Prevalência de DST, padrão de comportamento e aspectos relacionados a saude reprodutiva das mulheres atendidas em unidade básica de saúde em Vitória, ES

AUTOR(ES)
DATA DE PUBLICAÇÃO

2005

RESUMO

Preventative measures and assistance for women are important for public health. The risks associated with womens health include pregnancy and higher rate of contracting STIs, including AIDS. To describe STI prevalence, behavior profile and reproductive health aspects of women living in a health region of Vitoria Municipality, Brazil. Cross-sectional study from July 2003 to March 2004 in an area assisted by Family Health Program. The study was performed among women, 15 to 49 years old. A face-to-face interview with sociodemographic, clinical and behavioral data was performed. A blood sample was collected for HIV, HBV, HCV and syphilis tests; genital specimens were collected for Pap smear, Gram stain and culture, and a sample of urine was collected for PCR-Chlamydia tracomatis. The statistical analysis used descriptive methods and multivariate methods. This study was submitted and approved by Ethics committee from Federal University of Espírito Santo State. During the study, 300 women were included. Median age was 30.0 (interquartile range (IQR) 24; 38) years old; mean age of the first intercourse was 17.3 (SD 3.6) years and mean age of first pregnancy was 19.2 (SD 3.9) years. About 70% of them had up to 8 years of education; 5.0% reported previous STIs; 8.0% illicit drug abuse and 11.0% rape. Only 23.7% reported consistent condom use. Clinical problems reported: genital ulcer (3.0%); dysuria (7.7%); vaginal discharge (46.6%); itching (20.0%) and pelvic pain (30.7%). Previous HIV test was reported by 46.3% and 15.3% had never done Pap smear. The prevalence of infections were: Chlamydia tracomatis was 7.4%; gonorrhea 2.0%; trichomoniasis 2.0%; vaginosis 21.3%; candidiasis 9.3%; HPV-related cytological changes 3.3%; syphilis 3.0%; HIV 0.3%; HBV 1.0% and HCV 1.3%. Women are vulnerable population related to sexuality. They do not feel themselves at risk for STI and they do not protect themselves. These resultsfound high frequency of STI and show the needs for prevention measures, including, among others, screening for STI and programs of risk reduction.

ASSUNTO(S)

dst comportamento de risco reproductive health mulheres aids women doencas infecciosas e parasitarias sti aids saúde reprodutiva risk behaviors

ACESSO AO ARTIGO

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