The overall aim of this study was to evaluate quality of STI services in Umjindi local municipality. A concrete objective was to investigate the health system issues that may have a negative impact in the provision of quality STI service in the local municipality. These include accessibility of the STI services to the community, training of health workers in syndromic management, availability of necessary equipment and supplies for STI management, turn-around time for blood results and infrastructure of the facilities.

Submitted by Priscila Nascimento (pnascimento@icict.fiocruz.br) on 2013-04-04T12:50:13Z No. of bitstreams: 1 Roberta_De_Cicco.pdf: 4498323 bytes, checksum: 319d5139fb190dd433ffe95be1553e8e (MD5) / Approved for entry into archive by Priscila Nascimento(pnascimento@icict.fiocruz.br) on 2013-04-04T12:55:00Z (GMT) No. of bitstreams: 1 Roberta_De_Cicco.pdf: 4498323 bytes, checksum: 319d5139fb190dd433ffe95be1553e8e (MD5) / Made available in DSpace on 2013-04-04T12:55:00Z (GMT). No. of bitstreams: 1 Roberta_De_Cicco.pdf: 4498323 bytes, checksum: 319d5139fb190dd433ffe95be1553e8e (MD5) Previous issue date: 2012 / Fundação Oswaldo Cruz. Instituto Oswaldo Cruz. Rio de Janeiro, RJ, Brasil. / O ensino das DST no contexto escolar apresenta potencialidades e limites resultantes de ações dos campos da saúde e da educação, principalmente de professores de biologia e das diferentes perspectivas culturais e sociais que repercutem nas atitudes e decisões dos sujeitos sobre sua sexualidade. No que tange as ações educativas voltadas à sexualidade, as práticas sociais de informação, educação e comunicação são importantes para a promoção da saúde no ensino. Entretanto, estudos sobre o impacto de programas de educação sexual direcionados a adolescentes vêm mostrando que estratégias de prevenção inspiradas em atividades ou programas não são suficientes para promover mudança nas práticas sexuais dos indivíduos. O objetivo deste trabalho é compreender as potencialidades e os limites do ensino das DST a partir da abordagem socioantropológica. O estudo inclui análise de documentos oficiais da saúde e da educação (incluindo o livro didático, a partir das Coleções de Biologia do Catálogo do PNLEM/2009), observação direta e entrevistas com alunos de 17 a 19 anos, e professores de biologia na faixa etária de 43 a 50 anos, de uma escola estadual da região metropolitana do RJ. Os resultados apontam que as DST nos livros didáticos estão em sua maioria associadas a aspectos estritamente biológico com maior ênfase na AIDS e encontrados sob a forma de textos complementares e/ou associado à reprodução humana. Contudo, o posicionamento e concepções dos jovens acerca da iniciação sexual trazem questionamentos relativos às atitudes e cuidados voltados a este evento que vão além do conteúdo biológico, indicam diferença de gênero a respeito das concepções de sexualidade, do processo saúde/doença, dos cuidados do corpo e as decisões que envolvem a iniciação sexual. Assinalam também as dificuldades práticas do ensino e nas estratégias de abordagem no contexto escolar. Apontamos, portanto, como relevante, a necessidade de se considerar os aspectos assinalados quando estivermos discutindo diferentes estratégias e possibilidades de abordagem do tema das DST no contexto do ensino. / STD education in the school environment presents potential and boundaries as a consequence of activities on health and education areas, especially from teachers of biology and from different cultural and social perspectives that have an effect on the attitude and decision of individuals about their sexuality. Regarding the educational activities about sexuality, social activities of information, education and communication are important for health promotion at school. However, studies about the impact of sex education programs focused on teenagers have shown that warning strategies inspired by activities or programs are not sufficient to make changes in the individual’s sexual attitude. The objective of this study is to understand the possibilities and limitations of the teaching of DST from the anthropological approach. The study includes analysis of official documents in health and education areas (including the textbook of the Collections Catalogue of PNLEM/2009 Biology), direct observation and interviews with students age between 17 to 19 and teachers of biology who are 43-50 years old, both study and work at a school in the metropolitan region of the state of Rio de Janeiro, respectively. The results indicate that DST, in the textbooks, are mostly associated to biological aspects only, emphasizing AIDS and are shown as complementary texts and / or associated with human reproduction. However, the young people’s behavior and point of view about the start of sexual life bring doubts concerning attitudes and care to this event beyond the organic content, indicate gender differences regarding the sexuality concept, health / disease process, the care about body and the decisions involving the start of sexual life. The young people also point out the difficulties of the teaching methods and strategies of approach in the school environment. We, therefore, highlight the need of considering the aspects emphasized in this study while discussing different strategies and possibilities for addressing the issue of STDs in the education context.

No description available.

The purpose of the study was to show the variables that influence adolescents' sexual activities that have not been well defined. What leads adolescents to be more sexually active than previous generations? A Survey was conducted at the Fontana Unified School District.

Department of Advanced Nursing Science / MCur

Indiana University-Purdue University Indianapolis (IUPUI) / Human papillomavirus (HPV) infection results in serious health issues including cervical, anal, vulvar, penile and oropharyngeal cancers. There are three vaccines against HPV but vaccination rates in the United States remain low. One barrier to uptake is a concern that individuals who are vaccinated may increase their risky sexual behaviors or decrease their use of cervical cancer screenings, an adjustment in perceived level of risk for HPV that can be studied using risk compensation theory. Methods Three distinct studies examined risk compensation after HPV vaccination. A systematic review examined literature from January 1, 2008-June 30, 2015, using three databases. A qualitative study using semi-structured interviews of 22 healthcare providers that assessed their beliefs regarding sexual disinhibition and cervical cancer screening following vaccination. A cross-sectional survey that assessed cervical cancer screening practices, awareness and comfort with recommendations, and knowledge regarding the purpose of a Papanicolaou (Pap) test. Results Twenty articles were included in the systematic review. None of the studies of sexual behaviors and/or biological outcomes found evidence of riskier behaviors after HPV vaccination. Instead, the studies found vaccinated individuals were less likely to report risky sexual behaviors, sexually transmitted infections (STIs), and pregnancy. Qualitative interviews found no healthcare providers believed the HPV vaccine would result in increased risky sexual behavior or decreased cervical cancer screening, and these concerns would not influence their vaccination recommendations. The survey included 291 women 21-35 years old; 62% were non-Hispanic black, 84% had a Pap test in the last three years, and 33% had at least one HPV vaccine. Logistic regression showed that vaccinated women did not have greater odds of having a Pap test in the past three years (OR=1.32; 95% CI=0.66-2.65; p=0.427). However, this odds ratio was significant when controlling for age and race (AOR=3.06; 95% CI=1.37-6.83; p=0.006). Conclusion These studies found no evidence of increased risky sexual behaviors or decreased cervical cancer screening rates after HPV vaccination. Furthermore, vaccinated women showed less evidence of risk compensation. These results should alleviate concerns about administering the HPV vaccination among parents and providers.

This study examines how African American gender scripts influence condom use for disease and pregnancy prevention. One-hundred African American California State University, San Bernardino (CSUSB) students were selected to participate in this study. Fifty African American males and fifty African American females were surveyed for this study to be representative of the African American community on campus.

DCur / Department of Advanced Nursing Science / See the attached abstract below

Resumé<p><p>Dans le présent travail de recherche, nous présentons un cadre d’analyse, de planification et de mise en œuvre d’une recherche-action portant sur l’apport de l’éducation sexuelle participative comme démarche de la communication stratégique, et ses effets sur le public d’adolescents en milieu scolaire. Le but ultime étant de proposer une meilleure alternative à l’amélioration de la double prévention des IST/VIH/SIDA et des grossesses non désirées chez les adolescents scolarisés de 15-19 ans à Kinshasa, RDC.<p>Les principaux objectifs fixés à la présente recherche étaient :i) d’évaluer l’ampleur de la situation épidémiologique et sociale liée à la santé de reproduction y compris la prévention du VIH/SIDA chez les jeunes adolescents (15-19 ans) ;ii) d’identifier les besoins ainsi que les préoccupations spécifiques des adolescents et jeunes notamment en terme de vie sexuelle et affective ;iii) de projeter les axes de communication stratégiques susceptibles d’influencer positivement les comportements en vue d’améliorer la prévention des IST/VIH/SIDA et des grossesses précoces des adolescents et jeunes en milieu urbain ;iv) de construire sur base des observations et analyses précédentes, une approche de communication stratégique fondée sur l’éducation sexuelle participative; iv) et mesurer au point de vue cognitif et comportemental, l’écart attribuable à l’éducation sexuelle sur l’amélioration des connaissances, des attitudes et des pratiques favorables à la double prévention des IST/VIH/SIDA et des grossesses précoces chez les adolescents de 15-19 ans en milieu urbain de la RDC.<p>Réalisée dans une perspective de la promotion de la santé, son cadre théorique chemine avec celui de l’évidence des liens entre les IST/VIH/SIDA et la santé sexuelle et de reproduction. La combinaison du modèle d’analyse PRECEDE avec l’outil de planification PROCESSUS-P, a servi de fil conducteur de ce travail.<p>Cette étude confronte également la théorie de la communication avec les modèles de changement de comportement. En effet, les messages sur la sexualité émis par un émetteur, permettent à l’individu qui les reçoit, de se persuader à amorcer le changement de comportement qui passe par différents étapes. Mais au delà de la volonté individuelle, les relations de sexualité se vivent dans une interaction sociale dont il faudra tenir compte. <p>La construction de cette recherche a fait appel aux disciplines des sciences sociales, comportementales, de l’éducation, et de l’épidémiologie.<p>Nous avons combiné quatre approches différentes pour cerner nos hypothèses de recherche :i) la revue documentaire, ii) l’approche socio-anthropologique (qualitative) par des focus groups, entretiens semi dirigés, observations directes, iii) l’approche socio-épidémiologique (quantitative) par des enquêtes transversales et iv) l’approche opérationnelle par l’introduction d’une approche innovante utilisant le téléphone et la radio comme moyen pour identifier et orienter des messages à diffuser en milieu scolaire sur la prévention des IST/VIH/SIDA et les grossesses précoces.<p>Ce travail propose deux formats de résultats :les articles publiés ou en cours de l’être et les résultats complémentaires synthétisés dans différents tableaux. <p>Les articles abordent successivement :i) le profil de risque et de vulnérabilité lié au VIH/SIDA et à la santé des adolescents ;ii) la perception des adolescents en matière de santé sexuelle et reproductive ;iii) l’ analyse de l’intégration de l’éducation sexuelle dans les médias ;iv) l’utilisation du téléphone portable et de la radio pour identifier les préoccupations sexuelles des adolescents, v) les déterminants associés à la pratique de la double prévention des IST/VIH/SIDA et des grossesses précoces et vi) les effets cognitifs et comportementaux de l’éducation sexuelle participative sur la double prévention des IST/VIH/SIDA et des grossesses précoces en milieu scolaire de Kinshasa.<p>Les données synthétisées dans différents tableaux rendent compte de l’analyse de la réponse nationale sur la santé de la reproduction des adolescents et des différents aspects du cadre théorique d’analyse et de planification d’une communication stratégique pour la prévention des IST/VIH/SIDA et des grossesses précoces.<p>L’ensemble des résultats de cette recherche peut se résumer en dix points importants ci-après :<p>1.\ / Doctorat en Sciences de la santé publique / info:eu-repo/semantics/nonPublished