Mestrado em Ciências da Saúde (FM)
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Navegando Mestrado em Ciências da Saúde (FM) por Por Orientador "Alves, Rosane Ribeiro Figueiredo"
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Item Fatores associados ao comportamento sexual de risco em adolescentes e adultas jovens(Universidade Federal de Goiás, 2018-07-03) Anjos, Caroline Ferreira dos; Alves, Rosane Ribeiro Figueiredo; http://lattes.cnpq.br/8335736301768972; Saddi, Vera Aparecida; Deus, José Miguel de; Conde, Délio MarquesAdolescents and young people engage in risky sexual behavior, resulting in increased number of sexually transmitted infections, and maintaining high rates of pregnancy. PURPOSE. To evaluate the differences in sociodemographic and behavioral characteristics among sexually active and virgin participants; to estimate the prevalence and to identify factors associated with sexual iniciation up to age 15, and inconsistent condom use, and identify the reasons for not using condom among adolescents and young adults. METHODS. A community-based, cross-sectional study involving 1072 adolescents and young women, aged 15 to 24 years, living in three medium-sized cities in the state of Goiás, between 2007 and 2009. All of them answered a questionnaire containing sociodemographic and behavioral data. In order to evaluate the factors associated with sexual iniciation up to age 15, and inconsistent condom use, a logistic regression analysis was performed, with odds ratio (OR) and adjusted OR, with 95% confidence interval and level of statistical significance of 5% (p <0.05). All of them signed the free and informed consent form. For minors under 18 years old the exemption of the parents' signature was obtained by court order. The project was approved by the Ethics and Research Committee. RESULTS. Of 1072, 64.9% were sexually active. Sexually active women were 6.3 (95% CI: 3.98-9.96) times more probability of being older than 19 years old, and 2.04 (95% CI: 1.19-3.49) times more probability of having schooling less than eight years. The prevalence of sexual iniciation up to age 15 was 46.4% (95% CI: 42.7-50.1) and inconsistent condom use was 73.2% (95% CI: 63.9% 82.6). The factors associated with sexual iniciation up to age 15 were age less than 19 years old, had no religion and had schooling less than eight years, with a OR of 3.13 (2.22-4.40), 2.05 (1.17-3.58) and 6.21 (4.14- 9.32) respectively. The only factor associated with inconsistent condom use was marital status or stable union, with OR 4.63 (2.86-7.50). The most frequently cited reasons for non-use of condom were "partner trust" by 49.8% and "partner dislikes" by 43.7%. CONCLUSION. The prevalence of sexual initiation up to age 15, and inconsistent condom use were high. The factors associated with these behaviors were different. Age less than 19 years old were associated with sexualiniciation up to 15, indicating a likely reduction in the age of sexual iniciation in adolescence. The most frequent reasons for not using condoms were related to the sexual partner, which indicates that gender factors need to be addressed in sex education strategies.Item Sífilis materna no estado de Goiás: análise de série histórica de 2007 a 2017(Universidade Federal de Goiás, 2020-08-13) Oliveira, Iana Mundim de; Oliveira, Rivert Paulo Braga; http://lattes.cnpq.br/0048917456220923; Alves, Rosane Ribeiro Figueiredo; http://lattes.cnpq.br/8335736301768972; Alves, Rosane Ribeiro Figueiredo; Deus, José Miguel de; Silveira, Érika Aparecida daBACKGROUND: Maternal syphilis is an important public health problem in Brazil and worldwide, responsible for high rates of intrauterine and postnatal morbidity and mortality. In the last decades there has been an increase in the number of cases in Goiás, which requires epidemiological studies on the behavior of the disease in pregnant women OBJECTIVES: Analyze trends in incidence, clinical and laboratory aspects of maternal syphilis, in the state of Goiás, between 2007 and 2017. METHODS: Time series study, using data from compulsory notification of syphilis during pregnancy, in the state of Goiás, between the years 2007 to 2017. The incidence of maternal syphilis was calculated by dividing the number of reported cases by the population of live births each year, times a thousand live births. The analysis of the average annual percentage variation and the incidence by municipality size were calculated using a linear model with first order autoregressive errors (AR), via Prais Winsten's transformation, in the R software, and for this, the number of inhabitants 2010 CENSUS was considered. The spatial correlation was measured using the Moran Index (I). The clinical and sociodemographic variables were analyzed descriptively. The Cochran-Armitage test was used to verify trends in proportions. RESULTS: Between 2007 and 2017, 7,774 cases of maternal syphilis were recorded in Goiás. The age of pregnant women with syphilis varied between 12 and 49 years, with an average of 24.8 years (SD 6.5). The incidence was higher in the second trimester of pregnancy, in those with a lower level of education and brown skin, and the most frequent clinical form was the primary. The annual incidence rate of syphilis during pregnancy ranged between 2.9 and 15.6 cases per thousand live births, with an average annual growth of 1.21 cases per year from 2007 to 2017 (95% CI: 0.78-1, 65). The annual percentage change (APC) increased by 17.8% (95% CI: 16.9-18.8) in the period studied, with a statistically significant spatial correlation (p = 0.0035). The size of the municipality was not significant to explain the variation in incidence. Between 2007 and 2017, there was an increasing trend in the percentage of reports of latent syphilis (14.1% to 30.7%), secondary (5.2% to 19.0%) and tertiary (4.4% to 11, 4%) and treatment with benzathine penicillin at a dose of 7.2 million (19.3% to 59.6%). A decreasing trend was observed in the percentages of data without information (from 10.0% in 2007 to 8.8% in 2017) or ignored (from 22.9% in 2007 to 8.0% in 2017). CONCLUSION: There was a linear increase in the incidence of syphilis during pregnancy in Goiás in recent years, with a statistically significant spatial correlation, however, the size of the municipality was not significant to explain the variation in incidence. The increase in reports of latent syphilis and the use of penicillin in the appropriate dose for this classification, associated with the reduction of ignored or unfilled data, suggest an improvement in the notification process.