Please use this identifier to cite or link to this item: https://www.arca.fiocruz.br/handle/icict/32225
Title: Relações sexuais desprotegidas entre usuários de crack no Estado de Pernambuco
Other Titles: Unprotected sex among crack users in the Pernambuco state
Advisor: Brito, Ana Maria de
Members of the board: Brito, Ana Maria de
Vasconcelos, Ana Lúcia Ribeiro de
Dantas, Benedito Medrado
Authors: Jacques, Iracema de Jesus Almeida Alves
Coadvisor: Santos, Naíde Teodósio Valois
Affilliation: Fundação Oswaldo Cruz. Instituto Aggeu Magalhães. Recife, PE, Brasil.
Abstract: Introduction: High prevalence of HIV and unprotected sex have often been observed among drug users, even in non-injectable forms, such as crack, therefore, being considered one of the practices related to the dissemination of HIV in Brazil. Objectives: To estimate the prevalence of unprotected sex and its associated factors, among sex, in the crack users of the Pernambuco State. Materials and Methods: Cross-sectional cohort study from a sample of crack users assisted by ATTITUDE Program in Pernambuco, carried out between 2014 and 2015. Were considered as crack users those individuals who meet the criteria of the Pan American Health Organization for drug users with high risk of to transmit HIV. To verify differences according to sex we used the chi-squared test. The effect of the factors studied over unprotected sex was estimated by simple regression model and the variables with p <0.20 were selected for multivariate analysis, being considered the significance level of 5%. Results: Were analyzed 1,062 cases, being 819 (77.1%) male and 243 (22.9%) female. The highest percentage were between 25 and 34 years (46%), single (80.2%), skin color brown (65.1%), and living on the streets (56.9%).Inconsistent condom use among men (74.7%) was associated with is drug effect; no condom use at first intercourse; self-perceived of greater chance of becoming infected by HIV; have a steady partner; and not have access to condoms. Inconsistent condom use among women (77.8%) with no condom use at first intercourse; self-perception of greater chance of becoming infected with HIV; High school; no religion and be married. Conclusion: Different factors associated with inconsistent condom use among men and women crack users, emphasize the need for specific STD prevention strategies among sexes.
Abstract: Introduction: High prevalence of HIV and unprotected sex have often been observed among drug users, even in non-injectable forms, such as crack, therefore, being considered one of the practices related to the dissemination of HIV in Brazil. Objectives: To estimate the prevalence of unprotected sex and its associated factors, among sex, in the crack users of the Pernambuco State. Materials and Methods: Cross-sectional cohort study from a sample of crack users assisted by ATTITUDE Program in Pernambuco, carried out between 2014 and 2015. Were considered as crack users those individuals who meet the criteria of the Pan American Health Organization for drug users with high risk of to transmit HIV. To verify differences according to sex we used the chi-squared test. The effect of the factors studied over unprotected sex was estimated by simple regression model and the variables with p <0.20 were selected for multivariate analysis, being considered the significance level of 5%. Results: Were analyzed 1,062 cases, being 819 (77.1%) male and 243 (22.9%) female. The highest percentage were between 25 and 34 years (46%), single (80.2%), skin color brown (65.1%), and living on the streets (56.9%).Inconsistent condom use among men (74.7%) was associated with is drug effect; no condom use at first intercourse; self-perceived of greater chance of becoming infected by HIV; have a steady partner; and not have access to condoms. Inconsistent condom use among women (77.8%) with no condom use at first intercourse; self-perception of greater chance of becoming infected with HIV; High school; no religion and be married. Conclusion: Different factors associated with inconsistent condom use among men and women crack users, emphasize the need for specific STD prevention strategies among sexes.
Keywords: Condoms
Unprotected sex
HIV
Drug users
Crack Cocaine
keywords: Preservativos
Sexo sem Proteção
HIV
Usuários de Drogas
Cocaína Crack
DeCS: Sexo sem proteção
Preservativos
HIV
Usuários de drogas
Cocaína crack
Drogas ilícitas
Soroprevalência de HIV
Síndrome de Imunodeficiência Adquirida/mortalidade
Causas múltiplas de Morte
Anos Potenciais de Vida Perdidos
Fatores de Risco
Perfil de Saúde
Distribuição por Sexo
Doenças Sexualmente Transmissíveis/epidemiologia
Infecções por HIV/prevençäo & controle
Infecções por HIV/epidemiologia
Estudos Transversais
Conhecimentos, Atitudes e Prática em Saúde
Inquéritos e Questionários
Brasil/epidemiologia
Issue Date: 2016
Citation: JACQUES, Iracema de Jesus Almeida Alves. Relações sexuais desprotegidas entre usuários de crack no estado de Pernambuco. 2016. 150f. Dissertação (Mestrado Acadêmico em Saúde Pública) - Instituto Aggeu Magalhães, Fundação Oswaldo Cruz, Recife. 2016
Date of defense: 2016-03-17
Place of defense: Recife/PE
Department: Departamento de Saúde Coletiva
Defense institution: Fundação Oswaldo Cruz. Instituto Aggeu Magalhães.
Program: Programa de Pós-Graduação em Saúde Pública
Copyright: restricted access
Appears in Collections:PE - IAM - PPGSP - Dissertações de Mestrado

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