Knowledge, attitudes and practices of university adolescents about syphilis

a cross-sectional study in the Northeast

Authors

  • Rodolfo Xavier da Costa Carvalho Secretaria de Saúde Municipal de Piripiri
  • Telma Maria Evangelista de Araújo Universidade Federal do Piauí

DOI:

https://doi.org/10.11606/s1518-8787.2020054002381

Keywords:

Adolescent, Young Adult, Students, Education, Higher, Syphilis, Health Knowledge, Attitudes, Practice

Abstract

OBJECTIVE: To analyze knowledge, attitudes and practices of university adolescents about syphilis. METHODS: Cross-sectional, analytical, census-type study, developed with the universe of adolescents aged 18 and 19 years (n = 598), enrolled in three institutions of higher education in a municipality of Piauí (n = 598), which total 20 courses in the areas of Health Sciences, Applied Social Sciences, Exact and Earth, Engineering and Linguistics, Letters and Art. Data collection occurred from March to May 2019, based on a questionnaire adapted from the Pesquisa de Conhecimentos, Atitudes e Práticas da População Brasileira of 2013 (PCAP – Survey of Knowledge, Attitudes and Practices in the Brazilian Population), consisting of questions related to sociodemographic variables (gender, family arrangement, father’s schooling, mother’s schooling, skin color or race, employment, household income), knowledge, attitude and practice regarding the disease, the last three being classified by scores. The variables that presented p ≤ 0.20 in the bivariate analysis, by Pearson’s chi-square test, were included in three multivariate logistic models, and the outcomes in each model were knowledge, attitude and practice, respectively; remaining at the end those at the level of p < 0.05. RESULTS: Boys have a 39.6% lower chance of having adequate/regular knowledge (ORa = 0.604; 95%CI 0.415–0.878), whereas the highest chances are associated with “living alone, with relatives and friends” (ORa = 4.567; 95%CI 1.417–14.719) and having a very positive/positive attitude (ORa = 6.937; 95%CI 4.562–10.550). Lower chances of an adequate practice are associated with boys (ORa = 0.480; 95%CI 0.301–0.766) and lower father’s schooling (ORa = 0.440; 95%CI 0.241–0.806). CONCLUSION: Most participants’ knowledge and attitude regarding syphilis were not sufficient to the adoption of an adequate sexual practice for the prevention of the disease, showing the need to investigate other variables that may be implicated in this cognitive incoherence.

Author Biographies

  • Rodolfo Xavier da Costa Carvalho, Secretaria de Saúde Municipal de Piripiri

    Secretaria de Saúde Municipal de Piripiri. Piripiri, PI, Brasil

  • Telma Maria Evangelista de Araújo, Universidade Federal do Piauí

    Universidade Federal do Piauí. Centro de Ciências da Saúde. Departamento de Enfermagem. Teresina, PI, Brasil

References

Korenromp EL, Mahiané SG, Nagelkerke N, Taylor MM, Williams R, Chico RM, et al. Syphilis prevalence trends in adult women in 132 countries: estimations using the Spectrum Sexually Transmitted Infections model. Sci Rep. 2018;:11503. https://doi.org/10.1038/s41598-018-29805-9

Rowley J, Vander Hoorn SV, Korenromp E, Low N, Unemo M, Abuh-Raddad, et al. Clamydia, gonorrhea, Trichomoniasis and syphilis: global prevalence and incidence estimates, 2016. Bull World Health Organ. 2019;97(8):548-62P. https://doi.org/10.2471/BLT.18.228486

Motta LR, Sperhacke RS, Adami AG, Kato SK, Vanni AC, Paganella SP. Syphilis prevalence and risk factors among young men presenting to the Brazilian Army in 2016: results from a national survey. Medicine (Baltimore). 2018;97(47):e13309.

https://doi.org/10.1097/MD.0000000000013309

Boletim Epidemiológico de Sífilis 2018. Brasília, DF: Ministério da Saúde; 2018 [citado 3 ago 2019]. Disponível em: http://www.aids.gov.br/pt-br/pub/2018/boletim-epidemiologico-de-sifilis-2018

Boletim Epidemiológico de Sífilis 2017. Brasília, DF: Ministério da Saúde; 2017 [citado 3 ago 2019]. Disponível em: http://www.aids.gov.br/pt-br/pub/2017/boletim-epidemiologico-de-sifilis-2017

World Health Organization (WHO). Health for the world’s adolescents: a second chance in the second decade. Geneva: WHO; 2014. Disponível em: https://www.who.int/docs/default-source/substance-use/1612-mncah-hwa-executive-summary.pdf?sfvrsn=c320d63b_2

Sá MI, Silva MT, Almeida D, Vieira B, Lima T, Conde C, et al. Infecções sexualmente transmissíveis e factores de risco nas adolescentes e jovens: dados de um Centro de Atendimento a Jovens. Nascer Crescer. 2015 [citado 2 set 2019];24(2):64-9. Disponível em: http://www.scielo.mec.pt/scielo.php?script=sci_arttext&pid=S0872-7542015000300003&lng=pt

Borges MR, Silveira RE, Santos AS, Lippi UG. Comportamento sexual de ingressantes universitários. Rev Pesq Cuid Fundam Online. 2015;7(2):2505-15. https://doi.org/10.9789/2175-5361.2015.v7i2.2505-2515

Fonte VRF, Spindola T, Lemos A, Francico MTR, Oliveira CSR. Conhecimento e percepção de risco em relação às infecções sexualmente transmissíveis entre jovens universitários. Cogitare Enferm. 2018;23(3):e55903. https://doi.org/10.5380/ce.v23i3.55903

Conselho Nacional de Desenvolvimento Científico e Tecnológico, Diretório dos Grupos de Pesquisa no Brasil – Lattes. Árvore do Conhecimento. Brasília DF: CNPq; 2020 [citado 22 abr 2020]. Disponível em: http://lattes.cnpq.br/web/dgp/arvore-do-conhecimento

Ministério da Saúde (BR), Secretaria de Vigilância em Saúde, Departamento de DST, Aids e Hepatites Virais. Pesquisa de conhecimentos, atitudes e práticas da população brasileira 2013. Brasília, DF; 2016 [citado 2 set 2019]. (Série G. Estatística e Informação em Saúde). Disponível em: http://www.aids.gov.br/pt-br/pub/2016/pesquisa-de-conhecimentos-atitudes-e-praticas-napopulacao-brasileira-pcap-2013

Souza, ATS. Prevalência da sífilis e fatores de risco em internos do sistema prisional do Piauí [dissertação]. Teresina: Universidade Federal do Piauí; 2016.

Almeida MG, Araújo TME, Nunes BMVT, Moura MEB, Martins MCC. Conhecimento e prática de profissionais sobre conservação de vacinas. Rev Online Pesq Cuid Fundam. 2014;6(5):10-21.https://doi.org/10.9789/2175-5361.2014.v6i5.10-21

Archer KJ, Lemeshow S. Goodness-of-fit test for a logistic regression model fitted using survey sample data. Stata J. 2006;6(1):97-105. https://doi.org/10.1177/1536867X0600600106

Associação Nacional dos Dirigentes das Instituições Federais de Ensino Superior, Fórum Nacional de Pró-reitores de Assuntos Estudantis. V Pesquisa Nacional de Perfil Socioeconômico e Cultural dos Estudantes de Graduação das IFES. Brasília, DF: FONAPRACE;

ANDIFES; 2018 [citado 2 set 2019]. Disponível em: http://www.andifes.org.br/wp-content/uploads/2019/05/V-Pesquisa-do-Perfil-Socioecon%C3%B4mico-dos-Estudantes-de-Gradua%C3%A7%C3%A3o-das-Universidades-Federais-1.pdf

Fonte VRF, Spindola T, Francisco MTR, Sodré CP, André NLNO, Pinheiro CDP. Jovens universitários e o conhecimento acerca das infecções sexualmente transmissíveis. Esc Anna Nery. 2018;22(2):e20170318. https://doi.org/10.1590/2177-9465-ean-2017-0318

Folasayo AT, Oluawasegun AJ, Samsudin S, Saudi SNS, Osman M, Hamat RA. Assessing the knowledge, risky behaviors and preventive practices on sexually transmitted diseases among university students as future healthcare providers in the Central Zone of Malaysia: a cross-section study. Int J Environ Res Public Health. 2017;14(2):159. https://doi.org/10.3390/ijerph14020159

Dantas KTB, Spíndola T, Teixeira SVB, Lemos ACM, Ferreira LEM. Young academics and the knowledge about sexually transmitted diseases – contribution to care in nursing. J Res Fundam Care Online. 2015;7(3):3020-36. https://doi.org/10.9789/2175-5361.rpcfo.v7.4689

Levorato CD, Mello LM, Silva AS, Nunes AA. Fatores associados à procura por serviços de saúde numa perspectiva relacional de gênero. Cienc Saude Coletiva. 2014;19(4):1263-74. https://doi.org/10.1590/1413-81232014194.01242013

Fontes MB, Crivelaro RC, Scartezini AM, Lima DD, Garcia AA, Fujioka RT. Fatores determinantes de conhecimentos, atitudes e práticas em DST/Aids e hepatites virais, entre jovens de 18 a 29 anos, no Brasil. Cienc Saude Coletiva. 2017;22(4):1343-52.

https://doi.org/10.1590/1413-81232017224.12852015

Bertoli SB, Scheidmantel CE, De-Carvalho NW. College students and HIV infection: a study of sexual behavior and vulnerabilities. DST J Bras Doenças Sex Transm. 2016;28(3):90-5. https://doi.org/10.5533/DST-2177-8264-201628305

Moreira LR, Dumith SC, Paludo SS. Uso de preservativos na última relação sexual entre universitários: quantos usam e quem são? Cienc Saude Coletiva. 2018;23(4):1255-66. https://doi.org/10.1590/1413-81232018234.16492016

Morales A, Vallejo-Medina P, Abello-Luque D, Saavedra-Roa A, Garcia-Roncallo P, Gomez-Lugo M. Sexual risk among Colombian adolescents: knowledge, attitudes, normative beliefs, perceived control, intention, and sexual behavior. BMC Public Health. 2018;18:1377.

https://doi.org/10.1186/s12889-018-6311-y

Bermúdez MP, Ramiro MT, Teva I, Ramiro-Sánchez T, Buela-Casal G. Conducta sexual y realización de la prueba del vírus de la inmunodeficiencia humana em jóvenes que estudian em la universidad em Cuzco (Perú). Gac Sanit. 2018;32(3):223-9. https://doi.org/10.1016/j.gaceta.2017.07.002

Reis M, Ramiro L, Matos MG, Diniz, JA. Os comportamentos sexuais dos universitários portugueses de ambos os sexos em 2010. Rev Port Saude Publica. 2012;30(2):105-14. https://doi.org/10.1016/j.rpsp.2012.12.001

Sekirime WK, Tamale J, Lule JC, Warbiwire-Mangen F. Knowledge, attitude and practice about sexually transmitted diseases among university students in Kampala. Afr Health Sci. 2001[citado 4 set 2019];1(1):16-22. Disponível em: https://www.ncbi.nlm.nih.gov/pubmed/12789128

Ahanhanzo YG, Sossa-Jérôme C, Sopoh G, Tchandana M, Azandjèmè C, Tchamdja T, et al. Factors associated with early sexual intercourse among teenagers and young adults in rural south of Benin. J Public Health Afr. 2018;9(2):681. https://doi.org/10.4081/jphia.2018.681

Faludi C, Rada C. Gender differences in sexual and reproductive health education in the family: a mixed methods study on Romanian young people. BMC Public Health. 2019;19:1103. https://doi.org/10.1186/s12889-019-7321-0

Araújo TME. Vacinação infantil: conhecimentos, atitudes e práticas da população residente na área norte/centro de Teresina [tese]. Rio de Janeiro: Escola de Enfermagem Anna Nery, Universidade Federal do Rio de Janeiro; 2005.

Sales WB, Caveião C, Visentin A, Mocelin D, Costa PM, Simm EB. Comportamento sexual de risco e conhecimento sobre IST/SIDA em universitários da saúde. Rev Enf Ref. 2016;serIV(10):19-27. https://doi.org/10.12707/RIV16019

Published

2020-12-16

Issue

Section

Original Articles

How to Cite

Carvalho, R. X. da C., & Araújo, T. M. E. de. (2020). Knowledge, attitudes and practices of university adolescents about syphilis: a cross-sectional study in the Northeast. Revista De Saúde Pública, 54, 120. https://doi.org/10.11606/s1518-8787.2020054002381