Vulnerabilidades da população LGBTQIA+ relacionadas às infecções sexualmente transmissíveis e ao consumo de drogas

Detalhes bibliográficos
Autor(a) principal: Souza, Izabel Cristina de
Data de Publicação: 2021
Tipo de documento: Dissertação
Idioma: por
Título da fonte: Repositório Institucional da Universidade Federal do Ceará (UFC)
Texto Completo: http://www.repositorio.ufc.br/handle/riufc/62694
Resumo: The study aimed to understand the vulnerabilities of the LGBTQIA+ population to sexually transmitted infections/HIV (STI) and their involvement with drugs. Observational research, with a cross-sectional, quantitative and correlational, descriptive and analytical approach. Participants were Brazilians aged 18 years or older, self-reported LGBTQIA+ with at least one sexual encounter in the last twelve months. For data collection we used an survey with information about sociodemographic data, knowledge about HIV, access to health services, STI testing and sexual behavior, and the Alcohol, Smoking and Substance Involvement Screening Test (ASSIST) to verify drug involvement. Data were organized and analyzed using the Statistical Package for the Social Sciences (SPSS) v.23.0 for Windows® software, calculating absolute and relative frequencies, confidence intervals and applying the Kruskal-Wallis, chi-square and Fisher statistical tests. The research was approved by the Research Ethics Committee of the Federal University of Ceará, with approval number 3.921.161. The sample was composed of 254 participants, aged 18 to 25 years (78.7%), male (54.6%), cisgender (91.7%), homosexual (57.1%), and brown skin color (33%). Most were single (51.2%) and had no children (98%), and the main occupation was student (56.6%) with incomplete higher education (52.8%). There was an association between STI diagnosis and having children, which was a protective fact (p=0.036; OR: 8.81). Most had sufficient knowledge about HIV (75.6%). Condoms and lubricants were more commonly purchased (38.2%; 42.9%) and STI testing was performed by the majority (56.7%). The main place of care was private practice (56.6%). Performing tests in the last year and signs of STI were associated with STI diagnosis (p<0.01). Fixed partnerships (63.4%) were more reported and this group used condoms less. As for drug use, involvement was higher with alcohol (80.7%), tobacco (59.4%) and marijuana (59%). As for the risk for developing dependence, most were classified as moderate (54.8%). Marital status (p=0.01), current housing (p=0.01), and religion (p<0.01) were related to the degree of drug dependence. The individual vulnerabilities most identified were low self-perception of risk, non-use of condoms, chemical sex, and multiple sexual partnerships. The social vulnerabilities were: ease of acquiring drugs, stigma and prejudice, influence of friends or lack of social support. The programmatic vulnerabilities were: weakening of programs to confront HIV/AIDS, sexually transmitted infections, and support to people who use drugs, and loss in services regarding human and material resources.
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spelling Vulnerabilidades da população LGBTQIA+ relacionadas às infecções sexualmente transmissíveis e ao consumo de drogasVulnerabilidade em SaúdeMinorias Sexuais e de GêneroInfecções Sexualmente TransmissíveisSíndrome de Imunodeficiência AdquiridaAbuso Oral de SubstânciasEnfermagemHIVThe study aimed to understand the vulnerabilities of the LGBTQIA+ population to sexually transmitted infections/HIV (STI) and their involvement with drugs. Observational research, with a cross-sectional, quantitative and correlational, descriptive and analytical approach. Participants were Brazilians aged 18 years or older, self-reported LGBTQIA+ with at least one sexual encounter in the last twelve months. For data collection we used an survey with information about sociodemographic data, knowledge about HIV, access to health services, STI testing and sexual behavior, and the Alcohol, Smoking and Substance Involvement Screening Test (ASSIST) to verify drug involvement. Data were organized and analyzed using the Statistical Package for the Social Sciences (SPSS) v.23.0 for Windows® software, calculating absolute and relative frequencies, confidence intervals and applying the Kruskal-Wallis, chi-square and Fisher statistical tests. The research was approved by the Research Ethics Committee of the Federal University of Ceará, with approval number 3.921.161. The sample was composed of 254 participants, aged 18 to 25 years (78.7%), male (54.6%), cisgender (91.7%), homosexual (57.1%), and brown skin color (33%). Most were single (51.2%) and had no children (98%), and the main occupation was student (56.6%) with incomplete higher education (52.8%). There was an association between STI diagnosis and having children, which was a protective fact (p=0.036; OR: 8.81). Most had sufficient knowledge about HIV (75.6%). Condoms and lubricants were more commonly purchased (38.2%; 42.9%) and STI testing was performed by the majority (56.7%). The main place of care was private practice (56.6%). Performing tests in the last year and signs of STI were associated with STI diagnosis (p<0.01). Fixed partnerships (63.4%) were more reported and this group used condoms less. As for drug use, involvement was higher with alcohol (80.7%), tobacco (59.4%) and marijuana (59%). As for the risk for developing dependence, most were classified as moderate (54.8%). Marital status (p=0.01), current housing (p=0.01), and religion (p<0.01) were related to the degree of drug dependence. The individual vulnerabilities most identified were low self-perception of risk, non-use of condoms, chemical sex, and multiple sexual partnerships. The social vulnerabilities were: ease of acquiring drugs, stigma and prejudice, influence of friends or lack of social support. The programmatic vulnerabilities were: weakening of programs to confront HIV/AIDS, sexually transmitted infections, and support to people who use drugs, and loss in services regarding human and material resources.Objetivou-se compreender as vulnerabilidades da população LGBTQIA+ às infecções sexualmente transmissíveis (IST/HIV) e ao consumo de drogas. Pesquisa observacional, com abordagem quantitativa, transversal, descritiva e analítica. Participaram brasileiros com idade igual ou superior a 18 anos, autorreferidos LGBTQIA+ com, pelo menos um encontro sexual nos últimos doze meses. Para a coleta de dados foram utilizados instrumento com dados sociodemográficos, conhecimento sobre HIV, acesso aos serviços de saúde, testagem para IST e comportamento sexual, além do Alcohol, Smoking and Substance Involvement Screening Test (ASSIST) para verificar o consumo de drogas. Os dados foram organizados e analisados no software Statistical Package for the Social Sciences (SPSS) v.23.0, para Windows®, utilizando-se cálculos de frequências absolutas e relativas, intervalo de confiança, testes estatísticos de Kruskal-Wallis, qui-quadrado e Fisher. A pesquisa foi aprovada pelo Comitê de Ética em Pesquisa da Universidade Federal do Ceará, sob o número: 3.921.161. A amostra foi composta por 254 participantes, com faixa etária de 18 a 25 anos (78,7%), gênero masculino (54,6%), cisgênero (91,7%), homossexual (57,1%) e cor da pele parda (33%). A maioria estava solteira (51,2%) e não possuía filhos (98%), a principal ocupação era estudante (56,6%) com ensino superior incompleto (52,8%). Houve associação entre diagnóstico de IST e ter filhos, sendo esse um fator protetivo (p=0,036; OR: 8,81). A maioria possuía conhecimento suficiente sobre HIV (75,6%). Preservativos e lubrificantes foram mais adquiridos por compra (38,2%; 42,9%) e testagens para IST foram realizadas pela maioria (56,7%). Principal local de atendimento foi o consultório particular (56,6%). A realização de exames no último ano e sinais de IST estiveram associados ao diagnóstico de IST (p=0,04 e 0,01, respectivamente). Parcerias fixas (63,4%) foram mais reportadas e este grupo usava menos preservativo. Quanto ao consumo de drogas, o envolvimento foi maior com álcool (80,7%), tabaco (59,4%) e maconha (59%). Quanto ao risco para desenvolvimento de dependência, a maioria foi classificado como moderado (54,8%). Situação conjugal (p=0,01), moradia atual (p=0,01) e religião (p<0,01) estiveram relacionados ao grau de dependência às drogas. As vulnerabilidades individuais mais identificadas foram baixa autopercepção de risco, não uso do preservativo, sexo químico e múltiplas parcerias sexuais. As vulnerabilidades sociais foram: facilidade de adquirir drogas, estigma e preconceito, influência de amigos ou falta de apoio social. As vulnerabilidades programáticas foram: fragilização de programas de enfrentamento ao HIV/Aids/IST e de apoio à pessoa que usa drogas, prejuízo nos serviços quanto à recursos humanos e materiais.Pinheiro, Ana Karina BezerraSouza, Izabel Cristina de2021-12-03T11:18:52Z2021-12-03T11:18:52Z2021-07-16info:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/masterThesisapplication/pdfSOUZA, I. C. Vulnerabilidades da população LGBTQIA+ relacionadas às infecções sexualmente transmissíveis e ao consumo de drogas. 2021. 147 f. Dissertação (Mestrado em Enfermagem) - Faculdade de Farmácia, Odontologia e Enfermagem, Universidade Federal do Ceará, Fortaleza, 2021. Disponível em: http://www.repositorio.ufc.br/handle/riufc/62694. Acesso em: 03/12/2021.http://www.repositorio.ufc.br/handle/riufc/62694porreponame:Repositório Institucional da Universidade Federal do Ceará (UFC)instname:Universidade Federal do Ceará (UFC)instacron:UFCinfo:eu-repo/semantics/openAccess2021-12-03T12:28:38Zoai:repositorio.ufc.br:riufc/62694Repositório InstitucionalPUBhttp://www.repositorio.ufc.br/ri-oai/requestbu@ufc.br || repositorio@ufc.bropendoar:2024-09-11T18:44:29.609038Repositório Institucional da Universidade Federal do Ceará (UFC) - Universidade Federal do Ceará (UFC)false
dc.title.none.fl_str_mv Vulnerabilidades da população LGBTQIA+ relacionadas às infecções sexualmente transmissíveis e ao consumo de drogas
title Vulnerabilidades da população LGBTQIA+ relacionadas às infecções sexualmente transmissíveis e ao consumo de drogas
spellingShingle Vulnerabilidades da população LGBTQIA+ relacionadas às infecções sexualmente transmissíveis e ao consumo de drogas
Souza, Izabel Cristina de
Vulnerabilidade em Saúde
Minorias Sexuais e de Gênero
Infecções Sexualmente Transmissíveis
Síndrome de Imunodeficiência Adquirida
Abuso Oral de Substâncias
Enfermagem
HIV
title_short Vulnerabilidades da população LGBTQIA+ relacionadas às infecções sexualmente transmissíveis e ao consumo de drogas
title_full Vulnerabilidades da população LGBTQIA+ relacionadas às infecções sexualmente transmissíveis e ao consumo de drogas
title_fullStr Vulnerabilidades da população LGBTQIA+ relacionadas às infecções sexualmente transmissíveis e ao consumo de drogas
title_full_unstemmed Vulnerabilidades da população LGBTQIA+ relacionadas às infecções sexualmente transmissíveis e ao consumo de drogas
title_sort Vulnerabilidades da população LGBTQIA+ relacionadas às infecções sexualmente transmissíveis e ao consumo de drogas
author Souza, Izabel Cristina de
author_facet Souza, Izabel Cristina de
author_role author
dc.contributor.none.fl_str_mv Pinheiro, Ana Karina Bezerra
dc.contributor.author.fl_str_mv Souza, Izabel Cristina de
dc.subject.por.fl_str_mv Vulnerabilidade em Saúde
Minorias Sexuais e de Gênero
Infecções Sexualmente Transmissíveis
Síndrome de Imunodeficiência Adquirida
Abuso Oral de Substâncias
Enfermagem
HIV
topic Vulnerabilidade em Saúde
Minorias Sexuais e de Gênero
Infecções Sexualmente Transmissíveis
Síndrome de Imunodeficiência Adquirida
Abuso Oral de Substâncias
Enfermagem
HIV
description The study aimed to understand the vulnerabilities of the LGBTQIA+ population to sexually transmitted infections/HIV (STI) and their involvement with drugs. Observational research, with a cross-sectional, quantitative and correlational, descriptive and analytical approach. Participants were Brazilians aged 18 years or older, self-reported LGBTQIA+ with at least one sexual encounter in the last twelve months. For data collection we used an survey with information about sociodemographic data, knowledge about HIV, access to health services, STI testing and sexual behavior, and the Alcohol, Smoking and Substance Involvement Screening Test (ASSIST) to verify drug involvement. Data were organized and analyzed using the Statistical Package for the Social Sciences (SPSS) v.23.0 for Windows® software, calculating absolute and relative frequencies, confidence intervals and applying the Kruskal-Wallis, chi-square and Fisher statistical tests. The research was approved by the Research Ethics Committee of the Federal University of Ceará, with approval number 3.921.161. The sample was composed of 254 participants, aged 18 to 25 years (78.7%), male (54.6%), cisgender (91.7%), homosexual (57.1%), and brown skin color (33%). Most were single (51.2%) and had no children (98%), and the main occupation was student (56.6%) with incomplete higher education (52.8%). There was an association between STI diagnosis and having children, which was a protective fact (p=0.036; OR: 8.81). Most had sufficient knowledge about HIV (75.6%). Condoms and lubricants were more commonly purchased (38.2%; 42.9%) and STI testing was performed by the majority (56.7%). The main place of care was private practice (56.6%). Performing tests in the last year and signs of STI were associated with STI diagnosis (p<0.01). Fixed partnerships (63.4%) were more reported and this group used condoms less. As for drug use, involvement was higher with alcohol (80.7%), tobacco (59.4%) and marijuana (59%). As for the risk for developing dependence, most were classified as moderate (54.8%). Marital status (p=0.01), current housing (p=0.01), and religion (p<0.01) were related to the degree of drug dependence. The individual vulnerabilities most identified were low self-perception of risk, non-use of condoms, chemical sex, and multiple sexual partnerships. The social vulnerabilities were: ease of acquiring drugs, stigma and prejudice, influence of friends or lack of social support. The programmatic vulnerabilities were: weakening of programs to confront HIV/AIDS, sexually transmitted infections, and support to people who use drugs, and loss in services regarding human and material resources.
publishDate 2021
dc.date.none.fl_str_mv 2021-12-03T11:18:52Z
2021-12-03T11:18:52Z
2021-07-16
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dc.type.driver.fl_str_mv info:eu-repo/semantics/masterThesis
format masterThesis
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dc.identifier.uri.fl_str_mv SOUZA, I. C. Vulnerabilidades da população LGBTQIA+ relacionadas às infecções sexualmente transmissíveis e ao consumo de drogas. 2021. 147 f. Dissertação (Mestrado em Enfermagem) - Faculdade de Farmácia, Odontologia e Enfermagem, Universidade Federal do Ceará, Fortaleza, 2021. Disponível em: http://www.repositorio.ufc.br/handle/riufc/62694. Acesso em: 03/12/2021.
http://www.repositorio.ufc.br/handle/riufc/62694
identifier_str_mv SOUZA, I. C. Vulnerabilidades da população LGBTQIA+ relacionadas às infecções sexualmente transmissíveis e ao consumo de drogas. 2021. 147 f. Dissertação (Mestrado em Enfermagem) - Faculdade de Farmácia, Odontologia e Enfermagem, Universidade Federal do Ceará, Fortaleza, 2021. Disponível em: http://www.repositorio.ufc.br/handle/riufc/62694. Acesso em: 03/12/2021.
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