COVID-19 Pandemic and the Second Lockdown: The 3rd Wave of the Disease Through the Voice of Youth.

Around the beginning of the 2021 new year, Europe's COVID-19 third wave led many leaders to implement a new lockdown period, with the teaching-learning system returning to the online method once more. The present study aimed to understand the health consequences for adolescents and young adults (AYA) during the third wave's lockdown. This mixed-method study included 592 participants between 16 and 24 years old (M = 19.01, SD = 2.32), with the majority being female (70.9%) and students (82.3%) at high school (55.1%) or university (44.9%). Negative impacts are highlighted in the categories: relationships, physical activity (as well aseno impacts), screen time and academic stress; and no impactsin health and well-being, leisure activities, sleep, diet, academic performance and relationships with teachers and peers. Overall, when compared to the opposite gender, girls report more negative impacts on leisure activities and diet, although more positive impacts on diet, as well as on academic stress; boys stand out in the negative consequences on substance use. At the academic level, students in higher education show more negative impacts on relationships, leisure activities, sleep, diet, screen time and relationships with teachers and peers. Enlightened about the impacts of the second lockdown on their lives, and showing signs of "pandemic fatigue", this study draws attention to the need to associate psychological support measures with those implemented to contain the COVID-19 pandemic.

#COVID#BACKTOSCHOOL: Qualitative study based on the voice of Portuguese adolescents.

Due to the COVID-19 pandemic and the exponential increase in cases, educational institutions worldwide were forced to close, making way for digital learning. After a period of confinement and an online teaching methodology, a new school year has begun. However, this new school year included the application of a wide range of measures that transformed the educative setting. The present study aimed to understand the health consequences for adolescents and young adults (AYA) during the back to school period after the COVID-19 lockdown. This mixed-method study included 304 participants between 16 and 24 years old (M = 18.4, SD = 2.12), female (71.1%), Portuguese (90.8%) and students (85.2%). In general, it was with a pessimistic perspective that young people in general, particularly girls and university students, understood the new school reality postconfinement, the effects on friendship relations, leisure activities and physical activity. By demonstrating AYA's ability and competence to identify and expose their problems, this study intends to raise awareness of the need for their involvement in the issues that affect them.

Sleep and Awakening Quality during COVID-19 Confinement: Complexity and Relevance for Health and Behavior.

OBJECTIVE: The aim of this study was to evaluate sleep and awakening quality (SQ and AQ) during COVID-19 in a large and diversified population in order to identify significant associations and risks in terms of demography, health and health-related behaviors, sleep variables, mental health, and attitudes. METHODS/RESULTS: Online surveys were used for data collection, received from 5479 individuals from the general population, sleep disorder patients, and COVID-involved (medical doctors (MDs) and nurses) and COVID-affected professionals (teachers, psychologists, and dentists). SQ and AQ were worse in adults, females, and high-education subjects. Feeling worse, having economic problems, depression, anxiety, irritability, and a high Calamity Experience Check List (CECL) score during COVID were significantly associated with poor SQ and AQ. Shorter sleep duration, increased latency, poor nutrition, low physical activity, increased mobile and social network use, more negative and less positive attitudes and behaviors were associated with poor AQ. CONCLUSIONS: The SQ logistic regression showed gender, morbidities, CECL, and awakenings as relevant, whereas, for AQ, relevant variables further included age and physical activity. Aiming to have a high stress compliance, each individual should sleep well, have important control of their mood, practice positive behaviors while dismissing negative behaviors and attitudes, practice exercise, have adequate nutrition, and beware of technologies and dependences.

National Survey on the importance of sleep in the quality of academic life and mental health of college students in Portugal.

The academic years are a period of vulnerability when considering sleep problems and mental health. Growing evidence suggests poor sleep patterns are related to impaired academic life and lower psychological well-being. The aim of this study was to explore the importance of sleep habits and report the associations of sleep problems with quality of academic life and different dimensions of mental health (e.g. worries, anxiety, self-regulation and resilience) in a large sample of college students. The HBSC/JUnP data base comprises a representative sample of 2991 college students (n=2203; 73.7% women), aged from 18 to 35 years old (22.43±3.83). Participants socio-demographic characteristics included sex and age. Besides, participants were inquired about sleep duration, characteristics of their sleep habits, questions about quality academic life, namely feeling bored in university, pressure from academic work and academic performance perception and mental health, namely worries, anxiety, self-regulation and resilience. Results showed most young people report an average value for sleep habits (M=4.41; SD=1.46) and that they sleep an average of 7 hours a night. More than half of the young people report either being affected by difficulty falling asleep, showing signs of sleep onset insomnia (67.7%). The conducted analyses indicated that the difficulty falling asleep (having insomnia) was associated with poor/reasonable academic performance perception, higher levels of concerns and anxiety, and lower levels of self-regulation and resilience, thus jeopardizing the mental health of college students. In turn, that characteristics of sleep was also associated with poor sleep habits. In conclusion, this study showed that poor sleep habits were associated with a worse level of academic performance perception and low levels of mental health among college students in Portugal. Universities offer enormous potential as settings to promote sleep-health programs since they can reach many young people who are future-oriented and willing to learn. There is then the need for academic researchers, teaching staff and health professionals working for college students health, to develop and test a wide array of sleep-promoting interventions (e.g., education classes, online programs, adjustment of class time), thus preventing negative secondary outcomes.

Dream Teens: Adolescents-Led Participatory Project in Portugal in the Context of the Economic Recession.

This article describes the implementation process of a nationwide project to enhance young people's participation and active citizenship in the context of Portugal's economic recession. This project used an innovative Positive Youth Development approach that engaged Portuguese youth (aged 11-18 years) through social media tools to facilitate their civic engagement and development. Participants from all over the country were empowered (1) to design and conduct research activities on topics of their choice and about their life contexts and (2) to create ways to improve youth civic participation in their communities, while developing supportive interactions with adults and peers. Overall, youth were engaged in their activities, felt their voices were heard, and felt that they were viewed as experts of their own well-being and living contexts. Youth research actions and preliminary findings were then compiled in a set of recommendations that was formally received by a high commissioner of the Ministry of Health. The article concludes with a discussion of the next steps for the project and its limitations so far.

Gendered trends in early and very early sex and condom use in 20 European countries from 2002 to 2010.

BACKGROUND: Sexual activity is often initiated during the adolescent period, and previous research suggests that the age of first sexual intercourse and condom use are crucial determinants of later sexual health. This study examined trends in adolescent sexual behaviours from 2002 to 2010 in 20 countries across four geographical regions of Europe. METHODS: Data were collected by self-report questionnaires from 15-year-olds in classrooms during 2002, 2006 and 2010. Linear time trends were determined through logistic regression models, stratified for gender. RESULTS: No linear trend over time was documented for most countries for sexual intercourse at the age of 13 or younger. Increased initiation among girls in Eastern Europe and decreased very early initiation among girls in Northern Europe emerged, along with a general increase in condom use in boys and most notably in girls. CONCLUSION: Overall prevalence of early and very early sexual intercourse initiation was quite stable in Europe between 2002 and 2010, while condom use increased. More detailed research and policy attention to the antecedents of non-condom use among young people is warranted; and further study of the relationships between age of sexual initiation and condom or pill use would be particularly valuable.

Prevalence and correlates of young people's sexual aggression perpetration and victimisation in 10 European countries: a multi-level analysis.

Data are presented on young people's sexual victimisation and perpetration from 10 European countries (Austria, Belgium, Cyprus, Greece, Lithuania, the Netherlands, Poland, Portugal, Slovakia and Spain) using a shared measurement tool (N = 3480 participants, aged between 18 and 27 years). Between 19.7 and 52.2% of female and between 10.1 and 55.8% of male respondents reported having experienced at least one incident of sexual victimisation since the age of consent. In two countries, victimisation rates were significantly higher for men than for women. Between 5.5 and 48.7% of male and 2.6 and 14.8% of female participants reported having engaged in a least one act of sexual aggression perpetration, with higher rates for men than for women in all countries. Victimisation rates correlated negatively with sexual assertiveness and positively with alcohol use in sexual encounters. Perpetration rates correlated positively with attitudes condoning physical dating violence and with alcohol use in men, and negatively with sexual assertiveness in women. At the country level, lower gender equality in economic power and in the work domain was related to higher male perpetration rates. Lower gender equality in political power and higher sexual assertiveness in women relative to men were linked to higher male victimisation rates.

Trends in adolescent sexual behavior, impact of information, and attitudes about HIV/AIDS in Portugal.

There is a recent decline in HIV in a significant number of countries due to the adoption of preventive sexual behaviors, which demonstrates that HIV reduction is possible. The goal of this research was to deepen knowledge of preventive sexual behavior in adolescents, including knowledge and attitudes about HIV/AIDS, and assessing whether they changed from 2002 to 2010. Data were collected through a self-administered questionnaire from the Portuguese sample of the Health Behavior in School-aged Children, a collaborative WHO study. The study provided national representative data of 10,587 Portuguese adolescents attending 8th and 10th grade. In terms of preventive behaviors, results showed an increasing trend regarding the percentage reporting first sexual intercourse at 14 years old or more and condom use at last intercourse and a stabilized trend concerning having had intercourse, contraceptive pill use at last intercourse and having had intercourse under the influence of alcohol or drugs. Nevertheless, results showed a systematic decreasing trend in terms of knowledge and attitudes. This suggested that sex education programs are still too limited to teaching sessions, strongly homogenized in their content and inadequate to enhance knowledge and attitudes regarding HIV, let alone personal and social skills of different target groups.

Nationwide survey on HIV/AIDS knowledge, attitudes and risk behavior in university students of Portugal

HIV and sexually transmitted infections is a major threat for humanity in the world, especially in developing countries. The goals of this study were to: (a) analyze differences between genders in knowledge, attitudes, and risk behaviors about HIV/AIDS; and (b) evaluate the association between inconsistent condom use and knowledge, attitudes and risk behaviors about HIV/AIDS in Portuguese university students. Data were collected through a self-administered questionnaire from the Portuguese sample of the Sexual and Reproductive Health in University Students study (SRHUS), which is an extension of the Health Behavior in School-aged Children (HBSC) study for university students. This cross-sectional study provides national representative data of 3278 Portuguese university students. Results show that the majority is sexually active; the usual contraceptive methods more reported are the oral contraceptive and the male condom. However the prevalence of consistent condom use in last 12 months is 34.5% (men) and 31.7% (women). Men more often than women report engaging in sexual risk behaviors (occasional partners, sex associated to alcohol and drugs, STIs). In general, univer (AU)

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Information and attitudes about HIV/AIDS in portuguese adolescents: state of art and changes in a four year period / Información y actitudes sobre el VIH/SIDA en los adolescentes portugueses: estado del arte y los cambios en un período de cuatro años

The incidence of infection with HIV/AIDS among the heterosexual population has been increasing in young adults. The goal of this research was to deepen knowledge of preventive sexual behavior in Portuguese adolescents, including knowledge and attitudes about HIV/AIDS, and assessing whether they changed from 2002 to 2006. Data were collected through a self-administered questionnaire from the Portuguese sample of the Health Behavior in School-aged Children (HBSC), a collaborative WHO study. The study provides national representative data of 7093 Portuguese adolescents, randomly chosen from those attending 8th and 10th grade of high school. Results showed there was an increase in the age of first sexual intercourse and a decrease in the number of teenagers who reported having had sexual intercourse, also in the level of information regarding HIV/AIDS transmission/prevention and in positive attitudes towards people with HIV/AIDS. In general, adolescents have good knowledge about how to protect themselves from becoming infected. However, comparing to 2002, there was a reduction of knowledge and consequent increase in the doubts regarding HIV/AIDS. Given the incipient state of sex education in 2006, the results cannot be attributed to sex education, but they will be relevant for comparison with the 2010 HBSC results (AU)

La incidencia del VIH/SIDA en la población heterosexual ha aumentando en los adultos jóvenes. El objetivo de esta investigación fue profundizar en los conocimientos y actitudes sobre el VIH/SIDA, y evaluar si desde 2002 hasta 2006 han cambiado. Los datos fueron recolectados a través de un cuestionario autoadministrado, de conducta de salud en niños en edad escolar, que se ha aplicado a una muestra portuguesa. Este estudio, hecho en colaboración con la OMS, proporciona datos representativos de Portugal, incorporando una muestra de 7.093 adolescentes portugueses, elegidos aleatoriamente entre los que frecuentan en octavo y décimo grado. Los resultados obtenidos muestran que la edad de la primera relación sexual aumentó y que el número de adolescentes que reportaron haber tenido relaciones sexuales disminuyó. También ha disminuido el nivel de información y prevención de VIH/SIDA, al igual que las actitudes positivas hacia las personas con VIH/SIDA. En general, los adolescentes tienen buen conocimiento de cómo protegerse. Sin embargo, en comparación con el 2002, hubo una reducción de los conocimientos y, por consiguiente, las dudas sobre el VIH/SIDA aumentaron. En 2006, la educación sexual fue incipiente y por eso los resultados obtenidos no se pueden atribuir a la educación sexual, pero pueden ser relevantes en comparación con HBSC 2010 (AU)

Information and attitudes about HIV/AIDS in Portuguese adolescents: state of art and changes in a four year period.

The incidence of infection with HIV/AIDS among the heterosexual population has been increasing in young adults. The goal of this research was to deepen knowledge of preventive sexual behavior in Portuguese adolescents, including knowledge and attitudes about HIV/AIDS, and assessing whether they changed from 2002 to 2006. Data were collected through a self-administered questionnaire from the Portuguese sample of the Health Behavior in School-aged Children (HBSC), a collaborative WHO study. The study provides national representative data of 7093 Portuguese adolescents, randomly chosen from those attending 8th and 10th grade of high school. Results showed there was an increase in the age of first sexual intercourse and a decrease in the number of teenagers who reported having had sexual intercourse, also in the level of information regarding HIV/AIDS transmission/prevention and in positive attitudes towards people with HIV/AIDS. In general, adolescents have good knowledge about how to protect themselves from becoming infected. However, comparing to 2002, there was a reduction of knowledge and consequent increase in the doubts regarding HIV/AIDS. Given the incipient state of sex education in 2006, the results cannot be attributed to sex education, but they will be relevant for comparison with the 2010 HBSC results.

Communication and Information About "Safer Sex:" Intervention Issues Within Communities of African Migrants Living in Poorer Neighbourhoods in Portugal.

The aims of this study are to determine the influence of migrant status on sexual behavior and communication about "safer sex" and to identify ethnic-specific prevention issues. Data were obtained from a special administration of the Health Behavior in School-Aged Children Survey in a special sample of Portuguese schools located in low-income Lisbon neighborhoods with large proportions of African migrants.Survey participants included 919 6th, 8th and 10th graders (52.3% female), of whom 19.2% were migrant foreigners from African Portuguese-speaking countries, including Cape Verde (60.8%), Mozambique (1.6%), Angola (16.8%), S. Tomé (8%), and Guinea-Bissau (14.8%). Subsequently, four focus groups were held with adolescent who had participated in the survey (n = 45), three focus group with health and education professionals (n = 25), and one focus group with parents (n = 6).Compared with Portuguese adolescents, African migrant teens reported initial sexual intercourse at earlier ages, less frequent condom use, and less frequent and less comfortable communications with parents about sexual issues.Implications for selective prevention of STD are discussed and recommendations are made.

Percepções de professores portugueses sobre educação sexual / Perceptions of Portuguese teachers about sex education / Percepciones de profesores portugueses sobre educación sexual

OBJETIVO: Avaliar percepções e atitudes em relação à educação sexual entre professores portugueses do ensino básico e secundário. MÉTODOS: Participaram do estudo 371 professores de ambos os sexos, do segundo e terceiro ciclos e do ensino secundário do continente Português, entre Fevereiro e Março de 2006. A coleta de dados foi feita por meio de questionário, pela técnica bola de neve, constituído por duas partes; a primeira abordava dados sociodemográficos, caracterização profissional, crenças religiosas, formação e experiência em educação sexual em meio escolar. A segunda parte foi composta por escalas relativas a atitudes, importância atribuída a temas de educação sexual e nível de ensino para introduzir tópicos de educação sexual. A análise das diferenças entre géneros, entre professores com e sem experiência em educação sexual, e entre professores com e sem formação complementar na área foi efectuada pela análise de variância ANOVA. RESULTADOS: Os professores, no geral, revelaram quer atitude quer importância médias/altas em relação à educação sexual. Imagem corporal foi o único tópico que deveria ser introduzido no primeiro ciclo. As professoras [F(1;366)=7,772; p=0,006] por oposição aos professores, os professores com formação em educação sexual [F(1;351)=8,030; p=0,005], por oposição aos que não têm formação, e os com experiência em educação sexual em meio escolar [F(1;356)=30,836; p=0,000], por oposição aos sem experiência, revelaram uma atitude mais positiva em relação à educação sexual (M=39,5; 40,4; 41,3; respectivamente). Somente professores com mais formação atribuíram mais importância à educação sexual [F(1;351)=5,436;p=0,020] e as professoras propuseram introdução da educação sexual mais cedo [F(1;370)=5,412; p=0,021]. CONCLUSÕES: Os professores no geral são favoráveis à educação sexual em meio escolar. O fato de a maioria dos tópicos ficarem reservados para os segundo e terceiro ciclos pode não ser adequado, pois a educação...

OBJECTIVE: To assess perceptions and attitudes regarding sex education among middle and high school teachers in Portugal. METHODS: A study comprising 371 middle and high school teachers, both female and male, was conducted in Portugal in February and March 2006. Data was collected through snowball technique. The questionnaire was made up of two parts: the first collected data on demographics, career, religious background and training and experience in sex education; the second part presented three measures related to sex education, one assessed attitudes, another importance given to sex education, and the third the grade at which respondents believed sex education topics should be taught. The analysis of differences between gender, trained and untrained teachers in sex education, and experienced and non-experienced teachers in teaching sex education was carried out using ANOVA. RESULTS: Overall, teachers showed a fairly straightforward attitude towards sex education and assessed it as moderately/highly important. Body image was found to be the only topic that should be introduced in the 5th and 6th grades. Female teachers [F(1;366)=7.772;p=.006], trained teachers [F(1;351)=8.030; p=.005] and experienced teachers in teaching sex education [F(1;356)=30.836;p=.000] showed a more positive attitude towards sex education (M=39.5; 40.4; 41.3; respectively). Only trained teachers assessed its teaching as highly important [F(1;351)=5.436;p=.020]; and female teachers believed it should be introduced earlier [F(1;370)=5.412;p=0.021]. CONCLUSIONS: In general, teachers favor sex education in school. The fact that most topics of sex education are only taught in the 5th-6th or 7th-9th grades may have serious consequences since sex education has to be introduced before students engage in sexual behaviors.

OBJETIVO: Evaluar percepciones y actitudes en relación a la educación sexual entre profesores portugueses de enseñanza básica y secundaria. MÉTODOS: Participaron del estudio 371 profesores de ambos sexos, del segundo y tercer ciclo y de la enseñanza secundario del continente Portugués, entre Febrero y Marzo de 2006. La colecta de datos fue hecha por medio de cuestionario, por la técnica bola de nieve, constituido por dos partes; la primera abordaba datos sociodemográficos, caracterización profesional, creencias religiosas, formación y experiencia en educación sexual en medio escolar. La segunda parte fue compuesta por escalas relativas a actitudes, importancia atribuida a temas de educación sexual y nivel de enseñanza para introducir tópicos de educación sexual. La análisis de las diferencias entre géneros, entre profesores con y sin experiencia en educación sexual, y entre profesores con y sin formación complementaria en el área fue efectuada por la análisis de variancia ANOVA. RESULTADOS: Los profesores, en general, revelaron actitud y importancia medias/altas en relación a la educación sexual. Imagen corporal fue el único tópico que debería ser introducido en el primer ciclo. Las profesoras [F (1; 366)=7,772; p=0,006] por oposición a los profesores, los profesores con formación en educación sexual [F (1; 351)=8,030; p=0,005], por oposición a los que no tienen formación, y los con experiencia en educación sexual en medio escolar [F (1; 356)=30,836; p=0,000], por oposición a los sin experiencia, revelaron una actitud más positiva en relación a la educación sexual (M=39,5; 40,4; 41,3; respectivamente). Solamente profesores con más formación atribuyeron más importancia a la educación sexual [F (1; 351)=5,436; p=0,020] y las profesoras propusieron introducción de la educación sexual mas temprano [F (1; 370)=5,412; p=0,021]. CONCLUSIONES: Los profesores en general son favorables a la educación sexual en medio escolar. El hecho de que la...

[Perceptions of Portuguese teachers about sex education]. / Percepções de professores portugueses sobre educação sexual.

OBJECTIVE: To assess perceptions and attitudes regarding sex education among middle and high school teachers in Portugal. METHODS: A study comprising 371 middle and high school teachers, both female and male, was conducted in Portugal in February and March 2006. Data was collected through snowball technique. The questionnaire was made up of two parts: the first collected data on demographics, career, religious background and training and experience in sex education; the second part presented three measures related to sex education, one assessed attitudes, another importance given to sex education, and the third the grade at which respondents believed sex education topics should be taught. The analysis of differences between gender, trained and untrained teachers in sex education, and experienced and non-experienced teachers in teaching sex education was carried out using ANOVA. RESULTS: Overall, teachers showed a fairly straightforward attitude towards sex education and assessed it as moderately/highly important. Body image was found to be the only topic that should be introduced in the 5th and 6th grades. Female teachers [F(1;366)=7.772;p=.006], trained teachers [F(1;351)=8.030; p=.005] and experienced teachers in teaching sex education [F(1;356)=30.836;p=.000] showed a more positive attitude towards sex education (M=39.5; 40.4; 41.3; respectively). Only trained teachers assessed its teaching as highly important [F(1;351)=5.436;p=.020]; and female teachers believed it should be introduced earlier [F(1;370)=5.412;p=0.021]. CONCLUSIONS: In general, teachers favor sex education in school. The fact that most topics of sex education are only taught in the 5th-6th or 7th-9th grades may have serious consequences since sex education has to be introduced before students engage in sexual behaviors.

Cambios asistenciales en las consultas urgentes de los pacientes infectados por el virus de la inmunodeficiencia humana desde la generalización de los inhibidores de las proteasas / Changes in emergency visits of patients infected by human immunodeficiency virus since the widespread use of protease inhibitors

Objetivo: Valorar los cambios en las consultas urgentes de los pacientes VIH+ desde la generalización de los inhibidores de las proteasas. Pacientes y métodos: Comparación de las consultas realizadas durante un período anterior y otro posterior al uso de los inhibidores de las proteasas. Resultados: Tras la generalización de los inhibidores de las proteasas, disminuyó el porcentaje de consultas, variaron los motivos de éstas y las exploraciones complementarias realizadas, se redujeron porcentualmente las medidas terapéuticas invasivas, los ingresos y los fallecimientos. Conclusiones: Los inhibidores de las proteasas han cambiado el perfil de las consultas urgentes de los pacientes VIH+ (AU)