Adolescentes em situação de acolhimento institucional: vulnerabilidade às Infecções Sexualmente Transmissíveis (IST)

• Autor(a) principal: Rodrigues, Raquel Fonseca
• Data de Publicação: 2016
• Tipo de documento: Tese
• Idioma: por
• Título da fonte: Biblioteca Digital de Teses e Dissertações da UERJ
• Texto Completo: http://www.bdtd.uerj.br/handle/1/11150
• topic: Sexual Health; Teenager institutionalized; Sexual scripts; Vulnerability; Saúde sexual; Adolescente institucionalizado; Roteiros sexuais; Vulnerabilidade; CNPQ::CIENCIAS DA SAUDE::ENFERMAGEM

The object of this study was the vulnerability to STI female adolescents in residential care situation. The main health problems of adolescents have sexual activity; including STI. These, if not identified and treated, can bring severe consequences that impair sexual and reproductive health of adolescents; as infertility, pelvic inflammatory disease, cervical cancer, miscarriage, premature birth, sexual dysfunction, and in severe cases can lead to death. The teens in foster situation, due to family breakdown situations, low self-esteem, unprotected sex, exposure to violence, trading of sex for survival, use of legal and illegal drugs, are in vulnerable situations, among them vulnerability to sexual health. Although, it is possible to identify numerous achievements in health actions for adolescents, especially sexual and reproductive health, educational approaches still have a corrective purpose of sexual conduct and not incorporated socio-cultural contexts, ie the sexual scripts that guide teens in residential care situation. All these findings led to reflection on the need to deepen the concept of vulnerability to sexual health of adolescents in situation of welcome. The study of the vulnerability provides an understanding of the ways in which adolescents and their communities are exposed or vulnerable favor a particular context. To do this, it drew up the following objectives: to analyze the STI vulnerability dimensions in adolescents in residential care situation, considering the sexual conduct. A qualitative study of descriptive exploratory character used as theoretical and methodological Daniel Bertaux reference was made. They interviewed 10 adolescents who were in institutions, in the north and south of the city of Rio de Janeiro. The data produced were interpreted from a thematic analysis. This process emerged an analytical category: Sexual Scripts and vulnerability to STI adolescents in residential care situation; with two subcategories: Sexuality of adolescents in residential care situation; Sexual health of adolescents in residential care situation. In the first category, we identified the characteristics of their interpersonal relationships, perceptions as loss of virginity and his body and homosexual experiences. In the second subcategory emerged narratives of experience of sexual violence and prostitution, gender issues (difficulty of trading), the use of contraception to prevent future pregnancies, limited knowledge on exposure to STI and care needed to protect themselves from same. The survey found that knowing the sexual scripts and adolescent vulnerability dimensions in the host state to STI revealed that are fundamental issues to be incorporated in the care of these adolescents, with a view to prevention of STI and sexual health promotion and empowerment these young people.