Background Adolescent and young women (10–24 years old) are habitually a neglected group in humanitarian settings. Menstrual hygiene management (MHM) is an unmet aspect of sexual and reproductive health (SRH) and an additional challenge if lack of hygiene products, inadequate access to safe, clean, and private toilets identified as period poverty. Our objective was to provide an overview of the main MHM issues affecting Venezuelan migrant adolescents and young women in the north-western border of Venezuela-Brazil. Method A cross-sectional study was conducted, early in 2021, with the use of a self-responded questionnaire, in Spanish, adapted from the Menstrual Practice Needs Scale (MPNS-36). All identified adolescents and young women aged between 12 and 24 years old were invited to participate (convenience sample-167 women). Women with complete questionnaires and who menstruate were included. Information on access to and quality of hygiene kits and toilets were retrieved, and a descriptive analysis performed, with an evaluation of frequencies for categorical variables (n, %) and mean (± SD-standard deviation) for continuous variables. In addition to the open-ended questions, we included one open question about their personal experience with menstruation. Results According to official reports, at the moment of the interviews, there were 1.603 Venezuelans living on the streets in Boa Vista. A total of 167 young women were invited, and 142 further included, mean age was 17.7 years, almost half of the participants who menstruate (46.4%) did not receive any hygiene kits, 61% were not able to wash their hands whenever they wanted, and the majority (75.9%) did not feel safe to use the toilets. Further, menstruation was often described with negative words. Conclusions Migrant Venezuelan adolescents and young women have their MHM needs overlooked, with evident period poverty, and require urgent attention. It is necessary to assure appropriate menstrual materials, education, and sanitation facilities, working in partnership among governmental and non-governmental organizations to guarantee menstrual dignity to these young women.

A fim de determinar a prevalência de transtornos mentais em uma amostra de pacientes de um hospital geral e sua relação com a denominação religiosa e religiosidade, foram investigados 253 pacientes internados no Hospital das Clínicas da Universidade Estadual de Campinas por intermédio de um questionário sócio-demográfico e um instrumento para diagnóstico psiquiátrico (MINI-Plus). A maioria dos pacientes era católica (63,2%; n = 177); seguidos dos evangélicos pentecostais (20,4%; n = 57); dos "sem-religião" (7,5%; n = 21); espíritas (4,3%; n = 12) e protestantes históricos (2,3%; n = 8). Consideraram-se muito religiosos 43,2% (n = 116), religiosos 46,9% (n = 129), pouco religiosos 9,8% (n = 27), não religiosos 1,1% (n = 3). A filiação religiosa evangélica e maior freqüência a cultos relacionaram-se à menor freqüência de problemas com álcool. É possível que a filiação religiosa evangélica exerça uma ação inibidora na ocorrência de transtornos relacionados ao álcool. Indivíduos muito religiosos ou pouco/nada religiosos apresentaram maior prevalência de transtorno bipolar. A dimensão intensidade da religiosidade revelou-se modestamente associada à prevalência geral dos transtornos, especialmente ao transtorno bipolar. É razoável que situações extremas (de muito ou reduzido envolvimento) relacionem-se a tal achado, relacionando tanto a busca exacerbada ou o afastamento da religiosidade com estados mentais alterados.

Atenção Primária à Saúde e a pandemia de COVID-19: reflexão para a prática

When young adults are admitted to general hospitals they should receive special attention due to their suicidal potential.

Objective Adolescent and young women (10–24 years old) are a neglected group in humanitarian settings and their sexual and reproductive health (SRH) needs are habitually ignored. Our study aims to assess main SRH issues affecting migrant Venezuelan adolescents and young women in Boa Vista, Roraima at the northwestern border of Venezuela‐Brazil. Methods A cross‐sectional study with a self‐responded questionnaire with information about SRH was conducted in 153 Venezuelan adolescent and young migrant women at Boa Vista, from January 18 to 23, 2021. A descriptive analysis was performed. Results Mean age was 17.7 years and two‐thirds were under 20 years old. The majority (84%) were living on the streets. Most of them (54%) reported that they had at least one previous childbirth, 10% were pregnant at the time of the interview, 30% of them were not attending prenatal care. The main SRH concern was contraception (35%); however, 75% of those interviewed who went to a healthcare service were unable to obtain the method of their choice and for 91% no other contraceptive was offered. Conclusion Migrant Venezuelan adolescents and young women in Boa Vista have their SRH needs overlooked. Efforts to address these SRH needs, especially during the pandemic, require urgent attention.

No abstract

When young adults are admitted to general hospitals they should receive special attention due to their suicidal potential.

No abstract