Factors Associated With Body Image Perception Among Brazilian Students From Low Human Development Index Areas.

This study aimed to evaluate sociodemographic, behavioral, and individual factors associated with body image perception in a sample of adolescents from schools in low Human Development Index areas in Brazil. This cross-sectional study included 609 boys and 573 girls (aged 11-17 years). Body image perception (nine-silhouettes scale) and sociodemographic, behavioral, and individual variables were included. Multinomial logistic regression analysis was used. Most boys (76.9%) and girls (77.5%) were dissatisfied with their body image. Body mass index status and healthy body image evaluation were significantly associated with body image dissatisfaction in both boys and girls ( p < .001), and daily fruit consumption was associated with body image dissatisfaction only in boys ( p = .035). Education and health care focused on body image can pay special attention to young people from vulnerable areas with unhealthy nutritional status and focus on strategies that enable improving the perception of a healthy body and a healthy diet.

"For whom was it effective?" Moderators of the effect of a school-based intervention on potential physical activity determinants among Brazilian students.

Knowledge about the effects of school-based interventions on modifiable physical activity (PA) determinants (e.g., social support), and whether the intervention effect differs according to students' characteristics (e.g., age and gender) are relevant PA promotion topics. This study aims to answer these topics among Brazilian students. This cluster-randomized controlled trial was conducted with 548 students in the intervention group and 537 in the control group (51.5% of boys; aged 11-18years). The four-month intervention included strategies focused on training teachers, opportunities for PA in the school environment, and health education. Potential PA determinants (attitude, self-efficacy, support of friends, parents, and teachers, perceived neighborhood environment and PA facilities in school) and moderators (gender, age, socioeconomic status (SES), and PA level at baseline) were assessed using self-reported instrument. Height and weight were measured to estimate the students' body mass index (BMI) status. Generalized linear models were used. In general, there was a significant and positive intervention effect for attitude, support of friends and teachers for PA, as well as PA facilities in school; effect size was 0.29, 0.24, 0.34, and 0.29, respectively (P<0.05). Age (support of friends, parents and teachers, and PA facilities in school), SES (support of friends and PA facilities in school), and BMI status (support of friends) were moderators of the intervention effect on some outcomes. In conclusion, the intervention improved potential PA determinants, but some changes occurred differently according to students' characteristics. These findings should be considered in PA policies in the school context. TRIAL REGISTRATION: This study is registered at Clinicaltrials.govNCT02439827.

Development and validation of educational technology for venous ulcer care.

OBJECTIVE: To develop and validate an educational technology venous ulcers care. METHOD: Methodological study conducted in five steps: Situational diagnosis; literature review; development of texts, illustrations and layout; apparent and content validity by the Content Validity Index, assessment of Flesch Readability Index; and pilot testing. RESULTS: The developed technology was a type of booklet entitled Booklet for Venous Ulcers Care, consisting of seven topics: Diet and food intake, walking and light exercise, resting with elevated leg, bandage care, compression therapy, family support, and keeping healthy habits. The apparent validity revealed minimal agreement of 85.7% in the clarity and comprehensibility. The total content validity index was 0.97, the Flesch Readability Index was 75%, corresponding to the reading "fairly easy". The pilot test showed that 100% of people with venous ulcers evaluated the text and the illustrations as understandable, as appropriate. CONCLUSION: The educational technology proved to be valid for the appearance and content with potential for use in clinical practice. OBJETIVO: Construir e validar uma tecnologia educativa para cuidados com úlcera venosa. MÉTODO: Estudo metodológico realizado em cinco fases: diagnóstico situacional; revisão da literatura; desenvolvimento de textos, ilustrações e diagramação; validade de aparência e de conteúdo pelo Índice de Validade de Conteúdo, avaliação do Índice de Legibilidade de Flesch; e teste piloto. RESULTADOS: A tecnologia desenvolvida foi do tipo cartilha intitulada Cartilha para cuidados com úlcera venosa, constituída de sete tópicos: Alimentação, Caminhadas e exercícios leves, Repouso com a perna elevada, Cuidados com o curativo, Terapia compressiva, Apoio familiar, e manter hábitos saudáveis. A validade aparente revelou concordância mínima de 85,7% na clareza e compreensibilidade. O Índice de Validade de Conteúdo total foi de 0,97, o Índice de legibilidade de Flesch foi de 75%, o que correspondeu à leitura "razoavelmente fácil". O teste piloto revelou que 100% das pessoas com úlcera venosa avaliaram o texto como compreensivo e as ilustrações, como adequadas. CONCLUSÃO: A tecnologia educativa mostrou-se válida quanto à aparência e ao conteúdo, com potencial de utilização na prática clínica.

Rationale and methods of a cluster-randomized controlled trial to promote active and healthy lifestyles among Brazilian students: the "Fortaleça sua Saúde" program.

BACKGROUND: Interventions on adolescents' lifestyle are important, but the main mechanisms that explain the changes (mediating variables) on lifestyle are unclear. This paper presents the rationale and methods of an intervention program focused on promoting active and healthy lifestyles (especially physical activity [PA] practice and reducing screen time) among Brazilian students-the Fortaleça sua Saúde program (Portuguese for "strengthen your health"). METHODS/DESIGN: This is a school-based cluster-randomized controlled trial. Three intervention and three control (no intervention) full-time public schools were randomly selected in Fortaleza, northeastern Brazil. Students (n = 1,272) from classes in Grades 7-9 were eligible, and 1,085 (548 in the intervention and 537 in control schools) completed the baseline and follow-up measures. The program duration was approximately four months and took place in 2014. Intervention strategies focused on teacher training, activities on health in the curriculum, active opportunities in the school environment (the availability of equipment for PA), and health education (health materials for students and parents). Data collection was undertaken before and immediately after the intervention. The primary variables included the practice of PA (weekly PA volume, PA behavior change stage and preference for PA during leisure-time) and screen time (TV and computer/video games). Potential intrapersonal, interpersonal and environmental mediators of PA and screen time were evaluated by a standardized questionnaire. Other lifestyle components (e.g., eating habits, substance use), psychological (e.g., self-rated health, body satisfaction) and biological (general and abdominal obesity) aspects, as well as academic performance were also evaluated in the total sample. Depressive symptoms, eating disorders, sleep quality, objectively-measured PA, and sedentary time were evaluated in obese students. DISCUSSION: If effective, this program will contribute to the development of public policies for the promotion of active and healthy lifestyles in youth, especially those from low- and middle-income countries. The main intrapersonal, interpersonal and/or environmental mediators of PA and screen time may also be indicated. Finally, we anticipate that the proposed strategies may be adaptable to public schools and may even be extended to the entire school system. TRIAL REGISTRATION: ClinicalTrials.Gov: NCT02439827 . Registration date: May 3, 2015.

[Translation and validation of the Partner Communication Scale - Brazilian version with female teenagers]. / Tradução e validação da escala Partner Communication Scale - versão brasileira com adolescentes do sexo feminino.

This study aimed to describe the process of adaptation and validation of the Partner Communication Scale with female adolescents in Fortaleza, CE, Brazil. This methodological research, with a quantitative approach, was conducted with 313 adolescent, aged 14-18 years who had already lost their virginity. The transcultural adaptation process was performed by using translation, back translation, evaluation of the translations by a committee of judges, and testing of the final-draft version. The scale was administered with a sociodemographic questionnaire including sexual and reproductive variables, from November 2010 to January 2011. The reliability was assessed by the Cronbach's alpha (0.86), which demonstrated that it can be successfully applied in the setting of primary health care, during nurse consultations. Moreover, the scale allows for the identification of factors that hinder or facilitate communication, especially concerning sexually transmitted diseases. The scale is an adequate way to verify communication between sexual partners in adolescence.

[Vulnerability of adolescent students to STD / HIV in Imperatriz - Maranhao]. / Vulnerabilidade de adolescentes escolares as DST/HIV, em Imperatriz-Maranhão.

The aim of this study was to investigate the vulnerability of adolescent students related to sexually transmitted diseases (STD) and the human immunodeficiency virus (HIV), identifying the main risk behaviors and prevention. This quantitative, cross-sectional study was performed in three public schools in Imperatriz--Maranhão, with 295 adolescents, using a structured questionnaire. The results show that: most young people (86.3%) who used a condom the last time they had intercourse, usually keep this practice, 82.8% of adolescents who understand the concept of HIV protect themselves against these infections and believe the main form of contamination is through sex, infected blood or through the placental barrier. We conclude that most teenager participants showed coherent knowledge about sexual practices and risk behaviors that make them vulnerable to STD/HIK presenting a positive aspect for the prevention of these diseases.

Oral health in childhood: construction and validation of an instrument on knowledge, attitude, and practice of caregivers. / Saúde bucal na infância: construção e validação de instrumento sobre conhecimento, atitude e prática de cuidadores.

The objective of this article is to develop and validate a KAP (knowledge, attitude, and practice) instrument for caregivers of children up to 36 months of age monitored by the Family Health Strategy. This methodological study was conducted in three stages: an integrative review, preparation of the initial version, and content validation by 29 judges. The instrument was validated for content and appearance. The Content Validity Index (CVI) and the FINN and Gwe-AC1 coefficients were calculated to assess inter-judge agreement. The overall CVI values of the 39-item instrument were: Clarity (0.91) and Relevance (0.95). The final version was obtained through 19 knowledge, 10 attitude, and 10 practice questions on caries, diet, oral hygiene, fluoride, breastfeeding, artificial feeding, milk teeth, and the need to take the baby to the dentist. The instrument produced can be used because it has the potential for use depending on the more global assessment of its psychometric properties.

O objetivo deste artigo é construir e validar um instrumento do tipo instrumento CAP (conhecimento, atitude e prática) de cuidadores, acompanhados pela Estratégia Saúde da Família, para promoção da saúde bucal de crianças até 36 meses. Estudo metodológico realizado em três etapas: revisão integrativa, elaboração da versão inicial e validação de conteúdo por 29 juízes. O instrumento foi validado quanto ao conteúdo e aparência. Foram calculados o Índice de Validade de Conteúdo (IVC) e os coeficientes FINN e Gwe-AC1 para avaliação da concordância entre juízes. Os valores do IVC global do instrumento de 39 itens foram: IVC (Clareza) igual a 0,91 e IVC (Relevância) igual a 0,95. A versão final foi obtida mediante 19 questões (conhecimento), 10 (atitude) e 10 (prática), envolvendo os temas: cárie, dieta, higiene bucal, flúor, amamentação, bicos artificiais, dentes de leite e necessidade de levar o bebê ao dentista. O instrumento produzido poderá ser utilizado por apresentar potencial de utilização a depender da avaliação mais global de suas propriedades psicométrica.

Body dissatisfaction, drug use, and associated factors among adolescents in three Brazilian cities. / Insatisfação com a imagem corporal, uso de drogas e fatores associados entre adolescentes em três cidades brasileiras.

OBJECTIVE: analyze the association between drug use and body dissatisfaction among adolescents in three Brazilian cities. METHOD: cross-sectional study, using a nested randomized controlled trial to evaluate the drug use prevention program #TamoJunto2.0 of the Ministry of Health in Brazilian schools. The sample consisted of 5,213 students from 73 schools in three Brazilian cities. The outcome body satisfaction was analyzed using the Stunkard scale and the explanatory variables were drug use and sociodemographic data. RESULTS: the adolescents were between 12 and 14 years old; about 69.9% of them reported body dissatisfaction, and 35.67% used alcohol in the previous year. Dissatisfaction due to overweight was higher among girls (41.5%) and dissatisfaction due to underweight was higher among boys (33.1%). Adolescents who used marijuana were 39% (OR=1.39) more likely to feel dissatisfied due to underweight and being a girl increased the chances of feeling dissatisfied due to overweight by 24% (OR=1.24). CONCLUSION: the levels of body dissatisfaction deserve attention in hebiatric nursing care and reinforce the importance of educational strategies addressing body image and drug use, relating them to the various subjective attributes that can affect the health of adolescents, whether in the community or at school.(1) High prevalence of body dissatisfaction related to overweight. (2) Girls presented 24% more chances of feeling body dissatisfaction due to overweight. (3) Marijuana use in adolescence can increase by 39% body dissatisfaction due to underweight. (4) Last year, about 35.7% of adolescents had already consumed alcohol. (5) Health promotion and stimulation of positive perceptions of self-image.

[Health promotion in the religious scenario: opportunities for nursing care]. / Promoção da saúde no cenário religioso: possibilidades para o cuidado de enfermagem.

This was a qualitative study of the documentary type carried out in the first half of 2008, and it aimed to describe the practices of health promotion developed in the religious scenario in a city in the countryside of Ceará, Brazil. Information were collected through audio-taped interviews with the priest in charge of the parish and the three coordinators of projects linked to the Catholic Church, selected by the identification of projects with the priest. The results show that promotion and health education are present in the activities developed by volunteers in the religious scenario. The church seeks to change attitudes and to promote the adoption of healthy behavior by individuals, through individual and collective actions. There is an urgent need to insert healthcare professionals in this scenario, strengthening it as a social support, gradually reducing the assistential activities and intensifying those aimed at health promotion with the support of nursing, in order to improve healthcare in this scenario.

Health promotion actions in the School Health Program in Ceará: nursing contributions.

OBJECTIVES: to compare health promotion actions carried out by Family Health teams in Ceará, linked to the School Health Program. METHODS: a cross-sectional study involving the first and second cycles of an external assessment of 910 and 1,626 teams from 184 municipalities, which joined the Brazilian National Program for Improvement of Access and Quality of Primary Care. Eight clinical assessment and seven health promotion indicators were assessed, together with health professionals working in schools. RESULTS: the interviewees were nurses (95.6% and 98.3%). Between the cycles, there was an increase in clinical assessment (78.7% and 91.3%), health promotion and disease prevention (82.5% and 89.3%) and survey of students for follow-up (41.4% and 66.4%) in schools. CONCLUSIONS: health actions at school advanced between cycles, with nurses as protagonists in school health, which can reduce vulnerabilities in children and adolescents and qualify Primary Care.

[Quality of primary care for child health in states in the Northeast region]. / Qualidade da Atenção Primária à Saúde infantil em estados da região Nordeste.

The scope of this article is to compare the assessment of users of health services who participated in the PMAQ-AB on child health in the states of the Brazilian Northeast. It is a cross-sectional study conducted with secondary data based on interviews with 5,116 users of 4,190 Family Health Teams in the nine states of the Northeast macroregion. Fourteen questions on the medical monitoring of children from 0 to 2 years old were evaluated. Proportions and 95% confidence intervals were calculated for each Unit of the Federation of the Brazilian Northeast. The indicators with the highest proportions were the Guthrie PKU test performed within seven days of life (84.4%), children always accompanied by the same professionals (79.1%), monitoring expected growth and development for age (84.9%), dietary guidance (86.3%) and up-to-date vaccination (95.3%). The indicators with the lowest proportions were guidance on the best position for the child to sleep in (45.7%) and whether or not the child's health handbook (46.9%) was received. In all indicators, there were significant differences between the states analyzed. There are differences in the quality of child health care on offer according to the evaluation of users participating in the PMAQ-AB between states in the Northeast.

O objetivo deste artigo é comparar a avaliação das usuárias que participaram do PMAQ-AB acerca da saúde infantil entre os estados da macrorregião Nordeste do Brasil. Estudo transversal, realizado com dados secundários, a partir de entrevista com 5.116 usuárias de 4.190 Equipes de Saúde da Família que atuam nos nove estados da macrorregião nordeste. Quatorze perguntas acerca do acompanhamento da criança de 0 a 2 anos de idade foram avaliadas. Foram calculados proporções e intervalos de confiança de 95% segundo Unidade da Federação da região Nordeste do Brasil. Os indicadores com maiores proporções foram teste do pezinho realizado em até sete dias de vida (84,4%), criança sempre consultada pelos mesmos profissionais (79,1%), acompanhamento do crescimento e desenvolvimento esperado para a idade (84,9%), orientação alimentar (86,3%), vacinação em dia (95,3%). Os indicadores com as menores proporções foram orientação sobre a melhor posição para a criança dormir (45,7%) e se recebeu a caderneta de saúde da criança (46,9%). Em todos os indicadores, houve diferenças significativas entre os estados analisados. Existem divergências na qualidade do cuidado ofertado à saúde infantil segundo a avaliação das usuárias participantes do PMAQ-AB entre estados do Nordeste.

[Scales to preventive behavior measures in adolescent girls in the face of STD/HIV: an integrative review]. / Escalas para medida de comportamento preventivo em meninas adolescentes frente às DST/HIV: revisão integrativa.

Since the dawn of the AIDS epidemic in the international epidemiological scenario, prevention of transmission of HIV among women and adolescents has been one of the biggest challenges in controlling the disease. Through integrative review, this study aims to describe the studies that used validated scales in order to access behaviors of female adolescents facing the prevention of sexually transmitted diseases. Two databases were used for the selection of articles: PubMed, a digital file produced by the National Library of Medicine and the Cumulative Index to Nursing and Allied Health Literature (CINAHL); the sample consisted of seven items. The scales indicate that health professionals must recognize the interactions among peers, partners and parents to assess the vulnerability of adolescents and encourage the use of reliable tools for nursing practice in the prevention of these diseases.

[Perception of risk of school adolescents in relation to alcohol consumption and sexual behavior]. / Percepção de risco de adolescentes escolares na relação consumo de álcool e comportamento sexual.

Alcohol use has been a major precipitating cause of situations of vulnerability in adolescence. The study aims to analyze the risk perception about the relationship of adolescent alcohol use and sexual behavior. The subjects were ten adolescents between 14 and 19, students from a public school in Fortaleza, Ceará, Brazil. Exploratory and descriptive qualitative approach based on the technique of focus group and systematized by means of five workshops. Teenagers recognize the risk between alcohol consumption and sexual behavior and emphasize that drinking facilitates the relations between sexual peers and indicate the influence of media in this process. The perception of adolescents and their relation to alcohol abuse and its consequences is particularly relevant to the implementation of public policies for preventing and fighting alcohol consumption at this stage of growth and development.

Nurses' knowledge about regional foods, food & nutritional safety.

OBJECTIVES: to analyze the knowledge of nurses working in Primary Health Care Units about regional foods, food & nutritional safety. METHODS: a cross-sectional study conducted with 71 nurses working in health care units in the city of Fortaleza, Ceará. Data were obtained through administration of two questionnaires, subsequently analyzed through statistical tests. RESULTS: a satisfactory level of knowledge was found for most nurses, and it was evident that those with graduate degrees had greater knowledge about 'regional food basics' (p=0,014) and 'frequency of use of regional foods' (p=0,014); the age of the professionals had an inversely proportional relationship with the knowledge about the 'concept of food & nutritional safety' (p=0,009). CONCLUSIONS: nurses had satisfactory knowledge about the themes addressed, and professionals should be encouraged to improve their knowledge and instruct families on the importance of a diet based on regional foods.

Prevenção à violência sexual na adolescência: construção e validação de cartilha digital / Prevención de la violencia sexual en la adolescencia: elaboración y validación de cartilla digital / Preventing sexual violence in adolescence: digital booklet construction and validity

Resumo Objetivo Desenvolver e analisar como prova de validade de conteúdo cartilha digital para prevenção da violência sexual na adolescência. Métodos Estudo metodológico desenvolvido em três etapas: construção da cartilha digital a partir do modelo de Falkembach, validação do material por um comitê de especialistas por meio do Índice de Concordância (IC), considerando-o maior que 80%; e avaliação pelo público-alvo (adolescentes) a partir da aplicação do instrumento Suitability Assessment of Materials (SAM), considerando-o "Superior" entre 70% a 100%; "Adequado", de 40 a 69%; "Inadequado", de 0 a 39%. Resultados A cartilha digital foi considerada válida pelos especialistas, com o índice de concordância entre 86% e 100%; e qualificada como "Superior" pelos adolescentes com percentual de escore de 97% no instrumento SAM. Conclusão A cartilha foi considerada válida pelos especialistas e público-alvo, estando apta a ser utilizada como recurso tecnológico para identificar situações de violência sexual na adolescência e possibilitar a adoção de comportamentos preventivos.

Resumen Objetivo Elaborar y analizar como prueba de validez de contenido una cartilla digital para la prevención de la violencia sexual en la adolescencia. Métodos Estudio metodológico llevado a cabo en tres etapas: elaboración de la cartilla digital a partir del modelo de Falkembach; validación del material por un comité de especialistas mediante el Índice de Concordancia (IC), considerado mayor a 80 %; y evaluación por parte del público destinatario (adolescentes) a partir de la aplicación del instrumento Suitability Assessment of Materials (SAM), considerado "Superior" entre 70 y 100 %, "Adecuado" de 40 a 69 %; "Inadecuado" de 0 a 39 %. Resultados La cartilla digital fue considerada válida por parte de los especialistas, con un índice de concordancia entre 86 y 100 %, y fue calificada como "Superior" por los adolescentes, con un porcentaje de la puntuación de 97 % en el instrumento SAM. Conclusión La cartilla fue considerada válida por los especialistas y por el público destinatario y es apta para utilizarla como recurso tecnológico para identificar situaciones de violencia sexual en la adolescencia y permitir la adopción de comportamientos preventivos.

Abstract Objective To develop and analyze a digital booklet for preventing sexual violence in adolescence as proof of content validity. Methods This is a methodological study developed in three stages: digital booklet construction based on the Falkembach model; material validity by a committee of experts using the Index of Agreement (IA), considering it greater than 80%; and assessment by the target audience (adolescents), based on the application of the Suitability Assessment of Materials (SAM), considering it "Superior" between 70% and 100%; "Suitable", between 40 and 69%; "Unsuitable", between 0 and 39%. Results The digital booklet was considered valid by experts, with an agreement rate between 86% and 100%, and qualified as "Superior" by adolescents with a score percentage of 97% on the SAM. Conclusion The booklet was considered valid by experts and target audience, being able to be used as a technological resource to identify situations of sexual violence in adolescence and enable the adoption of preventive behaviors.

Adolescent health promotion based on community-centered arts education.

OBJECTIVE: To evaluate the contribution of arts education to health promotion of adolescents in situations of urban social vulnerability. METHOD: Participatory evaluative research, with a qualitative approach, using as a reference the theoretical constructs of Paulo Freire's Conscientization and the Empowerment Evaluation as a method of collecting with adolescents and teachers of an arts education program in the field of the Family Health Strategy. RESULTS: Participants constructed a collective mission that represented the concept of adolescent health promotion. Arts education activities were prioritized and ranked with a mission focus, and over a three-month period, the program implemented health goals through art. In the reevaluation, the group presented a broad look at the implementation of activities and self-determination for change. FINAL CONSIDERATIONS: Arts education is a potential space for nurses to act in the conscientization and empowerment of adolescent health in Primary Health Care.

The use of Facebook in health education: perceptions of adolescent students.

OBJECTIVE: understand the perceptions of adolescent students regarding the use of Facebook social media in sexual and reproductive health learning in the Family Health Strategy. METHOD: a qualitative, descriptive study developed with 96 adolescents from a public school and a private school in Fortaleza-CE who concluded an educational intervention using Facebook. The information was collected in the online environment itself, as well as in a questionnaire applied in person. For the collection and analysis of this information, netnography was used. RESULTS: Facebook contributed to the sexual and reproductive health education in an interactive, playful and practical way, reducing the embarrassment of some adolescents to converse on the subject, and brought adolescents closer to the health service, by strengthening their bond with Health professionals. FINAL CONSIDERATIONS: health professionals should recognize that such virtual spaces on the Internet offer potential for the production of health care, especially among adolescents.

Self-efficacy and social support of mothers of preterms in neonatal unit / Autoeficácia e apoio social das mães de prematuros em unidade neonatal

Abstract Objectives: to analyze a correlation between self-efficacy and social support of mothers of preterms in early postpartum. Methods: cross-sectional study, carried out with 120 mothers of preterm infants from a Maternity School, from June to September 2018. Sociodemographic, reproductive and scales were used to assess the Maternal Self-Efficacy and Social Support. A descriptive analysis was carried out and the MannWhitney Test, Kruskal Wallis Test and Spearman correlation were applied. Results: there was a positive correlation between self-efficacy, parity (p=0.017), years of schooling (p=0.017) and Social Support (p=0.002). An unexpected finding was a high self-efficacy among mothers up to eight years of schooling, in the countryside of the State and with low income. Conclusion: social support, in all dimensions: material, affective, emotional, information and social interaction, proven to be a predictor of maternal self-efficacy.

Resumo Objetivos: analisar a correlação entre autoeficácia materna e apoio social de mães de recémnascidos prematuros no período de pós-parto precoce. Métodos: estudo transversal, realizado junto a 120 mães de prematuros de uma Maternidade Escola, no período de junho a dezembro de 2018. Utilizaram-se dados sociodemográficos, reprodutivos e escalas para Avaliação da Autoeficácia Materna e Apoio Social. Procedeu-se a análise descritiva e aplicaram-se os testes de Teste Mann-Whitney, Teste de Kruskal Wallis e correlação de Spearman. Resultados: evidenciou-se correlação positiva entre autoeficácia, paridade (p=0,017), anos de estudo (p=0,017) e Apoio Social (p=0,002). Um achado inesperado foi a alta autoeficácia entre mães com até oito anos de estudo, do interior do estado e de baixa renda. Conclusão: o apoio social, em todas as dimensões: material, afetivo, emocional, de informação e interação social, mostrou-se preditor da autoeficácia materna.

Enfermeiro e juventudes: diálogo na prevenção das infecções sexualmente transmissíveis / Nurses and youth: dialogue in the prevention of sexually transmitted infections / Enfermeros y jóvenes: diálogo en la prevención de las infecciones de transmisión sexual

Objetivo: Apresentar a percepção de jovens sobre prevenção de Infecções Sexualmente Transmissíveis numa perspectiva dialógica e participativa. Método: Pes- quisa-Ação realizada no Centro Urbano de Ciência, Arte e Cultura de Fortaleza, Ceará, com 34 jovens, com apoio da técnica dos Círculos de Conversação. Realizou-se 3 grupos, com duração média de 50 minutos, sobre temas relacionados à prevenção de infecções sexualmente transmissíveis. Para organização de dados utilizou-se da técnica de análise de conteúdo de Minayo em associação ao software Iramuteq. a análise foi realizada à luz da literatura recorrente. Resultados: Dentre as categorias a 'Corpos em ação: Diálogos e tabus' apontou as dificuldades dos jovens em dialogar sobre sexualidade e Infecções Se- xualmente Transmissíveis na família, além de tabus. O uso do Círculo de Conversação favoreceu ao enfermeiro prover educação em saúde enquanto reconhece junto a popula- ção suas potências e fragilidades. Atuar junto ao território da periferia permitiu levar essa atuação descentralizada permitindo maior alcance desse jovem, incentivando e reconhe- cendo o cenário epidemiológico daquele espaço geográfico. Considerações finais: Esse modelo de cuidado prestado por enfermeiros mobiliza o jovem a conciliar o papel da clínica de enfermagem e a corresponsabilização no cuidado e na prevenção das Infecções Sexualmente Transmissíveis.

Objective: To present the perception of young people about the prevention of Sexually Transmitted Infections in a dialogical and participatory perspective. Method: Action-Research carried out at the Urban Center of Science, Art and Culture in Fortaleza, Ceará, with 34 young people, with the support of the Conversation Circles technique. There were 3 groups, with an average duration of 50 minutes, on topics related to the prevention of sexually transmitted infections. For data organization, Minayo's content analysis technique was used in association with the Iramuteq software. The analysis was carried out in the light of the recurrent literature. Results: Among the categories 'Bodies in action: Dialogues and taboos' pointed out the difficulties of young people in dialoguing about sexuality and Sexually Transmitted Infections in the family, in addition to taboos. The use of the Conversation Circle favored nurses to provide health education while acknowledging their strengths and weaknesses with the population. Acting in the pe- riphery territory allowed this decentralized action to be carried out, allowing a greater reach of this young person, encouraging and recognizing the epidemiological scenario of that geographic space. Final considerations: This model of care provided by nurses mo- bilizes young people to reconcile the role of clinical nursing and co-responsibility in the care and prevention of Sexually Transmitted Infections.

Objetivo: Presentar la percepción de los jóvenes sobre la prevención de las Infecciones de Transmisión Sexual desde una perspectiva dialógica y participativa. Mé- todo: Investigación-Acción realizada en el Centro Urbano de Ciencia, Arte y Cultura de Fortaleza, Ceará, con 34 jóvenes, con el apoyo de la técnica de Círculos de Conversación. Fueron 3 grupos, con una duración media de 50 minutos, sobre temas relacionados con la prevención de infecciones de transmisión sexual. Para la organización de los datos, se utilizó la técnica de análisis de contenido de Minayo en asociación con el software Ira- muteq. El análisis se realizó a la luz de la literatura recurrente. Resultados: Entre las ca- tegorías "Cuerpos en acción: Diálogos y tabúes' se señalaron las dificultades de los jóve- nes para dialogar sobre sexualidad e Infecciones de Transmisión Sexual en la familia, además de los tabúes. El uso del Círculo de Conversación favoreció que las enfermeras impartieran educación sanitaria al tiempo que reconocían sus puntos fuertes y débiles con la población. Actuar en el territorio periférico permitió realizar esta acción descentrali- zada, posibilitando un mayor alcance de ese joven, incentivando y reconociendo el esce- nario epidemiológico de ese espacio geográfico. Consideraciones finales: Este modelo de atención proporcionado por enfermeros moviliza a los jóvenes a conciliar el papel de la enfermería clínica y la corresponsabilidad en el cuidado y prevención de las Infecciones de Transmisión Sexual.