Perfil epidemiológico e fatores associados à infecção por HIV/AIDS em adolescentes e adultos jovens

Detalhes bibliográficos
Autor(a) principal: Pereira, Bianca de Souza
Data de Publicação: 2013
Tipo de documento: Dissertação
Idioma: por
Título da fonte: Biblioteca Digital de Teses e Dissertações da UEFS
Texto Completo: http://localhost:8080/tede/handle/tede/126
Resumo: Introduction: There are approximately 34 million people have contracted HIV globally, it is estimated that 10 millions have between 15 and 24 years of age. The high incidence of HIV/AIDS in adolescents and young adults has been characterized a serious public health problem and has excelled in the International policies agendas for prevention and control. Objective: investigate the epidemiological profile and factors associated with HIV/AIDS in adolescents and young adults registered in the Reference Center STD/HIV/AIDS in Feira de Santana - BA, in the period from 2007 to 2011. Method: analytical study with lineation cross-sectional using data from SIS/CTA of Feira de Santana – BA, totaling 1.032 adolescents and 2.736 young adults. The variables studied were: Socio-demographics (gender, age, city and area of residence, scholarity, occupation, marital status and skin color), concerning exposure with partner (condom use, reasons for non-use of condoms and partner type) and related to lifestyle (use of alcohol and other drugs, sharing syringes, presence and treatment of STDs, sexual orientation, multiple sexual partners and type of exposure to HIV). Were calculated simple and absolute frequencies and performed Stratified analysis of variables grouped, as well as calculated the prevalences (P) and the prevalence ratios (RP), to evaluate possible associations between the serological status and exposure factors in both sexes. Was adopted a confidence level of 95% and significance ≤ 0.05%. Results: adolescents and young adults showed equivalence regarding sociodemographic factors, however the seropositive women aged 20 to 24 years differed as for marital status, being that the majority were married. The occurrence of STDs in males was in greater proportion in the seropositives, with regard to females was observed the opposite, the majority had treated the STDs with help the health services, emphasizing that the proportions of those who were not treated or treated by themselves, was considerably higher in the seropositive group. Regarding condom use with steady or casual partner, over 80% reported do not make use, due to motivations linked to personal factors and related to the partner. As for the factors associated with HIV infection, in females, observed a significant association with the use of alcohol and other drugs, stable Union or marriage, beyond of the not utilization of condoms related to personal and external factors. In males, the significant results were linked to use of other drugs and to sexual orientation; in both sexes, associated with to stable partner be a carrier of HIV or STD. Conclusions: socio-demographic and behavioral characteristics can impact in the process of transmission and infection of disease, they become aspects of extremely relevance at the promotion of actions in service. In reaction to vulnerability of adolescent and young adult, it is considered fundamental the development of awareness and attitude change, in order to tackle the AIDS epidemic, seeking a type of comportment of self-preservation.
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spelling Costa, Maria Conceição Oliveira01493106503http://lattes.cnpq.br/8775962170146717Pereira, Bianca de Souza2015-07-29T00:08:00Z2013-03-22PEREIRA, Bianca de Souza. Perfil epidemiológico e fatores associados à infecção por HIV/AIDS em adolescentes e adultos jovens. 2013. 84 f. Dissertação (Mestrado Acadêmico em Saúde Coletiva) - Universidade Estadual de Feira de Santana, Feira de Santana, 2013.http://localhost:8080/tede/handle/tede/126Introduction: There are approximately 34 million people have contracted HIV globally, it is estimated that 10 millions have between 15 and 24 years of age. The high incidence of HIV/AIDS in adolescents and young adults has been characterized a serious public health problem and has excelled in the International policies agendas for prevention and control. Objective: investigate the epidemiological profile and factors associated with HIV/AIDS in adolescents and young adults registered in the Reference Center STD/HIV/AIDS in Feira de Santana - BA, in the period from 2007 to 2011. Method: analytical study with lineation cross-sectional using data from SIS/CTA of Feira de Santana – BA, totaling 1.032 adolescents and 2.736 young adults. The variables studied were: Socio-demographics (gender, age, city and area of residence, scholarity, occupation, marital status and skin color), concerning exposure with partner (condom use, reasons for non-use of condoms and partner type) and related to lifestyle (use of alcohol and other drugs, sharing syringes, presence and treatment of STDs, sexual orientation, multiple sexual partners and type of exposure to HIV). Were calculated simple and absolute frequencies and performed Stratified analysis of variables grouped, as well as calculated the prevalences (P) and the prevalence ratios (RP), to evaluate possible associations between the serological status and exposure factors in both sexes. Was adopted a confidence level of 95% and significance ≤ 0.05%. Results: adolescents and young adults showed equivalence regarding sociodemographic factors, however the seropositive women aged 20 to 24 years differed as for marital status, being that the majority were married. The occurrence of STDs in males was in greater proportion in the seropositives, with regard to females was observed the opposite, the majority had treated the STDs with help the health services, emphasizing that the proportions of those who were not treated or treated by themselves, was considerably higher in the seropositive group. Regarding condom use with steady or casual partner, over 80% reported do not make use, due to motivations linked to personal factors and related to the partner. As for the factors associated with HIV infection, in females, observed a significant association with the use of alcohol and other drugs, stable Union or marriage, beyond of the not utilization of condoms related to personal and external factors. In males, the significant results were linked to use of other drugs and to sexual orientation; in both sexes, associated with to stable partner be a carrier of HIV or STD. Conclusions: socio-demographic and behavioral characteristics can impact in the process of transmission and infection of disease, they become aspects of extremely relevance at the promotion of actions in service. In reaction to vulnerability of adolescent and young adult, it is considered fundamental the development of awareness and attitude change, in order to tackle the AIDS epidemic, seeking a type of comportment of self-preservation.Introdução: Em nível mundial existem cerca de 34 milhões de pessoas infectadas pelo HIV cujas estimativas apontam 10 milhões na faixa-etária de 15-24 anos. A presença de HIV/ AIDS em adolescentes e adultos jovens tem se caracterizado como um grave problema de saúde pública e tem se destacado nas agendas das políticas de controle e prevenção, em nível nacional e internacional, tendo em vista a elevada susceptibilidade deste grupo à infecção. Objetivo: investigar o perfil epidemiológico e os fatores associados à ocorrência de HIV/AIDS em adolescentes e adultos jovens cadastrados no Centro de Referência Municipal DST/HIV/AIDS, em Feira de Santana, no período de 2007 a 2011. Método: estudo analítico com delineamento transversal com dados do SIS/CTA de Feira de Santana, totalizando 1.032 adolescentes 2.736 adultos jovens As variáveis estudadas foram sociodemográficas: sexo, idade, município e zona de residência, escolaridade, ocupação, idade, situação conjugal, cor da pele, relacionadas a exposição com parceiro: uso do preservativo, motivação para não uso do preservativo, tipo de parceiro e relacionadas ao hábitos de vida: uso de álcool e outras drogas, compartilhamento de seringas, presença e tratamento de DST, orientação sexual, multiplicidade de parceiros, tipo de exposição ao HIV. Foram calculadas frequências simples e absolutas e realizadas análises estratificadas das variáveis agrupadas, assim como calculadas as prevalências (P) e razão de prevalência (RP), para avaliar possíveis associações entre status sorológico e fatores de exposição em ambos os sexos. Adotou-se nível de confiança de 95% e significância ≤ 0,05%. Resultados: adolescentes e adultos jovens mostraram equivalência, quanto aos fatores sociodemográficos (cor da pele, escolaridade, município e zona de residência, situação conjugal e ocupação), entretanto as mulheres soropositivas de 20-24 anos diferiram quanto à situação conjugal, onde a maioria era casada. A ocorrência de DST no sexo masculino se deu em maior proporção em homens soropositivos, enquanto que com as mulheres foi exatamente o contrário, onde maioria tratou das DST, nos serviços de saúde, ressaltando que as proporções daqueles que não trataram ou se automedicaram, foi consideravelmente superior no grupo de soropositivos. Em relação ao uso do preservativo com parceiro estável ou eventual, mais 80% relataram não fazer uso, cujas motivações para ausência dessa prática estavam ligadas aos fatores pessoais e relacionados ao parceiro. Quanto aos fatores associados a infecção pelo HIV, no sexo feminino, observou-se associação significante para o uso de drogas, sendo álcool e outras drogas, união estável/casamento, além da não utilização do preservativo relacionado a fatores pessoais e externos. No sexo masculino, os resultados significantes estavam ligados ao uso de outras drogas e à orientação sexual; em ambos os sexos, associado ao parceiro estável ser portador de HIV ou DST. Conclusões: características sociodemográficas e comportamentais podem ter impacto no processo de transmissão e infecção da doença, constituindo-se como aspectos de extrema relevância na promoção de ações em serviço. Frente à vulnerabilidade do adolescente a adulto jovem, considera-se fundamental o desenvolvimento da consciência e mudança de atitude, frente à epidemia de AIDS, adotando comportamento de autoproteção.Submitted by Ricardo Cedraz Duque Moliterno (ricardo.moliterno@uefs.br) on 2015-07-29T00:08:00Z No. of bitstreams: 1 DISSERTAÇÃO BIANCA.pdf: 7659120 bytes, checksum: 07cedc8bc1354313063c6b3f7449f5f0 (MD5)Made available in DSpace on 2015-07-29T00:08:00Z (GMT). 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dc.title.por.fl_str_mv Perfil epidemiológico e fatores associados à infecção por HIV/AIDS em adolescentes e adultos jovens
title Perfil epidemiológico e fatores associados à infecção por HIV/AIDS em adolescentes e adultos jovens
spellingShingle Perfil epidemiológico e fatores associados à infecção por HIV/AIDS em adolescentes e adultos jovens
Pereira, Bianca de Souza
Vulnerabilidade
HIV/AIDS
Adolescente
Adulto jovem
Vulnerability
HIV/AIDS
Adolescent
Young adult
CIENCIAS DA SAUDE::SAUDE COLETIVA
title_short Perfil epidemiológico e fatores associados à infecção por HIV/AIDS em adolescentes e adultos jovens
title_full Perfil epidemiológico e fatores associados à infecção por HIV/AIDS em adolescentes e adultos jovens
title_fullStr Perfil epidemiológico e fatores associados à infecção por HIV/AIDS em adolescentes e adultos jovens
title_full_unstemmed Perfil epidemiológico e fatores associados à infecção por HIV/AIDS em adolescentes e adultos jovens
title_sort Perfil epidemiológico e fatores associados à infecção por HIV/AIDS em adolescentes e adultos jovens
author Pereira, Bianca de Souza
author_facet Pereira, Bianca de Souza
author_role author
dc.contributor.advisor1.fl_str_mv Costa, Maria Conceição Oliveira
dc.contributor.authorID.fl_str_mv 01493106503
dc.contributor.authorLattes.fl_str_mv http://lattes.cnpq.br/8775962170146717
dc.contributor.author.fl_str_mv Pereira, Bianca de Souza
contributor_str_mv Costa, Maria Conceição Oliveira
dc.subject.por.fl_str_mv Vulnerabilidade
HIV/AIDS
Adolescente
Adulto jovem
topic Vulnerabilidade
HIV/AIDS
Adolescente
Adulto jovem
Vulnerability
HIV/AIDS
Adolescent
Young adult
CIENCIAS DA SAUDE::SAUDE COLETIVA
dc.subject.eng.fl_str_mv Vulnerability
HIV/AIDS
Adolescent
Young adult
dc.subject.cnpq.fl_str_mv CIENCIAS DA SAUDE::SAUDE COLETIVA
description Introduction: There are approximately 34 million people have contracted HIV globally, it is estimated that 10 millions have between 15 and 24 years of age. The high incidence of HIV/AIDS in adolescents and young adults has been characterized a serious public health problem and has excelled in the International policies agendas for prevention and control. Objective: investigate the epidemiological profile and factors associated with HIV/AIDS in adolescents and young adults registered in the Reference Center STD/HIV/AIDS in Feira de Santana - BA, in the period from 2007 to 2011. Method: analytical study with lineation cross-sectional using data from SIS/CTA of Feira de Santana – BA, totaling 1.032 adolescents and 2.736 young adults. The variables studied were: Socio-demographics (gender, age, city and area of residence, scholarity, occupation, marital status and skin color), concerning exposure with partner (condom use, reasons for non-use of condoms and partner type) and related to lifestyle (use of alcohol and other drugs, sharing syringes, presence and treatment of STDs, sexual orientation, multiple sexual partners and type of exposure to HIV). Were calculated simple and absolute frequencies and performed Stratified analysis of variables grouped, as well as calculated the prevalences (P) and the prevalence ratios (RP), to evaluate possible associations between the serological status and exposure factors in both sexes. Was adopted a confidence level of 95% and significance ≤ 0.05%. Results: adolescents and young adults showed equivalence regarding sociodemographic factors, however the seropositive women aged 20 to 24 years differed as for marital status, being that the majority were married. The occurrence of STDs in males was in greater proportion in the seropositives, with regard to females was observed the opposite, the majority had treated the STDs with help the health services, emphasizing that the proportions of those who were not treated or treated by themselves, was considerably higher in the seropositive group. Regarding condom use with steady or casual partner, over 80% reported do not make use, due to motivations linked to personal factors and related to the partner. As for the factors associated with HIV infection, in females, observed a significant association with the use of alcohol and other drugs, stable Union or marriage, beyond of the not utilization of condoms related to personal and external factors. In males, the significant results were linked to use of other drugs and to sexual orientation; in both sexes, associated with to stable partner be a carrier of HIV or STD. Conclusions: socio-demographic and behavioral characteristics can impact in the process of transmission and infection of disease, they become aspects of extremely relevance at the promotion of actions in service. In reaction to vulnerability of adolescent and young adult, it is considered fundamental the development of awareness and attitude change, in order to tackle the AIDS epidemic, seeking a type of comportment of self-preservation.
publishDate 2013
dc.date.issued.fl_str_mv 2013-03-22
dc.date.accessioned.fl_str_mv 2015-07-29T00:08:00Z
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dc.identifier.citation.fl_str_mv PEREIRA, Bianca de Souza. Perfil epidemiológico e fatores associados à infecção por HIV/AIDS em adolescentes e adultos jovens. 2013. 84 f. Dissertação (Mestrado Acadêmico em Saúde Coletiva) - Universidade Estadual de Feira de Santana, Feira de Santana, 2013.
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identifier_str_mv PEREIRA, Bianca de Souza. Perfil epidemiológico e fatores associados à infecção por HIV/AIDS em adolescentes e adultos jovens. 2013. 84 f. Dissertação (Mestrado Acadêmico em Saúde Coletiva) - Universidade Estadual de Feira de Santana, Feira de Santana, 2013.
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