Sexual and reproductive health in riverine communities: integrative review

Abstract

Objective: To analyze the scientific evidence available on the sexual and reproductive health of riverine communities. Method: Integrative review, conducted on the databases LILACS, MEDLINE; WEB OF SCIENCE and SCOPUS, including publications in Portuguese, English or Spanish, without an initial time limit and published until 2018. Results: 11 studies were selected. The studies included are from the period 1993-2017. The results originated four analytical categories: sexual component, which gathered findings about sexually transmitted infections; reproductive component, which included family planning/fertility control, abortion and problems with pregnancy; environmental component, which presented issues with environmental contaminants and its reproductive implications; and the sociocultural component, which discussed gender, beliefs and social indicators. Conclusion: In this review, studies with a quantitative approach, from a female point of view and a biological perspective predominated. No study investigated the meanings and representations of SRH for the riverine communities. In addition, the findings show little evidence of thoughts and practices of people living in riverine communities regarding SRH issues, providing limited evidence.

Riverside Men's Knowledge and Ways of Acting Regarding Condom Use

“…Knowing the participants' socioeconomic factors allowed understanding the social representations from the context that engendered them. In addition to that, several authors point out that schooling and socioeconomic status are determining factors for health, as they directly reflect on quality of life and access to health services, mainly in a non-urban context [1][2][3]5 . In this study, we are dealing with riverside men with low schooling and per capita family incomes, whose relational situation is configured by having partners in the context of a long-term marital relationship.…”

“…In this context, taking as a basis that "social representations emerge, not only as a way of understanding a particular object, but also as a way in which individuals or groups acquire a definitional capacity and an identity function" 15:21 , is that this discussion consists of the possibility of expanding and improving knowledge and/or access to care, highlighting the symbolic value that people attribute to phenomena. Thus, considering that condom use influences affective-sexual behaviors, as well as the health of the population and because it is little scientifically explored, from the perspective of riverside men, especially in the scenario of this study 5 , that is, in the North of the country, the current research was carried out with the objective of analyzing riverside men's knowledge and ways of acting about condom use, based on their social representations about the device.…”

“…This population experiences disparities in access to education, health, culture, leisure and digital communication technologies in relation to other Brazilian regions [3][4] , which contribute to the development of adversities and restrictions that affect these individuals' health and care methods, in the most varied axes, including Sexual and Reproductive Health (SRH) [4][5] .…”

“…Guaranteeing the riverside population their sexual and reproductive rights requires developing attention to SRH, considering the complexity involved in caring for these individuals, who stand out as one of the most neglected and vulnerable segments 5 . In addition to that, when it comes to men, the obstacles to SRH promotion become even greater, given that, from a social and biological point of view, this health axis does not have man as its central focus, mostly being targeted at women and children 6 .…”

Infecções sexualmente transmissíveis na população ribeirinha: prevalência e comportamento de risco

“…En este contexto, se enmarcan las poblaciones ribereñas. Estas poblaciones se caracterizan por tener sus hogares ubicados en las orillas de los ríos y por presentar restricciones relacionadas con el acceso a la salud, la información y la educación (4) . En Brasil, la población ribereña fue reconocida como población tradicional por el Decreto Presidencial nº 6.040/2007, garantizando así su valorización, seguridad alimentaria, lenguaje accesible de la información y respeto a su diversidad socioambiental y cultural.…”