Abstract
Introduction: Adolescence is marked by biopsychosocial and behavioral changes important for the construction of autonomy during new experiences. However, some habits during this phase may pose risk to HIV infection.
Objective: To evaluate the adolescents' practices that may pose a risk to HIV infection, contrasting behavioral aspects with the level of prior knowledge about this infection.
Methods: This is a cross-sectional study with descriptive, quantitative and correlational approaches applied to 273 adolescents from public educational institutions in six Brazilian municipalities. The data were collected through two questionnaires which focused on self-care and the level of knowledge about anatomy, pathophysiology and risk factors of HIV infection. Absolute and relative frequency measures were used, as well as Pearson correlation tests (p value < 0.05).
Results: There was a higher representativeness of 16-17 years-old and female school adolescents. The results showed risk behaviors for HIV exposure such as early sexual activity (38.4%), drug use (21.8%), multiple sexual partners (40.4%) and unprotected sex (54.5%); this was a scenario that was not necessarily related to the lack of knowledge. Notwithstanding, the study points out that the earlier the debut sexual activities or drug use, the greater the number of sexual partners during adolescence, suggesting a high risk of HIV infection. In regards to the use of interactive methodologies, these presented themselves as potential tools in permanent health education.
Conclusion: The study verified the important risk behaviors related to HIV infection by school adolescents, and also that these practices are not necessarily linked to the lack of knowledge about this issue. The implications of this study are directed towards the promotion of changes in practices of health and education professionals, as well as the development of public policies aimed at reducing the adolescents’ risk behaviors.
References
United Nations Joint Programme on HIV/AIDS. UNAIDS data 2019. Disponible en: https://www.unaids.org/sites/default/files/media_asset/2019-UNAIDS-data_en.pdf
Ministério da Saúde. Boletim epidemiológico de HIV/AIDS. Brasil; 2020. Disponible en: http://www.aids.gov.br/pt-br/pub/2020/boletim-epidemiologico-hivaids-2020
Saag MS. HIV infection—screening, diagnosis, and treatment.New England Journal of Medicine[Internet]. 2021;384(22), 2131-2143. doi: 10.1056/NEJMcp1915826
World Health Organization. Estatísticas –UNAIDS. Brasil; 2020. Disponible en: http://unaids.org.br/estatisticas/
Ministério da Saúde. Programa nacional de DST e AIDS -Boletim Epidemiológico HIV AIDS. Brasil; 2017. Disponible en: http://www.aids.gov.br/pt-br/pub/2017/boletim-epidemiologico-hivaids-2017
Andersson GZ, Reinius M, Eriksson LE, Svedhem V, EsfahaniFM, Deuba K et al. Stigma reduction interventions in people living with HIV to improve health-related quality of life.The Lancet HIV[Internet]. 2020;7(2), e129-e140. doi: 10.1016/S2352-3018(19)30343-1
Ashaba S, Cooper-Vince CE, Vořechovská D, Rukundo GZ, Maling S, Akena D et al. Community beliefs, HIV stigma, and depression among adolescents living with HIV in rural Uganda.African journal of AIDS research[Internet]. 2019; 18(3), 169-180. doi:10.2989/16085906.2019.1637912
Logie CH, Okumu M, Kibuuka Musoke D, Hakiza R, Mwima S, Kyambadde P et al. Intersecting stigma and HIV testing practices among urban refugee adolescents and youth in Kampala, Uganda: qualitative findings.Journal of the International AIDS Society[Internet]. 2021;24(3), e25674. doi: 10.1002/jia2.25674
Main DS, Iverson DC, McGloin J. Comparison of HIV-risk behaviors and demographics of adolescents tested or not tested for HIV infection.Public Health Reports[Internet]. 1994;109(5), 699-702. Disponible en: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC1403561/
Ludwig A, Monico LB, Gryczynski J, Lertch E, Schwartz RP, Fishman M ET AL. Drug and sexual HIV-risk behaviors among adolescents and young adults with opioid use disorder.Journal of Substance Abuse Treatment[Internet]. 2021;130, 108477. doi: 10.1016/j.jsat.2021.108477
Haney-Caron E, Brown LK, Tolou-Shams M. Brief Report: HIV Testing and Risk Among Justice-Involved Youth.AIDS and Behavior[Internet]. 2021;25(5), 1405-1410. doi: 10.1007/s10461-020-02978-z
Santos ALC, Silva FVC, Santos LGT, Feitosa AAAFMA. Dificuldades apontadas por professores do programa de mestrado profissional em ensino de biologia para o uso de metodologias ativas em escolas de rede pública na Paraíba. Brazilian Journal of Development[Internet]. 2020; 6(4), 21959-21973. doi: 10.34117/bjdv6n4-386
Monteiro RSDM, Feijão AR, Barreto VP, Silva BCOD, Neco KKDS, Aquino ARGD. Ações educativas sobre prevenção de HIV/AIDS entre adolescentes em escolas.Enfermería Actual de Costa Rica[Internet]. 2019; (37), 206-222. doi: 10.15517/revenf.v0ino.37.36749
da Silva NM, de Holanda Rego TL, de Lima Mendonça L, de Queiroz TDR, Maia AMLR. O uso das metodologias ativas no ensino da anatomia e da fisiopatologia de agravos à saúde no ensino público de base: um relato de experiência.Extendere[Internet]. 2020;7(1), 77-89. Disponible en: http://natal.uern.br/periodicos/index.php/EXT/article/view/2146
de Queiroz TDR, de Lima Mendonça L, de Holanda Rego TL, da Silva NM, Maia AMLR. Impressões de estudantes do ensino médio acerca da reverberação do ensino anatômico e fisiopatológico de agravos à saúde transposto à zona rural de Mossoró/RN: Um relato de experiência.Extendere[Internet]. 2020; 7(1), 35-46. Disponible en: http://natal.uern.br/periodicos/index.php/EXT/article/view/2143
McCurdy SA. Willingness to provide behavioral health recommendations: a cross-sectional study of entering medical students.BMC medical education[Internet]. 2012; 12(1), 28. doi: 10.1186/1472-6920-12-28
Araújo JAC, Linhares ERS, Andrade AJB, Silva CAA, Nascimento EGC. Percepções e vivência de violência nos relacionamentos interpessoais e afetivos de adolescentes escolares. Adolescência & Saúde[Internet]. 2020; 17(2), 1-11. Disponible en: https://www.researchgate.net/profile/Crislayne-Silva/publication/344272445
Oliveira-Campos M, Nunes ML, Madeira FDC, Santos MG, Bregmann SR, Malta DC et al. Comportamento sexual em adolescentes brasileiros, Pesquisa Nacional de Saúde do Escolar (PeNSE 2012).Revista Brasileira de Epidemiologia[Internet]. 2014;17, 116-130. doi: 10.1590/1809-4503201400050010
Vieira KJ, Barbosa NG, Dionízio LDA, Santarato N, Monteiro JCDS, Gomes-Sponholz FA. Início da atividade sexual e sexo protegido em adolescentes.Escola Anna Nery[Internet]. 2021;25(3):e20200066. doi: 10.1590/2177-9465-EAN-2020-0066
Fuchs HB, Borges LN, Novadzki IM, Bermudez BEBV. Comportamento Sexual na Adolescência.Adolescencia e Saude[Internet]. 2019;16(3), 93-101. Disponible en: http://adolescenciaesaude.com/detalhe_artigo.asp?id=801&idioma=Espanhol
Lima MSD, Raniere JC, Paes CJO, Gonçalves LHT, Cunha CLF, Ferreira GRON et al. Associação entre conhecimento sobre HIV e fatores de risco em jovens amazônidas.Revista Brasileira de Enfermagem[Internet]. 2020; 73(5). doi: 10.1590/0034-7167-2019-0453
de Araújo TME, de Souza Monteiro CF, Mesquita GV, Alves ELM, de Carvalho KM, Monteiro RM. Fatores de risco para infecção por HIV em adolescentes [Risk factors for HIV infection in adolescents][Factores de riesgo para infección por VIH en adolescentes]. Revista Enfermagem UERJ[Internet]. 2012; 20(2), 242-247. Disponível em: https://www.e-publicacoes.uerj.br/index.php/enfermagemuerj/article/view/4072
Castro ELD, Caldas TAD, Morcillo AM, Pereira EMDA, Velho PENF. O conhecimento e o ensino sobre doenças sexualmente transmissíveis entre universitários.Ciência & Saúde Coletiva[Internet]. 2016;21, 1975-1984. doi: 10.1590/1413-81232015216.00492015
Dzah SM, Tarkang EE, Lutala PM. Knowledge, attitudes and practices regarding HIV/AIDS among senior high school students in Sekondi-Takoradi metropolis, Ghana.African journal of primary health care & family medicine[Internet]. 2019;11(1), 1-11. doi: 10.4102/phcfm.v11i1.1875
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