It is essential to create health promotion strategies that observe the real-life experiences of sex workers.
Relações com múltiplos parceiros e não utilização do preservativo pelas prostitutas comprometem sua saúde sexual e reprodutiva. Objetivou-se no estudo identificar fatores de risco comportamentais associados ao câncer de colo uterino entre as prostitutas de Picos-PI e avaliar o conhecimento, a atitude e a prática dessas mulheres em relação ao exame Papanicolaou. Estudo exploratório e descritivo, realizado com 77 mulheres nos seus locais de trabalho, em setembro-outubro de 2010. Observou-se que existem riscos ligados à saúde sexual e reprodutiva que podem propiciar o câncer de colo uterino. Há inadequação no conhecimento, porém a atitude é apropriada, pois a quase totalidade (97,4%) afirmou que faria o exame Papanicolaou com maior frequência. Portanto, é necessário engajamento dos enfermeiros na formulação de estratégias educativas que minimizem o déficit de conhecimento da população estudada sobre Papanicolaou.
Objective: To know the experience of social educators on health education activities with prostitutes. Methodology: Case study, descriptive, social educators conducted with the Association of Sex Workers of the Municipality of peaks. Data were collected from September to October 2010, through non-participant observation of educational activities conducted with prostitutes and interviews with social educators. Observation data were recorded in a diary, and the content was transcribed and recorded the statements were categorized according to content analysis of Bardin. The ethical aspects were respected. Results and discussion: We observed that social educators take pleasure in performing that work together to prostitutes because they realize its importance with regard to the prevention of STD/AIDS. By now they had experienced prostitution, education pairs can be performed in a more direct way, in order to minimize doubts. However, the lack of greater incentives and discrimination by society are factors that hinder the success of the work. FINAL THOUGHTS: One learns that are needed for more effective intervention programs that facilitate the educational work of the Association, as well as capabilities for conducting education in pairs. Decriptors: Prostitution. Health Education. Health Promotion. RESUMO Objetivo: Conhecer a vivência de educadoras sociais sobre atividades de educação em saúde com prostitutas. Metodologia: Estudo de caso, descritivo, realizado com educadoras sociais da Associação das Profissionais do Sexo do Município de Picos-PI. Os dados foram coletados de setembro a outubro de 2010, por meio de observação não participante de atividades educativas realizadas junto às prostitutas e de entrevistas com as educadoras sociais. Os dados da observação foram registrados em um diário de campo, e o conteúdo gravado foi transcrito e as falas foram categorizadas, segundo análise de conteúdo de Bardin. Os aspectos éticos foram respeitados. Resultados e discussão: Observou-se que as educadoras sociais sentem prazer em realizar esse trabalho junto às prostitutas, pois percebem sua importância no que se refere à prevenção das DST/Aids. Por já terem vivenciado a prostituição, a educação aos pares pode ser realizada de forma mais direcionada, com vistas a minimizar dúvidas. No entanto, a falta de maiores incentivos e a discriminação por parte da sociedade são fatores que dificultam o êxito do trabalho realizado. Considerações finais: Aprende-se que são necessários programas de intervenção mais eficazes que facilitem o trabalho educativo realizado pela Associação, bem como capacitações para a realização de educação aos pares. Palavras-chave: Prostituição. Educação em Saúde. Promoção da Saúde. RESUMÉN Objetivo: Conocer la experiencia de educadores sociales en las actividades de educación en salud con prostitutas. Metodología: Estudio de caso, descriptivo, realizado con los educadores sociales de la Asociación de Trabajadoras Sexuales de la Municipalidad de Picos-PI. Datos fueron recogidos entre septiembre y o...
Introduction: Epidemiological, operational and socio-demographic data on leprosy, as well as its direct and indirect impact on the affected person, his/her family, and community, are included in the group of neglected diseases. Objective: To analyze the association between the occurrence of physical disabilities in leprosy cases and individual vulnerability in hyperendemic municipalities. Methodology: population-based cross-sectional study of leprosy cases reported from 2001 to 2014 in two municipalities of Piauí/Brazil. Interviews and descriptive, bivariate and multivariate analyses were conducted to study eventual associations. Results: Of the 603 cases evaluated, the most frequent were female (52%), brown (46%), with low schooling, married/united (50%) and retired (28%). A significant proportion of cases was multibacillary (46%), Virchowian clinical form (14%), reactional episodes (20%), disability degree I or II (70%). The explanatory variables for the presence of some degree of physical disability were gender, age group, perceived health, operational classification, clinical form, and hypertension (p<0.05). Conclusion: The physical disabilities caused by leprosy involve, in addition to dermatoneurological damage, psychological damage resulting from the strong stigma they produce. This result reinforces the need for differentiated care and nursing in disability prevention, physical rehabilitation and psychological follow-up to ensure comprehensive care.
Resultados: during the study period were recorded 1072 cases of the disease. The indicators: proportion of new cases with degree of assessed disability and proportion of cured cases among new cases showed improvement in quality of care. The percentage of cases cured and evaluated in the discharge due to cure presented itself below the number of 1072. The evaluation of disability in high cure was 22.2% in 2007, 98.8% in
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