Dissertation (Ph.D.) -- The Institute for Clinical Social Work, 1999. / A dissertation submitted to the faculty of the Institute of Clinical Social Work in partial fulfillment for the degree of Doctor of Philosophy.

Thesis (Ph. D.)--University of Alabama at Birmingham, 2006. / Title from first page of PDF file (viewed Feb. 14, 2008). Includes bibliographical references.

Diss. (sammanfattning) Umeå : Umeå universitet, 2006. / Härtill 4 uppsatser.

Diss. (sammanfattning) Stockholm : Karol. inst., 2002. / Härtill 5 uppsatser.

Thesis (M.A. (Population and Reproductive Health)--Mahidol University, 2007. / LICL has E-Thesis 0028 ; please contact computer services.

The dissertation is focused on the issue of contraception and reproductive health of young people. I therefore chose this topic of my dissertation because it interests me and it is also very current topic. I have specified the research in various types of secondary schools in Cesky Krumlov. The main aim of my dissertation was to map the knowledge of hormonal contraception and proven possible differences in sexual self behaviour in adolescent girls attending different high schools in Cesky Krumlov. The research was conducted using anonymous questionnaires that were distributed to girls aged 17 to 19 years. For my dissertation, I set four hypotheses that have been statistically confirmed. The results were interesting and there had been statistically significant differences in the level of knowledge about the risks of hormonal contraception among female students of Secondary Schools and other female students of Health Secondary Schools. In addition, the Vocational School students begin sexual life before other students of Secondary schools. Also the most common method of protection at first sexual intercourse is condom, but the most preferred contraceptives in adolescent girls, regardless of the type school studied, is hormonal contraception. According to the responses of girls we can see the differences in their own sexual behaviour, which is, in most cases conscientiously. Girls, however, are not sufficiently informed about hormonal contraception they use. I would advise to bring more lectures into schools about the positives and risks of hormonal contraception in general and also about all contraceptive options.

The issue of sexually transmitted diseases is not only a matter of health but also a social one and it poses a major problem especially for teenagers and young adults, who start their sexual life, because sexually transmitted diseases and their complications can permanently damage the reproductive health. Adolescents{\crq} sexual behaviour differs from the sexual behaviour of previous generations in many aspects. The trend now is, among others, shifting the age of sexual life initiation to lower ages than ever before. Therefore, it is important that young people know the risks threatening them in connection with sexual life initiation and how they can prevent them. This paper maps the attitudes of adolescents to the issue of sexually transmitted diseases and to contraception. The theoretical part deals with the characteristics of adolescence, the history, occurrence and description of various sexually transmitted diseases and their prevention with a focus on sex education and proper condom use, and it presents a comprehensive overview of this issue. This project work was realized in the form of a quantitative research, using a questionnaire survey, and the examined sample consisted of 200 secondary school students aged 15 to 18 years. As a partial method, a secondary analysis has been applied to the statistical data concerning the prevalence of sexually transmitted diseases in adolescents aged 15-18 years in České Budějovice between 1999 and 2008. The objective of this paper was to evaluate the use of contraception to prevent sexually transmitted diseases among adolescents aged 15 to 18 years in České Budějovice, and this objective has been achieved. Practical use of this paper is in providing the text as a teaching material for the Faculty of Health and Social Studies and for publication in professional journals; the data obtained will be provided to the directors of the participating schools as a basis for the implementation of sex education and primary prevention programmes.

Submitted by Jean Medeiros (jeanletras@uepb.edu.br) on 2016-12-02T13:02:30Z No. of bitstreams: 1 PDF - Jamilly da Silva Aragão.pdf: 1614742 bytes, checksum: ac799ac111b5262f448951ef8fb4a45a (MD5) / Approved for entry into archive by Secta BC (secta.csu.bc@uepb.edu.br) on 2016-12-06T19:13:45Z (GMT) No. of bitstreams: 1 PDF - Jamilly da Silva Aragão.pdf: 1614742 bytes, checksum: ac799ac111b5262f448951ef8fb4a45a (MD5) / Made available in DSpace on 2016-12-06T19:13:45Z (GMT). No. of bitstreams: 1 PDF - Jamilly da Silva Aragão.pdf: 1614742 bytes, checksum: ac799ac111b5262f448951ef8fb4a45a (MD5) Previous issue date: 2015-11-19 / Conselho Nacional de Desenvolvimento Científico e Tecnológico - CNPq / Sexually Transmitted Infections (STI) constitute a global public health problem. Each year, 340 million people are affected by some kind of STI. Incidence and prevalence control of HIV/aids cases is not complete and prevention, and treatment initiatives have been classified as partially successful. Therefore, a greater emphasis on awareness is necessary so as to prevent the development of new or existing cases and to avoid progress to more severe conditions. For which levels of prevention configure effectively, it is necessary to have knowledge about the vulnerable conditions that contribute to the onset of diseases and other complications. Considering that disabled people live in constant situations that might expose them to increased vulnerability. Therefore, there has been a search to analyze the conditions that increase dimensions of vulnerability related to sexually transmitted infections in disable individuals. In a transversal study with meaningful approach held in 2015 in an Association for the Disabled in Campina Grande/PB, Brazil, 98 individuals participated, thus answering a form on the dimensions of vulnerability to sexually transmitted infections. We conducted the chi-square test, Fisher and contingency coefficient and prevalence ratio. We identified association was found among the occurrence of sexually transmitted infections with the number of partners (p = 0.020), believing to have few partners as prevention (p = 0.044), believing low hygiene to be as a risk factor, age (p = 0.007) kind of disability (p = 0.007) and being conducted to medical appointment with urologist (p = 0.030). This study concluded that sexually transmitted infections in people with physical disabilities were associated with the conditions of the three dimensions of vulnerability. By characterizing vulnerable conditions, it is possible to follow a specific prevention linked to their individual, social and health reality. / As Infecções Sexualmente Transmissíveis (IST) constituem um problema de saúde pública, visto que no mundo, a cada ano, 340 milhões de pessoas são acometidas por algum tipo destas infecções. Em se tratando dos casos de HIV/aids o controle da incidência/prevalência não é total, sendo as iniciativas de prevenção e tratamento classificadas como parcialmente exitosas. Portanto se faz necessário uma maior atenção à prevenção a fim de evitar o desenvolvimento de novos casos ou que os existentes possam evoluir para quadros mais graves. Para que os níveis de prevenção configurem-se de forma eficaz, é necessário o conhecimento sobre as condições de vulnerabilidade, que contribuem para o aparecimento de doenças e de outras complicações, principalmente em pessoas com deficiência, pois estas convivem em constantes situações que podem expô-las ao aumento da vulnerabilidade. Nesta perspectiva buscou-se analisar as condições que potencializam as dimensões de vulnerabilidade relacionadas às infecções sexualmente transmissíveis em pessoas com deficiência física. Estudo transversal, com abordagem quantitativa, realizado em 2015, em uma organização associativa do estado da Paraíba para pessoas com deficiência de Campina Grande/PB, Brasil. Participaram 98 sujeitos que responderam um formulário sobre as dimensões de vulnerabilidade para infecções sexualmente transmissíveis. Realizaram-se os testes de Qui-quadrado, Fisher e Coeficiente de contingência. Verificou-se associação entre a ocorrência de infecções sexualmente transmissíveis com o número de parceiros (p=0,020), acreditar em poucos parceiros como prevenção (p=0,044), acreditar na má higiene como fator de risco, idade (p=0,007), tipo de deficiência (p=0,007) e realização de consulta com urologista (p=0,030). Conclui-se que as infecções sexualmente transmissíveis em pessoas com deficiência física foram associadas às condições das três dimensões de vulnerabilidade. Por meio da caracterização das condições de vulnerabilidade é possível traçar uma prevenção específica atrelada a sua realidade individual, social e de saúde.

CoordenaÃÃo de AperfeiÃoamento de Pessoal de NÃvel Superior / O estudo teve como objetivos desenvolver um vÃdeo educativo como tecnologia para prevenÃÃo de DST/HIV/aids em mulheres em uniÃo estÃvel, avaliar o conteÃdo e os aspectos tÃcnicos do vÃdeo educativo como tecnologia para prevenÃÃo de DST/HIV/aids em mulheres em uniÃo estÃvel, implementar o vÃdeo educativo como tecnologia para prevenÃÃo de DST/HIV/aids em mulheres em uniÃo estÃvel e avaliar o impacto do vÃdeo educativo como tecnologia para prevenÃÃo de DST/HIV/aids em mulheres em uniÃo estÃvel. Trata-se de uma pesquisa do tipo desenvolvimento tecnolÃgico, com utilizaÃÃo da tÃcnica de grupo focal para coleta de dados. A pesquisa foi desenvolvida em quatro etapas: desenvolvimento do roteiro do vÃdeo educativo, avaliaÃÃo do roteiro do vÃdeo educativo, gravaÃÃo e ediÃÃo do vÃdeo educativo, e implementaÃÃo e avaliaÃÃo do impacto do vÃdeo educativo. O desenvolvimento do vÃdeo foi fundamentado em diagnÃstico cultural previamente traÃado, a avaliaÃÃo do roteiro foi feita por dois profissionais da Ãrea da enfermagem e dois da comunicaÃÃo social, a gravaÃÃo e ediÃÃo do vÃdeo aconteceram no ambiente cultural do pÃblico alvo, e a implementaÃÃo e avaliaÃÃo do vÃdeo foi desenvolvida com trÃs grupos focais no Centro de desenvolvimento Familiar (CEDEFAM), com participaÃÃo de 25 mulheres em uniÃo estÃvel. Os achados provenientes dos grupos focais foram submetidos à tÃcnica de anÃlise de conteÃdo. Os resultados desse estudo ressaltaram a importÃncia da utilizaÃÃo de recursos culturais no desenvolvimento de vÃdeos educativos. Na avaliaÃÃo do conteÃdo e dos aspectos tÃcnicos do vÃdeo houve substituiÃÃo de termos tÃcnicos, substituiÃÃo de frases afirmativas por interrogativas e inclusÃo de efeitos tecnolÃgicos de destaque. ApÃs implementaÃÃo do vÃdeo as participantes adquiriram conhecimento acerca do conceito de DST, das formas de contaminaÃÃo, da vulnerabilidade de casais em uniÃo estÃvel, das diferenÃas de vulnerabilidade entre homens e mulheres, e dos meios para obtenÃÃo do diagnÃstico. Foi verificado desenvolvimento de atitude de realizar periodicamente exames diagnÃsticos e de usar âcamisinhaâ como mÃtodo de prevenÃÃo, alÃm da perspectiva de utilizaÃÃo da âcamisinhaâ masculina em virtude da descoberta de alternativas, como a âcamisinhaâ com aroma e em tamanhos diferentes. Conclui-se que o vÃdeo educativo desenvolvido constituiu tecnologia de impacto na prevenÃÃo de DST/HIV/aids em mulheres em uniÃo estÃvel. Recomenda-se a realizaÃÃo de estudos semelhantes com outros grupos, sobretudo com aqueles que, por questÃes culturais, se encontram vulnerÃveis Ãs DST/HIV/aids, tais como surdos, idosos e usuÃrios de drogas. Incentiva-se, tambÃm, o desenvolvimento de estudos similares com mulheres em uniÃo estÃvel em outros ambientes culturais, a fim de ressaltar o carÃter transcultural do cuidado de enfermagem. / The study had as objectives to develop an educational video, to assess its content and technical aspects, to implement it and to assess its impact as technology for STD/HIV/AIDS prevention in women in long-term relationships. The study was of the technological development type using the technique of focal group for data collection. The research was carried out in four stages: development of the script of the educational video, assessment of the script of the educational video, recording and edition the educational video, and implementation and assessment of the impact of the educational video. Data collection happened in November 2010, during two mornings. Three focal groups were developed in the Family Development Center (CEDEFAM), with the participation of 25 women in long-term relationships. Data collection happened through a questionnaire to assess the script of the educational video and a route for focal group. The results of the assessment of the video script were organized in pictures, and the results of the focal groups were submitted to the content analysis technique. Content raters accepted the initial idea of the script, suggesting the change of technical terms and increment of information. Technical raters suggested substitution of affirmative sentences for interrogatives and inclusion of remarkable technological effects. After recording and edition of the video, the same was implemented and assessed. For its assessment it was performed approach of knowledge, attitudes and practices in STD/HIV/AIDS prevention, before and after implementation of the video, in order to verify the impact of educational technology. The results showed that after video implementation the participants gained knowledge on the concept of STD, on the routes of contamination, on the vulnerability of long-term relationship couples, on the vulnerability differences between men and women, and on the ways to obtain the diagnosis. It was verified impact in the attitude of accomplishing diagnostic tests periodically and of using condom as preventive method. The perspectives on practice point to the use of male condom because of the discovery of alternatives, like condom with scent and in different sizes. We concluded that the educational video constituted impact technology in STD/HIV/AIDS prevention in women in long-term relationships. Considering the transcultural character of nursing care, we recommended the accomplishment of similar studies with different cultural groups and the implementation of the video with other women in long-term relationships that have similar cultural characteristics.

Submitted by JÚLIO HEBER SILVA (julioheber@yahoo.com.br) on 2017-06-14T19:19:06Z No. of bitstreams: 2 Dissertação - Caio Flávio Castro e Macedo - 2015.pdf: 1361508 bytes, checksum: 5d954766de113b5692a0a17649ddcf3e (MD5) license_rdf: 0 bytes, checksum: d41d8cd98f00b204e9800998ecf8427e (MD5) / Approved for entry into archive by Cláudia Bueno (claudiamoura18@gmail.com) on 2017-07-07T19:40:20Z (GMT) No. of bitstreams: 2 Dissertação - Caio Flávio Castro e Macedo - 2015.pdf: 1361508 bytes, checksum: 5d954766de113b5692a0a17649ddcf3e (MD5) license_rdf: 0 bytes, checksum: d41d8cd98f00b204e9800998ecf8427e (MD5) / Made available in DSpace on 2017-07-07T19:40:20Z (GMT). No. of bitstreams: 2 Dissertação - Caio Flávio Castro e Macedo - 2015.pdf: 1361508 bytes, checksum: 5d954766de113b5692a0a17649ddcf3e (MD5) license_rdf: 0 bytes, checksum: d41d8cd98f00b204e9800998ecf8427e (MD5) Previous issue date: 2015-10-30 / Fundação de Amparo à Pesquisa do Estado de Goiás - FAPEG / The management shortcomings and assistance in public health found in Brazil, and as part of efforts to improve governance stands out the drawing up protocols for the organization of services. The Sexually Transmitted Diseases (STDs) are considered a health problem all over the world and there is a data scarcity in the male population. This study aimed to deploy a specialized outpatient clinic, estimate the prevalence of syndromic diagnosis of SDT and the syphilis, in addition to analyzing the risk factors in men. We performed a cross-sectional study in the years of 2014 and 2015. Tthe sample was constituted by 216 individuals interviewed during a medical consultation, in a public outpatient constructed for this purpose. The majority of men attended had more than 29 years, has completed the primary or middle school, belonged to social classes C or D and reported having heterosexual behavior. Despite the greater part have also mentioned prior knowledge about transmission of STDs, only 11.8% confirmed have used condom and about one-third of men do not return to the clinic after the initial consultation. Approximately 20% of the attended men presented verrucous syndrome and 14% were positive for syphilis serology . In the bivariate analysis, civil status and age were predictive variables for the syndromic diagnosis of DST. After this analysis, only the civil status remained statistically significant as a risk factor for some infectious syndrome. On the other hand, for the presence of syphilis, the consumption of illegal drugs in the last 12 months was predictor variable in the bivariate analysis, and being circumcised was considered an independent protection factor in the multivariate analysis. We concluded that is high the number of cases of syndromic diagnosis and syphilis in men attended at a specialized outpatient clinic, wherein the knowledge about the theme hasn't echoed in care measures, such as the use of condom. Associated with the data obtained, the male resistance in seeking medical assistance reinforces the need for specific and continuous strategies for prevention, screening, diagnosis and early treatment in this population group. / As deficiências de gestão e assistência na saúde pública são encontradas no Brasil e como parte dos esforços para melhorar a governança destaca-se a elaboração de protocolos para a organização de serviços. As Doenças Sexualmente Transmissíveis (DST) são consideradas um problema de saúde em todo o mundo e há uma carência de dados na população masculina. O presente trabalho objetivou implantar um ambulatório especializado, estimar a prevalência do diagnóstico sindrômico de DST e de sífilis, além de analisar os fatores de risco nos homens. Realizou-se um estudo de corte transversal nos anos de 2014 e 2015, e a amostra foi constituída por 216 indivíduos entrevistados durante a consulta médica, em ambulatório público construído para esse fim. A maioria dos homens atendidos tinha mais de 29 anos, completou o ensino médio ou fundamental, pertencia às classes sociais C ou D e relatou ter comportamento heterossexual. Apesar de a maioria também ter referido conhecimento prévio sobre transmissão de DST, apenas 11,8% confirmou ter usado preservativo e aproximadamente um terço dos homens não retornaram ao ambulatório após a consulta inicial. Aproximadamente 20% dos homens atendidos apresentaram síndrome verrucosa e 14% sorologia positiva para sífilis. Na análise bivariada, estado civil e idade constituíram variáveis preditoras para o diagnóstico sindrômico de DST. Após a análise multivariada, apenas o estado civil manteve-se estatisticamente significante como fator de risco para alguma síndrome infecciosa. Já para a presença de sífilis, o consumo de alguma droga ilícita nos últimos 12 meses constituiu variável preditora na análise bivariada e a realização de postectomia foi considerada fator independente de proteção na análise multivariada. Conclui-se que é alto o número de casos de diagnóstico sindrômico e de sifílis em homens atendidos no ambulatório especializado, sendo que o conhecimento sobre o tema não repercutiu em medidas de cuidado, como o uso do preservativo. Associado aos dados obtidos, a resistência masculina em procurar assistência médica reforça a necessidade de estratégias específicas e contínuas para prevenção, rastreamento, diagnóstico e tratamento precoce nesse grupo populacional.