Objective: Identify factors associated with the knowledge and attitude regarding male condom use in school adolescents. Methods: Cross-sectional, quantitative, Knowledge, Attitude, and Practice survey, conducted with 114 adolescents from a public state high school from August to October 2017, in Fortaleza, Ceará, Brazil. Results: The assumption of having sufficient knowledge regarding safe sex, not having a casual/dating partner, and having had three or more sexual partners in the last three months affected adequate knowledge. Higher education of the mother and not talking to the mother about sex were factors that influenced the inappropriate attitude of the participants. Conclusion: The knowledge and attitude of adolescents are influenced both by their previous sexual relations and by their relationship with their mother and the level of her schooling. Thus, it is essential that health institutions promote actions aimed at sex education, with support from schools and health professionals in general.
In 2018, the World Health Organization (WHO) launched a set of intrapartum care recommendations for a positive birth experience through a holistic and human rights-based approach. These recommendations are considered a model of health care during childbirth that considers the complexity and heterogeneity of healthcare systems and practices, reducing unnecessary interventions during labor and delivery. 1 Women's perception of empowerment for childbirth may result from a positive experience influenced by the preparation, coping, and support provided by midwives and companions. The positive childbirth experience plays an important role in women's self-efficacy and self-esteem, as well as in their ability to improve health, which requires cooperation and effort from individuals, families, the educational system, and the health system. 2 A systematic review with meta-analysis identified successful interventions currently available to create a positive perception of the childbirth experience. The most effective strategies were the support given to women during childbirth and preparation for childbirth with minimal intervention. The review also recommends that pregnant women's emotional support programs be implemented. 3
Conflitos de interesse: nada a declarar. ResumoObjetivo: Identificar a prevalência de sintomas de ansiedade e depressão e verificar os fatores sociodemográficos, acadêmicos e de saúde associados à ocorrência desses em estudantes de graduação em Enfermagem.Métodos: Estudo transversal, realizado em Fortaleza -CE entre os meses de junho a setembro do ano de 2019, com 199 alunos de uma universidade pública, regularmente matriculados no curso. Foi aplicado um questionário sociodemográfico, o Inventário de Depressão de BECK -II, além do Inventário de Ansiedade de BECK. A análise da associação entre as variáveis preditoras e os desfechos foi realizada por meio do teste de Qui-quadrado de Pearson, considerando significância estatística os valores de p menores que 0,05. Os aspectos éticos foram respeitados.Resultados: A prevalência de sintomas de ansiedade grave e depressão mínima foi de 119 (62%) e 59 (29,6%), respectivamente. Foi observado associação estatística significativa entre sintomas de ansiedade grave e as variáveis: idade até 21 anos, ausência de religião, não heterossexuais, preocupação com o futuro, não ter tempo para lazer e uso de psicotrópicos. Com relação aos sintomas de depressão, percebeu-se associação com as variáveis idade até 21 anos, ausência de tempo para lazer, insatisfação com o tempo de lazer, inatividade física, insônia e uso de psicotrópicos.Conclusão: Conclui-se que as condições associadas aos sintomas de ansiedade e depressão estiveram mais relacionadas às variáveis acadêmicas e de saúde. Dessa forma, percebe-se a importância de identificar precocemente e traçar estratégias relacionadas aos sintomas observados.
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