Perfil epidemiol?gico e fatores associados ? infec??o por HIV/AIDS em adolescentes e adultos jovens
Ano de defesa: | 2013 |
---|---|
Autor(a) principal: | |
Orientador(a): | |
Banca de defesa: | |
Tipo de documento: | Dissertação |
Tipo de acesso: | Acesso aberto |
Idioma: | por |
Instituição de defesa: |
Universidade Estadual de Feira de Santana
|
Programa de Pós-Graduação: |
Mestrado Acad?mico em Sa?de Coletiva
|
Departamento: |
DEPARTAMENTO DE SA?DE
|
País: |
Brasil
|
Palavras-chave em Português: | |
Palavras-chave em Inglês: | |
Área do conhecimento CNPq: | |
Link de acesso: | 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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Costa, Maria Concei??o Oliveira01493106503http://lattes.cnpq.br/8775962170146717Pereira, Bianca de Souza2015-07-29T00:08:00Z2013-03-22PEREIRA, Bianca de Souza. Perfil epidemiol?gico e fatores associados ? infec??o por HIV/AIDS em adolescentes e adultos jovens. 2013. 84 f. Disserta??o (Mestrado Acad?mico em Sa?de 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.Introdu??o: Em n?vel mundial existem cerca de 34 milh?es de pessoas infectadas pelo HIV cujas estimativas apontam 10 milh?es na faixa-et?ria de 15-24 anos. A presen?a de HIV/ AIDS em adolescentes e adultos jovens tem se caracterizado como um grave problema de sa?de p?blica e tem se destacado nas agendas das pol?ticas de controle e preven??o, em n?vel nacional e internacional, tendo em vista a elevada susceptibilidade deste grupo ? infec??o. Objetivo: investigar o perfil epidemiol?gico e os fatores associados ? ocorr?ncia de HIV/AIDS em adolescentes e adultos jovens cadastrados no Centro de Refer?ncia Municipal DST/HIV/AIDS, em Feira de Santana, no per?odo de 2007 a 2011. M?todo: estudo anal?tico com delineamento transversal com dados do SIS/CTA de Feira de Santana, totalizando 1.032 adolescentes 2.736 adultos jovens As vari?veis estudadas foram sociodemogr?ficas: sexo, idade, munic?pio e zona de resid?ncia, escolaridade, ocupa??o, idade, situa??o conjugal, cor da pele, relacionadas a exposi??o com parceiro: uso do preservativo, motiva??o para n?o uso do preservativo, tipo de parceiro e relacionadas ao h?bitos de vida: uso de ?lcool e outras drogas, compartilhamento de seringas, presen?a e tratamento de DST, orienta??o sexual, multiplicidade de parceiros, tipo de exposi??o ao HIV. Foram calculadas frequ?ncias simples e absolutas e realizadas an?lises estratificadas das vari?veis agrupadas, assim como calculadas as preval?ncias (P) e raz?o de preval?ncia (RP), para avaliar poss?veis associa??es entre status sorol?gico e fatores de exposi??o em ambos os sexos. Adotou-se n?vel de confian?a de 95% e signific?ncia ? 0,05%. Resultados: adolescentes e adultos jovens mostraram equival?ncia, quanto aos fatores sociodemogr?ficos (cor da pele, escolaridade, munic?pio e zona de resid?ncia, situa??o conjugal e ocupa??o), entretanto as mulheres soropositivas de 20-24 anos diferiram quanto ? situa??o conjugal, onde a maioria era casada. A ocorr?ncia de DST no sexo masculino se deu em maior propor??o em homens soropositivos, enquanto que com as mulheres foi exatamente o contr?rio, onde maioria tratou das DST, nos servi?os de sa?de, ressaltando que as propor??es daqueles que n?o trataram ou se automedicaram, foi consideravelmente superior no grupo de soropositivos. Em rela??o ao uso do preservativo com parceiro est?vel ou eventual, mais 80% relataram n?o fazer uso, cujas motiva??es para aus?ncia dessa pr?tica estavam ligadas aos fatores pessoais e relacionados ao parceiro. Quanto aos fatores associados a infec??o pelo HIV, no sexo feminino, observou-se associa??o significante para o uso de drogas, sendo ?lcool e outras drogas, uni?o est?vel/casamento, al?m da n?o utiliza??o do preservativo relacionado a fatores pessoais e externos. No sexo masculino, os resultados significantes estavam ligados ao uso de outras drogas e ? orienta??o sexual; em ambos os sexos, associado ao parceiro est?vel ser portador de HIV ou DST. Conclus?es: caracter?sticas sociodemogr?ficas e comportamentais podem ter impacto no processo de transmiss?o e infec??o da doen?a, constituindo-se como aspectos de extrema relev?ncia na promo??o de a??es em servi?o. Frente ? vulnerabilidade do adolescente a adulto jovem, considera-se fundamental o desenvolvimento da consci?ncia e mudan?a de atitude, frente ? epidemia de AIDS, adotando comportamento de autoprote??o.Submitted by Ricardo Cedraz Duque Moliterno (ricardo.moliterno@uefs.br) on 2015-07-29T00:08:00Z No. of bitstreams: 1 DISSERTA??O BIANCA.pdf: 7659120 bytes, checksum: 07cedc8bc1354313063c6b3f7449f5f0 (MD5)Made available in DSpace on 2015-07-29T00:08:00Z (GMT). No. of bitstreams: 1 DISSERTA??O BIANCA.pdf: 7659120 bytes, checksum: 07cedc8bc1354313063c6b3f7449f5f0 (MD5) Previous issue date: 2013-03-22Funda??o de Amparo ? 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dc.title.por.fl_str_mv |
Perfil epidemiol?gico e fatores associados ? infec??o por HIV/AIDS em adolescentes e adultos jovens |
title |
Perfil epidemiol?gico e fatores associados ? infec??o por HIV/AIDS em adolescentes e adultos jovens |
spellingShingle |
Perfil epidemiol?gico e fatores associados ? infec??o 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 epidemiol?gico e fatores associados ? infec??o por HIV/AIDS em adolescentes e adultos jovens |
title_full |
Perfil epidemiol?gico e fatores associados ? infec??o por HIV/AIDS em adolescentes e adultos jovens |
title_fullStr |
Perfil epidemiol?gico e fatores associados ? infec??o por HIV/AIDS em adolescentes e adultos jovens |
title_full_unstemmed |
Perfil epidemiol?gico e fatores associados ? infec??o por HIV/AIDS em adolescentes e adultos jovens |
title_sort |
Perfil epidemiol?gico e fatores associados ? infec??o 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 Concei??o 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 Concei??o 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 epidemiol?gico e fatores associados ? infec??o por HIV/AIDS em adolescentes e adultos jovens. 2013. 84 f. Disserta??o (Mestrado Acad?mico em Sa?de Coletiva) - Universidade Estadual de Feira de Santana, Feira de Santana, 2013. |
dc.identifier.uri.fl_str_mv |
http://localhost:8080/tede/handle/tede/126 |
identifier_str_mv |
PEREIRA, Bianca de Souza. Perfil epidemiol?gico e fatores associados ? infec??o por HIV/AIDS em adolescentes e adultos jovens. 2013. 84 f. Disserta??o (Mestrado Acad?mico em Sa?de Coletiva) - Universidade Estadual de Feira de Santana, Feira de Santana, 2013. |
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