Depressão e infecções sexualmente transmissíveis (IST) em mulheres de apenados: /b prevalência e fatores associados

• Autor(a) principal: Martins, Debora Cristina
• Data de Publicação: 2017
• Tipo de documento: Dissertação
• Idioma: por
• Título da fonte: Repositório Institucional da Universidade Estadual de Maringá (RI-UEM)
• Texto Completo: http://repositorio.uem.br:8080/jspui/handle/1/2361
• topic: Enfermagem; Prevenção; Depressão; Parceiras apenados; Infecções sexualmente transmissíveis; Mulheres; Fatores de risco; Comportamento sexual; Comportamento de risco; Brasil.; Depression; Sexually transmitted diseases; Risk factors; Sexual behavior; Prevention; Nursing; Brazil.; Ciências da Saúde; Enfermagem

According to the National Penitentiary Department (DEPEN), the number of prisoners has increased in recent years, making the Brazilian penitentiary system one of the ten largest in the world. When it comes to a male prison with a closed regimen, visits are more frequent among female partners in distress, being distributed by scales due to a high demand for visits. In this way, it is possible to identify that the women of distress present a high prevalence of risk factors for Chronic Diseases (CD), but specifically the depression due to psychosocial conditions and also because they are vulnerable to Sexually Transmitted Diseases ), Mainly because they presented sexual risk behavior favored by the conditions of the incarceration of the partner. Considering the above, the objective of this study was to estimate the prevalence of depression and sexually transmitted diseases and its association with sexual behavior among women of distress. This is a descriptive study with a cross-sectional quantitative approach. The study was carried out with 349 women of distress in the three largest prisons in the state of Paraná, 136 women from the Piraquara penitentiary, 139 women from the penitentiary of the city of Londrina and 74 women from the Francisco Beltrão penitentiary. Data were collected through a semi-structured questionnaire (ECOS-Sexual Behavior in the Brazilian Population, 2000) in penitentiaries on days when women were scheduled to visit their partners. The results showed that the majority of women (51.9%) were aged 20-29 years. In relation to the marital status and number of children, 49.0% reported being amassed, that is, they had a relationship with their partner without being officially married, 21.2% were single and 29.8% married. With regard to the number of children, more than half of the women 53.3% have one or two children. It was investigated the existence of some chronic diseases, and the most prevalent were depression (42.7%), hypertension (12.9%), diabetes (4.6%), heart disease (4.3%) and cancer ,2%). In the crude logistic regression analysis, depression was positively associated with age, schooling, alcohol and smoking. Women aged _30 years had 3.7 (95% CI, 2.3-5.9) times more likely to have the disease than those younger than 30 years. For schooling, women who studied until Full Elementary School had 3.5 (95% CI, 1.2-10.1) times more chances. Confirmed consumption of alcohol and smoking showed an increased odds of 4.1 (95% CI 1.8-9.7) and 1.8 (95% CI 1.2-2.8) times respectively, respectively. Regarding STD, it was possible to identify an association between the types of sexual behavior, identifying that women who had more than one partner in the last 12 months had 1.9 (95% CI, 1.2-30) times more likely to contract STD . For women who confirmed they had suffered sexual violence, the odds were 8.6 (95% CI, 5.1-14.7), receive cash by gender 3.8 (95% CI 2.2-6.5), and (IC95% 1.5-3.7), on drug effects the odds, 2.2 (95% CI: 1.3-3.7) and women with more than one sexual partner In the last twelve months the odds were 1.9 (95% CI 1.2-3.0), respectively, of having a STD diagnosis. Therefore, the nurse as a key element of the care process in health care assistance to the vulnerable population must know the epidemiological profile and characteristics of this population, so that it can program together with a multidisciplinary team strategies for prevention, promotion and interventions Of care that come to favor these women.