Andrade Juliane, Ignácio Mariana Alice Oliveira, Freitas Ana Paula Freneda de, Parada Cristina Maria Garcia de Lima, Duarte Marli Teresinha Cassamassimo
Departamento de Enfermagem, Faculdade de Ciências da Saúde, Universidade de Brasília. Campus Universitário Darcy Ribeiro s/n, Asa Norte. 70910-900 Brasília DF Brasil.
Departamento de Saúde Pública, Faculdade de Medicina de Botucatu, Universidade Estadual Paulista (Unesp). Botucatu SP Brasil.
Cien Saude Colet. 2020 Oct;25(10):3809-3819. doi: 10.1590/1413-812320202510.03522019. Epub 2019 Feb 24.
The scope of this study was to assess the degree of vulnerability to sexually transmitted infections of women who have sex with women. It involved a cross-sectional study of 150 women between 2015 and 2017. A structured questionnaire was applied, and a gynecological examination was performed to diagnose Chlamydia trachomatis, Neisseria gonorrhoeae, Trichomonas vaginalis and papillomavirus. Blood tests were conducted to detect HIV, hepatitis B and syphilis. The outcome variable was sexual infection and the independent variables comprised the vulnerability level in the individual, social and programmatic dimensions. Data analyses were performed through logistic regression. The results showed a high prevalence of infections (47.3%) and only variables of individual vulnerability were associated with the outcome. The incidence of infection was four times higher among women who had had prior infections. The fact of never having had a blood test tripled the chance of having sexually transmitted infections. The fact of also having sexual intercourse with men in the previous 12-month-period increased the risk of the outcome by a factor of approximately nine. The conclusion drawn is that these women are vulnerable to sexually transmitted infections due to their individual vulnerability.
本研究的范围是评估与女性发生性行为的女性感染性传播感染的易感性程度。该研究在2015年至2017年期间对150名女性进行了横断面研究。采用了结构化问卷,并进行了妇科检查以诊断沙眼衣原体、淋病奈瑟菌、阴道毛滴虫和乳头瘤病毒。进行了血液检测以检测艾滋病毒、乙型肝炎和梅毒。结果变量是性感染,自变量包括个体、社会和规划层面的脆弱性水平。通过逻辑回归进行数据分析。结果显示感染率很高(47.3%),只有个体脆弱性变量与结果相关。既往有感染史的女性感染发生率高出四倍。从未进行过血液检测这一事实使感染性传播感染的几率增加两倍。在过去12个月内也与男性发生性行为这一事实使结果风险增加约九倍。得出的结论是,这些女性因其个体脆弱性而容易感染性传播感染。