Bibliographic Details
| Title: |
Factors associated with the increase in sexually transmitted infections in men: an integrative review. |
| Alternate Title: |
Factores asociados al aumento de infecciones de transmisión sexual en hombres: una revisión integradora. |
| Authors: |
Lao-López, Cristina1,2 lao.cristina7@gmail.com, Garriga-Comas, Neus3,4, Goberna-Tricas, Josefina5 |
| Source: |
Enfermería Global. abr2024, Vol. 23 Issue 2, p549-562. 14p. |
| Subjects: |
SEXUALLY transmitted disease risk factors, RISK assessment, SUBSTANCE abuse, SEXUAL orientation, RISK-taking behavior, CINAHL database, HUMAN sexuality, BEHAVIOR, DESCRIPTIVE statistics, SYSTEMATIC reviews, MEDLINE, PRE-exposure prophylaxis, MEN'S health, MEDICAL databases, ONLINE information services, ALCOHOL drinking, EARLY diagnosis, SOCIODEMOGRAPHIC factors, EDUCATIONAL attainment |
| Abstract (English): |
Objective: To analyse the scientific evidence regarding the factors associated with risk behavior in men in relation to the increase in sexually transmitted infections (STIs). Method: An integrative review based on a bibliographic search of the PubMed, WoS, CINHAL, and Cochrane databases. Results/Discussion: 151 articles were identified applying the following selection criteria: a) use of English or Spanish, and b) publication between 2015 and 2021. 128 articles were discarded after reading the title and abstract, leaving a total of 23. In accordance with the adapted version of the Precede-Proceed Model, the following factors associated with the presence of STIs: predisposing factors: drug use, alcohol, multiple partners, STI diagnosis, post-exposure prophylaxis (PEP) administration, and sexual orientation; facilitating factors of risk behavior: unprotected sexual intercourse, needle exchange; and reinforcing factors/predictors of behavior change: early diagnosis, use of pre-exposure prophylaxis (PrEP), educational interventions and health programs. All these factors should be considered in a socio-demographic and cultural context along with factors such as age, country of origin, migrant status, work or income level, and educational level. Conclusion: The prevalence of STIs has decreased, but further improvements are necessary. Identification of all the factors associated with risk behavior and the application of the Precede-Proceed method can help to strengthen the impact of educational interventions designed by health professionals with regard to changing sexual behavior. [ABSTRACT FROM AUTHOR] |
| Abstract (Spanish): |
Objetivo: Analizar la evidencia científica existente sobre los factores asociados a un comportamiento de riesgo en hombres en relación al aumento de infecciones de transmisión sexual (ITS). Método: Revisión integradora mediante búsqueda bibliográfica en las bases de datos PubMed, WoS, CINHAL, Cochrane. Resultados/Discusión: Se identificaron 151 artículos aplicando los criterios de selección: artículos en inglés y español del 2015 al 2021. Tras lectura de título y resumen, se descartaron 128 artículos siendo 23 artículos los finales. Los Factores asociados clasificados según categorías guiadas por la adaptación del Modelo Precede-Proceed son: Factores predisponentes: uso de drogas, alcohol, múltiples parejas, diagnóstico de ITS, administración de la profilaxis post-exposición (PPE) y orientación sexual. Factores facilitadores del comportamiento de riesgo: relaciones sexuales sin protección, intercambio de jeringuillas. Factores reforzadores/previsores de un cambio de conducta: diagnóstico precoz, utilización de la profilaxis preexposición (PrEP) e intervenciones educativas y programas de salud. Todos estos factores se tienen que considerar en un contexto sociodemográfico y cultural relacionándolos con la edad, país de origen, migración, trabajo o nivel de ingresos y nivel de estudios. Conclusión: La disminución de la prevalencia de las ITS se puede mejorar conociendo todos los factores asociados a un comportamiento de riesgo y incidir en ellos según la adaptación al método Precede-Proceed. Esto contribuye a la mejora de intervenciones educativas de los profesionales sanitarios en la incidencia y cambio del comportamiento sexual. [ABSTRACT FROM AUTHOR] |
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| Database: |
MedicLatina |