Conhecimento de preservativo masculino entre adolescentes: estudo de base populacional no semiárido nordestino, Brasil

Abstract

Buscou-se determinar a prevalência e identificar fatores associados ao não conhecimento de preservativo masculino entre adolescentes, em dois municípios do semiárido piauiense, Brasil, em meados de 2008. Entrevistadores treinados aplicaram questionário padronizado a todos adolescentes (13-19 anos), nos domicílios. Investigaram-se características demográficas, socioeconômicas e conhecimento sobre contracepção e doenças de transmissão sexual (DST). O desfecho foi o não conhecimento de preservativo masculino. Na análise multivariada, utilizou-se regressão de Poisson com ajuste robusto da variância. Dos 2.241 adolescentes, 18,8% disseram não conhecer preservativo. A prevalência de não conhecimento variou de 4% para os com nove anos ou mais de escolaridade a 74% entre os que não conheciam DST. Na análise ajustada, ser do sexo feminino, ter pouca idade, baixa escolaridade, não ter namorada, desconhecer contracepção oral e DST aumentava a probabilidade de não conhecer preservativo em relação às demais categorias. Os dados mostram a urgente necessidade de intervenção entre adolescentes desses municípios.

As infecções sexualmnete trasmissíveis em serviço especializado: quais são e quem as tem?

“…14 There was a predominance of white patients, as already pointed out in previous studies for the same region, 13,15 although other studies present a case series with a higher incidence of brown color. 16 It is interesting to note that there was no user of yellow race, perhaps because they rarely attend public services.…”

“…16 Truck drivers, indicated in several studies as the profession with the highest incidence of STIs, 17 were frequent users of the unit in the past, however, with low demand in recent years.…”

Contraception in adolescence: knowledge, chosen methods and criteria adopted

“…Studies show that adolescents of lower age and lower education become sexually active earlier, having less knowledge about MACs, while the older age, higher education and high family income have more knowledge. [5][6][7] Most contraceptive methods can be used by teenagers; however, the methods chosen and greater knowledge on these young people are constantly condom and oral and injectable contraceptives. 7 Although Family Planning program also should address the adolescent, guaranteeing him access to information of good quality and the availability of contraceptive alternatives, promoting his approach to the health service; not always the teenager believes his expectations met, which ends for distancing him from service units.…”

“…[5][6][7] Most contraceptive methods can be used by teenagers; however, the methods chosen and greater knowledge on these young people are constantly condom and oral and injectable contraceptives. 7 Although Family Planning program also should address the adolescent, guaranteeing him access to information of good quality and the availability of contraceptive alternatives, promoting his approach to the health service; not always the teenager believes his expectations met, which ends for distancing him from service units. 8,6 Inadequate knowledge about contraceptive methods can be a resistance factor against their acceptance and use of this method, with the knowledge of MACs and risks arising from fundamental unprotected sex for adolescents can live sex in an appropriate and healthy way, ensuring prevention of unwanted pregnancy and STD/AIDS, and offer a guarantee of detached sexuality from procreation.…”

“…6 In a study conducted in southern Piauí, 18% of the subjects said they had never seen or even never heard of condoms. 7 However, a study conducted in three agricultural schools linked to the Federal University of Piauí, showed that teenagers know many methods, the most common being condoms (96,3%), followed by the pill (83,7%). 16 Thus, early sexual initiation among adolescents way cause concern due to frequent association of this behavior with lack of knowledge about contraception and health reproductive.…”