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1.
Ciênc. Saúde Colet. (Impr.) ; 24(3): 973-982, mar. 2019. tab
Article Dans Portugais | LILACS | ID: biblio-989615

Résumé

Resumo O artigo apresenta resultados de pesquisa etnográfica na comunidade gay do Recife (PE), realizada por meio de observação participante e entrevistas. Objetiva compreender condutas sexuais de risco de homens que fazem sexo com homens (HSH) ao HIV, focando os sentidos das posições sexuais no intercurso anal — receptivo (IAR) e insertivo (IAI). Praticantes de IAR desprotegido são sujeitos a maior risco de infecção que praticantes de IAI. Os que praticam ambos, IAR e IAI, são elos amplificadores (maiores chances de receber e passar o vírus) nas cadeias de transmissão. O texto aborda as categorias êmicas, relacionadas com as identidades de gênero — pintosa (gay feminino), boy (gay masculino) e cafuçu (HSH e com mulheres, não gay, masculino, classe popular) — e com as identidades sexuais — ativo (IAI), passivo (IAR) e versátil (IAI e IAR) —, nos modos como significam as posições sexuais e produzem atração sexual. Os homens masculinos são os sexualmente desejados. Boys tendem a se relacionar com boys, e pintosas, com cafuçus. Há expressivo número de versáteis, o que amplia o risco coletivo dentro da comunidade gay. Por meio das relações entre pintosas e cafuçus, pode existir um caminho propício para o vírus circular mais entre a comunidade gay e a sociedade mais ampla.


Abstract The article presents the results of an ethnographic study of the gay community in Recife (PE), conducted via participant observation and interviews. It seeks to understand sexual risk conduct among men who have sex with men (MSM) and HIV, focusing on the significance of sexual positions during anal-receptive intercourse (ARI) and anal-insertive intercourse (AII). Those who practice unprotected ARI are subject to a greater risk of infection than those who practice AII. Those who practice both, ARI and AII, are amplifiers (greater chances of receiving and passing on the virus) in the transmission chains. The text addresses the emic categories related with gender identities - pintosa (female gay), boy (male gay), and cafuçu (MSM and with women, non-gay, male, lower social class) - and with gender identities - active (AII), passive (ARI), and versatile (AII and ARI) - in the ways they result in sexual positions and produce sexual attraction. Masculine men are the most sexually desirable. Boys tend to relate with boys, and pintosas with cafuçus. There is a significant number of versatiles, which increases the collective risk within the gay community. By means of the relations between pintosas and cafuçus, there is increased danger for the virus to circulate more among the gay community and society in general.


Sujets)
Humains , Mâle , Adolescent , Adulte , Jeune adulte , Comportement sexuel/statistiques et données numériques , Infections à VIH/transmission , Homosexualité masculine/statistiques et données numériques , Minorités sexuelles/statistiques et données numériques , Prise de risque , Brésil , Partenaire sexuel , Entretiens comme sujet , Facteurs de risque , Identité de genre
2.
Article Dans Anglais | IMSEAR | ID: sea-164706

Résumé

Background: Hormonal, emotional and physical changes that occur in pregnancy as well as cultural influences in our society may impact on women’s sexual responses and influence their sexual practices and perceptions regarding sexual intercourse during pregnancy. Aim: This study was undertaken to evaluate the frequency, practices, perceptions and safety of sexual intercourse during pregnancy among pregnant women in Jos, Nigeria. Materials and methods: This was a cross-sectional study of 204 healthy pregnant women at term over a 6-month period. They anonymously completed self-administerd questionnaires regarding sexual activities during pregnancy. Data collected included coital frequency, perceptions and concerns of sexual intercourse during pregnancy, its benefits and problems encountered. Statistical analysis was done using SPSS version 16. Descriptive statistics was performed and chi square test was used to ascertain associations between categorical variables. P < 0.05 was considered significant. Results: All women were sexually active throughout pregnancy but with overall decrease coital frequency compared to the pre-pregnency period. Most adopted sexual positions included side-by-side, man on top and rear positions. Advanced maternal age > 35 years (P = 0.67, OR 1.19, 95% CI 0.54 – 2.65), primigravidity (P = 0.52, OR 0.80, 95% CI 0.40 - 1.60)and nulliparity (P = 0.60, OR 0.83, 95% CI 0.43 – 1.62) had no influence on coital frequency. More than 90.0% of them opined that sex during pregnancy is safe and beneficial including widening of the birth canal, maintenance of emotional attachment between couples, satisfaction of sexual desire and prevention of spousal infidelity. Only 32 (15.7%) of the women developed transient sexual problems including vaginal bleeding and discharge, soreness/pain in the vagina and abdominal pain. Conclusion: There was an observed decrease coital frequency among pregnant women in this study, nevertheless many still have positive attitude towards it, albeit with few misconceptions. Hence, Health providers should include sex education into antenatal care programs so as to dispel fears and clear these sexual misconceptions.

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