Resumo O objetivo do presente estudo foi identificar as dimensões da vulnerabilidade de mulheres que fazem sexo com mulheres associadas às infecções sexualmente transmissíveis. Estudo transversal com 150 mulheres, entre 2015-2017. Aplicou-se questionário estruturado, realizou-se exame ginecológico para diagnóstico de Chlamydia trachomatis, Neisseria gonorrhoeae, Trichomonas vaginalis, papiloma vírus humano e coleta de sangue periférico para detecção de HIV, hepatite B e sífilis. A variável desfecho foi a ocorrência de infecção sexual e as variáveis independentes compõem o referencial da vulnerabilidade, nas dimensões individual, social e programática. Análise de dados foi realizada por modelo de regressão logística. Os resultados mostraram alta prevalência das infecções (47,3%) e apenas variáveis relacionadas à vulnerabilidade individual se associaram de forma independente ao desfecho: chance de infecção foi quatro vezes maior entre mulheres com antecedente de infecção; nunca ter realizado exame sorológico aumentou a chance em quase três vezes e ter tido relação sexual com homem nos últimos 12 meses aumentou em quase nove vezes a chance do desfecho. Concluiu-se que essas mulheres são vulneráveis às infecções sexualmente transmissíveis em decorrência da vulnerabilidade individual.
IntroductionThe present research aims to fill a gap in the national and international literature concerning prevalences and factors related to STI (Sexually Transmitted Infections) in Women who Have Sex with Women (WSW).MethodsIt is a cross sectional, analytical and non-radomized study with 100 WSW from Botucatu - SP and surrounding regions who answered the call from social media, mass communication means, health services and friends or acquaintances from January to November,2015. Data was obtained by the researchers involved in the main study, through interviews, blood tests to diagnose HIV, syphilis and hepatitis B and cervical sample collection to investigate Chlamydia Trachomatis, Neisseria Gonorrhoeae, HPV through PCR and oncotic cytology to screen Trichomonas vaginalis. Associations were estimated by multiple regression.ResultsTotal prevalence of STI was 35%, chlamidia infection (3.3%), HIV infection (2.0%), Trichomonas vaginalis (1.1%) and syphilis (1.0%). Neisseria Gonorrhoeae and Hepatites B were not found. The factors associated to STI were: to be single, [OR=3,76 (CI:95%: 1.14–12.43); p=0030], use of sex toys [OR=3,87(CI:95%: 1.14–13.16); p=0030], and number of male partners in the previous year [OR=7,99 (CI:95%: 1.51–42.44); p=0015].ConclusionConsidered as whole, these data lead to conclusion that the individuals of this study presented high vulnerability to STI/AIDS, as shown by the high prevalence of STI. This study clearly shows the need for a specific health assistance to these women, promoting prevention and education in a holistic approach.
IntroductionThe present research aims to fill a gap in the national and international literature concerning prevalences and factors related to Bacterial vaginosis (VB) in Women who Have Sex with Women (WSW).MethodsIt is a cross sectional, analytical and non-radomized study with 128 WSW from Botucatu - SP and surrounding regions who answered the call from social media, mass communication means, health services and friends or acquaintances from January to November,2015. Data was obtained by the researchers involved in the main study, through interviews ang gynaecological exam. The diagnostic of VB was abteined through gram staining. Associations were estimated by multiple regression.ResultsThe prevalence of BV was 41,1%% and factors associated were vaginal douching [OR=3,29 (IC:95%: 1,26–8,59) p=0014] and sex toys use[OR=2,34 (IC:95%: 1,00–5,50); p=0049].ConclusionConsidered as whole, these data lead to conclusion that the individuals of this study presented high vulnerability to STI/AIDS, as shown by the high prevalence of VB. This study clearly shows the need for a specific health assistance to these women, promoting prevention and education in a holistic approach.
Introduction Literature points to a scarcity of studies on sexual health and risk behavior of women who have sex with women (WSW) living in low- and middle-income countries, reporting lack of knowledge, high prevalence of sexually transmitted infections (STI), and low incidence of consistent use of protective barriers. Objective Analyze knowledge of WSW on STI and AIDS. Methods Cross-sectional study developed in São Paulo state, Brazil. The intentional sample consisted of 182 women (55 WSW and 127 women who have sex only with men - WSM). Data were obtained from April to December 2019 through a questionnaire with questions related to the sociodemographic variables and the validated instrument Sexually Transmitted Disease Knowledge Questionnaire (STD-KQ), which has 28 questions adapted to Brazilian Portuguese in order to assess knowledge on STI/AIDS. The percentage of correct responses in function of sexual orientation, correcting the confounding effects, was adjusted by using a multiple linear regression model. The analyses were performed using the software SPSS 22.0. This research was approved by the ethics committee under protocol number 3.320.951. Results Out of the 182 participants, those self-reported as white (79%) and the ones living with their partner (81%) were predominant. The median age was 26 years old (18-48) and the median number of completed years of studies was 14 (1-24). As for their knowledge on STI/AIDS, the average percentage of correct answers was 63%, which on average was 12% lower among WSW compared to WSM. Conclusions The data in the present research indicate the importance of implementing public policies concerning the sexual and reproductive health of WSW, especially aiming at knowledge on STI/AIDS and ways to prevent them. Key messages Importance of implementing public policies concerning the sexual and reproductive health of women who have sex with women. Scarcity of studies on sexual health and risk behavior of women who have sex with women.
Introdução: A literatura aponta escassez de estudos sobre saúde sexual e comportamentos de risco de mulheres que fazem sexo com mulheres que vivem em países de baixa e média renda, relatando níveis insuficientes de conhecimentos, altas prevalências de infecções sexualmente transmissíveis e baixa prevalência de uso consistente de barreiras de proteção. Objetivo: Analisar conhecimentos de mulheres que fazem sexo com mulheres sobre infecções sexualmente transmissíveis e aids. Métodos: Estudo transversal desenvolvido no estado de São Paulo, Brasil. A amostra intencional foi constituída por 260 mulheres (81 mulheres que fazem sexo com mulheres e 179 mulheres que fazem sexo apenas com homens). Os dados foram obtidos de maio de 2019 a novembro de 2020 por meio de formulário com questões relativas às variáveis sociodemográficas e do instrumento validado Sexually Transmitted Disease Knowledge Questionnaire (STD-KQ), composto de 28 questões adaptadas para o português brasileiro, que tem por objetivo avaliar o conhecimento a respeito de infecções sexualmente transmissíveis/aids. Para estudar a associação entre parceria sexual e baixo nível de conhecimento sobre infecções sexualmente transmissíveis/aids (escore menor que 50% de acertos no Sexually Transmitted Disease Knowledge Questionnaire), foram ajustados modelos de regressão múltipla de Cox, sendo significativas as associações com p<0,05. O projeto de pesquisa recebeu parecer favorável sob n° 3.320.951. Resultados: Das 260 participantes, predominaram aquelas autorreferidas como brancas (77,3%), solteiras (77,3%) e com elevado nível de escolaridade (86,5%). A média de idade foi de 26 anos (18-50). A mediana do percentual de acerto das questões do Sexually Transmitted Disease Knowledge Questionnaire das mulheres que fazem sexo com mulheres foi inferior à das mulheres que fazem sexo com homens (68% [18-96%] versus 75% [14-96%], p=0,023). Fazer sexo com mulher associou-se independentemente ao baixo conhecimento sobre infecções sexualmente transmissíveis/aids [razão de prevalência = 2,36(1,05-5,31), p=0,038]. Conclusão: Mulheres que fazem sexo com mulheres apresentam maior prevalência de baixo conhecimento sobre infecções sexualmente transmissíveis/aids. Fazer sexo com mulher se associou a esse desfecho, indicando necessidade de educação em saúde para esse grupo a fim de reduzir sua vulnerabilidade a essas infecções.
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