Barbosa Thiago Luis de Andrade, Gomes Ludmila Mourão Xavier, Holzmann Ana Paula Ferreira, Cardoso Leia, Paula Alfredo Maurício Batista de, Haikal Desirée Sant'Ana
Universidade Federal da Integração Latino-Americana, Foz do Iguaçu, PR, Brasil.
Universidade Estadual de Montes Claros, Montes Claros, MG, Brasil.
Epidemiol Serv Saude. 2020 Apr 17;29(1):e2018478. doi: 10.5123/S1679-49742020000100015. eCollection 2020.
to investigate self-reported counseling practice of primary health care (PHC) professionals on sexually transmitted infections (STI) and HIV/AIDS in Montes Claros, MG, Brazil, 2015-2016.
this was a cross-sectional study using a questionnaire answered by PHC physicians and nurses; their practice was classified as being adequate/inadequate based on the recommendations of Ministry of Health manuals; four thematic areas were investigated - counseling provision; prevention measures; risk behavior and vulnerability assessment; serological testing.
146 professionals participated (41.1% physicians; 58.9% nurses); only 25.7% of professionals reported adequate practices; the area with the highest proportion of inadequate self-reported practice was 'risk behavior and vulnerability assessment' (69.9%); physicians overall practice was more likely to be appropriate than that of nurses (OR=3.48 - 95%CI 1.57;7.70), especially for 'serological testing'.
self-reported STI and HIV/AIDS counseling practices in PHC were found to be inadequate, revealing the need to intensify health professional awareness-raising/training.
调查2015 - 2016年巴西米纳斯吉拉斯州蒙特斯克拉罗斯市初级卫生保健（PHC）专业人员关于性传播感染（STI）和艾滋病毒/艾滋病的自我报告咨询实践情况。
这是一项横断面研究，采用由初级卫生保健医生和护士回答的问卷；根据卫生部手册的建议，将他们的实践分类为充分/不充分；调查了四个主题领域——咨询提供；预防措施；风险行为和易感性评估；血清学检测。
146名专业人员参与（41.1%为医生；58.9%为护士）；只有25.7%的专业人员报告实践充分；自我报告实践不充分比例最高的领域是“风险行为和易感性评估”（69.9%）；总体而言，医生的实践比护士更有可能是适当的（比值比=3.48 - 95%置信区间1.57；7.70），尤其是在“血清学检测”方面。
发现初级卫生保健中自我报告的性传播感染和艾滋病毒/艾滋病咨询实践不充分，表明需要加强卫生专业人员的意识提高/培训。
