0058/2019 - Vulnerabilidade de mulheres que fazem sexo com mulheres às infecções sexualmente transmissíveis. Vulnerability of women who have sex with women to sexually transmitted infections.
O objetivo do presente estudo foi identificar as dimensões da vulnerabilidade de mulheres que fazem sexo com mulheres associadas às infecções sexualmente transmissíveis. Estudo transversal com 150 mulheres, entre 2015-2017. Aplicou-se questionário estruturado, realizou-se exame ginecológico para diagnóstico de Chlamydia trachomatis, Neisseria gonorrhoeae, Trichomonas vaginalis, papiloma vírus humano e coleta de sangue periférico para detecção de HIV, hepatite B e sífilis. A variável desfecho foi ocorrência de infecção sexual e as variáveis independentes compõem o referencial da vulnerabilidade, nas dimensões individual, social e programática. Análise de dados foi realizada por modelo de regressão logística. Os resultados mostraram alta prevalência das infecções (47,3%) e apenas variáveis relacionadas à vulnerabilidade individual se associaram de forma independente ao desfecho: chance de infecção foi quatro vezes maior entre mulheres com antecedente de infecção (p=0,045); nunca ter realizado exame sorológico aumentou a chance em quase três vezes (p=0,027) e ter tido relação sexual com homem nos últimos 12 meses aumentou em quase nove vezes a chance do desfecho (p=0,001). Concluiu-se que essas mulheres são vulneráveis às infecções sexualmente transmissíveis em decorrência da vulnerabilidade individual.
The aim of this research was to identify the dimensions of vulnerability of women who have sex with women associated with sexually transmitted infections. It was a cross-sectional study with 150 women2015 to 2017. A structured questionnaire was applied and a gynecological examination was performed to diagnose Chlamydia trachomatis, Neisseria gonorrhoeae, Trichomonas vaginalis and papillomavirus. Blood tests were carried out to identify HIV, Hepatitis B and Syphilis. The outcome was sexual infection and the independent variables comprised the vulnerability referential in the individual, social and programmatic dimensions. Data analyses were performed through logistic regression. The results showed high prevalence of infections (47.3%) and just variables related to individual vulnerability associated with the outcome. The chance of infection was fourfold higher in women who had infections (p=0,045). The fact of never having had serologic test increased in almost threefold the chance of having sexually transmitted infections (p=0,027). And also the fact of having sexual intercourse with man in the last 12 month increased in approximately ninefold the risk of such outcome (p=0,001). The conclusion is that these women are vulnerable to sexually transmitted infections because of their individual vulnerability.
Vulnerability of women who have sex with women to sexually transmitted infections.
Resumo (abstract):
The aim of this research was to identify the dimensions of vulnerability of women who have sex with women associated with sexually transmitted infections. It was a cross-sectional study with 150 women2015 to 2017. A structured questionnaire was applied and a gynecological examination was performed to diagnose Chlamydia trachomatis, Neisseria gonorrhoeae, Trichomonas vaginalis and papillomavirus. Blood tests were carried out to identify HIV, Hepatitis B and Syphilis. The outcome was sexual infection and the independent variables comprised the vulnerability referential in the individual, social and programmatic dimensions. Data analyses were performed through logistic regression. The results showed high prevalence of infections (47.3%) and just variables related to individual vulnerability associated with the outcome. The chance of infection was fourfold higher in women who had infections (p=0,045). The fact of never having had serologic test increased in almost threefold the chance of having sexually transmitted infections (p=0,027). And also the fact of having sexual intercourse with man in the last 12 month increased in approximately ninefold the risk of such outcome (p=0,001). The conclusion is that these women are vulnerable to sexually transmitted infections because of their individual vulnerability.
Andrade, J, Ignácio, MAO, Freitas, APF, Parada, C.M.G.L., Duarte, M.T.C.. Vulnerabilidade de mulheres que fazem sexo com mulheres às infecções sexualmente transmissíveis.. Cien Saude Colet [periódico na internet] (2019/mar). [Citado em 23/12/2024].
Está disponível em: http://cienciaesaudecoletiva.com.br/artigos/vulnerabilidade-de-mulheres-que-fazem-sexo-com-mulheres-as-infeccoes-sexualmente-transmissiveis/17132?id=17132
