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Sexual behavior across the transition to adulthood and sexually transmitted infections: Findings from the national survey of human papillomavirus prevalence (POP-Brazil)
The sexual behaviors of 15- to 24-year-olds increase the risk of this population to acquire sexually transmitted infections (STIs). The present study aimed to describe the sexual behavior in the transition to adulthood Brazilian population and its association with STI history. We analyzed cross-sect...
Autores principales: | , , , , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Wolters Kluwer Health
2018
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6112916/ https://www.ncbi.nlm.nih.gov/pubmed/30113461 http://dx.doi.org/10.1097/MD.0000000000011758 |
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author | Wendland, Eliana Marcia Horvath, Jaqueline Driemeyer Correia Kops, Natália Luiza Bessel, Marina Caierão, Juliana Hohenberger, Glaucia Fragoso Domingues, Carla Magda Maranhão, Ana Goretti Kalume de Souza, Flavia Moreno Alves Benzaken, Adele Schwartz |
author_facet | Wendland, Eliana Marcia Horvath, Jaqueline Driemeyer Correia Kops, Natália Luiza Bessel, Marina Caierão, Juliana Hohenberger, Glaucia Fragoso Domingues, Carla Magda Maranhão, Ana Goretti Kalume de Souza, Flavia Moreno Alves Benzaken, Adele Schwartz |
author_sort | Wendland, Eliana Marcia |
collection | PubMed |
description | The sexual behaviors of 15- to 24-year-olds increase the risk of this population to acquire sexually transmitted infections (STIs). The present study aimed to describe the sexual behavior in the transition to adulthood Brazilian population and its association with STI history. We analyzed cross-sectional data collected from 8562 sexually active women and men who participated in the National Survey of Human Papillomavirus Prevalence (POP-Brazil). This large-scale survey enrolled participants from 26 Brazilian capitals and the Federal District. Professionals from primary care facilities were trained to collect data utilizing a standardized questionnaire with questions on sociodemographic, sexual behavior, and drug use. We constructed a Poisson model with robust variance for both crude and adjusted analysis to investigate the associations between the variables. To adjust the distribution of the sample to the study population, we weighted the measures by the population size in each city and by gender. There were differences in several aspects from sexual behavior between genders. The majority of men reported an early sexual initiation, more sexual partners, and a different practice in sexual positions when compared with women. Women reported use of contraception more frequently than men (P < .001). The use of alcohol and drugs and the use of drugs before sexual intercourse impact in STIs equally between the genders. Exclusive for women, the presence of any STI was associated with the practice of vaginal sex and other types of intercourse (adjusted prevalence ratio [APR] 1.43, 95% CI 1.08–1.88). For men, the number of sexual partners in the last year (APR 1.02, 95% CI 1.01–1.04), not having vaginal sex (APR 3.25, 95% CI 1.78–5.92) and sexual experience with someone of the same sex (APR 4.05, 95% CI, 2.88–5.70) were associated with a higher presence of STIs. This is the first report regarding sexual behavior in a nationally representative population sample in Brazil. This study provides more valid estimates of sexual behavior and associated STIs, identifying important differences in sexual behavior and identifying predictors for referred STIs among females and males. |
format | Online Article Text |
id | pubmed-6112916 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2018 |
publisher | Wolters Kluwer Health |
record_format | MEDLINE/PubMed |
spelling | pubmed-61129162018-09-07 Sexual behavior across the transition to adulthood and sexually transmitted infections: Findings from the national survey of human papillomavirus prevalence (POP-Brazil) Wendland, Eliana Marcia Horvath, Jaqueline Driemeyer Correia Kops, Natália Luiza Bessel, Marina Caierão, Juliana Hohenberger, Glaucia Fragoso Domingues, Carla Magda Maranhão, Ana Goretti Kalume de Souza, Flavia Moreno Alves Benzaken, Adele Schwartz Medicine (Baltimore) Research Article The sexual behaviors of 15- to 24-year-olds increase the risk of this population to acquire sexually transmitted infections (STIs). The present study aimed to describe the sexual behavior in the transition to adulthood Brazilian population and its association with STI history. We analyzed cross-sectional data collected from 8562 sexually active women and men who participated in the National Survey of Human Papillomavirus Prevalence (POP-Brazil). This large-scale survey enrolled participants from 26 Brazilian capitals and the Federal District. Professionals from primary care facilities were trained to collect data utilizing a standardized questionnaire with questions on sociodemographic, sexual behavior, and drug use. We constructed a Poisson model with robust variance for both crude and adjusted analysis to investigate the associations between the variables. To adjust the distribution of the sample to the study population, we weighted the measures by the population size in each city and by gender. There were differences in several aspects from sexual behavior between genders. The majority of men reported an early sexual initiation, more sexual partners, and a different practice in sexual positions when compared with women. Women reported use of contraception more frequently than men (P < .001). The use of alcohol and drugs and the use of drugs before sexual intercourse impact in STIs equally between the genders. Exclusive for women, the presence of any STI was associated with the practice of vaginal sex and other types of intercourse (adjusted prevalence ratio [APR] 1.43, 95% CI 1.08–1.88). For men, the number of sexual partners in the last year (APR 1.02, 95% CI 1.01–1.04), not having vaginal sex (APR 3.25, 95% CI 1.78–5.92) and sexual experience with someone of the same sex (APR 4.05, 95% CI, 2.88–5.70) were associated with a higher presence of STIs. This is the first report regarding sexual behavior in a nationally representative population sample in Brazil. This study provides more valid estimates of sexual behavior and associated STIs, identifying important differences in sexual behavior and identifying predictors for referred STIs among females and males. Wolters Kluwer Health 2018-08-17 /pmc/articles/PMC6112916/ /pubmed/30113461 http://dx.doi.org/10.1097/MD.0000000000011758 Text en Copyright © 2018 the Author(s). Published by Wolters Kluwer Health, Inc. http://creativecommons.org/licenses/by-nc-nd/4.0 This is an open access article distributed under the terms of the Creative Commons Attribution-Non Commercial-No Derivatives License 4.0 (CCBY-NC-ND), where it is permissible to download and share the work provided it is properly cited. The work cannot be changed in any way or used commercially without permission from the journal. http://creativecommons.org/licenses/by-nc-nd/4.0 |
spellingShingle | Research Article Wendland, Eliana Marcia Horvath, Jaqueline Driemeyer Correia Kops, Natália Luiza Bessel, Marina Caierão, Juliana Hohenberger, Glaucia Fragoso Domingues, Carla Magda Maranhão, Ana Goretti Kalume de Souza, Flavia Moreno Alves Benzaken, Adele Schwartz Sexual behavior across the transition to adulthood and sexually transmitted infections: Findings from the national survey of human papillomavirus prevalence (POP-Brazil) |
title | Sexual behavior across the transition to adulthood and sexually transmitted infections: Findings from the national survey of human papillomavirus prevalence (POP-Brazil) |
title_full | Sexual behavior across the transition to adulthood and sexually transmitted infections: Findings from the national survey of human papillomavirus prevalence (POP-Brazil) |
title_fullStr | Sexual behavior across the transition to adulthood and sexually transmitted infections: Findings from the national survey of human papillomavirus prevalence (POP-Brazil) |
title_full_unstemmed | Sexual behavior across the transition to adulthood and sexually transmitted infections: Findings from the national survey of human papillomavirus prevalence (POP-Brazil) |
title_short | Sexual behavior across the transition to adulthood and sexually transmitted infections: Findings from the national survey of human papillomavirus prevalence (POP-Brazil) |
title_sort | sexual behavior across the transition to adulthood and sexually transmitted infections: findings from the national survey of human papillomavirus prevalence (pop-brazil) |
topic | Research Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6112916/ https://www.ncbi.nlm.nih.gov/pubmed/30113461 http://dx.doi.org/10.1097/MD.0000000000011758 |
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