Prevalência de DST, padrão de comportamento e aspectos relacionados à saúde reprodutiva de mulheres atendidas em unidade básica de saúde em Vitória/ES

AUTOR(ES)
FONTE

IBICT - Instituto Brasileiro de Informação em Ciência e Tecnologia

DATA DE PUBLICAÇÃO

05/09/2005

RESUMO

Introduction: Preventive measures and assistance for women are important for public health. The risks associated with womens health include pregnancy and higher rate of contracting STD, including AIDS. Objectives: To describe STD prevalence, behavior profile and reproductive health aspects of women attended in a basic unit of health of Vitoria Municipality, Brazil. Methods: 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. Results: 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 STD; 8.0% illicit drug use 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 (18,0%). Previous HIV test was reported by 46.3% and 15.3% had never been submitted of 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 0.7% and HCV 1.7%. Conclusions: Women are vulnerable population related to sexuality. They do not feel themselves at risk for STD and they do not protect themselves. These results found high frequency of STD and show the needs for prevention measures, including, among others, screening for STD and programs of risk reduction.

ASSUNTO(S)

mulheres prevalência dst aids saúde reprodutiva doencas infecciosas e parasitarias comportamento de risco

ACESSO AO ARTIGO

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