Abstract
Aim: to disclose the perception of nurses working in family planning regarding the vulnerability to sexually transmitted infections (STI) of women who participated in this activity. Method: this is a descriptive and qualitative study that was carried out in a university hospital in Rio de Janeiro, involving nine nurses. Thematic content analysis was used. Results: nurses perceive women as vulnerable as a result of gender inequalities, manifested by their sole responsibility for protection against STIs and contraceptive measures, lack of partner follow-up, and blame of women for unwanted pregnancies. Male domination was attributed to the fact that man wanted to determine the type of protection and/or contraception that would be used in sexual intercourse. In addition, they expressed the difficulty of these women to negotiate safe sex, especially in stable relationships. Conclusion: ISTs are still considered "diseases of the other", influenced by gender inequalities. Traditional family planning actions are not sufficient for the use of preventive measures.References
Ministério da Saúde (BR). Secretaria de Vigilância em Saúde. Departamento de DST, Aids e Hepatites Virais. Protocolo Clínico e Diretrizes Terapêuticas para Atenção Integral às Pessoas com Infecções Sexualmente Transmissíveis [internet] 2016 [cited 2016 jun4]. Available from: http://www.aids.gov.br/publicacao/2015/protocolo-clinico-e-diretrizes-terapeuticas-para-atencao-integral-pessoas-com-infecc
World Health Organization (WHO). Sexually transmitted infections (STIs): Fact sheet N°110. [internet] 2015 [cited 2016 jun4]. Available from: http://www.who.int/mediacentre/factsheets/fs110/en/
Joint United Nations Program on HIV/AIDS (UNAIDS). FACT SHEET 2016: GLOBAL STATISTICS. [internet] 2016 [cited 2016 abr5]. Available from: http://www.unaids.org/sites/default/files/media_asset/UNAIDS_FactSheet_en.pdf
Joint United Nations Program on HIV/AIDS (UNAIDS). UNAIDS Report: How AIDS changed everything. Geneva: WHO; 2015. Available from: http://www.unaids.org/sites/default/files/media_asset/MDG6Report_en.pdf
Ministério da Saúde (BR). Transmissão Vertical do HIV e Sífilis: estratégias para redução e eliminação. [internet] 2014 [cited 2016 fev10]. Available from: http://www.aids.gov.br/sites/default/files/anexos/publicacao/2014/56610/folder_transmissao_vertical_hiv_sifilis_web_pd_60085.pdf
Ministério da Saúde (BR). Secretaria de Atenção à Saúde. Departamento de Atenção Básica. Saúde sexual e reprodutiva. [internet] 2013 [cited 2016 jun5]. Available from: http://dab.saude.gov.br/portaldab/biblioteca.php?conteudo=publicacoes/cab26
Bardin L. Análise de Conteúdo. São Paulo: Edições 70; 2011.
Rodrigues LSA, Rocha RO, Silva MS. Planned parenthood: heterosexual women´s perceptions about the role of the couple. J Nurs UFPE on line [Internet]. 2014 [cited 2016 mai3]. 8(2):323-9. Available from: http://www.revista.ufpe.br/revistaenfermagem/index.php/revista/article/view/3379/pdf_4552.
Conroy AA, McGrath N, Rooyen HV, Hosegood V, Johnson MO, Fritz K, et al. Power and the association with relationship quality in South African couples: Implications for HIV/AIDS interventions. Soc Sci Med [Internet]. 2016 [cited 2016 jun3].153:1-11. Available from: http://www.sciencedirect.com/science/article/pii/S0277953616300363.
Djellouli H, Quevedo-Gomez MC. Challenges to successful implementation of HIV and AIDS-related health policies in Cartagena, Colombia. Soc Sci Med [Internet]. 2015 [cited 2016 jul8]. 133:36-44. Available from: https://www.ncbi.nlm.nih.gov/pubmed/25840048
Andrade SSC, Zaccara AAL, Leite KNS, Brito KKG, Soares MJGO, Costa MML, Pinheiro AKB, Oliveira SHS. Conhecimento, atitude e prática de mulheres de um aglomerado subnormal sobre preservativos. Rev Esc Enferm USP [Internet]. 2015 [cited 2016 jan5] 49(3):364-72. Available from: http://www.scielo.br/pdf/reeusp/v49n3/pt_0080-6234-reeusp-49-03-0364.pdf
Reis RK, Melo ES, GIR E. Fatores associados ao uso inconsistente do preservativo entre pessoas vivendo com HIV/Aids. Rev Bras Enferm [Internet]. 2016 [cited 2016 jun4]. 69(1):47-53. Available from: http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0034-71672016000100047
Teitelman AM, Calhoun J, Duncan R, Washio Y, McDougall R. Young women's views on testing for sexually transmitted infections and HIV as a risk reduction strategy in mutual and choice-restricted relationships. Appl Nurs Res [Internet]. 2015 [cited 2016 mai3] 28:215-21. Available from: https://www.ncbi.nlm.nih.gov/pubmed/26112775
Sankoha O, Arthur S, Nyide B, Westonc M. Prevention, treatment and future challenges of HIV/AIDS: A decade of INDEPTH research. HIV AIDS Rev [Internet]. 2014 [cited 2016 jul9] 14:1-8. Available from: http://www.sciencedirect.com/science/article/pii/S1730127014000678
Porto TSAR, Silva CM, Vargens OMC. Female healthcare professionals’ behaviour and attitudes in the context of the feminisation of HIV/AIDS: gender vulnerability analysis. AIDS Care [Internet]. 2016 [cited 2016 jul8]1-7. Available from: https://www.ncbi.nlm.nih.gov/pubmed/27320291
Silva CM, Vargens OMC. Aids as a disease of the others: an analysis of women’s vulnerability. J. res.: fundam. Care online [Internet]. 2015 [cited 2016 jun15] 7(4):3125-34. Available from: http://www.seer.unirio.br/index.php/cuidadofundamental/article/view/2839
Saada BM, Tanb PL, Subramaniamc G. Implication of HIV/AIDS Knowledge on Quality of Life of Young Women in Malaysia. Procedia Soc Behav Sci [Internet]. 2015 [cited 2016 jun15] 202:218-26. Available from: http://www.sciencedirect.com/science/article/pii/S1877042815048739
Vargens OMC. Rangel TSA. Reflective analysis on the social aspects of HIV/AIDS: feminization, discrimination and stigma. Online Braz J Nurs [Internet]. 2012 [cited 2016 jul1] 11(1):220-30. Available from: http://www.objnursing.uff.br/index.php/nursing/article/view/3531
Rodrigues RF, Penna LHG, Ribeiro LV, Paes MV, Penna CRG. Sexualidade das adolescentes em situação de acolhimento: contexto de vulnerabilidade para DST. Rev Enferm UERJ [Internet]. 2015 [cited 2016 jun2] 23(4):507-12. Available from: www.facenf.uerj.br/v23n4/v23n4a12.pdf
This work is licensed under a Creative Commons Attribution 4.0 International License.
Copyright (c) 2019 Array