Hornet users have insufficient knowledge about HIV prevention measures, especially when discarding the male condom. The relationships established through the application are permeated by high individual vulnerability and behaviors that have potential exposure to the risk of HIV infection.
Resumo Objetivos Caracterizar os usuários brasileiros de aplicativos de encontro baseados em geolocalização, estimar a prevalência de Infecções Sexualmente Transmissíveis (ISTs) e fatores associados ao uso do preservativo. Métodos Estudo descritivo, transversal, com amostra de 2.250 homens que fazem sexo com homens (HSH) de todo o Brasil. Utilizou-se da rede social Facebook® para a coleta e divulgação da pesquisa, por meio de uma postagem impulsionada semanalmente, de novembro de 2016 a janeiro de 2017. Os dados foram analisados de forma uni e bivariada com o auxílio do software SPSS. Resultados Houve a predominância de participantes jovens (25 anos), com ensino superior completo (57,8%) e homossexuais (75,7%), que conheceram os seus parceiros através de aplicativos (64,1%), utilizando, principalmente, o Tinder ® (57,3%) e Grindr® (53,3%) para fins sexuais (69,7%). A prevalência de ISTs foi de 11,1%, sendo 7,1 de HIV. Foram fatores associados ao uso de preservativos: conhecer o parceiro pelo app (p=0,003), utilizar o Grindr ® (p=0,002), Scruff ® (p=0,027) ou Hornet ® (p<0,001), usar os apps para amizade (p<0,001), sexo (p<0,001) ou relacionamento (p<0,001), frequência de uso do aplicativo (p<0,001) e utilizar os apps durante à noite (p=0,003). Conclusão Os usuários são jovens, com alto nível educacional e que demonstram familiaridade com os apps pelo tempo de uso. A prevalência de ISTs foi elevada, sobretudo da infecção pelo HIV. Características sociodemográficas e particularidades do uso e consumo dos apps estão associadas a utilização consistente do preservativo, principalmente o motivo de uso, frequência, horário e aplicativo utilizado.
Objetivo: identificar o perfil epidemiológico das vítimas de trauma atendidas na sala vermelha do Pronto-Socorro gerenciada pelo SAMU-DF no Hospital de Base do Distrito Federal. Método: trata-se de um estudo descritivo. Os dados foram obtidos dos prontuários eletrônicos e ficha de atendimento pré-hospitalar após aprovação do Comitê de Ética em Pesquisa. Resultados: houve predomínio do sexo masculino (77,9%), na faixa etária de 20 a 49 anos (66,3%), com maior número de ocorrências nos meses de Fevereiro (20,4%), Abril (20,4%) e Maio (21,2%), quinta-feira (18,6%), vespertino (35,4%), em via pública urbana (46,1%). Predominou o politrauma fechado (52,2%) envolvendo acidentes automobilísticos (66,4%). Conclusão: as vítimas são adultos jovens do sexo masculino, politraumatizado por acidente automobilístico atendidas por unidades de suporte básico e avançado de vida e a maioria sobreviveram.
Objective: To evaluate the knowledge of Nursing professionals regarding waste management in primary healthcare services. Method: Descriptive study with a mixed approach, developed with 42 nursing professionals who worked in basic health units of a capital in the Brazilian Northeast Region. Quantitative variables were analyzed by the SPSS 20.0 program. Reports were processed by the IRaMuTeQ software, analyzed according to the descending hierarchical classification, and grounded on the Collective Subject Discourse. Results: Low knowledge scores were obtained, associated with specific socioeconomic and training variables. Analysis of collected reports allowed to identify three classes: "Inadequate waste disposal: first and main step"; "Correct disposal improves service quality and prevents diseases"; and "Consequences associated with incorrect disposal". Conclusion: The knowledge of professionals falls short of the expectations to adequately manage waste produced in primary health care and is concentrated on the initial steps, mainly the disposal process.
Background The objective of the present study was to analyze the factors associated with non-completion of the hepatitis B vaccine series among men who have sex with men and use geosocial dating apps in Brazil. Methods This was a cross-sectional, population survey-based, analytical study, conducted exclusively online in all the regions of Brazil, with a sample of 1855 men who have sex with men. The data was collected between November 2016 and February 2017, using the social networking website Facebook. Results Univariate, bivariate and multivariate analyses showed that 4.7% of the participants reported receiving one dose of the vaccine, 12.5% two doses, 19.4% three doses, and 45.8% did not know. Multivariate analysis showed that level of education (OR = 0.31; CI 95% 0.14–0.72; p = 0.007), identification as bisexual (OR = 0.6; CI 95% 0.38–0.95; p = 0.030), HIV serological status (OR:2.3; CI 95% 1.58–3.34; p = < 0.001) and frequency of access to health services (OR = 2.38; CI 95% 1.53–3.72; p = < 0.001) were associated with not completing the vaccine series. Low completion of the hepatitis B vaccine series was detected in the population studied. Conclusion Completion of the hepatitis B vaccine series was low among men who have sex with men and use geosocial dating apps in Brazil. The factors associated with non-completion were related to social, individual and healthcare (programmatic) vulnerabilities.
Objective: to characterize the sexual partnerships established by people living with the Human Immunodeficiency Virus. Methods: an epidemiological study carried out with 173 participants in a medical assistance service specialized in the treatment of people with Human Immunodeficiency Virus. Data were collected through an individual interview with a specific questionnaire for the study. Pearson's Chi-square test was used to analyze the data. Results: the majority of the participants were male, young adults (54/30.9%), single (94/53.7%), complete high school (72/41.1%) and sexually infected (150/85.7%). The variables gender (p<0.001), marital status (p<0.001), living with partner (p<0.001), exposure form (p=0.040) and partner serology (p<0.001) showed statistical difference. Conclusion: people with this infection establish different forms of sexual partnerships, which were influenced by sex, marital status, living with the partner, form of exposure and serology of the partner. Descriptors: HIV; Acquired Immunodeficiency Syndrome; Patient Care; Sexual Behavior. *From the dissertation "Estratégias de gerenciamento de risco da transmissão sexual do HIV e outras Infecções Sexualmente Transmissíveis entre pessoas vivendo com o HIV/aids",
Objective To evaluate students' knowledge of nursing and medical courses at a public university on prophylaxis before and after exposure to HIV/AIDS. Method cross-sectional study, carried out with nursing and medical students (n = 167). In order to explain the effect of variables on knowledge, the Multinomial Logistic Regression was used. Results Participants had a mean of 23.03 years, female (56.5%), unmarried (64.3%), and heterosexual (86.3%). The level of knowledge demonstrated was mostly medium (49.4%), and only 28.6% showed a high knowledge about the subject. The multivariate analysis showed that the course (p = 0.03) and age (p = 0.01) were associated with a higher level of knowledge. Conclusions Nursing and medical students possess knowledge considered as average about HIV preventive prophylaxis, thus it is up to the health education institutions to provide subsidies for a better training of students, treating the theme as a transversal subject in their training.
Objective: to analyze the knowledge of injured professionals according to their perception, identifying their causes, feelings experienced, reactions and behaviors after the accident. Method: This is a descriptive study with quantitativequalitative approach, performed at the Regional Hospital of Ceilândia, through the application of questionnaires and interviews. The analysis was performed using descriptive statistics using frequency, mean, and standard deviation. The project follows strictly all ethical precepts. Results: Fear of contamination was the main feeling experienced. The most frequent cause of accidents was carelessness followed by improper disposal of sharps. It was noticed that professionals have difficulty adhering to personal protective equipment and that 88.8% of the injured had a complete vaccine scheme at the time of the accident. Conclusion: the reactions and behaviors of each individual were diverse. It is suggested the investment in education and training of the nursing team and modifications in the organizational system. Descriptors: Occupational Exposure, Occupational Health, Nurse Practitioners RESUMO Objetivo: analisar o conhecimento dos profissionais acidentados de acordo com sua percepção, identificando suas causas, sentimentos vivenciados, reações e condutas após o acidente. Método: trata-se de um estudo descritivo com abordagem quanti-qualitativa, realizado no Hospital Regional de Ceilândia, por meio da aplicação de questionários e entrevistas. A análise foi realizada por meio da estatística descritiva utilizando frequência, média e desvio-padrão. O projeto segue rigorosamente a todos os preceitos éticos. Resultados: o medo de contaminação foi o principal sentimento vivenciado. A causa mais recorrente de acidentes foi o descuido do profissional, seguido por descarte inadequado de material perfurocortante. Percebeu-se que os profissionais têm dificuldade em aderir aos equipamentos de proteção individual e que 88,8% dos acidentados possuíam esquema de vacina completo no momento do acidente. Conclusão: as reações e condutas de cada indivíduo foram diversas. Sugere-se o investimento em educação e treinamento da equipe de enfermagem e modificações no sistema organizacional. Descritores: Exposição ocupacional, Saúde do trabalhador, Profissionais de Enfermagem RESUMÉNObjetivo: analizar el conocimiento de los profesionales accidentados de acuerdo con su percepción, identificando sus causas, sentimientos vivenciados, reacciones y conductas después del accidente. Método: se trata de un estudio descriptivo con abordaje cuantitativo, realizado en el Hospital Regional de Ceilândia, a través de la aplicación de cuestionarios y entrevistas. El análisis fue realizado por medio de la estadística descriptiva utilizando frecuencia, media y desviación estándar. El proyecto sigue rigurosamente todos los preceptos éticos. Resultados: el miedo a la contaminación fue el principal sentimiento vivido. La causa más recurrente de accidentes fue el descuido del profesional, seguido por descarte inadecuad...
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