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Pesquisa : Doenças and Sexualmente and Transmissíveis [Palavras]
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  1 / 20302 MEDLINE  
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[PMID]:25345236
[Au] Autor:Hashmi S; Ali SI; Tanwir F; Shamsi TY; Ahmed FR; Rai K
[Ti] Título:Chlamydia trachomatis related knowledge and practices in medical practioners--a survey.
[So] Source:Int J Emerg Ment Health;16(1):237-40, 2014.
[Is] ISSN:1522-4821
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:INTRODUCTION: Chlamydia trachomatis is a frequently encountered condition by general physicians, urologists and infectious diseases specialists. It can affect both genders and causes significant morbidity if not treated properly and promptly. In addition, it can cause ophthalmia neonatorum, which manifests as neonatal conjunctivitis in the newborns. METHODOLOGY: The data was collected from fourteen tertiary care hospitals in two provinces of Pakistan during the time period of four months (September-December 2013). Inclusion criteria included all medical practitioners working at those hospitals and there were no limitations of age and gender to participate. The participants were approached through email which included a self administered questionnaire. Written consent was obtained from the participants and the study was approved by the ethical committee of all selected hospital. RESULTS: Overall 130 participants participated with a response rate of 65%. Females were 52.3% and males were 47.7%. In the study 17.7% of male and 29.4% of female participants proclaimed that they referred a patient to an infectious disease specialist in case the diagnosis of Chlamydia was dubious. 72.5% of the male and 55.8% of the female medical practitioners indicated that they yield detailed sexual history from the patients with Chlamydia. Regarding inquiring about the drugs history from the patient at risk of STDs, 22.6% male and 35.3% of female participants informed that they took a detailed drug history. Only 1.5% of the female medical practitioners notified Chlamydia to the partner of diseased patient themselves (provider referral). 24% male and 17.6% female participants had an understanding regarding the definite test of diagnosis for sexually transmitted Chlamydia. CONCLUSION: More sexual health skills development is required in medical practitioners working in Pakistan. The major deficient areas are sexual and drug history taking, management of sexually transmitted diseases and partner notification.
[Mh] Termos MeSH primário: Infecções por Chlamydia/diagnóstico
Infecções por Chlamydia/terapia
Chlamydia trachomatis
Competência Clínica
Países em Desenvolvimento
Condutas na Prática dos Médicos
Doenças Bacterianas Sexualmente Transmissíveis/diagnóstico
Doenças Bacterianas Sexualmente Transmissíveis/terapia
[Mh] Termos MeSH secundário: Adulto
Idoso
Idoso de 80 Anos ou mais
Infecções por Chlamydia/transmissão
Busca de Comunicante
Estudos Transversais
Feminino
Humanos
Masculino
Meia-Idade
Paquistão
Referência e Consulta
Sexo Seguro
Doenças Bacterianas Sexualmente Transmissíveis/transmissão
Centros de Atenção Terciária
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1411
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:141027
[St] Status:MEDLINE


  2 / 20302 MEDLINE  
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[PMID]:24452632
[Au] Autor:Morrow KM; Underhill K; van den Berg JJ; Vargas S; Rosen RK; Katz DF
[Ad] Endereço:Centers for Behavioral and Preventive Medicine, Department of Psychiatry and Human Behavior, The Miriam Hospital and Warren Alpert Medical School of Brown University, Coro West, Suite 309, 164 Summit Ave., Providence, RI, 02906, USA, kmorrow@lifespan.org.
[Ti] Título:User-identified gel characteristics: a qualitative exploration of perceived product efficacy of topical vaginal microbicides.
[So] Source:Arch Sex Behav;43(7):1459-67, 2014 Oct.
[Is] ISSN:1573-2800
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:Research has demonstrated that certain vaginal gel products--microbicides containing antiretroviral drugs--may reduce HIV infection risk among women. But for vaginal gels to avert HIV and other sexually transmitted infections (STIs), at-risk women must be willing to use them as directed. These products must therefore be "acceptable" to women and an important component of acceptability is users' perception that the product will work to prevent infection. We sought to understand how women's perceptions of vaginal gel properties may shape their understanding of product efficacy for HIV and STI prevention. Sixteen women completed two in-depth qualitative interviews (k = 32) to identify the range and types of sensory perceptions they experienced when using two vaginal gels. We identified emergent themes and linkages between users' sensory perceptions and their beliefs about product efficacy. Users' predictions about product efficacy for preventing infection corresponded to measurable physical properties, including gel volume, location in the vagina, coating behavior, sensation of the gel in the vagina, leakage, and gel changes during coital acts. Although the women described similar sensory experiences (e.g., gel leaked from the vagina), they interpreted these experiences to have varying implications for product efficacy (e.g., leakage was predicted to increase or decrease efficacy). To improve microbicide acceptability, gel developers should investigate and deliberately incorporate properties that influence users' perceptions of efficacy. When a microbicide is approved for use, providers should educate users to anticipate and understand their sensory experiences; improving users' experience can maximize adherence and product effectiveness.
[Mh] Termos MeSH primário: Anti-Infecciosos Locais/administração & dosagem
Aceitação pelo Paciente de Cuidados de Saúde/psicologia
Doenças Sexualmente Transmissíveis/prevenção & controle
Doenças Vaginais/prevenção & controle
[Mh] Termos MeSH secundário: Administração Intravaginal
Adolescente
Adulto
Satisfação dos Consumidores/estatística & dados numéricos
Feminino
Infecções por HIV/prevenção & controle
Humanos
Meia-Idade
Cremes, Espumas e Géis Vaginais/administração & dosagem
Adulto Jovem
[Pt] Tipo de publicação:JOURNAL ARTICLE; RANDOMIZED CONTROLLED TRIAL; RESEARCH SUPPORT, N.I.H., EXTRAMURAL; RESEARCH SUPPORT, U.S. GOV'T, NON-P.H.S.
[Nm] Nome de substância:
0 (Anti-Infective Agents, Local); 0 (Vaginal Creams, Foams, and Jellies)
[Em] Mês de entrada:1411
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:140912
[St] Status:MEDLINE
[do] DOI:10.1007/s10508-013-0235-5


  3 / 20302 MEDLINE  
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[PMID]:24606489
[Au] Autor:Tungsrithong N; Kasinpila C; Maneenin C; Namujju PB; Lehtinen M; Anttila A; Promthet S
[Ad] Endereço:Department of Epidemiology, Faculty of Public Health, Khon Kaen University, Khon Kaen, Thailand E-mail : naowtu@kku.ac.th.
[Ti] Título:Lack of significant effects of Chlamydia trachomatis infection on cervical cancer risk in a nested case-control study in North-East Thailand.
[So] Source:Asian Pac J Cancer Prev;15(3):1497-500, 2014.
[Is] ISSN:1513-7368
[Cp] País de publicação:Thailand
[La] Idioma:eng
[Ab] Resumo:Cervical cancer continues to be an important public health problem in Thailand. While the high risk human papillomavirus (HPV) types have been established as the principle causative agent of both malignancies and the precursor lesions, cervical intraepithelial neoplasia (CIN), other factors may also be involved like other sexually transmitted diseases, as well as smoking. Chlamydia trachomatis is an obligate intracellular Gram-negative bacterium which has a tendency to cause chronic infection featuring inflammation and therefore might be expected to increase the risk of cervical cancer. In the present nested case-control study, 61 cases of cervical cancer and 288 matched controls with original serum samples were identified from the Khon Kaen Cohort, established in the North-East of Thailand, by linkage to the Khon Kaen population based cancer registry. C. trachomatis specific IgG antibodies at recruitment were measured by microimmunofluorescence and assessed for association with cervical cancer using STATA release10. No significant link was noted either with all cancers or after removal of adenocarcinomas. The results suggest no association between Chlamydia infection and cervical cancer development in North-East Thailand, but possible influencing factors must be considered in any future research on this topic.
[Mh] Termos MeSH primário: Anticorpos Antibacterianos/sangue
Neoplasia Intraepitelial Cervical/epidemiologia
Infecções por Chlamydia/epidemiologia
Neoplasias do Colo do Útero/epidemiologia
[Mh] Termos MeSH secundário: Estudos de Casos e Controles
Neoplasia Intraepitelial Cervical/microbiologia
Infecções por Chlamydia/microbiologia
Chlamydia trachomatis/imunologia
Feminino
Humanos
Imunoglobulina G/imunologia
Risco
Fatores de Risco
Doenças Sexualmente Transmissíveis/epidemiologia
Tailândia
Neoplasias do Colo do Útero/microbiologia
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Nm] Nome de substância:
0 (Antibodies, Bacterial); 0 (Immunoglobulin G)
[Em] Mês de entrada:1411
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:140310
[St] Status:MEDLINE


  4 / 20302 MEDLINE  
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[PMID]:23534477
[Au] Autor:Gaines TL; Rusch ML; Brouwer KC; Goldenberg SM; Lozada R; Robertson AM; Perkins E; Strathdee SA; Patterson TL
[Ad] Endereço:Division of Global Public Health, University of California San Diego, La Jolla, CA, USA.
[Ti] Título:Venue-level correlates of female sex worker registration status: a multilevel analysis of bars in Tijuana, Mexico.
[So] Source:Glob Public Health;8(4):405-16, 2013.
[Is] ISSN:1744-1706
[Cp] País de publicação:England
[La] Idioma:eng
[Ab] Resumo:In Tijuana, Mexico, sex work is regulated by the municipal government, through registration cards issued to female sex workers (FSWs) for an annual fee. Registration has been associated with decreased drug use and increase condom use and HIV testing. Previously, it was demonstrated that FSWs operating in bars were more likely than street-based FSWs to be registered. This implies that certain venues may be more accessible to local authorities for the enforcement of this type of programme. Taking a novel multilevel approach, we examined whether venue characteristics of bars reflecting greater organised management and visibility affect registration status of FSWs. In an analysis of venue-level characteristics, predictors of being registered were availability of free condoms at work and distance to the main sex strip; however, these were not independently associated after inclusion of FSWs' income, illicit drug use and history of HIV testing. Our findings suggest that sex work regulations may inadvertently exclude venues in which the more vulnerable and less visible FSWs, such as injection drug users and those with limited financial resources, are situated. Efforts to revise or reconsider sex work regulations to ensure that they best promote FSWs' health, human and labour rights are recommended.
[Mh] Termos MeSH primário: Fidelidade a Diretrizes
Promoção da Saúde/legislação & jurisprudência
Prostituição/legislação & jurisprudência
Sistema de Registros
Local de Trabalho
[Mh] Termos MeSH secundário: Adulto
Preservativos/utilização
Feminino
Regulamentação Governamental
Infecções por HIV/prevenção & controle
Humanos
Modelos Logísticos
México
Análise Multivariada
Estudos Retrospectivos
Doenças Sexualmente Transmissíveis/prevenção & controle
Transtornos Relacionados ao Uso de Substâncias/prevenção & controle
Populações Vulneráveis
[Pt] Tipo de publicação:JOURNAL ARTICLE; RESEARCH SUPPORT, N.I.H., EXTRAMURAL
[Em] Mês de entrada:1312
[Cu] Atualização por classe:141117
[Lr] Data última revisão:
141117
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:130417
[St] Status:MEDLINE
[do] DOI:10.1080/17441692.2013.779386


  5 / 20302 MEDLINE  
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[PMID]:24755433
[Au] Autor:Henning TR; Butler K; Hanson D; Sturdevant G; Ellis S; Sweeney EM; Mitchell J; Deyounks F; Phillips C; Farshy C; Fakile Y; Papp J; Evan Secor W; Caldwell H; Patton D; McNicholl JM; Kersh E
[Ad] Endereço:Division of HIV/AIDS Prevention....
[Ti] Título:Increased susceptibility to vaginal simian/human immunodeficiency virus transmission in pig-tailed macaques coinfected with Chlamydia trachomatis and Trichomonas vaginalis.
[So] Source:J Infect Dis;210(8):1239-47, 2014 Oct 15.
[Is] ISSN:1537-6613
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:BACKGROUND: Sexually transmitted infections (STIs) are associated with an increased risk of human immunodeficiency virus (HIV) infection, but their biological effect on HIV susceptibility is not fully understood. METHODS: Female pig-tailed macaques inoculated with Chlamydia trachomatis and Trichomonas vaginalis (n = 9) or medium (controls; n = 7) were repeatedly challenged intravaginally with SHIVSF162p3. Virus levels were evaluated by real-time polymerase chain reaction, plasma and genital cytokine levels by Luminex assays, and STI clinical signs by colposcopy. RESULTS: Simian/HIV (SHIV) susceptibility was enhanced in STI-positive macaques (P = .04, by the log-rank test; relative risk, 2.5 [95% confidence interval, 1.1-5.6]). All STI-positive macaques were SHIV infected, whereas 3 controls (43%) remained uninfected. Moreover, relative to STI-negative animals, SHIV infections occurred earlier in the menstrual cycle in STI-positive macaques (P = .01, by the Wilcoxon test). Levels of inflammatory cytokines (interferon γ, interleukin 6, and granulocyte colony-stimulating factor [G-CSF]) were higher in STI-positive macaques during STI inoculation and SHIV exposure periods (P ≤ .05, by the Wilcoxon test). CONCLUSIONS: C. trachomatis and T. vaginalis infection increase the susceptibility to SHIV, likely because of prolonged genital tract inflammation. These novel data demonstrate a biological link between these nonulcerative STIs and the risk of SHIV infection, supporting epidemiological associations of HIV and STIs. This study establishes a macaque model for studies of high-risk HIV transmission and prevention.
[Mh] Termos MeSH primário: Infecções por Chlamydia/complicações
Chlamydia trachomatis
Coinfecção/imunologia
Vírus da Imunodeficiência Símia/fisiologia
Vaginite por Trichomonas/complicações
Trichomonas vaginalis
[Mh] Termos MeSH secundário: Animais
Colo do Útero/microbiologia
Colo do Útero/parasitologia
Colo do Útero/patologia
Colposcopia
Feminino
Macaca nemestrina
Fatores de Risco
Doenças Sexualmente Transmissíveis/complicações
Síndrome de Imunodeficiência Adquirida dos Símios/transmissão
Síndrome de Imunodeficiência Adquirida dos Símios/virologia
[Pt] Tipo de publicação:JOURNAL ARTICLE; RESEARCH SUPPORT, N.I.H., EXTRAMURAL; RESEARCH SUPPORT, U.S. GOV'T, P.H.S.
[Em] Mês de entrada:1411
[Sb] Subgrupo de revista:AIM; IM
[Da] Data de entrada para processamento:140927
[St] Status:MEDLINE
[do] DOI:10.1093/infdis/jiu240


  6 / 20302 MEDLINE  
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[PMID]:24850214
[Au] Autor:Lee YM; Cintron A; Kocher S
[Ad] Endereço:School of Nursing, DePaul University, Chicago, IL.
[Ti] Título:Factors related to risky sexual behaviors and effective STI/HIV and pregnancy intervention programs for African American adolescents.
[So] Source:Public Health Nurs;31(5):414-27, 2014 Sep-Oct.
[Is] ISSN:1525-1446
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:OBJECTIVE: The purpose of this integrative literature review study was to investigate factors related to risky sexual behaviors among African American adolescents, to evaluate which of the factors are common across successful and effective STI/HIV and pregnancy intervention programs, and finally, to propose suggestions for future intervention programs for African American adolescents in West Englewood, Chicago. DESIGN: An integrative literature review was conducted. Using CINAHL, PubMed, and ProQuest database, the following terms were searched: African American, Black, adolescents, teenagers, sexual behavior, cultural factors, pregnancy, STIs/HIV/AIDS, and intervention programs. RESULT: A total of 18 articles were reviewed, findings indicated there were five major contributing factors related to risky sexual behaviors: substance use, gender roles, peer influences, parental involvement, and level of knowledge and information on sex and STIs. Six successful STI/HIV and pregnancy programs that incorporated those factors to effectively reduce risky sexual behaviors were identified. CONCLUSION: After analyzing six national intervention programs proven to be effective, the findings suggest that future prevention programs should be designed with more emphasis on avoidance or limited substance use, increased parental involvement, integration of cultural teaching components such as storytelling and history as suggested from the Aban Aya Youth Project. This study also concluded that future prevention programs should consider the length of programs be longer than 1 year, as it has been shown to be more effective than shorter programs.
[Mh] Termos MeSH primário: Comportamento do Adolescente/etnologia
Afro-Americanos/psicologia
Infecções por HIV/etnologia
Gravidez na Adolescência/etnologia
Assunção de Riscos
Comportamento Sexual/etnologia
Doenças Sexualmente Transmissíveis/etnologia
[Mh] Termos MeSH secundário: Adolescente
Comportamento do Adolescente/psicologia
Afro-Americanos/estatística & dados numéricos
Chicago
Feminino
Infecções por HIV/prevenção & controle
Humanos
Masculino
Gravidez
Gravidez na Adolescência/prevenção & controle
Avaliação de Programas e Projetos de Saúde
Fatores de Risco
Comportamento Sexual/psicologia
Doenças Sexualmente Transmissíveis/prevenção & controle
[Pt] Tipo de publicação:JOURNAL ARTICLE; REVIEW
[Em] Mês de entrada:1411
[Sb] Subgrupo de revista:IM; N
[Da] Data de entrada para processamento:140827
[St] Status:MEDLINE
[do] DOI:10.1111/phn.12128


  7 / 20302 MEDLINE  
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[PMID]:24766580
[Au] Autor:Backonja U; Royer HR; Lauver DR
[Ad] Endereço:University of Wisconsin-Madison School of Nursing.
[Ti] Título:Young women's reasons to seek sexually transmitted infection screening.
[So] Source:Public Health Nurs;31(5):395-404, 2014 Sep-Oct.
[Is] ISSN:1525-1446
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:OBJECTIVES: To describe young women's reasons to seek and not to seek sexually transmitted infection (STI) screening; to explore whether reasons differed by age and STI screening history. DESIGN AND SAMPLE: Cross-sectional, descriptive. Female students (N = 216) at a university in the Midwestern United States. MEASURES: An anonymous online survey was designed based on the Theory of Care Seeking Behavior and literature regarding STI screening among young women. RESULTS: The most common reason to seek STI screening was to start treatment promptly (85%); the most common reason not to seek screening was being asymptomatic (54%). Participants' reasons differed by age and screening history. Women under 25 were more likely than women 25 and older to seek screening because of encouragement from female role models (p < .01). Women who had never been screened were more likely than women who had been screened to avoid screening because of embarrassment (p < .05). Novel findings included seeking STI screening because it "should be done" if sexually active and because of encouragement from female role models. CONCLUSIONS: Health care and public health professionals can use these findings to develop strategies to improve STI screening rates among young women.
[Mh] Termos MeSH primário: Programas de Rastreamento/utilização
Aceitação pelo Paciente de Cuidados de Saúde/psicologia
Doenças Sexualmente Transmissíveis/prevenção & controle
[Mh] Termos MeSH secundário: Adolescente
Adulto
Fatores Etários
Estudos Transversais
Feminino
Humanos
Meio-Oeste dos Estados Unidos
Aceitação pelo Paciente de Cuidados de Saúde/estatística & dados numéricos
Universidades
Adulto Jovem
[Pt] Tipo de publicação:JOURNAL ARTICLE; RESEARCH SUPPORT, NON-U.S. GOV'T
[Em] Mês de entrada:1411
[Sb] Subgrupo de revista:IM; N
[Da] Data de entrada para processamento:140827
[St] Status:MEDLINE
[do] DOI:10.1111/phn.12125


  8 / 20302 MEDLINE  
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[PMID]:24486047
[Au] Autor:Ito S; Kikuchi M; Seike K; Tsuchiya T; Yasuda M; Yokoi S; Nakano M; Deguchi T
[Ad] Endereço:iClinic, 5-9-6 Naga-machi, Taihaku-ku, Sendai 982-0011, Japan....
[Ti] Título:Prevalence of genital mycoplasmas in asymptomatic male partners of women diagnosed as having chlamydial infections.
[So] Source:J Infect Chemother;20(2):143-5, 2014 Feb.
[Is] ISSN:1437-7780
[Cp] País de publicação:Japan
[La] Idioma:eng
[Ab] Resumo:We examined 209 asymptomatic male partners of women diagnosed as having chlamydial infections for the prevalence of Neisseria gonorrhoeae, Chlamydia trachomatis, Mycoplasma genitalium, Mycoplasma hominis, Ureaplasma urealyticum, and Ureaplasma parvum in their first-voided urine (FVU) by nucleic acid amplification tests. Quantification of leukocytes in FVU was performed by automated urine particle analyzers. Two (1.0%) men were positive for N. gonorrhoeae, and 92 (44.0%) were positive for C. trachomatis. In men negative for these pathogens, prevalences of M. genitalium, M. hominis, U. urealyticum, and U. parvum were 0.9%, 29.6%, 27.8%, and 20.1%, respectively, and 58.3% were positive for at least one species of the genital mycoplasmas. Leukocyte counts in FVU from 92 men positive for C. trachomatis were significantly greater than those from 115 men negative for C. trachomatis (p < 0.0001). However, there was no significant difference in leukocyte counts between 66 men positive for at least one species of M. hominis, U. urealyticum, and U. parvum and 48 men negative for all the species (p = 0.1657). The present population of asymptomatic male partners of women diagnosed as having chlamydial infections showed a low prevalence of M. genitalium infections but would be at high risk of being infected by the other genital mycoplasmas. However, it was still unclear whether these genital mycoplasmas would contribute to the development of inflammation of the male urethra. When these partners are negative for C. trachomatis and N. gonorrhoeae, the recommendation to presumptively treat them to disrupt transmission networks of the genital mycoplasmas would seem premature.
[Mh] Termos MeSH primário: Infecções por Bactérias Gram-Negativas/microbiologia
Parceiros Sexuais
Doenças Bacterianas Sexualmente Transmissíveis/microbiologia
[Mh] Termos MeSH secundário: Adolescente
Adulto
Idoso
Chlamydia trachomatis/isolamento & purificação
Feminino
Infecções por Bactérias Gram-Negativas/epidemiologia
Humanos
Japão/epidemiologia
Masculino
Meia-Idade
Neisseria gonorrhoeae/isolamento & purificação
Prevalência
Doenças Bacterianas Sexualmente Transmissíveis/epidemiologia
Ureaplasma/isolamento & purificação
Adulto Jovem
[Pt] Tipo de publicação:JOURNAL ARTICLE; RESEARCH SUPPORT, NON-U.S. GOV'T
[Em] Mês de entrada:1411
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:140303
[St] Status:MEDLINE


  9 / 20302 MEDLINE  
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[PMID]:24512261
[Au] Autor:Villegas N; Santisteban D; Cianelli R; Ferrer L; Ambrosia T; Peragallo N; Lara L
[Ad] Endereço:School of Nursing and Health Studies, University of Miami, Coral Gables, FL, USA.
[Ti] Título:The development, feasibility and acceptability of an Internet-based STI-HIV prevention intervention for young Chilean women.
[So] Source:Int Nurs Rev;61(1):55-63, 2014 Mar.
[Is] ISSN:1466-7657
[Cp] País de publicação:England
[La] Idioma:eng
[Ab] Resumo:BACKGROUND: Young Chilean women between 18 and 24 years of age are at high risk of contracting sexually transmitted infection (STI) and human immunodeficiency virus (HIV). The literature shows a shortage of STI-HIV prevention interventions focused on this specific high-risk population and a unique set of barriers to receiving prevention messages. Internet-based interventions are promising for delivering STI-HIV prevention interventions and avoiding barriers to services. AIMS: The study aimed to develop a culturally informed Internet-based STI-HIV prevention intervention for Chilean women between 18 and 24 years of age, to investigate its feasibility and acceptability, and to compile recommendations on what would make the intervention more acceptable and feasible for these women. METHODS: The development of the Internet intervention was facilitated by a process that featured consultation with content and technology experts. A pre-post test design was used to test the acceptability and feasibility of the intervention with 40 young Chilean women between 18 and 24 years of age. RESULTS: The intervention website consisted of four modules of content and activities that support learning. The intervention was feasible and acceptable for young Chilean women between 18 and 24 years of age. DISCUSSION AND CONCLUSION: This study demonstrated the value of engaging multiple expert panels to develop culturally informed and technology-based interventions. The results of this study support the feasibility and acceptability of conducting an Internet-based intervention with multiple sessions, yielding high participation rates in a population in which there are barriers to discussion of STI-HIV prevention and sex-related content. IMPLICATIONS FOR NURSING AND HEALTH POLICY: The outcomes have implications for nursing education and clinical practice and they can be used for the legal and judicial systems to promote or reinforce policies that encourage STI-HIV prevention strategies among women.
[Mh] Termos MeSH primário: Infecções por HIV/prevenção & controle
Promoção da Saúde/organização & administração
Internet
Aceitação pelo Paciente de Cuidados de Saúde
Doenças Sexualmente Transmissíveis/prevenção & controle
[Mh] Termos MeSH secundário: Adolescente
Chile
Competência Cultural
Estudos de Viabilidade
Feminino
Humanos
Estudos de Intervenção
Adulto Jovem
[Pt] Tipo de publicação:JOURNAL ARTICLE; RESEARCH SUPPORT, N.I.H., EXTRAMURAL; RESEARCH SUPPORT, NON-U.S. GOV'T
[Em] Mês de entrada:1411
[Sb] Subgrupo de revista:IM; N
[Da] Data de entrada para processamento:140211
[St] Status:MEDLINE
[do] DOI:10.1111/inr.12080


  10 / 20302 MEDLINE  
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[PMID]:25133828
[Au] Autor:Widman L; Noar SM; Choukas-Bradley S; Francis DB
[Ad] Endereço:Department of Psychology, University of North Carolina....
[Ti] Título:Adolescent sexual health communication and condom use: a meta-analysis.
[So] Source:Health Psychol;33(10):1113-24, 2014 Oct.
[Is] ISSN:1930-7810
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:OBJECTIVE: Condom use is critical for the health of sexually active adolescents, and yet many adolescents fail to use condoms consistently. One interpersonal factor that may be key to condom use is sexual communication between sexual partners; however, the association between communication and condom use has varied considerably in prior studies of youth. The purpose of this meta-analysis was to synthesize the growing body of research linking adolescents' sexual communication to condom use, and to examine several moderators of this association. METHOD: A total of 41 independent effect sizes from 34 studies with 15,046 adolescent participants (M(age) = 16.8, age range = 12-23) were meta-analyzed. RESULTS: Results revealed a weighted mean effect size of the sexual communication-condom use relationship of r = .24, which was statistically heterogeneous (Q = 618.86, p < .001, I² = 93.54). Effect sizes did not differ significantly by gender, age, recruitment setting, country of study, or condom measurement timeframe; however, communication topic and communication format were statistically significant moderators (p < .001). Larger effect sizes were found for communication about condom use (r = .34) than communication about sexual history (r = .15) or general safer sex topics (r = .14). Effect sizes were also larger for communication behavior formats (r = .27) and self-efficacy formats (r = .28), than for fear/concern (r = .18), future intention (r = .15), or communication comfort (r = -.15) formats. CONCLUSIONS: Results highlight the urgency of emphasizing communication skills, particularly about condom use, in HIV/STI prevention work for youth. Implications for the future study of sexual communication are discussed.
[Mh] Termos MeSH primário: Comportamento do Adolescente/psicologia
Preservativos/utilização
Comunicação em Saúde
Comportamento Sexual/psicologia
Parceiros Sexuais/psicologia
Doenças Sexualmente Transmissíveis/prevenção & controle
[Mh] Termos MeSH secundário: Adolescente
Criança
Feminino
Humanos
Relações Interpessoais
Masculino
Adulto Jovem
[Pt] Tipo de publicação:JOURNAL ARTICLE; META-ANALYSIS; RESEARCH SUPPORT, N.I.H., EXTRAMURAL
[Em] Mês de entrada:1411
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:140923
[St] Status:MEDLINE
[do] DOI:10.1037/hea0000112



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