Fatores comportamentais associados à infecção pelo HIV em jovens: um estudo comparado

• Ano de defesa: 2022
• Autor(a) principal: Silva, Juliana Kelly Batista da
• Tipo de documento: Dissertação
• Tipo de acesso: Acesso aberto
• Idioma: por
• Instituição de defesa: Universidade Federal da Paraíba; Brasil; Enfermagem; Programa de Pós-Graduação em Enfermagem; UFPB
• Palavras-chave em Português: Jovem; Adulto jovem; Análise transversal; Soroprevalência de HIV; Comportamentos de risco à saúde; Young; Young adult; Cross-sectional analysis; HIV Seroprevalence; Health risk behaviors; Joven; Adulto joven; Análisis transversal; Seroprevalencia de VIH; Conductas de riesgo para la salud; CNPQ::CIENCIAS DA SAUDE::ENFERMAGEM
• Link de acesso: https://repositorio.ufpb.br/jspui/handle/123456789/23517

Introduction: Considered priority population segments by public policies to combat HIV, young people are an epidemiologically prominent group, whose peculiarities, including behavioral aspects of this age group, prompt approaches in the field of health care that are more responsive to their needs. Objectives: To comparatively analyze the prevalence and behavioral factors associated with HIV infection in young people from two municipalities in Paraíba. Method: Observational, cross-sectional, survey-type study carried out in Testing and Counseling Centers in the headquarters of two Health Care macro-regions in the State of Paraíba: João Pessoa and Campina Grande. The sample consists of 279 young people aged between 15 and 24 years, recruited when they attended the service to perform the rapid HIV test. Data were collected using a structured and validated instrument, and analyzed using chi-square (x2) or Fisher's exact tests, and prevalence ratio. The research was approved by the Research Ethics Committee, according to opinion number 3,935,713. Results: the 279 young people investigated positive, 3.9% tested for HIV, with a seroprevalence of 7.14% in the city of Campina Grande and 2.2% in João Pessoa. Young males, self-declared brown, with high schooling, who study and work and with income between one to three minimum wages had a higher frequency of positive results for HIV. Behavioral factors such as initiation of sexual activity among those over 18 years of age, frequent condom use during sexual intercourse, previous tests, and seeking CTA due to sexual exposure represented a higher prevalence of HIV. At a significance level of 0.05, the independent variables that were significantly associated with the HIV outcome were young men and women, from Campina Grande (PR=3,2), sexual exposure as the reason for the current test (PR= 2,29), homosexuals (PR=4,8), with a perception of high risk of acquiring HIV (PR=7,9) and practicing receptive anal sex (PR=1,93). Conclusion: The execution of this research showed a high seroprevalence in the young population studied, with a higher concentration of cases in the city of Campina Grande. The behavioral factors pointed out in the study should be part of strategic information on HIV surveillance, to help implement actions to strengthen the prevention of this disease in the young population, with emphasis on all the specifics of this age group.