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2016年巴西陆军新兵中按地理区域划分的HIV感染风险行为画像。

A portrait of risk behavior towards HIV infection among Brazilian Army conscripts by geographic regions, 2016.

作者信息

Damacena Giseli Nogueira, Szwarcwald Célia Landmann, Motta Leonardo Rapone da, Kato Sérgio Kakuta, Adami Aline de Gregori, Paganella Machline Paim, Pereira Gerson Fernando Mendes, Sperhacke Rosa Dea

机构信息

Institute of Communication and Scientific Information and Technology in Health, Oswaldo Cruz Foundation- Rio de Janeiro (RJ), Brazil.

Laboratório de Pesquisa em HIV/Aids (LPHA), University of Caxias do Sul (UCS) - Caxias do Sul (RS), Brazil.

出版信息

Rev Bras Epidemiol. 2019 Sep 26;22Suppl 1(Suppl 1):e190009. doi: 10.1590/1980-549720190009.supl.1. eCollection 2019.

Abstract

INTRODUCTION

Knowledge about risky sexual behavior among young people has been widely acknowledged as a key tool to controlling the spread of HIV. This article aimed at presenting the risk behavior of Brazilian Army conscripts toward HIV infection according to the country's geographic regions. .

METHOD

We collected data from 37,282 conscripts, aged 17 to 22, during enlistment in the Brazilian Army in 2016. The prevalence of HIV infection, both self-reported and measured through laboratory results, and risk behavior factors were estimated by region.

RESULTS

75% of the sample of conscripts reported to have already started sexual activity, and the average age of their sexual initiation was 15. Condom use varied according to the type of sexual relationship, being lower among steady partners and greater among less stable relationships. HIV prevalence assessed by laboratory tests was 0.12% across the country and the highest prevalence was observed in the North region (0.24%). Alcohol and illicit drug usage was higher in the South region.

DISCUSSION

The study allowed the observation of risk behavior monitoring for HIV infection among young Brazilians. Lower condom usage among steady partners may be contributing to an increase in the number of HIV-infected individuals.

CONCLUSION

Results suggest the need to intensify prevention campaigns to disseminate safe sex practices among young people, in addition to the expansion of testing offer to this population.

摘要

引言

年轻人的危险性行为知识已被广泛认可为控制艾滋病毒传播的关键工具。本文旨在根据巴西的地理区域,呈现巴西陆军新兵感染艾滋病毒的风险行为。

方法

我们收集了2016年巴西陆军征兵期间37282名年龄在17至22岁之间的新兵的数据。通过自我报告和实验室检测结果估算艾滋病毒感染率以及各地区的风险行为因素。

结果

75%的新兵样本报告称已经开始性行为,其首次性行为的平均年龄为15岁。避孕套的使用情况因性关系类型而异,在稳定伴侣中使用率较低,在较不稳定的关系中使用率较高。通过实验室检测评估的全国艾滋病毒感染率为0.12%,北部地区的感染率最高(0.24%)。南部地区的酒精和非法药物使用率较高。

讨论

该研究有助于观察巴西年轻人中艾滋病毒感染风险行为的监测情况。稳定伴侣中避孕套使用率较低可能导致艾滋病毒感染者数量增加。

结论

结果表明,除了扩大针对该人群的检测服务外,还需要加强预防宣传活动,向年轻人传播安全性行为做法。

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