ABSTRACT
O processo de envelhecimento populacional e o aumento do número de casos de Infecções Sexualmente Transmissíveis (IST) em idosos evidenciam a necessidade de ações voltadas para a terceira idade. Trata-se um estudo analítico observacional transversal, exploratório, com o objetivo de investigar situações de vulnerabilidade relacionadas à IST em idosos usuários de um Centro de Testagem e Aconselhamento para DTS/Aids de um município de médio porte do estado da Bahia, Brasil, no período de 2006 a 2012. Foram utilizados dados secundários de 233 usuários, com 60 anos ou mais, coletados dos Formulários de Entrada do Sistema de Informação do Centro de Testagem e Aconselhamento, prontuários clínicos e folha de descrição do atendimento. Houve predomínio de usuários do sexo masculino (60,94%), faixa etária de 60 a 70 anos (75,97%), cor parda (26,61%), casados (61,80%), aposentados (57,08%) e com escolaridade de 4 a 7 anos de estudo (35,19%). A maioria relatou a relação sexual como tipo de exposição (76,39%), preferência heterossexual (92,27%) e parceria fixa (72,96%). A frequência de uso do preservativo foi baixa com o parceiro não fixo (32,73%) e com o parceiro fixo (5,58%). A prevalência de IST foi 25,32%, com maior percentual entre os homens. A IST mais prevalente foi a hepatite C (10,73%), seguida da hepatite B (8,58%), sífilis (7,73%) e HIV (3,43). A faixa etária menor que 70 anos mostrou associação estatisticamente significativa com a presença de IST. Os resultados evidenciaram práticas sexuais inseguras e elevada vulnerabilidade dos idosos às IST, havendo necessidade de ações preventivas direcionadas a esse grupo populacional, considerando suas necessidades e especificidades.
The population aging process and the increase in the number of cases of Sexually Transmitted Infections (STI) in the elderly shows the need of actions aimed at that population. This is an exploratory, observational, cross-sectional study to investigate vulnerability situations related to Sexually Transmitted Infections in elderly users of an STD/AIDS Counseling Center of a medium-sized city in the state of Bahia, Brazil, from 2006 to 2012. The study used secondary data from 233 users aged 60 or older, collected from the Counseling Center Information System Admission Forms, clinical records and service description sheet. There was a predominance of male users (60.94%), 60 to 70 years old (75.97%), brown (26.61%), married (61.80%), retired (57,8%) and with 4 to 7 years of schooling (35,19%). Most reported sexual intercourse as the exposure type (76.39%), heterosexual preference (92.27%) and stable partnership (72.96%). The frequency of condom use was low with non-stable partners (32.73%) and with stable partners (5.58%). The prevalence of STI was 25.32%, with greater percentage among men. The most prevalent STI was hepatitis C (10.73%), followed by hepatitis B (8.58%), syphilis (7.73%) and HIV (3.43). The age group younger than 70 years showed a statistically significant association with the presence of STI. The results evidenced unsafe sexual practices and high vulnerability of the elderly to STIs, requiring preventive actions aimed at that population group, considering their needs and specificities.
Subject(s)
Humans , Male , Female , Middle Aged , Aged , Aged, 80 and over , Sexually Transmitted Diseases/epidemiology , Health Vulnerability , Sexual Behavior , Socioeconomic Factors , Syphilis/prevention & control , Syphilis/epidemiology , Sexually Transmitted Diseases/prevention & control , Prevalence , Cross-Sectional Studies , Acquired Immunodeficiency Syndrome/prevention & control , Acquired Immunodeficiency Syndrome/epidemiology , Hepatitis/prevention & control , Hepatitis/epidemiologyABSTRACT
Introduction: Adolescents are especially susceptible to sexually transmitted infections, with approximately 1/7 of all new cases of human immunodeficiency virus infection in this group. Objective: To investigate the vulnerability to sexually transmitted infections among adolescents of the Centers for Testing and Counseling for Sexually Transmitted Diseases / Aids, CTAs, in the city of Juazeiro, state of Bahia, Brazil, from 2006 to 2012. Methods: This was an exploratory cross-sectional study that used secondary data from 1,173 adolescents. Data analysis was processed in Stata 9.0 software by descriptive statistics and Pearson's χ2 test. Results: There was predominance of female adolescents (56.86%), brown (22.85%), single (80.22%), with 811 years of education (44.76%) and stable partner (56.78%). The prevalence of sexually transmitted infections was of 5.88%, and there was statistically significant association with sex (more prevalent among girls; p=0.014), education (more common among the less educated; p=0.031) and marital status (more frequent among married/common-law; p=0.036). Conclusion: Safer sex practices and later start of sexual activity combined with empowering actions, especially girls', are important steps to reduce sexually transmitted diseases among adolescents
Introduction: Adolescents are especially susceptible to sexually transmitted infections, with approximately 1/7 of all new cases of human immunodeficiency virus infection in this group. Objective: To investigate the vulnerability to sexually transmitted infections among adolescents of the Centers for Testing and Counseling for Sexually Transmitted Diseases / Aids, CTAs, in the city of Juazeiro, state of Bahia, Brazil, from 2006 to 2012. Methods: This was an exploratory cross-sectional study that used secondary data from 1,173 adolescents. Data analysis was processed in Stata 9.0 software by descriptive statistics and Pearson's χ2 test. Results: There was predominance of female adolescents (56.86%), brown (22.85%), single (80.22%), with 811 years of education (44.76%) and stable partner (56.78%). The prevalence of sexually transmitted infections was of 5.88%, and there was statistically significant association with sex (more prevalent among girls; p=0.014), education (more common among the less educated; p=0.031) and marital status (more frequent among married/common-law; p=0.036). Conclusion: Safer sex practices and later start of sexual activity combined with empowering actions, especially girls', are important steps to reduce sexually transmitted diseases among adolescents