Abnormalities found with anuscopy under colposcopic vision, anal cytology and anal biopsy were evaluated in 21 men with human immunodeficiency virus/acquired immunodeficiency syndrome (HIV/AIDS) at the Federal University of Pernambuco Hospital in Brazil. Mean age was 38.4 ± 6.0 years, and mean time of HIV infection was 8.3 ± 5.1 years; 95.2% of the patients had been on highly active antiretroviral therapy (HAART) for an average of 6.6 ± 4.5 years. Mean CD4+ cell count was 482.2 ± 173.75 cells/mm 3 , and 80.9% presented a HIV viral load of < 5,000 copies/mL. Reported sexual preference was 52.4% homosexuals, 28.6% bisexuals, and 19.0%heterosexuals; 81% reported having had receptive anal intercourse and 61.9% reported more than 10 sexual partners of the same sex. Results of anuscopy under colposcopic vision revealed 17 (81.0%) low-grade lesions and/or condylomata or micropapillae and four (19.0%) high-grade lesions with or without condylomata. Among the 21 anal cytology examinations, seven (33.3%) revealed low-grade squamous intraepithelial lesions (LSIL); three (14.3%) presented atypical squamous cells of undetermined significance (ASCUS) and 11 (52.4%) were normal. Seventeen patients were submitted to anal biopsy with the following findings: three patients (17.6%) with normal epithelium, one (5.9%) with infection by HPV, three (17.6%) with condylomatas, two (11.8%) with AIN 1, four (23.6%) with AIN 2, three (17.6%) with AIN 3, and one (5.9%) with PAIN 2. Anuscopy under colposcopic vision was found to be useful for detecting anal lesions and for guiding anal biopsies. Anal cytology was less useful, as it underestimated the frequency of lesions.

RELEVANT FACTORS IN SEXUAL INITIATION: ADOLESCENTS' COLLECTIVE SPEECH IN A SCHOOL FROM THE CITY OF RECIFE, BRAZIL FACTORES RELEVANTES EN LA INICIACIÓN SEXUAL: DISCURSO COLECTIVO DE ADOLESCENTES EN UNA ESCUELA DE RECIFE, BRASIL Resumo: Na adolescência a sexualidade tem significado especial, já que o indivíduo inicia a consolidação da identidade sexual e atinge a capacidade reprodutiva. A primeira relação sexual acontece cada vez mais cedo e a vivência saudável do período de experimentação inerente à adolescência contribuirá para formação de adultos capazes de tomar decisões conscientes e planejadas ao longo da vida, evitando situações traumáticas. Este trabalho qualiquantitativo é resultado de dissertação com objetivo de conhecer as opiniões dos adolescentes de uma escola pública em relação a fatores relevantes para iniciação sexual. A população foi constituída de adolescentes entre 15 e 19 anos e a amostra foi composta por 61 adolescentes. Foi utilizada a técnica do Discurso do Sujeito Coletivo com o auxílio do Qualiquantisoftware. As categorias identificadas foram: práticas preventivas; sentimentos e parceria; estrutura pessoal, familiar e financeira; rede de apoio; protagonismo juvenil e gênero feminino: responsabilidade, desconhecimento e submissão. Embora este assunto seja muito abordado, muitos adolescentes não trazem as informações para seus contextos de vida. Recomenda-se que as famílias e as escolas priorizem espaços para discussão desse tema, além do acesso às políticas de saúde sexual e reprodutiva. Palavras-chave: Educação Sexual. Gênero e Saúde. Saúde Sexual e Reprodutiva. Saúde do Adolescente. Pesquisa Qualitativa.Abstract: In adolescence sexuality has special meaning, since the individual begins the consolidation of the sexual identity and reaches the reproductive capacity. The first sexual intercourse happens sooner and the healthy experience of the period of experimentation inherent in adolescence will contribute to the formation of adults capable of making conscious and planned decisions throughout life, avoiding traumatic situations. This qualitative-quantitative research is the result of a dissertation aiming to know the adolescents' opinions of a public school with regard to relevants factors to sexual initiation. The population was constituted by teenagers between 15 and 19 years old and the sample was composed of 61 youngsters. It was used the collective subject speech's technique with the support of Qualiquantisoftware. The identified categories were: preventive practices; feelings e partnership; financial, familiar and personal structure; support network; juvenile prominence and female gender: responsibility, lack of knowledge and submission. Although this matter is much discussed, many adolescents don't bring the information to their life contexts. It is recommended 1 Fonte financiadora: Edital CAPES 024/2010. Pró-ensino na Saúde.