Comportamento sexual de risco entre adolescentes escolares do Piauí: prevalência e fatores associados
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Jun 15, 2024
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Resumo
Objetivo: Analisar o comportamento sexual de risco (CSR) entre adolescentes escolares do Piauí, caracterizando a prevalência e os fatores associados. Métodos: Estudo transversal, com dados secundários da Pesquisa Nacional de Saúde do Escolar, edição 2019. Foram coletadas variáveis sociodemográficas, comportamentais, de saúde sexual e de sociabilidade, além da autoimagem corporal. Considerou-se como CSR o não uso de preservativo na última relação sexual. Empregou-se regressão logística múltipla, com cálculo de odds ratio ajustada (ORaj) e intervalos de confiança de 95% (IC95%). Resultados: A prevalência de CSR foi de 41,0%. Houve associação do CSR com o sexo masculino (ORaj=1,27; IC95% 1,05;1,48), uso de álcool (ORaj=2,24; IC95% 2,13;2,54), cigarro (ORaj=1,70; IC95% 1,56;1,97), drogas ilícitas (ORaj=1,45; IC95% 1,18;1,86), satisfação em relação ao próprio corpo (ORaj=1,47; IC95% 1,08;1,65), não uso de preservativo na primeira relação (ORaj=11,45; IC95% 8,97;16,4) e autopercepção do corpo como gordo (ORaj=0,75; IC95% 0,57;0,96). Conclusão: A prevalência do CSR foi elevada, tendo sido associado com fatores demográficos, comportamentais e de saúde sexual do adolescente. Os dados demonstram a necessidade de intervenções na promoção da saúde entre adolescentes a partir de abordagem multifatorial para prevenir comportamentos de risco entre os jovens.
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Como Citar
OliveiraA. G. S. de, LimaG. F. N., CordeiroL. X., & MadeiroA. P. (2024). Comportamento sexual de risco entre adolescentes escolares do Piauí: prevalência e fatores associados. Revista Eletrônica Acervo Saúde, 24(6), e15816. https://doi.org/10.25248/reas.e15816.2024
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Referências
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15. GRÄF DD, et al. Comportamento sexual de risco e fatores associados em universitários de uma cidade do Sul do Brasil. Revista de Saúde Pública, 2020; 54: 41.
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17. HAMIDULLAH S, et al. Adolescent substance use and the brain: behavioral, cognitive and neuroimaging correlates. Frontiers in Human Neuroscience, 2020; 14: 298.
18. HE J, et al. Body dissatisfaction and sexual orientations: a quantitative synthesis of 30 years research findings. Clinical Psychology Review, 2020; 81: 101896.
19. HENDRICKSON ZM, et al. Mobility for sex work and recent experiences of gender-based violence among female sex workers in Iringa, Tanzania: a longitudinal analysis. PloS One, 2021; 16(6): e0252728.
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22. LIANG M, et al. The state of adolescent sexual and reproductive health. Journal of Adolescent Health, 2019; 65(6S): S3-S15.
23. MONTEIRO DLM, et al. Repeated adolescente pregnancy in Brazil from 2015 to 2019. Revista da Associação Médica Brasileira, 2023; 69(5): e20221513.
24. NEVES RG, et al. Simultaneidade de comportamentos de risco para infecções sexualmente transmissíveis em adolescentes brasileiros. Epidemiologia e Serviços de Saúde, 2017; 26(3): 443-454.
25. NOLL M, et al. Associated factors and sex differences in condom non-use among adolescents: Brazilian National School Health Survey (PeNSE). Reproductive Health, 2020; 17(1): 139.
26. OLIVEIRA-CAMPOS, M. et al. Sexual behavior among Brazilian adolescents, National Adolescent School-based Health Survey (PeNSE 2012). Revista Brasileira de Epidemiologia, 2014; 17(1): 116-130.
27. PINHEIRO YT, et al. Fatores associados à gravidez em adolescentes de um município do nordeste do Brasil. Cadernos Saúde Coletiva, 2019; 27(4): 363-367.
28. REIS LF, et al. Factors associated with early sexual initiation and unsafe sex in adolescents: substance use and parenting style. Journal of Adolescence, 2020; 79: 128-135.
29. RODRIGUES VC, et al. Factors associated with the knowledge and attitude of adolescents regarding male condom use. Revista Brasileira de Enfermagem, 2021; 74(4): e20190452.
30. ROMAN LAY AA, et al. Prevalence and correlates of early sexual initiation among Brazilian adolescents. Plos One, 2021; 16(12): e02060815.
31. SAKALUK JK, et al. Self-esteem and sexual health: a multilevel meta-analytic review. Health Psychology Review, 2020; 14(2): 269-293.
32. SIMMONS JS, et al. Daily associations between alcohol and sexual behavior in young adults. Experimental and Clinical Psychopharmacology, 2018; 26(1): 36-48.
33. TUNG I, et al. Alcohol use trajectories before and after pregnancy among adolescent and young adult mothers. Alcohol, Clinical & Experimental Research, 2020; 44(8): 1675-1685.
34. WATERMAN EA, et al. Longitudinal associations of binge drinking with interpersonal violence among adolescents. Journal of Youth and Adolescence, 2019; 48(7): 1342-1352.
35. WIDMAN L, et al. Adolescent susceptibility to peer influence in sexual situations. Journal of Adolescent Health, 2016; 58(3): 866-877.
36. WIDMAN L, et al. Assessment of parent-based interventions for adolescent sexual health: a systematic review and meta-analysis. JAMA Pediatrics, 2019; 173(9): 866-877.
37. ZHANG J, et al. Global, regional, and national burdens of HIV and others sexually transmitted infections in adolescents and young adults aged 10-24 years from 1990 to 2019: a trend analysis based on the Global Burden of Disease Study 2019. Lancet Child and Adolescent Health, 2022; 6(11): 763-776.
2. BENIAMINO C, HOLLY S. Social norms and adolescents’ sexual health: an introduction for practitioners working in low- and mid-income African countries. African Journal of Reproductive Health, 2018; 22 (1): 38-46.
3. BORGES ALV, et al. ERICA: início da vida sexual e contracepção em adolescentes brasileiros. Revista de Saúde Pública, 2016; 50(1): 15s.
4. BRASIL. Ministério da Saúde. Secretaria de Vigilância em Saúde. Boletim Epidemiológico de HIV e Aids. 2020. Disponível em: https://www.gov.br/saude/pt-br/centrais-de-conteudo/publicacoes/boletins/epide miologicos/especiais/2020/boletim-hiv_aids-2020-internet.pdf. Acessado em: 27 de novembro de 2023.
5. BROOKMEYER KA, et al. Sexual risk behaviors and STDs among persons who inject drugs: a national study. Preventive Medicine, 2019; 126: 105779.
6. BUCCHIANERI MM, et al. Body dissatisfaction: do associations with disordered eating and psychological well-being differ across race/ethnicity n adolescent girls and boys? Cultural Diversity & Ethnic Minority Psychology, 2016; 22(1): 137-146.
7. CASTRO LC, et al. Prevalência e fatores associados à iniciação sexual entre adolescentes escolares do Piauí, Brasil, 2015. Epidemiologia e Serviços de Saúde, 2023; 32(1): e2022612.
8. CHANDRA-MOULI V, et al. Adolescent sexual and reproductive health for all in sub-Saharan Africa: a spotlight on inequalities. Reproductive Health, 2021; 18(1): 118.
9. CHO HS, YANG Y. Relationship between alcohol consumption and risky sexual behaviors among adolescents and young adults: a meta-analysis. International Journal of Public Health, 2023; 68: 1605669.
10. CLAYTON, HB et al. Does the association between substance use and sexual risk behaviors among high school students vary by sexual identity? Addictive Behaviors, 2019; 93: 122-128.
11. DAS, JK et al. Interventions for adolescent substance abuse: an overview of systematic reviews. Journal of Adolescent Health, 2016; 59(4S): S61-S75.
12. DeBECK K, et al. HIV and the criminalization of drug use among people who inject drugs: a systematic review. Lancet HIV, 2017; 4(8): e357-e374.
13. DWORKIN ER, et al. Associations between sexual assault and suicidal thoughts and behavior: a meta-analysis. Psychological Trauma, 2022; 14(7): 1208-1211.
14. FELISBINO-MENDES MS, et al. Análise dos indicadores de saúde sexual e reprodutiva de adolescentes brasileiros, 2009, 2012 e 2015. Revista Brasileira de Epidemiologia, 2018; 21(1): e180013.
15. GRÄF DD, et al. Comportamento sexual de risco e fatores associados em universitários de uma cidade do Sul do Brasil. Revista de Saúde Pública, 2020; 54: 41.
16. GOEDEL WC, et al. Associations between perceived weight status, body dissatisfaction, and self-objectification on sexual sensation seeking and sexual risk behaviors among men who have sex with men using Grindr. Behavioral Medicine, 2017; 43(2): 142-150.
17. HAMIDULLAH S, et al. Adolescent substance use and the brain: behavioral, cognitive and neuroimaging correlates. Frontiers in Human Neuroscience, 2020; 14: 298.
18. HE J, et al. Body dissatisfaction and sexual orientations: a quantitative synthesis of 30 years research findings. Clinical Psychology Review, 2020; 81: 101896.
19. HENDRICKSON ZM, et al. Mobility for sex work and recent experiences of gender-based violence among female sex workers in Iringa, Tanzania: a longitudinal analysis. PloS One, 2021; 16(6): e0252728.
20. HSIUNG H, et al. Preventing substance abuse in adolescents: a review of high-impact strategies. Cureus, 2022; 14(7): e27361.
21. LASTRUCCI V, et al. Trends in adolescent health risk behaviors and wellbeing: a 10-year observation from the EDIT Surveillance of Tuscany Region, Italy. International Journal of Environmental Research and Public Health, 2022; 19(11): 6863.
22. LIANG M, et al. The state of adolescent sexual and reproductive health. Journal of Adolescent Health, 2019; 65(6S): S3-S15.
23. MONTEIRO DLM, et al. Repeated adolescente pregnancy in Brazil from 2015 to 2019. Revista da Associação Médica Brasileira, 2023; 69(5): e20221513.
24. NEVES RG, et al. Simultaneidade de comportamentos de risco para infecções sexualmente transmissíveis em adolescentes brasileiros. Epidemiologia e Serviços de Saúde, 2017; 26(3): 443-454.
25. NOLL M, et al. Associated factors and sex differences in condom non-use among adolescents: Brazilian National School Health Survey (PeNSE). Reproductive Health, 2020; 17(1): 139.
26. OLIVEIRA-CAMPOS, M. et al. Sexual behavior among Brazilian adolescents, National Adolescent School-based Health Survey (PeNSE 2012). Revista Brasileira de Epidemiologia, 2014; 17(1): 116-130.
27. PINHEIRO YT, et al. Fatores associados à gravidez em adolescentes de um município do nordeste do Brasil. Cadernos Saúde Coletiva, 2019; 27(4): 363-367.
28. REIS LF, et al. Factors associated with early sexual initiation and unsafe sex in adolescents: substance use and parenting style. Journal of Adolescence, 2020; 79: 128-135.
29. RODRIGUES VC, et al. Factors associated with the knowledge and attitude of adolescents regarding male condom use. Revista Brasileira de Enfermagem, 2021; 74(4): e20190452.
30. ROMAN LAY AA, et al. Prevalence and correlates of early sexual initiation among Brazilian adolescents. Plos One, 2021; 16(12): e02060815.
31. SAKALUK JK, et al. Self-esteem and sexual health: a multilevel meta-analytic review. Health Psychology Review, 2020; 14(2): 269-293.
32. SIMMONS JS, et al. Daily associations between alcohol and sexual behavior in young adults. Experimental and Clinical Psychopharmacology, 2018; 26(1): 36-48.
33. TUNG I, et al. Alcohol use trajectories before and after pregnancy among adolescent and young adult mothers. Alcohol, Clinical & Experimental Research, 2020; 44(8): 1675-1685.
34. WATERMAN EA, et al. Longitudinal associations of binge drinking with interpersonal violence among adolescents. Journal of Youth and Adolescence, 2019; 48(7): 1342-1352.
35. WIDMAN L, et al. Adolescent susceptibility to peer influence in sexual situations. Journal of Adolescent Health, 2016; 58(3): 866-877.
36. WIDMAN L, et al. Assessment of parent-based interventions for adolescent sexual health: a systematic review and meta-analysis. JAMA Pediatrics, 2019; 173(9): 866-877.
37. ZHANG J, et al. Global, regional, and national burdens of HIV and others sexually transmitted infections in adolescents and young adults aged 10-24 years from 1990 to 2019: a trend analysis based on the Global Burden of Disease Study 2019. Lancet Child and Adolescent Health, 2022; 6(11): 763-776.