DISCREPANCIA ENTRE CONOCIMIENTO Y PRÁCTICA
UN ANÁLISIS TRANSVERSAL DEL USO INCONSISTENTE DE PRESERVATIVOS Y LOS COMPORTAMIENTOS SEXUALES DE RIESGO ENTRE ESTUDIANTES UNIVERSITARIOS DEL INTERIOR DE MINAS GERAIS, BRASIL
DOI:
https://doi.org/10.35919/rbsh.v37.1363Palabras clave:
Comportamiento sexual, Infecciones de transmisión sexual, Preservativo, Anticoncepción, Estudiantes UniversitariosResumen
El objetivo de este estudio transversal fue evaluar los antecedentes de infecciones de transmisión sexual (ITS), el conocimiento sobre métodos anticonceptivos y la adherencia al uso de preservativos entre estudiantes de una Universidad Federal ubicada en el interior de Minas Gerais. Se analizaron datos de 298 estudiantes de pregrado (edad ≥18 años), recolectados en línea entre julio y diciembre de 2023. La prevalencia de antecedentes de ITS fue del 8%. Aunque el preservativo masculino fue el método más mencionado (92%), su uso resultó inconsistente: solo el 50% de los participantes lo utilizaba en todas las relaciones sexuales, y apenas el 9% en el sexo oral. Los comportamientos de riesgo fueron frecuentes, como el coito interrumpido (60%) y el uso de la píldora del día siguiente (30%). Los medios de comunicación/internet (90%) fueron la principal fuente de información. Los estudiantes del área de la salud presentaron menor prevalencia de ITS (4,5% frente a 11,8%; p=0,023). La iniciación sexual antes de los 18 años se asoció con mayor cantidad de comportamientos de riesgo. Se concluye que existe una brecha crítica entre el conocimiento anticonceptivo declarado y la práctica preventiva, lo que indica la urgencia de estrategias educativas institucionales que promuevan la alfabetización en salud y el compromiso con el sexo seguro en esta población.
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AGNEW, C. R. et al. Relational underpinnings of condom use: Findings from the project on partner dyna-mics. Health Psychology, v. 36, n. 7, p. 713–720, jul. 2017. Disponível em: https://doi.org/10.1037/hea0000488. Acesso em: 08 nov. 2025.
AJAYI, A. I.; ISMAIL, K. O; AKPAN, W. Factors associated with consistent condom use: a cross-sectional survey of two Nigerian universities. BMC Public Health, v. 19, n. 1, p. 1207, dez. 2019. Disponível em: https://doi.org/10.1186/s12889-019-7543-1. Acesso em: 26 set. 2025.
AKALIN, A. The effect of a reproductive health course on sexual myths, sexual attitudes and gender per-ceptions among university students. The European Journal of Contraception & Reproductive Health Care, v. 27, n. 4, p. 330–334, 4 jul. 2022. Disponível em: https://doi.org/1080/13625187.2022.2045934. Acesso em: 26 set. 2025.
ALHUSSAINI, N. Z. et al. Sexual and reproductive health literacy of higher education students: a scoping review of determinants, screening tools, and effective interventions. Global Health Action, v. 18, n. 1, p. 2480417, 31 dez. 2025. Disponível em: https://doi.org/10.1080/16549716.2025.2480417. Acesso em: 08 nov. 2025.
ARAÚJO, A. L. C. et al. Comportamentos prejudiciais Associados ao Risco de Infecções Sexualmente Transmissíveis em um Curso de Medicina do Interior da Bahia. Revista ft, v. 29, n. 150, p. 33–34, 14 set. 2025. Disponível em: https://doi.org/10.69849/revistaft/pa10202509142033. Acesso em: 18 mar. 2026.
ARRUDA, N. M.; MAIA, A. G.; ALVES, L. C. Inequality in access to health services between urban and rural areas in Brazil: a disaggregation of factors from 1998 to 2008. Cadernos de Saúde Pública, v. 34, n. 6, 21 jun. 2018. Disponível em: https://doi.org/10.1590/0102-311x00213816. Acesso em: 08 nov. 2026
BERSAMIN, M. et al. Reproductive Health Services: Barriers to Use Among College Students. Journal of Community Health, v. 42, n. 1, p. 155–159, fev. 2017. Disponível em: https://doi.org/10.1007/s10900-016-0242-2. Acesso em: 26 set. 2025.
BOMFIM, I. Go et al. Factors associated with sexually transmitted infection/HIV diagnosis among a pre-dominantly university population in Brazil. International Journal of STD & AIDS, v. 32, n. 9, p. 821–829, ago. 2021. Disponível em: https://doi.org/10.1177/0956462421997251. Acesso em: 08 nov. 2025.
BRASIL. Boletim Epidemiológico - HIV e Aids 2024. [S.l.]: Secretaria de Vigilância em Saúde e Ambiente Mi-nistério da Saúde, 2024. Disponível em: https://www.gov.br/aids/pt-br/central-de-conteudo/boletins-epidemiologicos/2024/boletim_hiv_aids_2024e.pdf/view. Acesso em: 26 set. 2025.
BYAMUGISHA, J. K. et al. Emergency contraception and fertility awareness among university students in Kampala, Uganda. African Health Sciences, v. 6, n. 4, p. 194–200, dez. 2006. Disponível em: https://doi.org/10.5555/afhs.2006.6.4.194. Acesso em: 08 nov. 2025.
CAETANO, M. E. et al. Sexual behavior and knowledge of sexually transmitted infections among university students in Sao Paulo, Brazil. International Journal of Gynecology & Obstetrics, v. 110, n. 1, p. 43–46, jul. 2010. Disponível em: https://doi.org/10.1016/j.ijgo.2010.02.012. Acesso em: 18 mar. 2026.
CHEN, W. et al. Correlates of condom use among male university students from eastern China who en-gage in casual sex. PLOS ONE, v. 18, n. 5, p. e0283970, 25 maio 2023. Disponível em: https://doi.org/10.1371/journal.pone.0283970. Acesso em: 26 set. 2025.
COGO, J. et al. Prevalence of syphilis cases and other sexually transmitted infections among university students: Prevalência de casos de sífilis e de outras infecções sexualmente transmissíveis entre estudan-tes universitários. Concilium, v. 23, n. 14, p. 635–652, 2 nov. 2023. Disponível em: https://doi.org/10.53660/CLM-1002-23C30. Acesso em: 08 nov. 2025.
FERREIRA, S.; FRANCISCO, P. M. S. B.; LOYOLA, A. M. Vulnerability of the young university population to HIV/AIDS and other sexually transmitted infections. Jornal Brasileiro de Doenças Sexualmente Transmissí-veis, v. 35, p. e23351361, 2023. Disponível em: https://doi.org/10.5327/DST-2177-8264-2023351361. Acesso em: 18 mar. 2026.
HAFFEJEE, F.; KOORBANALLY, D.; CORONA, R. Condom Use Among South African University Students in the Province of KwaZulu-Natal. Sexuality & Culture, v. 22, n. 4, p. 1279–1289, dez. 2018. Disponível em: https://doi.org/10.1007/s12119-018-9523-5. Acesso em: 26 set. 2025.
KNAUTH, D. R.; BARCELOS, R. R. AIDS and HIV prevention among adolescents and young adults in six Bra-zilian municipalities. Saúde e Sociedade, v. 33, p. e230789en, 2024. Disponível em: https://doi.org/10.1590/S0104-12902024230789en. Acesso em: 26 set. 2025.
MUANDA, M. F. et al. Barriers to modern contraceptive use in rural areas in DRC. Culture, Health & Sexua-lity, v. 19, n. 9, p. 1011–1023, 2 set. 2017. Disponível em: https://doi.org/10.1080/13691058.2017.1286690. Acesso em: 08 nov. 2025.
OTIM, B. et al. Condom Use Rate and Associated Factors among Undergraduate Students of Gulu Univer-sity, Uganda. Venereology, v. 3, n. 3, p. 147–161, 11 set. 2024. Disponível em: https://doi.org/10.3390/venereology3030012. Acesso em: 26 set. 2025.
PETROVA, D.; GARCIA-RETAMERO, R. Effective Evidence-Based Programs For Preventing Sexually-Transmitted Infections: A Meta-Analysis. Current HIV Research, v. 13, n. 5, p. 432–438, 3 jul. 2015. Disponí-vel em: https://doi.org/10.2174/1570162X13666150511143943. Acesso em: 08 nov. 2025.
PRÉMUSZ, V. et al. Exploring the Impact of Health Literacy on Fertility Awareness and Reproductive Health in University Students—A Systematic Review. Healthcare, v. 13, n. 18, p. 2342, 17 set. 2025. Dispo-nível em: https://doi.org/10.3390/healthcare13182342. Acesso em: 26 set. 2025.
RAMOS, R. C. De A. et al. Practices for the prevention of sexually transmitted infections among university students. Texto & Contexto - Enfermagem, v. 29, p. e20190006, 2020. Disponível em: https://doi.org/10.1590/1980-265x-tce-2019-0006. Acesso em: 08 nov. 2025.
RUIZ-PALOMINO, E. et al. Explanatory Psychological Factors of Inconsistently Condom Use among Spanish University Students: Gender Differences. The Spanish Journal of Psychology, v. 23, p. e12, 2020. Disponí-vel em: https://doi.org/10.1017/SJP.2020.14. Acesso em: 26 set. 2025.
SANTOS, M. J. De O.; FERREIRA, E. M. S.; FERREIRA, M. C. Predictors of Condom Use among College Stu-dents. International Journal of Environmental Research and Public Health, v. 21, n. 4, p. 433, 3 abr. 2024. Disponível em: https://doi.org/10.3390/ijerph21040433. Acesso em: 26 set. 2025.
SCOTINI, D. P. et al. Knowledge of sexually transmitted infections among health sciences students and teachers in southeastern Brazil. The Journal of Infection in Developing Countries, v. 19, n. 06, p. 934–940, 30 jun. 2025. Disponível em: https://doi.org/10.3855/jidc.20139. Acesso em: 08 nov. 2025.
SONS, A.; ECKHARDT, A. L. Health literacy and knowledge of female reproduction in undergraduate stu-dents. Journal of American College Health, v. 71, n. 3, p. 836–843, 24 mar. 2023. Disponível em: https://doi.org/10.1080/07448481.2021.1909034. Acesso em: 26 set. 2025.
SSEKAMATTE, T. et al. Multiple sexual partnerships and associated factors among young psychoactive-substance-users in informal settlements in Kampala, Uganda. PLOS ONE, v. 15, n. 10, p. e0239323, 6 out. 2020. Disponível em: https://doi.org/10.1371/journal.pone.0239323. Acesso em: 26 set. 2025.
SZWARCWALD, C. L. et al. HIV incidence estimates by sex and age group in the population aged 15 years or over, Brazil, 1986-2018. Revista da Sociedade Brasileira de Medicina Tropical, v. 55, n. suppl 1, p. e0231-2021, 2022. Disponível em: https://doi.org/10.1590/0037-8682-0231-2021. Acesso em: 26 set. 2025.
TRIEU, S. L.; BRATTON, S.; HOPP MARSHAK, H. Sexual and Reproductive Health Behaviors of California Community College Students. Journal of American College Health, v. 59, n. 8, p. 744–750, nov. 2011. Dis-ponível em: https://doi.org/10.1080/07448481.2010.540764. Acesso em: 26 set. 2025.
VAMOS, C. A. et al. Exploring college students’ sexual and reproductive health literacy. Journal of Ameri-can College Health, v. 68, n. 1, p. 79–88, 2 jan. 2020. Disponível em: https://doi.org/10.1080/07448481.2018.1515757. Acesso em: 26 set. 2025.
WAGGONER, M. R.; LANZI, R. G.; KLERMAN, L. V. Pregnancy Intentions, Long‐Acting Contraceptive Use, and Rapid Subsequent Pregnancies Among Adolescent and Adult First‐Time Mothers. Journal of Child and Adolescent Psychiatric Nursing, v. 25, n. 2, p. 96–104, maio 2012. Disponível em: https://doi.org/10.1111/j.1744-6171.2012.00326.x. Acesso em: 26 set. 2025.
WESTIN, M. R. et al. Prevalence of syphilis and sexual behavior and practices among adolescents MSM and TrTGW in a Brazilian multi-center cohort for daily use of PrEP. Cadernos de Saúde Pública, v. 39, n. su-ppl 1, p. e00118721, 2023. Disponível em: https://doi.org/10.1590/0102-311xen118721. Acesso em: 26 set. 2025.
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Derechos de autor 2026 Natália Generoso Figueiredo, Vitória Teixeira Melillo, Victória Mirella Neves Rodrigues, Juliana Augusta Dias, Kinulpe Honorato Sampaio

Esta obra está bajo una licencia internacional Creative Commons Atribución 4.0.
