of adolescents, residents in an area where the Family Health Strategy is present, about the vaccination calendar and acquired protection. The nature of this inquiry was quantitative, sectional and it was developed through home inquiry, from 2008 March to April. The data had been typed and processed by using the Epi-Info software. It was noted that the adolescents in this study were unaware of the recommended vaccines present in the Ministry of Health calendar. Considering that the study was carried out in Family Health Strategy environment and being the vaccine a priority action, it was expected to find a population more aware on the vaccination calendar.

Pesquisa bibliográfica, com enfoque na hepatite B, com o objetivo de identificar onde estão sendo realizadas estas pesquisas; qual a natureza, o tipo e a ênfase de estudo. Pesquisou-se na base de dados CEPEn e Banco de Teses da CAPES, no período de 2000 a 2006, utilizando os descritores: hepatite B e vacina contra hepatite B. Encontrou-se 21 pesquisas, dois centros de pesquisa concentram os estudos, Universidade de São Paulo (47,6%) e Universidade Federal de Goiás (23,8%). Os estudos foram desenvolvidos em curso de mestrados (95,2 %) e doutorado (4,8%), a maioria deles é de natureza quantitativa (95,2%). Quanto à ênfase do estudo, 61,9 % são relacionados a acidente ocupacional e 19,0 % a estudos com soroprevalência da hepatite B.

Objective: to identify what factors are connected to adolescent adherence to the vaccination against Human Papillomavirus. Method: integrative developed using the following data base: Medical Literature Analysis and Retrieval System Online and Web of Science, Cumulative Index to Nursing and Allied Health Literature, Literatura Latino-Americana e do Caribe em Ciências da Saúde (Latin-American and Caribbean Literature in Health Sciences), and Base de dados de Enfermagem (Nursing Database); using the descriptors and keywords: Papillomaviridae, immunization, vaccines. The final sample had 31 original articles. Result: Vaccine adherence predictors were identified as: knowledge about virus infection risk, vaccination and its benefits; cervical cancer and genital warts prevention; sexual activity; being over 14 years old; mothers’ intention to adhere to vaccination; mother-child communication about sexually transmitted infections, contraception and condoms; vaccination offered in school; recommendation by teachers and health professionals; vaccine safety and effectiveness. Conclusion: Evidence points towards the necessity to redesign the presentation strategy of the vaccine, because despite the cultural differences among the countries where the studies were carried out, it is noticeable that society shelters adolescents aged from 10 to 14 years old, considering it early for sexual initiation and presenting difficulties to broach sexuality-related topics with children.

Objective: to understand the social representations elaborated by nurses from the family health strategy concerning the assistance to climacteric women. Methods: qualitative research conducted with 28 nurses. One adopted the reference of procedural approach of the theory of social representations. The interviews were recorded and transcribed completely and processed by the Software of Lexical Analysis of co-occurrence in simple statements of a text, version 4.7. Results: nurses recognize the menopause as a phase of women's life that needs to be assisted in its entirety, however, they showed difficulty in helping them, as they just carry out the cytological examination collection, request laboratory tests and forward them to a doctor. Conclusion: the climacteric period is a multifaceted phenomenon and the assistance to those people should be systematized from a qualified listening, in an approach that respects its uniqueness and autonomy. Descriptors: Nursing Care; Primary Health Care; Climacteric. Objetivo: apreender as representações sociais elaboradas por enfermeiras da Estratégia Saúde da Família acerca da assistência à mulher climatérica. Métodos: pesquisa qualitativa realizada com 28 enfermeiras. Adotou-se o referencial da abordagem processual da Teoria das Representações Sociais. As entrevistas foram gravadas e transcritas na íntegra e processadas pelo Software de Análise Lexical de Coocorrências em Enunciados Simples de um Texto versão 4.7. Resultados: as enfermeiras reconhecem o climatério como uma fase da vida da mulher que precisa ser assistida na sua integralidade, no entanto, demonstraram dificuldade em assisti-la, apenas realizam a coleta do exame citológico, solicitam exames laboratoriais e encaminham ao médico. Conclusão: o climatério é um fenômeno multifacetado e a assistência a esse público deve ser sistematizada a partir de escuta qualificada, numa abordagem que respeitem a sua singularidade e autonomia. Descritores: Assistência de Enfermagem; Atenção Primária à Saúde; Climatério.

Fatores de risco e proteção à saúde de mulheres para prevenção do câncer uterino Factores de riesgo y protección a la salud de mujeres para prevención del cáncer uterino

A qualitative study aiming at understanding the socio-political aspects that mediate the implantation of the Transplant Center of Piauí, identify the social topics involved in this implantation and analyze the participation of the organized civil society. Ten people directly related to the implantation of the transplant center were involved in the study, selected through the "snowball" technique. A loosely structured interview, taped, transcribed and submitted for thematic analysis was used. It was concluded that the implantation of the transplant center in Piauí was the fruit of a complex series of negotiations and interests among the State and organized civil society, as there was no political project for action in the area of transplants. This distancing from the responsibility of the public sector characterizes the importance that was given to this implantation.

Objective: to identify the factors associated with adolescent compliance with the human papillomavirus vaccine. Method: this is a cross-sectional study, developed through a school survey, in Teresina, Piauí, Brazil, whose data collection occurred in 2018. A scale was used to assess decision-making, attitudes, feelings and knowledge about the human papillomavirus, in addition to a questionnaire to collect sociodemographic, economic and vaccination status data. The variables were submitted to the multivariate model of logistic regression to explain factors associated with vaccination adeforemen. Results: the study sample consisted of 624 adolescents, 15 years old, attending the first year of high school, of which 22.8% received the human papillomavirus vaccine. Being male decreases the chance of complying with the vaccine by 50% (aOR=0.05). Moreover, disagreeing or disagreeing with or disagreeing with parents to make the decision to vaccinate their children also reduced the chances of vaccination by 66% (aOR=0.34), respectively, as well as disagreeing with or disagreeing that men do not take human papillomavirus, minimized the chances of vaccination complying with vaccination by 66% (aOR=0.34), when compared to those who disagreed with this statement. Conclusion: low adolescent compliance with human papillomavirus vaccine was identified. Adolescents remain susceptible to diseases related to the human papillomavirus. Therefore, vaccination strategies need to be rethought, with the offer of vaccination in schools, mediated by educational campaigns.