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Testing, Inequities and Vulnerability of Adolescents to Sexually Transmitted Infections.

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Title: Testing, Inequities and Vulnerability of Adolescents to Sexually Transmitted Infections.
Authors: de Carvalho Mesquita Ayres, José Ricardo1 jrcayres@usp.br, Junqueira Calazans, Gabriela2, Gianini, Reinaldo José3, Cangussu Botelho, Fernanda1, Urrestarazu Devincenzi, Macarena4, Bellenzani, Renata5, Silva, Valeria Nanci6, de Oliveira Amorim, Gustavo Henrique1, Research Group on Youth's Health and Human Rights, Paiva, Vera, França Jr., Ivan, Garcia, Marcos R. V., Silva, Cristiane G., Galeão-Silva, Luis L. G., Simões, Júlio A., Cabral, Cristiane, Campos, Brisa B., Barbosa Jr., Djalma A., Caputo, Ubirajara N., Plácido, Diego
Source: Journal of Community Health. Feb2022, Vol. 47 Issue 1, p118-126. 9p. 1 Chart, 1 Graph.
Subject Terms: *Health services accessibility, *Adolescence, Sexually transmitted disease diagnosis, Psychological vulnerability, Cross-sectional method, Human sexuality, Medical screening, Health status indicators, Socioeconomic factors, Chi-squared test
Geographic Terms: Brazil
Abstract: Sexually transmitted infections (STIs) should form part of the comprehensive healthcare agenda for adolescents and young people (A&Y) and testing plays a strategic role in STI prevention. However, little attention has been paid to the social and programmatic obstacles to this practice among A&Y. The aim of this study is to describe the prevalence of testing for syphilis and HIV reported by a group of A&Y, analyzing its relationship with variables potentially indicative of inequities related to vulnerability to STIs. This was a cross-sectional survey applied to students at public high schools in three cities in the state of São Paulo, Brazil. The responses of 369 young people who reported having started sexual life were analyzed. The analysis included description of the frequencies of demographic and socioeconomic variables and their associations with testing for syphilis and HIV through the chi-square test. The concentration index (CI) was also calculated, with construction of the respective concentration curve for the associated variables. Positive associations were found between occurrence of testing and living in homes with up to three inhabitants, living in a marital situation with a regular or committed partnership, previous use of primary care services and previous use of hospitals or emergency services. The concentration curve for testing STIs showed significant contributions from the associated variables. The findings indicated that situations of inequity need to be addressed in order to reduce A&Y's vulnerability to STIs. [ABSTRACT FROM AUTHOR]
Copyright of Journal of Community Health is the property of Springer Nature and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
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  Data: Testing, Inequities and Vulnerability of Adolescents to Sexually Transmitted Infections.
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  Data: <searchLink fieldCode="AR" term="%22de+Carvalho+Mesquita+Ayres%2C+José+Ricardo%22">de Carvalho Mesquita Ayres, José Ricardo</searchLink><relatesTo>1</relatesTo><i> jrcayres@usp.br</i><br /><searchLink fieldCode="AR" term="%22Junqueira+Calazans%2C+Gabriela%22">Junqueira Calazans, Gabriela</searchLink><relatesTo>2</relatesTo><br /><searchLink fieldCode="AR" term="%22Gianini%2C+Reinaldo+José%22">Gianini, Reinaldo José</searchLink><relatesTo>3</relatesTo><br /><searchLink fieldCode="AR" term="%22Cangussu+Botelho%2C+Fernanda%22">Cangussu Botelho, Fernanda</searchLink><relatesTo>1</relatesTo><br /><searchLink fieldCode="AR" term="%22Urrestarazu+Devincenzi%2C+Macarena%22">Urrestarazu Devincenzi, Macarena</searchLink><relatesTo>4</relatesTo><br /><searchLink fieldCode="AR" term="%22Bellenzani%2C+Renata%22">Bellenzani, Renata</searchLink><relatesTo>5</relatesTo><br /><searchLink fieldCode="AR" term="%22Silva%2C+Valeria+Nanci%22">Silva, Valeria Nanci</searchLink><relatesTo>6</relatesTo><br /><searchLink fieldCode="AR" term="%22de+Oliveira+Amorim%2C+Gustavo+Henrique%22">de Oliveira Amorim, Gustavo Henrique</searchLink><relatesTo>1</relatesTo><br /><searchLink fieldCode="AR" term="%22Research+Group+on+Youth's+Health+and+Human+Rights%22">Research Group on Youth's Health and Human Rights</searchLink><br /><searchLink fieldCode="AR" term="%22Paiva%2C+Vera%22">Paiva, Vera</searchLink><br /><searchLink fieldCode="AR" term="%22França+Jr%2E%2C+Ivan%22">França Jr., Ivan</searchLink><br /><searchLink fieldCode="AR" term="%22Garcia%2C+Marcos+R%2E+V%2E%22">Garcia, Marcos R. V.</searchLink><br /><searchLink fieldCode="AR" term="%22Silva%2C+Cristiane+G%2E%22">Silva, Cristiane G.</searchLink><br /><searchLink fieldCode="AR" term="%22Galeão-Silva%2C+Luis+L%2E+G%2E%22">Galeão-Silva, Luis L. G.</searchLink><br /><searchLink fieldCode="AR" term="%22Simões%2C+Júlio+A%2E%22">Simões, Júlio A.</searchLink><br /><searchLink fieldCode="AR" term="%22Cabral%2C+Cristiane%22">Cabral, Cristiane</searchLink><br /><searchLink fieldCode="AR" term="%22Campos%2C+Brisa+B%2E%22">Campos, Brisa B.</searchLink><br /><searchLink fieldCode="AR" term="%22Barbosa+Jr%2E%2C+Djalma+A%2E%22">Barbosa Jr., Djalma A.</searchLink><br /><searchLink fieldCode="AR" term="%22Caputo%2C+Ubirajara+N%2E%22">Caputo, Ubirajara N.</searchLink><br /><searchLink fieldCode="AR" term="%22Plácido%2C+Diego%22">Plácido, Diego</searchLink>
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  Data: <searchLink fieldCode="JN" term="%22Journal+of+Community+Health%22">Journal of Community Health</searchLink>. Feb2022, Vol. 47 Issue 1, p118-126. 9p. 1 Chart, 1 Graph.
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  Data: *<searchLink fieldCode="DE" term="%22Health+services+accessibility%22">Health services accessibility</searchLink><br />*<searchLink fieldCode="DE" term="%22Adolescence%22">Adolescence</searchLink><br /><searchLink fieldCode="DE" term="%22Sexually+transmitted+disease+diagnosis%22">Sexually transmitted disease diagnosis</searchLink><br /><searchLink fieldCode="DE" term="%22Psychological+vulnerability%22">Psychological vulnerability</searchLink><br /><searchLink fieldCode="DE" term="%22Cross-sectional+method%22">Cross-sectional method</searchLink><br /><searchLink fieldCode="DE" term="%22Human+sexuality%22">Human sexuality</searchLink><br /><searchLink fieldCode="DE" term="%22Medical+screening%22">Medical screening</searchLink><br /><searchLink fieldCode="DE" term="%22Health+status+indicators%22">Health status indicators</searchLink><br /><searchLink fieldCode="DE" term="%22Socioeconomic+factors%22">Socioeconomic factors</searchLink><br /><searchLink fieldCode="DE" term="%22Chi-squared+test%22">Chi-squared test</searchLink>
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  Data: <searchLink fieldCode="DE" term="%22Brazil%22">Brazil</searchLink>
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  Data: Sexually transmitted infections (STIs) should form part of the comprehensive healthcare agenda for adolescents and young people (A&Y) and testing plays a strategic role in STI prevention. However, little attention has been paid to the social and programmatic obstacles to this practice among A&Y. The aim of this study is to describe the prevalence of testing for syphilis and HIV reported by a group of A&Y, analyzing its relationship with variables potentially indicative of inequities related to vulnerability to STIs. This was a cross-sectional survey applied to students at public high schools in three cities in the state of São Paulo, Brazil. The responses of 369 young people who reported having started sexual life were analyzed. The analysis included description of the frequencies of demographic and socioeconomic variables and their associations with testing for syphilis and HIV through the chi-square test. The concentration index (CI) was also calculated, with construction of the respective concentration curve for the associated variables. Positive associations were found between occurrence of testing and living in homes with up to three inhabitants, living in a marital situation with a regular or committed partnership, previous use of primary care services and previous use of hospitals or emergency services. The concentration curve for testing STIs showed significant contributions from the associated variables. The findings indicated that situations of inequity need to be addressed in order to reduce A&Y's vulnerability to STIs. [ABSTRACT FROM AUTHOR]
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  Data: <i>Copyright of Journal of Community Health is the property of Springer Nature and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract.</i> (Copyright applies to all Abstracts.)
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        Value: 10.1007/s10900-021-01028-6
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