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1.
Enferm. actual Costa Rica (Online) ; (38): 121-135, Jan.-Jun. 2020. tab
Article in Portuguese | LILACS (Americas), BDENF | ID: biblio-1090091

ABSTRACT

Resumo O objetivo deste estudo é analisar as representações sociais de profissionais do sexo sobre HIV / AIDS. É delineado como um estudo qualitativo, descritivo-exploratório das representações sociais com uma abordagem processual. Quinze profissionais do sexo participaram do estudo, esses homens fazendo sexo com homens, homossexuais, travestis e mulheres transexuais. Os dados foram coletados por meio de entrevista estruturada e questionário sociodemográfico, no período de março de 2015 a março de 2016. A análise de conteúdo da avaliação foi utilizada como técnica. As representações sociais dos sujeitos do estudo sobre HIV / AIDS apresentaram elementos conceituais sobre vírus e doenças, vulnerabilidade; Consequências; Prevenção; e transmissão. Conclui-se que os participantes mostraram em suas representações o déficit de estratégias de promoção da saúde sobre o tema, focado em suas necessidades e especificidades dos profissionais do sexo.


Abstract The objective of this study is to analyze the social representations of sex workers about HIV / AIDS. It is outlined as a qualitative, descriptive-exploratory study of social representations with a procedural approach. Fifteen sex workers participated in the study, these men having sex with men, homosexuals, transvestites and transsexualwomen. Data were collected through a structured interview and sociodemographic questionnaire, from March 2015 to March 2016. The evaluation content analysis was used as a technique. The social representations of the subjects of the study on HIV / AIDS presented conceptual elements on the virus and disease, vulnerability; Consequences; Prevention; and transmission. It is concluded that the participants showed in their representations the deficit of health promotion strategies on the subject, focused on their needs and specificities of sex workers.


Resumen El objetivo de este estudio es analizar las representaciones sociales de los trabajadores sexuales sobre el VIH / SIDA. Se perfila como un estudio cualitativo, descriptivo-exploratorio, de representaciones sociales con abordaje procesual. Participaron del estudio quince trabajadores sexuales, siendo estos hombres que tienen sexo con hombres, homosexuales, travestis y mujeres transexuales. Los datos fueron recolectados a través de entrevista de tipo estructurada y cuestionario sociodemográfico, de marzo de 2015 a marzo de 2016. Se utilizó como técnica el análisis de contenido evaluativo. Las representaciones sociales de los sujetos del estudio sobre el VIH/SIDA presentaron elementos conceptuales sobre el virus y la enfermedad, vulnerabilidad; Consecuencias; Prevención; y transmisión. Se concluye que los participantes se mostraron en sus representaciones el déficit de las estrategias de promoción de la salud sobre el tema, enfocadas a sus necesidades y especificidades de los trabajadores sexuales.


Subject(s)
Humans , Male , Female , Transvestism , Brazil , Homosexuality , Acquired Immunodeficiency Syndrome , HIV , Sex Workers , Transgender Persons , Sexual and Gender Minorities , Health Promotion
2.
Invest. educ. enferm ; 38(1): [E03], febrero 15 2020. Fig 1, Fig 2, Fig 3
Article in English | LILACS (Americas), COLNAL | ID: biblio-1051485

ABSTRACT

Objective. To know the social representations of female sex workers about their sexuality. Methods. Qualitative study based on the Theory of Social Representations. Thirty-nine women from a health region of Alto Sertão Produtivo Baiano - Brazil agreed to participate. For the production of empirical data, the techniques of Free Word Association and in-depth interviews were used. The answers were analyzed based on Constellation Target Content Analysis and Semantic Content Analysis. Results. Two thematic categories emerged: "negative representation of sexuality"; "my pleasure is the money". Therefore, the theme sexuality and meanings derived from the social representations elaborated by the sex workers about sexuality, based on their experiences and daily life, showed that the work involved a negative representation of sexuality when associated with sexual satisfaction with the client, in addition to the allusion to sex as a source of income. Conclusion. The social representations about sexuality constructed by sex workers are linked to the feeling of denial of pleasure and obtaining money for subsistence. Reflecting on sexuality points out ways to rethink the care to be provided for a stigmatized and vulnerable group.


Objetivo. Apreender las representaciones sociales de las trabajadoras sexuales sobre su sexualidad. Métodos. Estudio cualitativo, basado en la Teoría de las Representaciones Sociales. Aceptaron participar 69 mujeres de una región productiva bahiana de salud en el Sertão (Brasil). Para la producción de los datos empíricos, se utilizaron las técnicas de Asociación Libre de Palabras y entrevistas a profundidad. Las respuestas se analizaron a partir del Análisis de Contenido por Objetivo de Constelación o de Contenido Semántico. Resultados. Surgieron dos categorías temáticas: "Representación negativa de la sexualidad" y "Mi placer es el dinero". Para las trabajadoras sexuales, la sexualidad tiene una representación negativa cuando se asocia con la satisfacción sexual con el cliente, además de la alusión al sexo como fuente de ingreso económico. Conclusión. Las representaciones sociales de la sexualidad construidas por las trabajadoras sexuales se refieren al sentimiento de negación del placer y a la obtención de dinero para la subsistencia. Reflexionar sobre la sexualidad aporta caminos para repensar el cuidado a un grupo estigmatizado por la sociedad y con alta vulnerabilidad social


Objetivo. Apreender as representações sociais de trabalhadoras sexuais sobre sua sexualidade. Métodos. Estudo qualitativo, fundamentado na Teoria das Representações Sociais. Aceitaram participar 69 mulheres de uma região de saúde do Sertão Produtivo Baiana (Brasil). Para a produção dos dados empíricos utilizou-se as técnicas de Associação Livre de Palavras, e a entrevista em profundidade. As respostas foram analisadas a partir da Análise de Conteúdo por Alvo de Constelação e de Conteúdo Semântica. Resultados. Surgiram duas categorias temáticas: "representação negativa da sexualidade" e "meu prazer é o dinheiro". Para as trabalhadoras sexuais, a sexualidade envolve a representação negativa quando associado à satisfação sexual com o cliente, além da alusão ao sexo como fonte de renda. Conclusão. As representações sociais sobre a sexualidade construídas por trabalhadoras sexuais remetem ao sentimento de negação do prazer e a obtenção do dinheiro para a subsistência. Refletir sobre a sexualidade apontam caminhos para repensar o cuidado a um grupo estigmatizado e de vulnerabilidade pela sociedade.


Subject(s)
Humans , Sexual Behavior , Women , Sexuality , Qualitative Research , Pleasure , Sex Workers
3.
REVISA (Online) ; 9(1): 53-64, jan-mar.2020.
Article in English, Portuguese | LILACS (Americas) | ID: biblio-1050846

ABSTRACT

Objetivo: Este estudo teve como objetivo descrever os itinerários terapêuticos e rotas críticas desveladas no discurso de profissionais do sexo quanto ao acesso à saúde. Método: Trata-se de um estudo descritivo, exploratório, qualitativo, realizado em uma casa de prostituição, com 12 mulheres profissionais do sexo. Realizou-se entrevistas, analisadas sob o método do Discurso do Sujeito Coletivo. Resultados: Os itinerários revelam práticas de cuidados desempenhas a partir das experiências individuais, sendo a busca por cuidados profissionais em saúde, realizadas no setor privado, decorrente da agilidade no atendimento, diminuição da exposição e estigmas. Rotas críticas emergiram a partir do afastamento das profissionais dos serviços públicos de saúde, tal como da vivência de situações vulneráveis. Conclusão: Os itinerários terapêuticos estão permeados por práticas de cuidado individual, autônomo e da busca por atenção à saúde privada, com apresentação de rotas críticas decorrentes da vulnerabilidade à violência e infecções.


Objective: This study aimed to describe the therapeutic itineraries and critical routes unveiled in the discourse of sex workers regarding access to health. Method: This is a descriptive, exploratory, qualitative study conducted in a prostitution house with 12 female sex workers. Interviews were conducted, analyzed under the Collective Subject Discourse method. Results: The itineraries reveal care practices performed from individual experiences, and the search for professional health care, carried out in the private sector, due to agility in care, decreased exposure and stigmas. Critical routes emerged from the removal of professionals from public health services, as well as the experience of vulnerable situations. Conclusion: The therapeutic itineraries are permeated by practices of individual, autonomous care and the search for attention to private health, presenting critical routes resulting from vulnerability to violence and infections.


Objetivo: Este estudio tuvo como objetivo describir los itinerarios terapéuticos y las rutas críticas reveladas en el discurso de las trabajadoras sexuales sobre el acceso a la salud. Método: Este es un estudio descriptivo, exploratorio y cualitativo realizado en una casa de prostitución con 12 trabajadoras sexuales. Se realizaron entrevistas, analizadas bajo el método de Discurso del sujeto colectivo. Resultados: Los itinerarios revelan prácticas de atención realizadas a partir de experiencias individuales y la búsqueda de atención médica profesional, realizada en el sector privado, debido a la agilidad en la atención, la disminución de la exposición y los estigmas. Las rutas críticas surgieron de la eliminación de profesionales de los servicios de salud pública, así como de la experiencia de situaciones vulnerables. Conclusión: Los itinerarios terapéuticos están impregnados por prácticas de atención individual y autónoma y la búsqueda de atención a la salud privada, presentando rutas críticas resultantes de la vulnerabilidad a la violencia y las infecciones.


Subject(s)
Sex Workers
4.
Saude e pesqui. (Impr.) ; 12(3): 591-599, set/dez 2019. tab
Article in Portuguese | LILACS (Americas) | ID: biblio-1048064

ABSTRACT

Objetivou-se analisar a correlação entre os marcadores de vulnerabilidade social com o uso do preservativo entre trabalhadoras sexuais. Estudo quantitativo, inferencial e de corte transversal realizado com 138 mulheres no sertão produtivo da Bahia, em abril de 2017. Foi utilizado o software SPSS, versão 22.0, para a realização dos testes estatísticos r de correlação, p de Pearson e Teste-t student; adotou-se o nível de significância de 5%. O teste r apontou correlação do uso de preservativo entre as mulheres com idade, cor autodeclarada e o tempo de serviço. No teste p de Pearson, a idade relacionada ao uso do preservativo, o resultado foi negativo, o Teste-t resultou em duas amostras r e p com variâncias equivalentes. As três correlações estabelecidas entre os marcadores de vulnerabilidade social e o uso de preservativo pelas trabalhadoras sexuais são significantes; ressalta-se que o nível de escolaridade não influenciou na adesão ao uso do preservativo.


The co-relationship between social vulnerability markers and the use of condoms among sex workers is provided through a quantitative, inferential and transversal research with 138 females within the production sector of Bahia, Brazil, during April 2017. SPSS 22.0 was employed for co-relation statistic tests r, Pearson´s p and Student´s t test, at 5% significance. Test r indicated a co-relationship in the use of condoms by females according to age, color and service time. In the case of Pearson´s test, there was a negative result in age related to the use of condoms, whilst test t provided two samples r and p with equivalent variables. Established co-relationships between social vulnerability markers and the use of condoms by sexual workers were significant. Schooling level did not affect adhesion to the use of condoms.


Subject(s)
Humans , Female , Adult , Middle Aged , Social Vulnerability , Sex Workers , Sexual Health , Public Health , Condoms , Health Promotion
5.
Rev Rene (Online) ; 20(1): e33841, jan.-dez. 2019.
Article in Portuguese | LILACS (Americas), BDENF | ID: biblio-995785

ABSTRACT

Objetivo: compreender o cotidiano de trabalho e o acesso aos serviços de saúde de mulheres profissionais do sexo. Métodos: pesquisa qualitativa que utilizou o método etnográfico. Para a coleta de dados, foram utilizadas observação participante com registro em diário de campo, entrevista semiestruturada e formulário com dados sociodemográficos. Para a análise dos dados, associou-se à análise temática dos dados à etnografia. Resultados: emergiram quatro categorias temáticas: inserção na prostituição; relações familiares; sofrimento e adoecimento; e acesso aos serviços de saúde. Conclusão: o cotidiano das mulheres é marcado por condições precárias de trabalho e pela busca por serviços de saúde para resolução de problemas específicos, por iniciativa da mulher. A rotina de trabalho nesse contexto coloca as mulheres em situações de fragilidade clínica e social, expondo-as a vulnerabilidades em saúde. (AU)


Subject(s)
Humans , Female , Women's Health , Health Vulnerability , Sex Workers , Health Promotion , Health Services Accessibility
6.
Estud. pesqui. psicol. (Impr.) ; 18(2): 466-477, maio-ago. 2018.
Article in Portuguese | LILACS (Americas), INDEXPSI | ID: biblio-986297

ABSTRACT

A presente comunicação tem por objetivo apresentar articulações teóricas e metodológicas, assim como os principais resultados de uma Dissertação de Mestrado em Psicologia Social sobre prostituição entre homens em Porto Alegre (RS/Brasil). Trata-se de uma pesquisa realizada em dois processos vinculados e indissociáveis: uma incursão etnográfica por lugares de prostituição na cidade e oito entrevistas narrativas com homens que se dedicam a este fazer, gerentes de estabelecimentos e promotores de festas. A Dissertação apresenta-se como resultado da produção de conhecimento em sintonia com os Estudos de Gênero, aderindo a uma perspectiva interseccional e em um processo de aproximação com a noção de Comunidades de Prática.(AU)


This communication aims to present theoretical and methodological articulations, as well as the main results, of a Master Dissertation in Social Psychology about male prostitution in Porto Alegre (RS / Brazil). This is a survey conducted in two linked and interrelated processes: an Ethnographic incursion by male prostitution places in the city and eight narrative interviews with men who are engage in prostitution, business managers and party promoters. The dissertation is presented as a result of knowledge production in line with Gender Studies, adhering to an intersectional perspective, in a process of approach with the notion of Communities of Practice.(AU)


Esta comunicación tiene como objetivo presentar tanto articulaciones teóricas y metodológicas, así como los principales hallazgos, de una investigación de maestría en Psicología Social acerca de la prostitución de hombres en Porto Alegre, (BR). Se trata de una investigación realizada en dos procesos vinculados e interrelacionados: incursión etnográfica en espacios de prostitución de hombres y entrevistas con hombres que se dedican a la prostitución, los gerentes de los establecimientos de prostitución y promotores de fiestas con estos fines. Los resultados de la investigación se presentan en sintonía con los estudios de género en la perspectiva interseccional, en un proceso de aproximación con el operador teórico de Comunidades de Prácticas.(AU)


Subject(s)
Humans , Male , Sex Work/psychology , Sex Workers/psychology , Men/psychology , Sexuality/psychology , Anthropology, Cultural
7.
Article in English | WPRIM (Western Pacific) | ID: wprim-765727

ABSTRACT

OBJECTIVES: The goal of this study was to explore perceptions and experiences of general practitioners and midwives during sexual dialogue with menopausal women. METHODS: In a descriptive exploratory qualitative study, 13 midwives and 12 general practitioners were selected using a semi-structured interview and purposive sampling method. Data analysis was conducted using qualitative content analysis adopted by Graneheim and Lundman. RESULTS: Through data analysis “sexual disharmony” emerged as a central theme, which included three categories of reasons, strategies, and ramifications of sexual disharmony. Reasons for sexual disharmony included subcategories of aging and health related-problems, marital problems, and stereotypical perceptions regarding menopause and sexuality and daily concerns. Strategies used by couples to address sexual disharmony consisted of changing roles and values, pretending to reach orgasm, suppressing sexual desire, meeting sexual needs of husbands in accordance with religious rules, seeking help of peers, seeking friends or traditional medicine and health providers, seeking a help charmer, engaging in sex with other women to fulfill sexual needs, pretending to be moody to alleviate sexual tension. Sexual disharmony may lead to spending money on a prostitute instead of engaging in sex out of wedlock or a surge in social pathologies such as sexually transmitted disease. CONCLUSIONS: Healthcare providers must be aware of various sexual behavior of menopausal women and their husbands when they detect sexual disharmony in their patients. Results of this study can facilitate development of restricted guidelines for sexual discussion with menopausal women.


Subject(s)
Aging , Family Characteristics , Female , Friends , General Practitioners , Health Personnel , Humans , Medicine, Traditional , Menopause , Methods , Midwifery , Orgasm , Pathology , Sex Workers , Sexual Behavior , Sexual Dysfunction, Physiological , Sexuality , Sexually Transmitted Diseases , Spouses , Statistics as Topic
8.
Epidemiology and Health ; : 2018041-2018.
Article in English | WPRIM (Western Pacific) | ID: wprim-786833

ABSTRACT

Network scale-up is an indirect size estimation method, in which participants are questioned on sensitive behaviors of their social network members. Therefore, the visibility of the behavior affects the replies and estimates. Many attempts to estimate visibility have been made. The aims of this study were to review the main methods used to address visibility and to provide a summary of reported visibility factors (VFs) across populations. We systematically searched relevant databases and Google. In total, 15 studies and reports that calculated VFs were found. VF calculation studies have been applied in 9 countries, mostly in East Asia and Eastern Europe. The methods applied were expert opinion, comparison of NSU with another method, the game of contacts, social respect, and the coming-out rate. The VF has been calculated for heavy drug users, people who inject drugs (PWID), female sex workers (FSWs) and their clients, male who have sex with male (MSM), alcohol and methamphetamine users, and those who have experienced extra-/pre-marital sex and abortion. The VF varied from 1.4% in Japan to 52.0% in China for MSM; from 34.0% in Ukraine to 111.0% in China for FSWs; and from 12.0% among Iranian students to 57.0% in Ukraine for PWID. Our review revealed that VF estimates were heterogeneous, and were not available for most settings, in particular the Middle East and North Africa region, except Iran. More concrete methodologies to estimate the VF are required.


Subject(s)
Africa, Northern , Bias , China , Drug Users , Europe, Eastern , Expert Testimony , Far East , Female , Humans , Iran , Japan , Male , Methamphetamine , Methods , Middle East , Sex Workers , Ukraine
9.
Keimyung Medical Journal ; : 101-105, 2018.
Article in Korean | WPRIM (Western Pacific) | ID: wprim-718504

ABSTRACT

Gonococcal conjunctivitis is rare in adults and, if not treated properly, can cause corneal perforation. Gonococcal conjunctivitis typically presents with a severe mucopurulent discharge, similar to that associated with viral conjunctivitis. Here, we describe a case of monocular gonococcal conjunctivitis, including its clinical characteristics and slit-lamp images, which was initially misdiagnosed as epidemic conjunctivitis. A 20-year-old man was referred to our hospital with no improvement in monocular infection and purulent ocular discharge after 2-wk treatment using antibiotic and 0.1% fluorometholone eye drops at the local ophthalmic clinic. Initially, 0.5% loteprednol eye drops were used since we suspected viral conjunctivitis. Following this treatment, conjunctival infection worsened and a yellow-white ocular discharge covered the conjunctiva and cornea surface. Additional history taking revealed that the patient had sexual contact with a prostitute 1 wk prior to symptom presentation and, after the encounter, he took antibiotics for genital discharge at the local urology clinic, but self-discontinued treatment. A Gram staining showed gram-negative diplococci and culture of collected ocular discharge from the palpebral conjunctiva revealed growth of Neisseria gonorrhoeae, confirming gonococcal conjunctivitis. Following this, the patient was systemically treated with 3rd generation cephalosporin antibiotics. After 3-d treatment, conjunctival infection and purulent ocular discharge had significantly improved. When clinical symptoms are aggravated following steroid eye drop treatment for suspected monocular viral conjunctivitis, gonococcal conjunctivitis must be considered as a differential diagnosis


Subject(s)
Adult , Anti-Bacterial Agents , Cephalosporins , Conjunctiva , Conjunctivitis , Conjunctivitis, Viral , Cornea , Corneal Perforation , Diagnosis, Differential , Fluorometholone , Humans , Loteprednol Etabonate , Male , Neisseria gonorrhoeae , Ophthalmic Solutions , Sex Workers , Urology , Young Adult
10.
Asian Nursing Research ; : 265-272, 2018.
Article in English | WPRIM (Western Pacific) | ID: wprim-718377

ABSTRACT

PURPOSE: Men diagnosed with sexually transmitted infections (STIs) are at greater risk for Human Immunodeficiency Virus (HIV) infection and STIs reinfection. This study aimed to test the effectiveness of a brief human immunodeficiency virus (B-HIV) prevention program on HIV and sexually transmitted infection (STI) knowledge, perceived benefits of condom use, risk reduction self-efficacy, risk reduction behaviors, and reinfection rate among Thai men with STIs. METHODS: A quasi-experimental design was conducted. Participants were selected from men with STI symptoms. They were randomly assigned to a B-HIV prevention program or usual care, 100 each. The program consisted of 3 modules. Key messages for HIV prevention were sent weekly through Line. Outcomes were HIV and STI knowledge, perceived benefits of condom use, risk reduction self-efficacy, risk reduction behaviors (condom use, the number of sexual partners, and condomless sex), and STI reinfection rate. Independent t-test and binary logistic regression were performed. RESULTS: The B-HIV prevention program significantly increased HIV and STI knowledge and resulted in perception of greater benefits from condoms and greater risk reduction self-efficacy. Program participants used condoms more frequently with many types of partners, especially with casual partners and sex workers. The intervention group practiced condomless sex less frequently than the control group. The program did not improve participants' condom use with lovers/steady partners and did not decrease the number of sexual partners and STI reinfection rate at 3-month follow-up. CONCLUSION: A B-HIV prevention program could reduce the risk of HIV infection among male clients with current STIs by enhancing their condom use with casual partners and sex workers. Strategies to improve condom use with lovers/steady partners among this high-risk population is needed.


Subject(s)
Asian Continental Ancestry Group , Condoms , Follow-Up Studies , HIV Infections , HIV , Humans , Logistic Models , Male , Primary Prevention , Risk Reduction Behavior , Sex Workers , Sexual Partners , Sexually Transmitted Diseases
11.
Epidemiology and Health ; : e2018041-2018.
Article in English | WPRIM (Western Pacific) | ID: wprim-721378

ABSTRACT

Network scale-up is an indirect size estimation method, in which participants are questioned on sensitive behaviors of their social network members. Therefore, the visibility of the behavior affects the replies and estimates. Many attempts to estimate visibility have been made. The aims of this study were to review the main methods used to address visibility and to provide a summary of reported visibility factors (VFs) across populations. We systematically searched relevant databases and Google. In total, 15 studies and reports that calculated VFs were found. VF calculation studies have been applied in 9 countries, mostly in East Asia and Eastern Europe. The methods applied were expert opinion, comparison of NSU with another method, the game of contacts, social respect, and the coming-out rate. The VF has been calculated for heavy drug users, people who inject drugs (PWID), female sex workers (FSWs) and their clients, male who have sex with male (MSM), alcohol and methamphetamine users, and those who have experienced extra-/pre-marital sex and abortion. The VF varied from 1.4% in Japan to 52.0% in China for MSM; from 34.0% in Ukraine to 111.0% in China for FSWs; and from 12.0% among Iranian students to 57.0% in Ukraine for PWID. Our review revealed that VF estimates were heterogeneous, and were not available for most settings, in particular the Middle East and North Africa region, except Iran. More concrete methodologies to estimate the VF are required.


Subject(s)
Africa, Northern , Bias , China , Drug Users , Europe, Eastern , Expert Testimony , Far East , Female , Humans , Iran , Japan , Male , Methamphetamine , Methods , Middle East , Sex Workers , Ukraine
12.
Article in English | WPRIM (Western Pacific) | ID: wprim-713651

ABSTRACT

OBJECTIVES: In most countries around the world, sex work is an illegal activity. Female sex workers (FSWs) in Iran hide their identities, and they are known to be a hard-to-reach population. Despite free access to HIV testing, fewer than half of FSWs receive HIV testing. The purpose of this study was to characterize the reasons for which FSWs do not seek testing at drop-in centers (DICs) and voluntary counseling and testing (VCT) centers in Iran. METHODS: A qualitative study was conducted in 2016. The participants were 24 FSWs who received services at VCT centers and DICs for vulnerable females in the north of Iran and 9 males who were the clients of FSWs. In this study, we made use of purposive sampling and carried out a thematic analysis. RESULTS: We found 4 major and 6 minor themes. The major themes were: fear of being infected (with HIV), stigma, indifference, and knowledge. CONCLUSIONS: Despite the significant efforts made by the government of Iran to establish and expand DICs for vulnerable females, the number of FSWs receiving services at these centers has not been very considerable. Consequently, by introducing and implementing training programs for peer groups, it may be possible to take steps toward establishing strategic programs for the control and prevention of HIV/AIDS.


Subject(s)
Counseling , Dacarbazine , Education , Female , Health Services , HIV , Humans , Iran , Male , Peer Group , Sex Workers
13.
Article in English | WPRIM (Western Pacific) | ID: wprim-740176

ABSTRACT

OBJECTIVE: Human papillomavirus (HPV) testing is widely incorporated into cervical cancer screening strategies. Current screening requires pelvic examination for cervical sampling, which may compromise participation. The acceptance could be raised by introducing testing on vaginal swabs. We explored the interchangeability of vaginal swabs and cervical smears for HPV testing, by means of a prospective study conducted in female sex workers (FSWs). Besides, we report on the occurrence of 32 different HPV genotypes in FSW with low-grade squamous intraepithelial lesion (LSIL) or high-grade squamous intraepithelial lesion (HSIL). METHODS: Paired physician-collected vaginal swabs and cervical smears from 303 FSW were tested for HPV using the Abbott RealTime High-Risk HPV assay. Cervical cytology was examined on cervical smears. In case of HSIL/LSIL cytological classification (n=52), both samples were genotyped using INNO-LiPa HPV Genotyping Extra II. RESULTS: The overall prevalence of high-risk (HR)-HPV was 51%. In FSW with HSIL/LSIL cervical cytology, the sensitivity and specificity of vaginal samples for the detection of HR-HPV was 100% and 70% and for probable HR-HPV 100% and 91%. The mean number of genotypes identified in vaginal samples (mean=3.5; 95% confidence interval [CI]=2.8–4.2) was significantly higher than in cervical smear samples (mean=2.6; 95% CI=2.1–3.0) (p=0.001). The most frequently encountered HR-HPV genotypes were HPV16, 31, 51, and 52. CONCLUSION: As our study shows that vaginal swabs are equivalent to cervical smears for the detection of (probable) HR-HPV, vaginal swabs can be used for HPV testing in cervical cancer screening strategies. Given the acceptance of vaginal sampling, this finding offers an opportunity to boost screening coverage.


Subject(s)
Chlamydia trachomatis , Classification , DNA , Female , Genotype , Gynecological Examination , Humans , Mass Screening , Mycoplasma genitalium , Neisseria gonorrhoeae , Papillomaviridae , Prevalence , Prospective Studies , Sensitivity and Specificity , Sex Workers , Sexually Transmitted Diseases , Squamous Intraepithelial Lesions of the Cervix , Trichomonas vaginalis , Uterine Cervical Neoplasms , Vaginal Smears
14.
Psicol. soc. (Online) ; 30: e165432, 2018.
Article in Portuguese | LILACS (Americas) | ID: biblio-976658

ABSTRACT

Resumo Os discursos que concebem as prostitutas como vítimas são tensionados, por elas, pela recorrente afirmação de suas autonomias. A pesquisa aqui apresentada se deu a partir de imersão na Zona Boêmia da Rua Guaicurus, na cidade de Belo Horizonte, e de entrevistas com oito mulheres prostitutas. Apresentamos alguns mecanismos psicossociais que impedem o acesso das prostitutas ao circuito instituído de reconhecimento social, analisando a associação desses mecanismos com experiências de enfrentamento e resistência a dinâmicas de desqualificação social. As narrativas das prostitutas entrevistadas nos dão pistas de que suas trajetórias se constroem entre sujeição e resistência à sujeição, heteronomia e afirmação de autonomia. A ambiguidade das dinâmicas sociais lhes permite interpelar os efeitos destrutivos da subalternidade e, como efeito disso, elas disseminam no tecido social outros saberes sobre suas condições de vida.


Resumen Los discursos que conciben a las prostitutas como víctimas son tensados por ellas por la demandante afirmación de sus autonomías. La investigación aquí presentada se dio a partir de inmersión en la Zona Bohemia de la calle Guaicurus, en la ciudad de Belo Horizonte, y de entrevistas con ocho mujeres prostitutas. Presentamos algunos mecanismos psicosociales que impiden el acceso de las prostitutas al circuito instituido de reconocimiento social, analizando la asociación de esos mecanismos con experiencias de enfrentamiento y resistencia a dinámicas de descalificación social. Las narrativas de las prostitutas entrevistadas nos dan pistas de que sus trayectorias se construyen entre sujeción y resistencia a la sujeción, heteronomía y afirmación de autonomía. La ambigüedad de las dinámicas sociales les permite interpelar los efectos destructivos de la subalternidad y, como efecto, diseminan en el tejido social otros saberes sobre sus condiciones de vida.


Abstract The discourses that conceive prostitutes as victims are strained by them by through the recurrent affirmation of their autonomies. The research presented here came from immersion in the Bohemian Zone of Guaicurus Street, in the city of Belo Horizonte, and from interviews with eight female prostitutes. We present some psychosocial mechanisms that prevent the access of prostitutes to the established circuit of social recognition, analyzing the association of these mechanisms with experiences of coping and resistance to dynamics of social disqualification. The narratives of the interviewed prostitutes give us clues that their trajectories are built between subjection and resistance to subjection, heteronomy and affirmation of autonomy. The ambiguity of social dynamics allows them to question the destructive effects of subalternity and, as a result, they disseminate in the social fabric other knowledge about their living conditions.


Subject(s)
Humans , Female , Sex Work , Women , Personal Autonomy , Sex Workers , Social Discrimination
15.
Rev. méd. panacea ; 6(1): 36-39, ene.-abr. 2017. tab
Article in Spanish | LILACS (Americas) | ID: biblio-1022640

ABSTRACT

Objetivos: Determinar las prácticas de riesgo e higiene de las trabajadoras sexuales con diagnóstico de vaginosis bacteriana en atendidas en el Establecimiento de Salud Sunampe, durante el año 2016. Material y métodos: Se realizó un estudio observacional analítico, descriptivo transversal. Se estudiaron a 80 trabajadoras sexuales con diagnóstico de vaginosis bacteriana atendidas por consultorio en el Establecimiento de Salud SUNAMPE de Chincha durante el año 2016 Se realizó inicialmente un análisis Univariado, luego bivariado utilizando la prueba de Chi 2. Resultados: El promedio de edad de las trabajadoras sexuales es de 29.49 y una DS de 9.33, con un tiempo promedio de trabajo 3.88 años. La media de edad de inicio sexual fue de 15.6 años con una DS de 1.95; la variable dependiente que es la presencia de vaginosis bacteriana con un 68.5% del total, asimismo el 61.25% no tenían pareja y el 38.25% no mantenían controles periódicos adecuados. Además solo el 35% presentaba antecedentes de ITS, asimismo en términos generales el 83.75% no recibe tratamiento antibiótico, y de igual manera un gran porcentaje 86.75% usan métodos anticonceptivos. Las variables Antecedente de Infecciones de transmisión sexual (ITS), antecedente de haber tenido abortos, el lugar de trabajo y los controles periódicos, resultaron significativos con un p valor menor a 0.05. Conclusiones: Las variables Antecedente de ITS, antecedente de haber tenido abortos, el lugar de trabajo y no tener controles se asociaron a la presencia de vaginosis bacteriana. (AU)


Objetive: Determine risk practices and hygiene of sex workers diagnosed with bacterial vaginosis treated at the Health Sunampe establishment during 2016. Materials and Methods: It has been madean analytical, descriptive cross-sectional observational study. They studied 80 female sex workers diagnosed with bacterial vaginosis served by the Establishment of office in Chincha Sunampe Health during 2016 A univariate analysis was initially performed, then bivariate using Chi 2 test. Results: The average age of sex workers is 29.49 and DS 9.33con an average working time 3.88 years. The average age of sexual on set was 15.6 years with a DS of 1.95. the dependent variable is the presence of bacterial vaginosis with 68.5% of the total, also the 61.25% had no partner and 38.25% did not maintain adequate regular checks. In addition only 35% had a history of STIs, also in general terms the 83.75% do not receive antibiotic treatment, and likewise a large percentage 86.75% use contraception. The History of sexually transmitted infections (STIs), history of having had abortions, the workplace and periodic inspections, variables were significant with a p value less than 0.05. Conclusions: The History of ITS variables, history of having had abortions, the workplace and not have controls associated with the presence of bacterial vaginosis. (AU)


Subject(s)
Humans , Female , Hygiene , Risk Factors , Vaginosis, Bacterial , Contraceptive Agents , Abortion , Sex Workers , Epidemiology, Descriptive , Cross-Sectional Studies , Observational Study
16.
J. bras. pneumol ; 43(1): 6-13, Jan.-Feb. 2017. tab
Article in English | LILACS (Americas) | ID: biblio-841255

ABSTRACT

ABSTRACT Objective: To assess the prevalence of smoking and associated variables in female sex workers (FSWs) Methods: This was a quantitative cross-sectional study involving FSWs in the city of Botucatu, Brazil, who completed a sociodemographic questionnaire, including data regarding smoking status, motivational stage of change, and degree of nicotine dependence, as well as the Perceived Stress Scale and the Hospital Anxiety and Depression Scale Results: We included 83 FSWs. The mean age was 26.8 years. Among the participants, 58 (69.8%) had at least a high school education, only 26 (31.3%) resided in the city of Botucatu, 59 (71.1%) were smokers, 5 (6.0%) were former smokers, 74 (89.2%) regularly consumed alcohol, and 43 (51.8%) used illicit drugs. The majority of the women were classified as having an intermediate stress level, and 51 (61.4%) were classified as having possible or probable anxiety, whereas depression was found to be improbable in 57 (68.7%). The level of nicotine dependence was high among the smokers, the majority of whom showed no intention to quit smoking. Smoking was associated with illicit drug use (p = 0.0271) and with alcohol consumption (p = 0.0001), although not with the levels of stress, anxiety, or depression; nor was the age at smoking initiation associated with the length of time as an FSW (p = 0.4651) Conclusions: The prevalence of smoking among the FSWs evaluated here was much higher than the 8.3% reported for the overall female population of Brazil. Our findings show that FSWs are exposed to various risk factors inherent to their profession. Therefore, harm reduction is an important strategy to be adopted.


RESUMO Objetivo: Avaliar a prevalência de tabagismo e variáveis associadas em mulheres profissionais do sexo (MPS). Métodos: Estudo de corte transversal quantitativo com MPS na cidade de Botucatu (SP), as quais completaram um questionário sociodemográfico, incluindo informações sobre tabagismo, estágio motivacional para cessação do tabagismo e grau de dependência da nicotina, assim como a Escala de Estresse Percebido e a Escala Hospitalar de Ansiedade e Depressão. Resultados: Foram incluídas 83 MPS. A média de idade foi de 26,8 anos. Entre as participantes, 58 (69,8%) possuíam pelo menos o ensino médio, apenas 26 (31,3%) residiam em Botucatu, 59 (71,1%) eram fumantes, 5 (6,0%) eram ex-fumantes, 74 (89,2%) faziam uso de bebidas alcoólicas e 43 (51,8%) faziam uso de algum tipo de drogas. A maioria foi classificada com grau de estresse médio, 51 (61,4%) apresentaram nível de ansiedade possível ou provável, e 57 (68,7%) tiveram resultado improvável para depressão. O nível de dependência da nicotina foi elevado entre as fumantes. Dessas, a maioria não tinha intenção de parar de fumar. Houve associações do tabagismo com o consumo de drogas ilícitas (p = 0,0271) e com o uso de bebidas alcoólicas (p < 0,0001); porém, não houve associações do tabagismo com as questões de humor e nem da idade da iniciação tabágica com o tempo que trabalhavam como MPS (p = 0,4651). Conclusões: A prevalência de tabagismo entre as MPS estudadas se mostrou muito elevada quando comparada à da média nacional de mulheres (8,3%). Evidenciou-se que MPS estão expostas a diversos fatores de risco inerentes da própria profissão, sendo a redução de danos uma estratégia importante a ser trabalhada.


Subject(s)
Humans , Female , Adolescent , Adult , Middle Aged , Young Adult , Sex Workers/statistics & numerical data , Tobacco Use Disorder/epidemiology , Alcohol Drinking/epidemiology , Anxiety/epidemiology , Brazil/epidemiology , Cross-Sectional Studies , Prevalence , Risk Factors , Socioeconomic Factors , Stress, Physiological , Substance-Related Disorders/epidemiology , Tobacco Use Disorder/etiology
17.
Univ. odontol ; 36(77)2017. graf, tab
Article in Spanish | LILACS (Americas), COLNAL | ID: biblio-996560

ABSTRACT

Antecedentes: Se requiere analizar la situación de salud bucal en grupos vulnerables desde la perspectiva de los determinantes sociales para establecer estrategias de intervención efectivas. Objetivo: Describir el estado de salud bucal y factores relacionados en un grupo de mujeres en situación de prostitución en la ciudad de Medellin (Colombia). Métodos: Este fue un estudio descriptivo en una muestra por conveniencia de 53 mujeres que ejercen la prostitución. Se aplicó encuesta y examen clínico y se analizaron variables de autopercepción de salud bucal, índice COP-D (cariados, obturados y perdidos), índice de caries significativa (SiC), problemas de articulación temporomandibular (ATM) y estado protésico. Resultados: 88,2 % de las mujeres encuestadas reportaron un mal estado de salud bucal, 81 % se sentían insatisfechas con su estado bucal y 60 % reportó problemas bucales. La prevalencia de caries dental fue del 64 %, con un COP-D de 15,6 (±8,4), y un SiC de 25,5 (±3,6). Se presentaron diferencias en el estado de salud bucal en indicadores clínicos y subjetivos según factores sociodemográficos. Más de tres cuartas partes requerían cambia o realizar nuevas prótesis superiores o inferiores. En casi la mitad se hallaron ruidos articulares en la ATM según evaluación clínica. Conclusiones: El estado de salud bucal según los indicadores analizados es reflejo de las condiciones sociales en que se encuentran estas mujeres. Se encontraron diferencias en los indicadores de salud bucal de acuerdo con diferentes factores sociodemográficos, lo cual sugiere la influencia de los determinantes sociales en las desigualdades en salud bucal.


Background: The analysis of the oral health situation in vulnerable groups from a perspective of social determinants is required to implement effective intervention strategies. Purpose: To describe the oral health status and its related factors in a group of women in situation of prostitution in Medellin (Colombia). Methods: A descriptive study was conducted with a convenience sample of 53 women. A survey and clinical exanimation was earned out. The study analyzed variables related to self-perceived oral health, DTMF Index, Significant Caries Index (SiC), temporomandibular joint problems (TMJ), and the status of fixed/removable prosthesis. Results: 88.2 % of the sun-eyed women reported their oral health status was poor, 81 % of them felt unsatisfied with their mouth, and 60 % reported oral problems. The prevalence of dental caries was 64 %, with a DTMF of 15.6 (± 8.4), and a SiC of 25.5 (± 3.6). There were differences in oral health status in clinical and subjective indicators accordmg to sociodemographic factors. More than three-quarters required changing or making new upper and/or lower partial or fixed dentures. In almost half, articular noises were found in TMJ according to the clinical evaluation. Conclusions: The oral health status, from the basis of the indicators analyzed, reflects the social conditions found in these women. Differences in the oral health indicators were in accordance to sociodemographic factors. This situation suggests that there is an influence of social determinants on oral health inequalities.


Subject(s)
Health Profile , Health Surveys/statistics & numerical data , Dental Caries/diagnosis , Sex Workers
18.
Psicol. soc. (Online) ; 29: e159528, 2017. graf
Article in Portuguese | LILACS (Americas) | ID: biblio-955846

ABSTRACT

Resumo O presente artigo tem como objetivo mostrar as formas como os debates feministas em torno da prostituição em Belo Horizonte se atualizam e adquirem novos contornos a partir da emergência da "Marcha das Vadias" e de sua relação com o movimento de prostitutas. O artigo apresenta parte dos dados da pesquisa de doutorado concluída por uma das autoras em 2015, incluindo métodos como observação participante, entrevistas em profundidade, coleta documental, dentre outros. No que toca à Marcha das Vadias de Belo Horizonte, realizamos etnografia das edições de 2012, 2014 e 2015, participando também das listas de discussão e grupos de organização e avaliação da mesma. Observamos que a Marcha das Vadias se mostra aberta ao diálogo com as prostitutas na cidade, mas que esse debate é frequentemente perpassado por concepções prévias e pouca margem para construções e ações efetivamente conjuntas.


Resumen Este artículo tiene como objetivo mostrar las formas en que se actualizan o reformulan los debates feministas acerca de la prostitución en Belo Horizonte con la aparición de "Slutwalk". El artículo presenta parte de los datos de investigación de doctorado completados por una de las autoras en 2015, incluyendo métodos tales como la observación participante, entrevistas en profundidad, análisis documental, entre otros. En cuanto a la Slutwalk de Belo Horizonte, se realizó la etnografía de las ediciones de 2012, 2014 y 2015, participando también en la organización de listas de correo electrónico y grupos y la evaluación de la misma. Se observó que la Slutwalk se muestra abierta al diálogo con las prostitutas en la ciudad, pero este debate es a menudo impregnado de ideas preconcebidas y con poco espacio para las estructuras y acciones conjuntas eficaces.


Abstract This article aims to show the ways in which feminist debates on prostitution at Belo Horizonte are updated and acquire new characteristics from the emergence of the "Slutwalk" and its relation with the prostitutes movement. The article presents part of the doctoral research data completed by one of the authors in 2015, including methods such as participant observation, in-depth interviews, documents collection, among others. Regarding the Slutwalk of Belo Horizonte, we conducted ethnography of the editions of 2012, 2014 and 2015, also participating in the mailing lists and the Facebook group of the organization members. We observed that the Slutwalk showed open to dialogue with the prostitutes in the city, but this debate is often permeated by preconceptions and gives little room for effective joint structures and actions.


Subject(s)
Humans , Female , Feminism , Sex Workers , Political Activism , Gait
19.
Cad. saúde pública ; 33(2): e00157815, 2017. tab
Article in Portuguese | LILACS (Americas) | ID: biblio-839660

ABSTRACT

Resumo: No Brasil, há um limitado número de estudos sobre violência contra mulheres profissionais do sexo, tema que vem instigando pesquisadores em todo o mundo, estimulados principalmente por possíveis associações desta com o HIV. Este trabalho objetiva estimar a prevalência de violência contra mulheres profissionais do sexo, segundo natureza e perpetrador, e identificar os fatores associados. Foi realizado um estudo transversal com dados de 2.523 mulheres profissionais do sexo de dez cidades brasileiras, recrutadas pelo método respondent-driven sampling (RDS). Os resultados mostraram que a prevalência de violência verbal foi de 59,5%; violência física 38,1%; sexual 37,8%. Violência física por parceiro íntimo, 25,2%; por clientes, 11,7%. Dentre os fatores associados à violência física estão: idade < 30 anos (ORa = 2,27; IC95%: 1,56-3,29); uso de drogas (ORa = 2,02; IC95%: 1,54-2,65); valor do programa até R$ 29,00 (ORa = 1,51; IC95%: 1,07-2,13). Conclui-se que as mulheres profissionais do sexo brasileiras vivenciam uma carga desproporcional de violência. Identificar fatores de vulnerabilidade é fundamental para as intervenções que garantam direitos humanos e controle do HIV.


Resumen: En Brasil, existe un limitado número de estudios sobre violencia contra mujeres profesionales del sexo, tema que ha interesado a investigadores en todo el mundo, estimulados principalmente por posibles asociaciones de ésta con el VIH. Este trabajo tiene como meta estimar la prevalencia de violencia contra mujeres profesionales del sexo, según su naturaleza y agresor, e identificar los factores asociados. Se realizó un estudio transversal con datos de 2.523 mujeres profesionales del sexo de diez ciudades brasileñas, captadas por el método respondent-driven sampling (RDS). Los resultados mostraron que la prevalencia de violencia verbal fue de un 59,5%; violencia física 38,1%; sexual 37,8%. Violencia física por compañero un 25,2%; por clientes un 11,7%. Entre los factores asociados a la violencia física están: edad < 30 años (ORa = 2,27; IC95%: 1,56-3,29); uso de drogas (ORa = 2,02; IC95%: 1,54-2,65); valor del programa de hasta R$ 29,00 (ORa = 1,51; IC95%: 1,07-2,13). Se concluyó que las mujeres profesionales del sexo brasileñas viven una carga desproporcional de violencia. Identificar factores de vulnerabilidad es fundamental para las intervenciones que garanticen derechos humanos y control del VIH.


Abstract: Few studies in Brazil have focused on violence against female sex workers, a theme that has attracted researchers' attention worldwide, especially due to possible associations with HIV. The current study aims to estimate the prevalence of violence against female sex workers according to type and perpetrator and to identify associated factors. A cross-sectional study was conducted with data on 2,523 female sex workers from ten Brazilian cities, and with the respondent-driven sampling (RDS). Prevalence of verbal violence was 59.5%, physical violence 38.1%, sexual violence 37.8%, intimate partner physical violence 25.2%, and violence by clients 11.7%. Factors associated with physical violence were age < 30 years (aOR = 2.27; 95%CI: 1.56-3.29), drug use (aOR = 2.02; 95%CI: 1.54-2.65), and price of trick ≤ BRL 29.00 or USD 9.00 (aOR = 1.51; 95%CI: 1.07-2.13). In conclusion, Brazilian female sex workers suffer a disproportional burden of violence. The identification of vulnerability factors is essential for interventions to safeguard human rights and control HIV.


Subject(s)
Humans , Male , Female , Adolescent , Adult , Middle Aged , Young Adult , Sex Workers/statistics & numerical data , Violence/statistics & numerical data , Brazil/epidemiology , Cross-Sectional Studies , Prevalence , Risk Factors , Socioeconomic Factors
20.
Fisioter. Bras ; 17(6): f: 577-I: 584, nov.-dez. 2016.
Article in Portuguese | LILACS (Americas) | ID: biblio-883393

ABSTRACT

Este estudo teve como objetivo geral avaliar a força muscular do assoalho pélvico nas profissionais do sexo na cidade de Fortaleza/CE. O presente estudo foi realizado no Laboratório de Diagnóstico e Tratamento do Centro Universitário Estácio do Ceará. A amostra foi selecionada a partir das profissionais do sexo cadastradas na Associação das Prostitutas do Ceará, sem fixação de idade e que de forma voluntária aceitaram participar da pesquisa. A amostra constituiu-se de 6 mulheres com média de idade de 33,83 (± 3,03) anos. Evidenciamos que 100% das profissionais do estudo contraíam a musculatura vaginal de forma simétrica. Durante a avaliação da palpação bidigital 50% da amostra apresentou grau 5 com um tempo médio de contração de 12 (± 2,86) segundos. Na avaliação utilizando o perineômetro, os valores médios foram: 29,16 ± 4,16 cm H2O na contração de repouso; 36 ± 5,37 cm H2O contração das fibras tipo I e 45 ± 6,70 cm H2O fibras tipo II. Ao se verificar o tempo de contração com o perineômetro, constatou-se que 33% contraíam entre 20 e 30 segundos e 33% ≤ a 10 segundos, com média de contração de 19 (± 5,27) segundos. Concluímos que as profissionais do sexo pesquisadas possuem boa força de contração e sustentação muscular do assoalho pélvico, e isto foi evidenciado tanto pela palpação bidigital como pelo uso do perineômetro, em que a maioria das pesquisadas apresentaram valores condizentes com o padrão de normalidade. (AU)


This study aimed to assess the muscle strength of the pelvic floor in sex workers at the city of Fortaleza/CE. This study was conducted at the Laboratory for Diagnosis and Treatment Center, University Center Estácio of Ceará. The sample was selected among sex workers registered with the Association of Prostitutes of Ceará, without fixing age and who voluntarily agreed to participate. The sample consisted of 6 women, with a mean of age of 33.83 (± 3.03) years old. It was evidenced that 100% of the professionals contracted the vaginal muscles in a symmetrical way. During assessment by bidigital palpation 50% showed degree 5 and mean time of contraction of 12 (± 2.86) seconds. In the assessment using the perineometer the mean values were 29.16 ± 4.16 cm H2O in rest contraction, 36 ± 5.37 cm H2O contraction of type I fibers and 45 ± 6.70 cm H2O type II fibers. While determining the contraction with the perineometer, we found that: 33% contracted between 20 and 30 seconds and 33% ≤ 10 seconds, with a mean contraction of 19 (± 5.27) seconds. We concluded that the sex workers surveyed have adequate force of contraction and support of the pelvic floor muscles, and this was evidenced both by bidigital palpation and perineometer, where majority presented values consistent with the normal pattern. (AU)


Subject(s)
Humans , Female , Adult , Pelvic Floor , Sex Workers , Health Evaluation , Muscle Strength
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