ABSTRACT
This study explored the profile of HIV positive patients seeking treatment at a tertiary care addiction treatment facility. A retrospective study was done to collet detailed information on clinical characteristics: drug use (type, age of initiation, duration), general medical condition and past treatment history. The study included 138 patients with mean (SD) age 30.2 (8.3) years. Opioid dependence with injecting drug use (IDU) was diagnosed in 97% of the patients. The median age of injecting onset was 24.5 years (IQR 20-31 years). The most frequently injected substances were pheniramine (60.1%) and buprenorphine (59.4%). Past treatment seeking was reported by 57% patients and interestingly they were less likely to present any medical condition (2 =69.611, p < 0.001). Variability in the age of onset of drug use indicates the need for broad based approach to prevent IDU and motivation to seek treatment may lead to better health conditions.
ABSTRACT
La educación y la salud son conceptos que marchan unidos para lograr elevar la calidad de vida de la población. Cuba ha demostrado cómo en la escuela se puede realizar promoción de salud mediante la aplicación del Programa de Educación Sexual. Este programa en las escuelas secundarias básicas tiene un carácter meramente informativo, utilizando medios poco didácticos. OBJETIVO: elaborar una propuesta didáctica para mejorar el conocimiento sobre educación sexual de los estudiantes de la Escuela Secundaria Básica Baraguá que permita la formación progresiva de una conducta sexual responsable. MÉTODOS: se realizó esta investigación en la Escuela Secundaria Básica Baraguá para determinar el grado de conocimiento que tienen los estudiantes sobre temas de educación sexual, se estudiaron variables como sexo, edad, grado de conocimiento que poseen sobre estos temas, vía por donde adquirieron esos conocimientos. El universo de trabajo estuvo integrado por todos los alumnos de 8vo grado de esta escuela, los datos fueron procesados utilizando el paquete estadístico SPSS para Windows Versión 11.5, expresando los resultados en tablas. RESULTADOS: el grupo de edad predominante fue de 13 años, fue el sexo femenino el más representativo, dentro de las infecciones de transmisión sexual más conocidas se encuentran el SIDA, sífilis y gonorrea, y los anticonceptivos más conocidos son: el condón y tabletas anticonceptivas. CONCLUSIONES: existe desconocimiento de los métodos anticonceptivos, aborto e infecciones de transmisión sexual. La creación del sitio web permite mejorar la educación sexual en los estudiantes, y fue aceptado por los estudiantes y profesores
Education and health are going close each to raise the population quality of life. Cuba has shown how in schools it is possible to promote the health through implementation of a Sexual Education Program. In Secondary Schools this program has a merely informative character, using not much didactic means.OBJECTIVE: to design a didactic proposal to improve the knowledge on sexual education in students from Baraguá Secondary School to determine the knowledge level of students on sexual education matters; variables studied included: sex, age, knowledge level on these matters, sources of these knowledges. In cohort were included all students of eighth degree of this school, data were processed using the statistic SPSS package for Windows Version 11.5; results are expressed in tables.METHODS: this research was conducted in ®Baraguá» Secondary School to determine the level of knowledge in students on sexual education matters; variables studies included sex, age, knowledge level on these matters and the source of these knowledges. Group included all students of eighth degree of this school, data were processed using SPSS as statistical package for Windows Version 11.5 where results were expressed in tables.RESULTS: prevailing age group was 13 years and more representative one was the female sex; the more known sexual transmitted infections was the AIDS, syphilis and gonorrhea; and the contraceptive methods were the condom ant contraceptive pills.CONCLUSIONS: There is a total lack of knowledge on contraceptive methods, the abortion and sexual transmitted infections. The Website allows improving the sexual education in students with a high level of acceptation by students and professors
Subject(s)
Humans , Male , Female , Adolescent , Contraception , Sexually Transmitted Diseases/epidemiology , Sexually Transmitted Diseases/prevention & control , Sex EducationABSTRACT
Objective To explore the risk of sexual behaviors related to AIDS among unmarried men who often have sex with women.Methods Study objectives were recruited through target sampling and anonymous questionnaires were adopted.Men' s sexual behaviors were compared with each other between the group of men who always had sex with women (group A) and who never had sex with women (group B) in the past 6 months.Results The average numbers of same-gender partners among group A who acted as the male role in the past 6 months and who had anal intercourse in the last month were 5.64 and 3.09 respectively,which were both higher than those of group B's (P＜ 0.05).The rate of condom use among men in group A when having sex with men was 81.94% .The percentages of condom use among men in group A who having had oral or anal sex with male sex buyers last time were 15.38% and 70.27% respectively.They were all higher than those of group B' s (P＜0.05 or 0.01 ).The rates of men in group A who were male sex workers and who having had sex with unknown men in gay places during the past 6 months were 27.59% and 61.70% respectively.Among group A,the percentages of men who had had sex with unknown men during the last time and who had had sex with nonlocal male partners during the past year were 43.06% and 40.28% respectively.They were all higher than those of group B's (P＜0.01).The percentage of condom use among men in group A when having had sex with women during the past 6 months was 68.94%,but only 25.96% of the men used condom regularly.The rate of condom use in men from group A when having sex with women during the last sexual intercourse was 65.45%.Conclusion HIV high-risk sex behaviors were more ubiquitous among unmarried MSM who always had sex with women,suggesting that different interventions be developed to prevent them from transmitting HIV from MSM to women or other men.
ABSTRACT
Objective To study the AIDS related high risk behaviors and psychological appearances among men who have sex with men (MSM) who ever experienced childhood sexual abuse (CSA).Methods Target sampling for a cross-sectional study was developed and valid anonymous questionnaires were adopted to compare the differences of high risk behaviors related to AIDS and psychological appearances betwen those with or without CSA experiences among 2147 MSM from nine cities.Results Compared to corresponding ones without CSA experience,CSA group had a significant larger numbers in the following events: total sexual partners,anal sex episodes with same sex,female sexual partners and anal sex in the previous six months,with the figures of median as 20.0,10.0,3.0,3.0 respectively.In the previous year,30.8% of them had ever participated in 'group sex',19.2% ever exchanged money for sex,36.7% bled while having sexual intercourse,37.3% had sex with male partners away from his own region.All the above said figures were higher than non-CSA group,with significant differences.It also appeared that CSA experience had an impact on significant lower rate of condom use (67.3%) in the last anal sex.Those with CSA experience had more psychological problems which appeared as: 75.6% considered they would suffer from serious discrimination if their sexual orientation ever disclosed,34.7% had a strong intention of suicide and 24.3% ever having had suicidal attempts.The differences of the two groups showed statistical significance.Condusion CSA experience not only increased the number of AIDS related high risk behaviors in adulthood,but also had negative impact on their psychological appearances.It is of urgent need to carry out psychological intervention approaches to target on MSM with CSA experiences while childhood sexual education and rights assurance towards juvenile population should also not be neglected.