Banca de DEFESA: Ida Perea Monteiro

Uma banca de DEFESA de DOUTORADO foi cadastrada pelo programa.
STUDENT : Ida Perea Monteiro
DATE: 28/03/2023
TIME: 14:30
LOCAL: Plataforma Teams
TITLE:

Sexually transmitted infections prevalence in adolescents assisted in a family planning clinic in Western Amazonia

KEY WORDS:

adolescent, prevalence, infection, ITS, sexually transmitted infection

PAGES: 243
BIG AREA: Ciências da Saúde
AREA: Medicina
SUMMARY:

The WHO defines adolescence as a period of life between 10 and 19 years old and its high complexity is linked to the emergence of secondary sexual characters, development of psychosocial process and definitions of standards to differentiate the infant and adult phase. In addition to being a period of discovery, it is in this moment that they tend to seek their independence and social maturity, reflected mainly by their choices and attitudes. Among these, are highlighted, drinking and narcotics and the beginning of sexual life. Globally, adolescents and young adults represents 25% of the sexually active population and are also responsible for almost 50% of all recently acquired STIs. STIs are one of the most common public health problems in the world and are directly related to maternal and child mortality. Besides that, 500 million new cases of curable infections are estimated each year. Although the numbers are startling, we are currently experiencing a shortage of data and epidemiological studies aimed at understanding STIs, especially in developing countries, such as Brazil, and in specific groups, such as adolescents assisted by family planning services. Bases on this, our mainly aim was to understand and analyze the behaviors related to sexual and reproductive health of adolescents in a family planning clinic in Porto Velho (RO), as well as to access the prevalence of the main STIs. Thus, 196 adolescents between 14 and 19 years old, patients at the Porto Velho outpatient clinic, answered a questionnaire, underwent clinical evaluation and gynecological examination to collect biological material. Rapid tests provides by the Ministry of Health were used for syphilis, HIV and viral hepatitis B and C research, and the Ruo Kit Multiples STIs 9-64 RX (Fast-Track) for others. The results showed a socio-demographic profile of older adolescents, without paid work or students, biracial, religious, with at least one child and the average age of the group’s sexarche was 16.2 years (SD=1.6). The responses indicated high knowledge and recognition of STIs by the adolescents, except for chlamydia and trichomonas. The questionnaire showed that the low frequency of use of condoms, relationships with more than one sexual partner, casual relationships, alcohol and tobacco intake, and poor adherence to gynecological exams, were frequent risk behaviors in this population. Rapid tests identified two participants with syphilis and the prevalence for chlamydia and gonorrhea infections was quite high when compared to the literature. More specific analyzes reveled an association between vaginal pH and condom in all sexual relations (*p=0.041), as well as with the presence of U. urealyticum/parvum (*p=0.043). In the analysis of concomitant infections, G. vaginalis was significantly associated with M. genitalium (*p=0.046) and tended to U. urealyticum/parvum (p=0.065). The absence of an association between chlamydia and gonorrhea with the symptoms and complaints analyzed reinforces the need to evaluate patients in addition to the clinical examination and to improve screening methods. Taken together, this study reports the importance of having updated epidemiological data to compose and assist in population improvement protocols and programs, as well as reinforcing the importance of the care provided in family planning outpatient clinics and other programs  promoted by the government.

BANKING MEMBERS:
Interno - 2189235 - LUIZ CLAUDIO GONCALVES DE CASTRO
Externa à Instituição - MARIA DA CONCEIÇÃO RIBEIRO SIMÕES - IURJ
Externo à Instituição - MAURO ROMERO LEAL PASSOS - UFF
Presidente - 2446211 - NADJAR NITZ SILVA LOCIKS DE ARAUJO
Externo ao Programa - 1773755 - WALTER MASSA RAMALHO