Prevention of Sexually Transmitted Infections among young heterosexual men: a study on social representations
DOI:
https://doi.org/10.12957/reuerj.2025.87968Keywords:
Men's Health, Sexually Transmitted Diseases, Primary Prevention, Social Representation, Sexual BehaviorAbstract
Objective: to analyze the social representations of Sexually Transmitted Infections and prevention practices among young heterosexual men. Method: a qualitative study supported by the Theory of Social Representations and with a procedural approach, carried out between March and May 2023 with 30 heterosexual men in Rio de Janeiro. The data were collected through semi-structured interviews and treated using the content analysis technique. All ethical procedures for research involving human beings were respected. Results: the analysis revealed four categories: Young men's understanding about Sexually Transmitted Infections, prevention and information sources; Strategies adopted by young men to prevent Sexually Transmitted Infections; Young people's images and feelings in relation to Sexually Transmitted Infections and prevention practices; and Condom use by young people and factors that favor vulnerability to STIs. Final considerations: the group's social representation of infections is anchored in the cognitive dimension. However, prevention practices are shaped by the affective-attitudinal dimension of relationships.
References
1. World Health Organization - WHO. Global health sector strategy on sexually transmitted infections 2016-2021: towards ending STIs. Geneva: World Health Organization; 2016 [cited 2020 Jun 08]. 64p. Available from: https://iris.who.int/bitstream/handle/10665/246296/WHO-RHR-16.09-eng.pdf?sequence=1.
2. Ministério da Saúde (Br). Secretaria de Vigilância em Saúde. Departamento de Doenças de Condições Crônicas e Infecções Sexualmente Transmissíveis. Protocolo Clínico e Diretrizes Terapêuticas para Atenção Integral às Pessoas com Infecções Sexualmente Transmissíveis. Brasília: Ministério da Saúde; 2022. Available from: https://www.gov.br/aids/pt-br/central-de-conteudo/pcdts/2022/ist/pcdt-ist-2022_isbn-1.pdf/view.
3. Gutierrez EB, Guimarães M, Morais AP, Vieira K, Moura ERF. Factors associated with condom use in young people - population-based survey. Rev Bras Epidemiol. 2019 [cited 2024 Apr 01]; 22:e190034. DOI: https://doi.org/10.1590/1980-549720190034.
4. Abric JC. A abordagem estrutural das representações sociais. In: Moreira ASP, Oliveira DC. (Orgs.) Estudos interdisciplinares em representação social. 2.ed. Goiânia: AB; 2000. p. 27-38.
5. Martins ERC, Medeiros AS, Oliveira KL, Fassarella LG, Moraes PC, Spindola T. Vulnerability of young men and their health needs. Esc Anna Nery. 2020 [cited 2024 May 07]; 24(1):e20190203. DOI: https://doi.org/10.1590/2177-9465-EAN-2019-0203.
6. Spindola T, Santana RSC, Antunes RF, Machado YY, Moraes PC. Prevention of sexually transmitted infections in the sexual scripts of young people: differences according to gender. Cienc Saude Colet. 2021 [cited 2024 Sep 08]; 26(7):2683-92. DOI: https://doi.org/10.1590/1413-81232021267.08282021.
7. Sá CP. A construção do objeto de pesquisa em representações sociais. Rio de Janeiro: EdUERJ; 1998.
8. Jodelet D. Folies et representations sociales. Paris: Presses Universitaires de France; 1989.
9. Moscovici Serge. O fenômeno das representações sociais. In: Representações sociais: investigações em psicologia social. 11. ed. Petrópolis: Vozes; 2017. p. 29-110.
10. Minayo MCS. O desafio do conhecimento: pesquisa qualitativa em saúde. São Paulo: Hucitec; 2013.
11. Vinuto J. A amostragem em bola de neve na pesquisa qualitativa: um debate em aberto. Temáticas. 2014 [cited 2024 Apr 14]; 22(44):203-20. DOI: https://doi.org/10.20396/tematicas.v22i44.10977.
12. Bardin L. Análise de conteúdo: a visão de Laurence Bardin. São Paulo: Edições 70; 2011. 229 p.
13. Oliveira DC. Análise de Conteúdo Temático-Categorial: uma proposta de sistematização. Rev Enferm UERJ. 2008 [cited 2024 Apr 14]; 16(4):569-76. Available from: https://docs.bvsalud.org/upload/S/0104-3552/2008/v16n4/a569-576.pdf.
14. Ministério da Saúde (Br). Secretaria de Vigilância em Saúde. Departamento de Doenças de Condições Crônicas e Infecções Sexualmente Transmissíveis. Boletim Epidemiológico HIV/Aids 2021. Brasília: Ministério da Saúde; 2021 [cited 2024 Apr 14]. Available from: https://antigo.aids.gov.br/pt-br/pub/2021/boletim-epidemiologico-hivaids-2021.
15. Santos LRB, Spindola T, Fonte VRF, Costa CMA, Hipólito RL, Barros ECS. Social characterization, sexual practices and vulnerability of young men to sexually transmitted infections. CLCS. 2024 [cited 2024 May 15]; 17(7):e8581. DOI: https://doi.org/10.55905/revconv.17n.7-302.
16. Oliveira JVL, Silva NC, Nascimento VJO, Cunha ABO Costa RMF. Imunização contra HPV como forma de prevenção de agravos em homens: revisão integrativa. Rev Eletr Estácio Recife. 2020 [cited 2024 May 14].; 6(1):1-11. Available from: https://reer.emnuvens.com.br/reer/article/view/415.
17. Spindola T, Melo LD de, Brandão JL, Oliveira DC de, Marques SC, Arreguy-Sena C, Pinto PF. Social representation of young people in higher education about sexually transmitted infections. Rev Bras Enferm. 2023 [cited 2024 Jun 22]; 76(6):e20220406. DOI: https://doi.org/10.1590/0034-7167-2022-0406.
18. Soster AP, Souza MLA de, Castro EK de. Percepção de risco e comportamentos de saúde em relação ao sexo casual em universitárias. Psico-USF. 2021 [cited 2024 May 15]; 26(1):117-28. DOI: https://doi.org/10.1590/1413-82712021260110.
19. Borges ALV, Duarte LS, Cabral CS, Lay AAR, Viana OA, Fujimori E. Male condom and dual protection use by adolescent men in Brazil. Rev Saúde Pública. 2021 [cited 2024 Apr 19]; 55:109. DOI: https://doi.org/10.11606/s1518-8787.2021055003298.
20. Melo LD. Conhecimentos e comportamentos de universitários sobre prevenção de infecções sexualmente transmissíveis: estudo de método misto [Tese de Doutorado] Rio de Janeiro: Universidade do Estado do Rio de Janeiro; 2022 [cited 2024 Apr 19]. Available from: https://www.bdtd.uerj.br:8443/bitstream/1/18934/2/Tese-La%C3%A9rcio%20Deleon%20de%20Melo-2022-Completa%20-%20corrigida.pdf.
21. Mota DCB, Silva YV, Costa TAF, Aguiar MHC, Marques MEM, Monaquezi RM. Mental health and internet use by university students: coping strategies in the context of COVID-19. Cienc saúde coletiva. 2021 [cited 2024 Jun 29]; 26(6):2159–70. DOI: https://doi.org/10.1590/1413-81232021266.44142020.
22. Silva JWSB, Almeida MEP, Souza AS, Vieira IM, Veras DL, Vasconcelos GS, et al. Mandala da Prevenção Combinada: ferramenta pedagógica no enfrentamento da epidemia de IST, AIDS e hepatites virais em Pernambuco. Saúde Redes. 2021 [cited 2024 Apr 26]; 7(2):45-59. DOI: https://doi.org/10.18310/2446-4813.2021v7n2p45-59.
23. Goldfarb ES, Lieberman LD. Three decades of research: the case for comprehensive sex education. J Adoles Health. 2021 [cited 2024 Oct 12]; 68(1):13-27. DOI: https://doi.org/10.1016/j.jadohealth.2020.07.036.
24. Abric JC. Abordagem estrutural das representações sociais: desenvolvimentos recentes. In: Campos PHF, Loureiro MCS. Representações sociais e práticas educativas. Goiânia: Ed. UCG; 2003. p. 37-57.
25. Spindola T, Araújo ASB, Brochado EJ, Marinho DF, Martins ERC, Pereira TS. Sexual practices and attitudes of university students towards prevention of sexually transmitted infections. Enf Global. 2020 [cited 2020 Oct 25]; 19(2):109-40. DOI: https://doi.org/10.6018/eglobal.382061.
26. Ramos RCA, Spindola T, Oliveira CSR, Martins ERC, Lima GSF, Araujo ASB. Practices for the prevention of sexually transmitted infections among university students. Texto contexto-enferm. 2020 [cited 2024 Aug 24]; 29:e20190006. DOI: https://doi.org/10.1590/1980-265X-TCE-2019-0006.
27. Quirino EEA, Rocha EM, Vilela AC, Rodrigues AAP, Fernandes SC, Lemes AG. Adesão ao preservativo masculino: realidade comportamental e conhecimento de universitários. Nursing. 2023 [cited 2024 Sep 21]; 26(305):9952-9. DOI: https://doi.org/10.36489/nursing.2023v26i305p9952-9959.
28. Santos MJO, Ferreira MMC, Ferreira EMS. Sexual and reproductive health risk behaviours: higher education students’ perceptions. Rev Bras Enferm. 2022 [cited 2024 Jun 23]; 75(6):e20210712. DOI: https://doi.org/10.1590/0034-7167-2021-0712.
29. Abreu MNS, Soares AD, Ramos DAO, Soares FV, Nunes Filho G, Valadão AF, et al. Knowledge and perception of HPV in the population over 18 years of age in the city of Ipatinga – State of Minas Gerais, Brazil. Cienc saúde coletiva. 2018 [cited 2024 Aug 17]; 23(3):849–60. DOI: https://doi.org/10.1590/1413-81232018233.00102016.
30. Stephanou AT, Freitas IK, Dias ACG. Analysis of sexually transmitted infections prevention campaigns between 2008 and 2020. Psic: Teor e Pesq. 2023 [cited 2024 Oct 09]; 39: e39414. DOI: https://doi.org/10.1590/0102.3772e39414.en.
31. Oliveira DC, Oliveira JGAD, Domingues JP, Stefaisk RLM, Marques SC, Spindola T. Memórias e representações sociais dos cuidados prestados por enfermeiros às pessoas vivendo com HIV. Rev. Foco. 2023 [citado 2024 Oct 20];16(1):e735. DOI: https://doi.org/10.54751/revistafoco.v16n1-038.
32. Peixoto ARS. Práticas Sociais na Abordagem Estrutural das Representações Sociais: Histórico, teoria e aplicação [Tese de Doutorado]. Vitória: Universidade Federal do Espírito Santo; 2023 [cited 2024 Sep 22]. Available from: https://bdtd.ibict.br/vufind/Record/UFES_3ccaf671b7d05a00db7888191cadadf2.
33. Knauth DR, Pilecco FB. AIDS and HIV prevention among adolescents and young adults in six Brazilian municipalities. Saude soc. 2024 [cited 2024 Sep 22]; 33(1) e230789pt. Available from: https://www.scielo.br/j/sausoc/a/MKQTf5z7KLwZM9wYBYHgMdF/abstract/?lang=en.
34. Gerstenberger OG, Francisco MTR, Marta CB, Marques LR, Costa CMA. O imaginário dos prestadores de serviço do Carnaval sobre prevenção do HIV: uma reflexão psicanalítica. Glob Acad Nurs. 2021 [cited2024 Sep 23]; 2(1):e70. Available from: https://globalacademicnursing.com/index.php/globacadnurs/article/view/79.
35. Mathias A, Santos LA, Grangeiro A, Couto MT. Percepções de risco e profilaxia pós-exposição ao HIV entre homens que fazem sexo com homens em cinco cidades brasileiras. Cienc Saúde Coletiva. 2021[cited 2024 Sep 27]; 26(11):5739-49. DOI: https://doi.org/10.1590/1413-812320212611.29042020.
36. Souza FMA, Muñoz IK, Visentin IC. Contexto de vulnerabilidade de gênero no uso do preservativo masculino. Finom. 2020 [cited 2020 Oct 25]; 20(1):243-67. Available from: http://revistas.icesp.br/index.php/FINOM_Humanidade_Tecnologia/article/view/1004.
37. Monte LL, Rufino AC, Madeiro A. Prevalence and factors associated with risky sexual behavior among Brazilian school adolescents. Cienc Saúde Coletiva. 2024 [cited 2024 Aug 16]; 29:e03342023. DOI: https://doi.org/10.1590/1413-81232024292.03342023EN.
38. Peder LD, Silva CM, Nascimento BL, Malizan JA, Madeira HS, Horvath JD, et al. Prevalence of sexually transmitted infections and risk factors among young people in a public health center in Brazil: a cross-sectional study. J Pediatr Adolesc Gynecol. 2020 [cited 2024 Aug 14]; 33(4):354-62. DOI: https://doi.org/10.1016/j.jpag.2020.02.008.
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