Introdução: As dificuldades e diferenças no atendimento ginecológico são uma realidade encontrada pelas pacientes lésbicas e bissexuais quando comparadas às heterossexuais. Há uma necessidade de se entender o perfil dessas pacientes para um atendimento mais adequado. Objetivo: O objetivo do trabalho é avaliar o perfil sociodemográfico das mulheres lésbicas e bissexuais para que, com maior entendimento sobre essa população, o atendimento ginecológico passe a ser mais adequado. Material e método: Realizou-se um estudo transversal analítico. As participantes responderam de forma voluntária e anônima a um questionário adaptado em formato Google Forms, disponível on-line e divulgado pelas redes sociais e mídias virtuais, para mulheres maiores de 18 anos de todas as orientações sexuais, de setembro a dezembro de 2020. Os dados foram planilhados e analisados com o auxílio do programa Graph Pad Prism 5.0 e os valores p foram considerados significativos após a correção de Bonferroni. Resultados e conclusão: Responderam à pesquisa 751 pacientes heterossexuais, 272 lésbicas e 358 bissexuais. A maioria das participantes é de etnia caucasiana e tem ensino superior completo/incompleto. As pacientes lésbicas e bissexuais usam mais o sistema público de saúde, têm menores rendas salariais, fazem mais uso de tabaco e drogas ilícitas que as heterossexuais. Não houve diferença significativa na prática de atividade física entre os três grupos. A menor taxa de desemprego entre os três grupos é a das lésbicas. Não houve diferença significativa no índice de massa corporal entre os três grupos. Concluímos que essas mulheres possuem um perfil sociodemográfico diferente das heterossexuais, é necessário mais atenção às particularidades, ofertando um atendimento médico, especialmente ginecológico, mais embasado nas suas reais necessidades.
Health disparities among adult individuals are determined by age, ethnic background, and socioeconomic status. 1 Sexual orientation may also influence these inequalities. 2 The lesbian, gay, bisexual, transgender, intersexual, and asexual communities (LGBT) are frequently marginalized populations that may have special needs ignored by most doctors because these populations are frequently understudied. In this context, social stigma and discrimination may further aggravate the problem. According to the Centers for Disease Control and Prevention and Healthy People 2020, health disparities related to sexual orientation are among the main gaps in current health research. 1The gynecologic health of lesbians and bisexuals (LB) may be affected owing to differences in sexual behavior and access to health care. These women are more likely to develop obesity, smoking, and
Objectives: The objective of the study was to identify the prevalence of firearm injuries (FI) and bladed weapon injuries (BWIs) in underage people and their respective outcomes. Methods: Using a retrospective observational design, data were recorded on patients who met the inclusion criteria receiving care in a public hospital between June 30, 2015, and June 30, 2018. Results: Ninety-one medical records were found, 76.9% of patients were males and 23.1% were females. Most injuries were caused by firearms (76%) and the remainder by bladed weapons (24%). The majority of patients were 12–18 years old (92.3%), while 7.7% were 6–12 years old. Male participants were the ones who most needed medical care (77%). Male adolescents in the older age group with injury-associated fractures (P = 0.015 and P = 0.032) accounted for the most common association in the sample, demonstrating greater susceptibility to fractures in these groups. Analysis of detailed location proved that BWIs BWIs were the leading cause of injuries to soft abdominal organs (P = 0.011). Conclusion: The occurrence of FI and BWIs in the pediatric population is significant and can imply death and tragic sequelae. Emergency services need to be prepared to provide care to these victims, particularly males and the 12–18 age range, as these are the most affected groups. Further studies should be conducted on this theme to gain a greater and better understanding of the etiology and repercussions of this type of injury in the lives of young patients.
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