Fatores determinantes da exposição sexual ao HIV em adolescentes luso-brasileiros

Detalhes bibliográficos
Autor(a) principal: Teixeira, Jules Ramon Brito
Data de Publicação: 2022
Outros Autores: Lima, Shirley Veronica Melo Almeida, Sousa, Anderson Reis de, Queiroz, Artur Acelino Francisco Luz Nunes, Barreto, Nilo Manoel Pereira Vieira, Mendes, Isabel Amélia Costa, Fronteira, Inês, Sousa, Álvaro Francisco Lopes de
Tipo de documento: Artigo
Idioma: por
Título da fonte: Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)
Texto Completo: http://hdl.handle.net/10362/148880
Resumo: OBJECTIVE: to analyze the direct and indirect effects of determinants of sexual exposure to the human immunodeficiency virus among male adolescents who have sex with men and the implications for nursing care. METHOD: cross-sectional study carried out with 578 Portuguese and Brazilian adolescents aged 18 and 19. Interrelationships of conjugal status, use of dating apps, practice of chemsex, unawareness, partner credibility, challenging sexual practices and ineffective forms of protection against sexual exposure to the human immunodeficiency virus were evaluated using the Path Analysis technique. RESULTS: significant direct effect on sexual exposure to the human immunodeficiency virus: conjugal status (β=-0.16), use of apps (β=-0.30), challenging sexual practices (β=0.48) and ineffective forms of protection (β=0.35). Indirect paths: partner credibility influenced ineffective forms of protection (β=0.77); having a steady/polyamorous relationship influenced the use of dating apps (β=-0.46); chemsex, mediated by challenging sexual practices (β=0.67), determined greater sexual exposure. CONCLUSION: adolescent sexual behaviors and forms of amorous/sexual relationship must be considered in nursing care planning to reduce sexual exposure to the human immunodeficiency virus. (1) Adolescents present high prevalence (81.0%) of sexual exposure to HIV. (2) Specificities of sexual practices are determinant factors of sexual exposure. (3) The higher the credibility given to a partner, the higher the sexual exposure to HIV. (4) Challenging sexual practices (such as fisting) determine sexual exposure. (5) Nursing care must focus on lowering exposure to HIV.
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spelling Fatores determinantes da exposição sexual ao HIV em adolescentes luso-brasileirosDeterminants of sexual exposure to HIV in Portuguese and Brazilian adolescentsa path analysisuma análise de caminhosEpidemiologySDG 3 - Good Health and Well-beingOBJECTIVE: to analyze the direct and indirect effects of determinants of sexual exposure to the human immunodeficiency virus among male adolescents who have sex with men and the implications for nursing care. METHOD: cross-sectional study carried out with 578 Portuguese and Brazilian adolescents aged 18 and 19. Interrelationships of conjugal status, use of dating apps, practice of chemsex, unawareness, partner credibility, challenging sexual practices and ineffective forms of protection against sexual exposure to the human immunodeficiency virus were evaluated using the Path Analysis technique. RESULTS: significant direct effect on sexual exposure to the human immunodeficiency virus: conjugal status (β=-0.16), use of apps (β=-0.30), challenging sexual practices (β=0.48) and ineffective forms of protection (β=0.35). Indirect paths: partner credibility influenced ineffective forms of protection (β=0.77); having a steady/polyamorous relationship influenced the use of dating apps (β=-0.46); chemsex, mediated by challenging sexual practices (β=0.67), determined greater sexual exposure. CONCLUSION: adolescent sexual behaviors and forms of amorous/sexual relationship must be considered in nursing care planning to reduce sexual exposure to the human immunodeficiency virus. (1) Adolescents present high prevalence (81.0%) of sexual exposure to HIV. (2) Specificities of sexual practices are determinant factors of sexual exposure. (3) The higher the credibility given to a partner, the higher the sexual exposure to HIV. (4) Challenging sexual practices (such as fisting) determine sexual exposure. (5) Nursing care must focus on lowering exposure to HIV.Population health, policies and services (PPS)Instituto de Higiene e Medicina Tropical (IHMT)Global Health and Tropical Medicine (GHTM)RUNTeixeira, Jules Ramon BritoLima, Shirley Veronica Melo AlmeidaSousa, Anderson Reis deQueiroz, Artur Acelino Francisco Luz NunesBarreto, Nilo Manoel Pereira VieiraMendes, Isabel Amélia CostaFronteira, InêsSousa, Álvaro Francisco Lopes de2023-02-08T22:21:57Z20222022-01-01T00:00:00Zinfo:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/articleapplication/pdfhttp://hdl.handle.net/10362/148880por0104-1169PURE: 48451289https://doi.org/10.1590/1518-8345.6222.3715info:eu-repo/semantics/openAccessreponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãoinstacron:RCAAP2024-03-11T05:30:36Zoai:run.unl.pt:10362/148880Portal AgregadorONGhttps://www.rcaap.pt/oai/openaireopendoar:71602024-03-20T03:53:31.435800Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãofalse
dc.title.none.fl_str_mv Fatores determinantes da exposição sexual ao HIV em adolescentes luso-brasileiros
Determinants of sexual exposure to HIV in Portuguese and Brazilian adolescentsa path analysis
uma análise de caminhos
title Fatores determinantes da exposição sexual ao HIV em adolescentes luso-brasileiros
spellingShingle Fatores determinantes da exposição sexual ao HIV em adolescentes luso-brasileiros
Teixeira, Jules Ramon Brito
Epidemiology
SDG 3 - Good Health and Well-being
title_short Fatores determinantes da exposição sexual ao HIV em adolescentes luso-brasileiros
title_full Fatores determinantes da exposição sexual ao HIV em adolescentes luso-brasileiros
title_fullStr Fatores determinantes da exposição sexual ao HIV em adolescentes luso-brasileiros
title_full_unstemmed Fatores determinantes da exposição sexual ao HIV em adolescentes luso-brasileiros
title_sort Fatores determinantes da exposição sexual ao HIV em adolescentes luso-brasileiros
author Teixeira, Jules Ramon Brito
author_facet Teixeira, Jules Ramon Brito
Lima, Shirley Veronica Melo Almeida
Sousa, Anderson Reis de
Queiroz, Artur Acelino Francisco Luz Nunes
Barreto, Nilo Manoel Pereira Vieira
Mendes, Isabel Amélia Costa
Fronteira, Inês
Sousa, Álvaro Francisco Lopes de
author_role author
author2 Lima, Shirley Veronica Melo Almeida
Sousa, Anderson Reis de
Queiroz, Artur Acelino Francisco Luz Nunes
Barreto, Nilo Manoel Pereira Vieira
Mendes, Isabel Amélia Costa
Fronteira, Inês
Sousa, Álvaro Francisco Lopes de
author2_role author
author
author
author
author
author
author
dc.contributor.none.fl_str_mv Population health, policies and services (PPS)
Instituto de Higiene e Medicina Tropical (IHMT)
Global Health and Tropical Medicine (GHTM)
RUN
dc.contributor.author.fl_str_mv Teixeira, Jules Ramon Brito
Lima, Shirley Veronica Melo Almeida
Sousa, Anderson Reis de
Queiroz, Artur Acelino Francisco Luz Nunes
Barreto, Nilo Manoel Pereira Vieira
Mendes, Isabel Amélia Costa
Fronteira, Inês
Sousa, Álvaro Francisco Lopes de
dc.subject.por.fl_str_mv Epidemiology
SDG 3 - Good Health and Well-being
topic Epidemiology
SDG 3 - Good Health and Well-being
description OBJECTIVE: to analyze the direct and indirect effects of determinants of sexual exposure to the human immunodeficiency virus among male adolescents who have sex with men and the implications for nursing care. METHOD: cross-sectional study carried out with 578 Portuguese and Brazilian adolescents aged 18 and 19. Interrelationships of conjugal status, use of dating apps, practice of chemsex, unawareness, partner credibility, challenging sexual practices and ineffective forms of protection against sexual exposure to the human immunodeficiency virus were evaluated using the Path Analysis technique. RESULTS: significant direct effect on sexual exposure to the human immunodeficiency virus: conjugal status (β=-0.16), use of apps (β=-0.30), challenging sexual practices (β=0.48) and ineffective forms of protection (β=0.35). Indirect paths: partner credibility influenced ineffective forms of protection (β=0.77); having a steady/polyamorous relationship influenced the use of dating apps (β=-0.46); chemsex, mediated by challenging sexual practices (β=0.67), determined greater sexual exposure. CONCLUSION: adolescent sexual behaviors and forms of amorous/sexual relationship must be considered in nursing care planning to reduce sexual exposure to the human immunodeficiency virus. (1) Adolescents present high prevalence (81.0%) of sexual exposure to HIV. (2) Specificities of sexual practices are determinant factors of sexual exposure. (3) The higher the credibility given to a partner, the higher the sexual exposure to HIV. (4) Challenging sexual practices (such as fisting) determine sexual exposure. (5) Nursing care must focus on lowering exposure to HIV.
publishDate 2022
dc.date.none.fl_str_mv 2022
2022-01-01T00:00:00Z
2023-02-08T22:21:57Z
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dc.identifier.uri.fl_str_mv http://hdl.handle.net/10362/148880
url http://hdl.handle.net/10362/148880
dc.language.iso.fl_str_mv por
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PURE: 48451289
https://doi.org/10.1590/1518-8345.6222.3715
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dc.format.none.fl_str_mv application/pdf
dc.source.none.fl_str_mv reponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)
instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação
instacron:RCAAP
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