ABSTRACT
BACKGROUND: In Cuba, little is known regarding the prevalence of Chlamydia trachomatis (CT) infection in adolescents and young people. We study the frequency of CT infection in these populations, and its association with clinical-epidemiological variables. METHODS: A total of 496 individuals aged 12 to 24 were recruited from November 2018 to November 2019. Of them, 302 were patients attending at sexually transmitted infections (STI) services and 194 were young volunteers. CT detections were carried out by real-time PCR and IgG serology. RESULTS: The prevalence of CT using PCR was 9.1% (45/496); 12.3% (37/302) for subjects attending STI service and 4.1% (8/194) for young volunteers, being significantly higher in the first group (OR=3.25; p=.001). CT IgG antibodies was detected in 38.6% (81/210). Individuals from 12 to 17 years old were more likely infected with CT (OR=2.21; p=.010). Infection was associated with the early onset of sexual intercourse, the frequent changing of sexual partners and black ethnicity. CONCLUSIONS: The results suggest that Cuban adolescents and young populations are at highest risk of acquiring CT infection and developing reproductive complications. The data obtained advise the needs of implementation of a routine CT screening strategy, for timely diagnosis, detection and treatment at the earliest ages.
Subject(s)
Chlamydia Infections , Sexually Transmitted Diseases , Humans , Adolescent , Child , Chlamydia trachomatis/genetics , Sexual Behavior , Chlamydia Infections/diagnosis , Chlamydia Infections/epidemiology , Chlamydia Infections/prevention & control , Sexually Transmitted Diseases/diagnosis , Sexually Transmitted Diseases/epidemiology , Prevalence , Immunoglobulin G , Risk FactorsABSTRACT
OBJETIVOS: conocer la percepción de los adolescentes varones en relación con el problema del aborto en edades tempranas, valorar su actitud, precisar según su criterio, cuáles son las causas fundamentales por lo que la adolescente mujer acude al aborto, así como evaluar el nivel de conocimientos del varón. MÉTODOS: se realizó un estudio de corte transversal con 205 adolescentes varones de las escuelas de Economía y Gastronomía del municipio Cerro, de la Ciudad de la Habana, con edades comprendidas entre 15 y 19 años. Se les aplicó una encuesta anónima en el mes de marzo de 2007 en sus respectivos centros de estudio, se analizaron diferentes variables. RESULTADOS: encontramos que 25,7 por ciento no conocían exactamente en qué consistía el aborto, de estos el mayor porcentaje correspondió a las edades entre 15 y 17 años. El 66 por ciento desconocía el riesgo que entraña un aborto para su pareja; el 88,6 por ciento considera que aparecen desde el primer aborto. El 50 por ciento, considera como la principal causa que conlleva al aborto el abandono de la pareja, y en segundo lugar que se interfiere su proyecto de vida. Al seguimiento postaborto no le da importancia el 36,1 por ciento. La solución al embarazo no deseado está en manos de la pareja según el 38 por ciento y el 50 por ciento de esos adolescentes no puede definir correctamente dónde pudieran estar las soluciones para la disminución del aborto en las adolescentes. CONCLUSIONES: el varón tiene baja percepción del riesgo, conocen las complicaciones, pero no sienten la necesidad de prevenir problemas futuros (AU)
OBJECTIVES: to know the male adolescents perception related to abortion problems in early ages, to value its attitude, to specify exactly by its criterion which are the main causes to have an abortion in adolescence as well as to assess the knowledge level in male. METHODS: a cross-sectional study was conducted in Economy and Gastronomy Schools of Cerro municipality, Havana City 205 to male adolescent aged 15 and 19. An anonymous survey was completed in March, 2007 in its respective study centers; different variable were analyzed. RESULTS: we found that the 25,7 percent not to know what means an abortion, from these the great percentage corresponded to ages between 17 and 17 years. The 66 percent neither knows the risks related to abortion for its partner; the 88,6 percent considers its appearance from the first abortion. The 50 percent considers it like the first cause entailing an abortion the abandonment of the partner, and in a second place a interference in its life project. The 36,1 percent considers that post-abortion follow-up is not significant. The solution for a non- desired pregnancy is a partner decision according to the 38 percent and the 50 percent of these adolescents can not to define correctly where may be the solutions to decrease the abortion rate in adolescents. CONCLUSIONS: male adolescent has a low risk perception, they know the complications but they not consider the need to prevent the future related problems (AU)
Subject(s)
Humans , Male , Female , Pregnancy , Adolescent , Abortion, Induced/methods , Pregnancy in Adolescence/prevention & control , Sex Education , Risk Factors , Epidemiology, Descriptive , Cross-Sectional StudiesABSTRACT
OBJETIVOS: conocer la percepción de los adolescentes varones en relación con el problema del aborto en edades tempranas, valorar su actitud, precisar según su criterio, cuáles son las causas fundamentales por lo que la adolescente mujer acude al aborto, así como evaluar el nivel de conocimientos del varón. MÉTODOS: se realizó un estudio de corte transversal con 205 adolescentes varones de las escuelas de Economía y Gastronomía del municipio Cerro, de la Ciudad de la Habana, con edades comprendidas entre 15 y 19 años. Se les aplicó una encuesta anónima en el mes de marzo de 2007 en sus respectivos centros de estudio, se analizaron diferentes variables. RESULTADOS: encontramos que 25,7 por ciento no conocían exactamente en qué consistía el aborto, de estos el mayor porcentaje correspondió a las edades entre 15 y 17 años. El 66 por ciento desconocía el riesgo que entraña un aborto para su pareja; el 88,6 por ciento considera que aparecen desde el primer aborto. El 50 por ciento, considera como la principal causa que conlleva al aborto el abandono de la pareja, y en segundo lugar que se interfiere su proyecto de vida. Al seguimiento postaborto no le da importancia el 36,1 por ciento. La solución al embarazo no deseado está en manos de la pareja según el 38 por ciento y el 50 por ciento de esos adolescentes no puede definir correctamente dónde pudieran estar las soluciones para la disminución del aborto en las adolescentes. CONCLUSIONES: el varón tiene baja percepción del riesgo, conocen las complicaciones, pero no sienten la necesidad de prevenir problemas futuros
OBJECTIVES: to know the male adolescents perception related to abortion problems in early ages, to value its attitude, to specify exactly by its criterion which are the main causes to have an abortion in adolescence as well as to assess the knowledge level in male. METHODS: a cross-sectional study was conducted in Economy and Gastronomy Schools of Cerro municipality, Havana City 205 to male adolescent aged 15 and 19. An anonymous survey was completed in March, 2007 in its respective study centers; different variable were analyzed. RESULTS: we found that the 25,7 percent not to know what means an abortion, from these the great percentage corresponded to ages between 17 and 17 years. The 66 percent neither knows the risks related to abortion for its partner; the 88,6 percent considers its appearance from the first abortion. The 50 percent considers it like the first cause entailing an abortion the abandonment of the partner, and in a second place a interference in its life project. The 36,1 percent considers that post-abortion follow-up is not significant. The solution for a non- desired pregnancy is a partner decision according to the 38 percent and the 50 percent of these adolescents can not to define correctly where may be the solutions to decrease the abortion rate in adolescents. CONCLUSIONS: male adolescent has a low risk perception, they know the complications but they not consider the need to prevent the future related problems
