Conducta infiel y adicción a redes sociales en adultos de la selva peruana / Unfaithful behavior and addiction to social networks in adults from the Peruvian jungle

La adicción a las redes sociales potencia las probabilidades de infidelidad de pareja. Esta investi-gación tuvo el objetivo de determinar la relación entre conducta infiel y adicción a redes sociales en adultos de las áreas comerciales de Tarapoto, Lamas, San José de Sisa, Moyobamba y Naran-jos, región de la Amazonía Peruana, durante el primer cuatrimestre de 2021. Así, se desarrolló un estudio con diseño no experimental y tipo de investigación correlacional, en una muestra de 318 individuos con edades entre 20 y 40 años, a los que se aplicó el Inventario Multidimensional de Infidelidad y el Cuestionario de Adicción a Redes Sociales. El 62,3% de los participantes perteneció al sexo masculino, el 57,5% tenía edades entre 30 y 59 años, el 66,7% convivía con sus parejas sin estar casados y el 51,6% se encontraban en la segunda etapa de la relación de pareja. Existieron diferencias significativas entre hombres y mujeres en cuanto a la conducta infiel (U=6387,500; p<0,000). En este contexto, se observó un predominio del nivel medio de la adición a las redes sociales en los participantes y del bajo en las dimensiones de la conducta de infidelidad, estableciéndose correlación estadísticamente significativa entre ambas variables.

Addiction to social networks increases the chances of partner infidelity. This research aimed to determine the relationship between unfaithful behavior and addiction to social networks in adults from the commercial areas of Tarapoto, Lamas, San José de Sisa, Moyobamba, and Naranjos, in the Peruvian Amazon region, during the first four-month period of 2021. Thus, a study with a non-experimental design and correlational research type was developed in a sample of 318 individuals between 20 and 40 years old. The Multidimensional Infidelity Inventory and the Social Networks Addiction Questionnaire were applied. 62.3% of the participants were male, 57.5% were between 30 and 59 years old, 66.7% lived with their partners without marria-ge, and 51.6% were in the second stage of the couple relationship. There were significant diffe-rences between men and women regarding unfaithful behavior (U=6387,500; p<0.000). In this context, a predominance of the medium level of addiction to social networks in the participants and the low level in the dimensions of infidelity behavior were observed, establishing a statisti-cally significant correlation between both variables.

[Sexual and social adjustments of indonesian male partners of gynecological cancer survivor]. / Adaptaciones sexuales y sociales de las parejas masculinas indonesias de supervivientes de cáncer ginecológico.

OBJECTIVE: This study explores the sexual and social adjustments of the partners of gynecological cancer survivors in Indonesia. METHOD: Phenomenological research interviewed seven male participants whose spouses sought gynecological cancer treatment at the Army Hospital in Jakarta from July to August 2020. The collected data were transcribed and thematically analyzed. RESULTS: The male partners described their loss of sexual desire and intimacy. They indicated a constructed sexual and social adjustments, including having sexual distractions, alternative sexual activities, and performing extended roles in the family after their partner's diagnosis and treatment. CONCLUSIONS: These research findings suggest that oncology and family nursing interventions should mitigate the gynecological cancer survivors and partners' sexual and social distress to enhance the couple's relationship and well-being after a gynecological cancer diagnosis.

Adaptaciones sexuales y sociales de las parejas masculinas indonesias de supervivientes de cáncer ginecológico / Sexual and social adjustments of indonesian male partners of gynecological cancer survivor

Objetivo: Este estudio explora los ajustes sexuales y sociales de las parejas de supervivientes de cáncer ginecológico en Indonesia. Método: Investigación fenomenológica donde se entrevistó a siete participantes masculinos cuyo cónyuge buscó tratamiento por cáncer ginecológico en el Hospital del Ejército en Yakarta de julio a agosto del 2020. Los datos recopilados se transcribieron y analizaron temáticamente. Resultados: Los compañeros masculinos describieron su pérdida del deseo sexual y la intimidad. Indicaron ajustes sexuales y sociales construidos, que incluyen distracciones sexuales, actividades sexuales alternativas y el desempeño de roles extendidos en la familia después del diagnóstico y tratamiento de su pareja. Conclusiones: Los hallazgos de esta investigación sugieren que las intervenciones de enfermería deben mitigar la angustia sexual y social de los supervivientes de cáncer ginecológico y de la pareja para mejorar la relación de pareja y el bienestar después del diagnóstico de cáncer ginecológico.(AU)

Objective: This study explores the sexual and social adjustments of the partners of gynecological cancer survivors in Indonesia. Method: Phenomenological research interviewed seven male participants whose spouses sought gynecological cancer treatment at the Army Hospital in Jakarta from July to August 2020. The collected data were transcribed and thematically analyzed. Results: The male partners described their loss of sexual desire and intimacy. They indicated a constructed sexual and social adjustments, including having sexual distractions, alternative sexual activities, and performing extended roles in the family after their partner's diagnosis and treatment. Conclusions: These research findings suggest that oncology and family nursing interventions should mitigate the gynecological cancer survivors and partners’ sexual and social distress to enhance the couple's relationship and well-being after a gynecological cancer diagnosis.(AU)

Alcohol, age at first sexual intercourse and number of sexual partners in young Mexican women.

AIM: To identify the relationship between use of alcohol, number of sexual partners and age of sexual initiation. METHOD: Descriptive-correlational study. A random sample of 319 young women (age 18-25) from Nuevo Laredo, Mexico was recruited. A sociodemographic data sheet and the AUDIT questionnaire were used. Non-parametric Spearman's rank correlation coefficient and Kruskal-Wallis H test were selected. RESULTS: On average the participants were 20.70 years old (±2.1), had 1.86 sexual partners (±1.27), started drinking alcohol at the age of 16.82 (±1.79), and their first sexual intercourse was at the age of 17.38 (±1.65). There was a decrease in the age of onset of alcohol use (H=16.646, p<.001) and the age at first sexual intercourse (H=26.749, p<.001) on the lower their current age. The overall AUDIT score negatively correlated with the age of the participants on their first sexual intercourse (rs=-.168, p<.001) and positively correlated with the number of sexual partners (rs=.243, p<.001). The aforementioned correlations were more intense among the younger participants (18- and 19-year olds; p<.01). CONCLUSIONS: There was an association between higher use of alcohol, early age of sexual initiation and number of sexual partners. Nursing professionals may address such variables simultaneously through preventive strategies directed specifically at young women.

Autoestima e intenções sexuais de usuários de aplicativos de relacionamento / Self-esteem and sexual intentions of users of relationship applications / Autoestima e intenciones sexuales de usuarios de aplicaciones de relación

O presente estudo visou detectar o nível de autoestima, conservadorismo e liberalismo sexual dos participantes, bem como coletar informações sobre o uso dos aplicativos de relacionamento no brasil. participaram da pesquisa 210 universitários matriculados em diferentes cursos de uma mesma instituição de ensino respondendo a um questionário presencial. obteve-se o resultado de que o nível de autoestima é semelhante entre os sexos, no entanto, os homens no geral pontuaram mais no quesito liberalismo sexual, sendo mais irrestritos sexualmente e propensos a se envolverem em sexo casual a partir dos aplicativos de relacionamento do que as mulheres que se mostraram mais conservadoras. o liberalismo sexual masculino foi associado ao sentimento de vazio quando relacionado às relações virtuais. conclui-se que o assunto pode ter relação com políticas de prevenção de doenças sexualmente transmissíveis.(AU)

The present study aimed to detect the self-esteem level, conservatism and sexual liberalism of the participants, also to collect information about the use of relationship applications in brazil. 210 university students, enrolled in different courses of the same teaching institution, participated in the research, responding a face-to-face questionnaire. the result was that the level of self-esteem is similar between the genders; however, men in general scored more on the question of sexual liberalism, being more sexually unrestrained and likely to engage in casual sex from the relationship applications than women who have shown themselves to be more conservative. male sexual liberalism was associated with the feeling of emptiness when related to virtual relationships. it is concluded that the subject may be related to policies for the prevention of sexually transmitted diseases.(AU)

El presente estudio apunta a detectar el nivel de autoestima, conservadurismo y liberalismo sexual de los participantes y recoger informaciones sobre el uso de las aplicaciones de relación en brasil. participaron de la encuesta 210 universitarios matriculados en diferentes cursos de una misma institución de enseñanza respondiendo a un cuestionario presencial. se obtuvo el resultado acorde al que propone que el nivel de autoestima es similar entre los sexos, sin embargo, los hombres en general puntualizaron más en el aspecto liberalismo sexual, siendo más irrestrictos sexualmente y propensos a involucrarse en el sexo casual a partir de las aplicaciones de relación que las mujeres que se mostraron más conservadoras. El liberalismo sexual masculino se asoció al sentimiento de vacío cuando se relacionó con las relaciones virtuales. Se concluye que por ser más liberales sexualmente, los hombres son más propensos a contraer una enfermedad de transmisión sexual.(AU)

Fatores associados ao uso inconsistente de preservativo com parceiros comerciais entre homens que fazem sexo com homens no Brasil / Factors associated with inconsistent condom use among men who have sex with men in Brazil and their commercial sexual partners / Factores asociados al uso inconsistente del preservativo con las parejas comerciales entre los hombres que tienen sexo con hombres en Brasil

O objetivo foi analisar os fatores associados ao uso inconsistente de preservativo com parceiros comerciais entre homens que fazem sexo com homens (HSH) no Brasil. Foi feito um estudo transversal, com HSH adultos, recrutados por meio da técnica respondent-driven sampling (RDS), em 12 capitais brasileiras, em 2016. Os HSH responderam a um questionário sociocomportamental, que incluía questões sobre o comportamento sexual. O uso inconsistente de preservativo com parceiros comerciais foi mensurado por meio das relações sexuais anais insertivas e receptivas, ocorridas nos últimos seis meses e na última relação sexual. A associação entre as variáveis independentes e o uso inconsistente de preservativo foi mensurada utilizando o modelo de regressão de Poisson com variância robusta, com estimação de razões de prevalência ajustadas (RPa). Foram analisados dados de 461 HSH. A prevalência de uso inconsistente de preservativo com parceiros comerciais foi de 26% (IC95%: 19,0-34,3, n = 123). Pertencer às classes econômicas mais baixas (D/E), ter médio ou baixo conhecimento sobre HIV, ter praticado sexo anal insertivo e receptivo e nunca ter realizado teste para HIV na vida são fatores que estiveram associados ao uso inconsistente de preservativo com parceiros comerciais. As variáveis associadas ao uso inconsistente indicaram que o sexo comercial está sendo praticado em um contexto de maior vulnerabilidade à infecção pelo HIV. Nesse sentido, são necessárias intervenções biomédicas e comportamentais, com foco no acesso e na utilização de estratégias de prevenção, aliadas a políticas públicas para a redução de desigualdades socioeconômicas entre HSH que praticam sexo comercial.

We aimed to analyze the factors associated with inconsistent condom use among men who have sex with men (MSM) and their commercial sexual partners in Brazil. This is a cross-sectional study with adult MSM who were recruited via respondent-driven sampling (RDS) in 12 Brazilian capitals in 2016. MSM answered a sociobehavioral questionnaire which included questions on their sexual behavior. The inconsistent use of condoms with their clientele was measured via insertive and receptive anal sex in the six months prior to our research and in their last sexual intercourse. The association between independent variables and the inconsistent use of condoms was measured via a Poisson regression model with robust variance and estimation of adjusted prevalence ratios (aPR). Data from 461 MSM were analyzed. We found a 26% prevalence of inconsistent condom use with their clientele (95%CI: 19.0-34.3, n = 123). Belonging to the lowest economic classes (D/E), having medium or low knowledge about HIV, having practiced insertive and receptive anal sex, and having never tested for HIV throughout their lives were associated with inconsistent use of condoms with their clientele. The variables associated with inconsistent use indicated that commercial sex is practiced in a context of greater vulnerability to HIV infection, referring to the need for biomedical and behavioral interventions which focus on access to and use of prevention strategies together with public policies to reduce socioeconomic inequalities among MSM who practice commercial sexual.

El objetivo fue analizar los factores asociados al uso inconsistente del preservativo con las parejas comerciales entre los hombres que tienen sexo con hombres (HSH) en Brasil. Estudio transversal, con HSH adultos, reclutados a través de la técnica respondent-driven sampling (RDS), en 12 capitales brasileñas, en 2016. Los HSH respondieron a un cuestionario sociocomportamental que incluía preguntas sobre el comportamiento sexual. El uso inconsistente del preservativo con parejas comerciales se midió por las relaciones anales insertivas y receptivas que se produjeron en los últimos seis meses y por la última relación sexual. La asociación entre las variables independientes y el uso inconsistente del preservativo se midió mediante el modelo de regresión de Poisson con varianza robusta, con estimación de las razones de prevalencia ajustadas (RPa). Se analizaron los datos de 461 HSH. La prevalencia del uso inconsistente del preservativo con las parejas comerciales fue del 26% (IC95%: 19,0-34,3, n = 123). Pertenecer a las clases económicas más bajas (D/E), tener un conocimiento medio o bajo sobre el VIH, haber practicado sexo anal tanto insertivo como receptivo y no haberse sometido nunca a la prueba del VIH en su vida se asociaron con el uso inconsistente del preservativo con las parejas comerciales. Las variables asociadas al uso inconsistente indicaron que el sexo comercial se está practicando en un contexto de mayor vulnerabilidad a la infección por el VIH, refiriendo la necesidad de intervenciones biomédicas y conductuales, con un enfoque en el acceso y uso de estrategias de prevención, junto con políticas públicas para reducir las desigualdades socioeconómicas entre los HSH que practican el sexo comercial.

HIV serodiscordant sexual partners: social representations of health care professionals / Parejas sexuales serodiferentes cuanto al VIH: representaciones sociales de los profesionales de servicios de salud / Parceiros sexuais sorodiferentes quanto ao HIV: representações sociais dos profissionais de serviços de saúde

ABSTRACT Objectives: to understand the structure of the social representations of health professionals from HIV/AIDS Specialized Care Services about HIV-positive partners. Methods: this is a qualitative study, based on the structural aspect of Social Representations, developed in specialized services of the metropolitan area of a state in the Northeast Region. Fifty-one professionals were interviewed using the technique of free association of words, processed by the software IRaMuTeQ, by means of prototypical and similarity analysis. Results: the central nucleus was constituted by the terms "partnership", "love" and "fear", showing appreciation of meanings inherent to their beliefs, values and experiences that bring possibilities of reflections for health practices. Final Considerations: the findings reinforce the impacts generated in the different segments of the lives of people living with HIV and in their emotional bonds. This highlights the need for the implementation of care strategies contemplating the biopsychosocial care model rather than the biological model.

RESUMEN Objetivos: aprender estructura de representaciones sociales de personal de salud de Servicios de Asistencia Especializada VIH/SIDA sobre parejas que viven en serodiferencia cuanto al VIH. Métodos: estudio cualitativo, fundamentado en la vertiente estructural de Representaciones Sociales, desarrollado en servicios especializados de la región metropolitana de un estado del Nordeste. Entrevistados 51 profesionales con aplicación de técnica de asociación libre de palabras, procesadas por software IRaMuTeQ, mediante análisis prototípico y de similitud. Resultados: el núcleo central constituido por los términos "compañerismo", "amor" y "miedo", evidenciando valorización de sentidos inherentes a sus creencias, valores y experiencias que traen posibilidades de reflexiones para las prácticas de salud. Consideraciones Finales: hallados refuerzan los impactos generados en los diferentes segmentos de la vida de las personas que viven con VIH y en sus vínculos afectivos. Eso señala la necesidad de implementación de estrategias asistenciales contemplando el modelo de cuidado biopsicosocial en detrimento del modelo biológico.

RESUMO Objetivos: apreender a estrutura das representações sociais de profissionais de saúde dos Serviços de Assistência Especializada HIV/aids sobre os parceiros que vivem em sorodiferença quanto ao HIV. Métodos: estudo qualitativo, fundamentado na vertente estrutural das Representações Sociais, desenvolvido em serviços especializados da região metropolitana de um estado da Região Nordeste. Entrevistaram-se 51 profissionais com aplicação da técnica de associação livre de palavras, processadas pelo software IRaMuTeQ, mediante análise prototípica e de similitude. Resultados: o núcleo central foi constituído pelos termos "parceria", "amor" e "medo", evidenciando valorização de sentidos inerentes às suas crenças, valores e experiências que trazem possibilidades de reflexões para as práticas de saúde. Considerações Finais: os achados reforçam os impactos gerados nos diferentes segmentos da vida das pessoas que vivem com o HIV e em seus vínculos afetivos. Isso ressalta a necessidade da implementação de estratégias assistenciais contemplando o modelo de cuidado biopsicossocial em detrimento do modelo biológico.

Factores asociados a Chlamydia trachomatis en mujeres con vaginitis atendidas en atención primaria en salud / Factors associated with Chlamydia trachomatis in women with vaginitis attending in primary health care

INTRODUCCIÓN: Chlamydia trachomatis es reconocida como el agente causal de una de las infecciones de transmisión sexual (ITS) más común y curable. En mujeres, puede ser gatillante de enfermedad inflamatoria pélvica, un factor de riesgo para infertilidad o adquisición de otras ITS. OBJETIVO: Determinar C. trachomatis en mujeres con diagnóstico clínico de vaginitis asociando factores sociodemográficos, sexuales, clínicos y microbiota vaginal. PACIENTES Y MÉTODOS: Participaron 121 mujeres voluntarias > 18 años, con diagnóstico clínico de vaginitis y descarga vaginal anormal, atendidas en servicios de atención primaria en salud (APS) en Temuco-Chile. Se tomó muestra de flujo vaginal, determinándose C. trachomatis por una reacción de polimerasa en cadena convencional y microbiota vaginal por tinción de Gram. Se colectaron datos clínicos, sociodemográficos y sexuales mediante encuesta. RESULTADOS: Rango de edad 18-61 años. La frecuencia de C. trachomatis fue 14,9%. Se asoció C. trachomatis a mayor número de parejas sexuales en los últimos 5 años (p = 0,001), relaciones sexuales oral más anal (p = 0,055) y juguetes sexuales (p = 0,027). Asociación no significativa hubo con vaginosis bacteriana 31,2% (p = 0,091) e inicio de la actividad sexual < 18 años 20,6% (p = 0,07). CONCLUSIONES: Sería beneficioso incorporar en la semiología ginecológica de las mujeres atendidas en servicios de APS, los factores encontrados como favorecedores de infección por C. trachomatis, pues ello podría ayudar al manejo de esta ITS.

BACKGROUND: Chlamydia trachomatis is recognized as the causative agent of one of the most common and curable sexually transmitted infections (STIs). In women, it can be a trigger for pelvic inflammatory disease, a risk factor for infertility or acquisition of other STIs. AIM: To determine CT in women with vaginitis and associate it with sociodemographic, sexual, clinical, and vaginal microbiota factors. Methods: 121 female volunteers > 18 years of age, with a clinical diagnosis of vaginitis and abnormal vaginal discharge, attending in primary health care services (PHC) in Temuco-Chile were recluted. A vaginal discharge sample was taken, determining C. trachomatis by polymerase chain reaction and vaginal microbiota by Gram stain. Clinical, sociodemographic and sexual data were collected by survey. RESULTS: Age range was 18-61 years. The frequency of C. trachomatis was 14.9%. C. trachomatis was associated with a higher number of sexual partners in the last 5 years (p = 0.001), oral plus anal sex (p = 0.055) and sex toys (p = 0.027); there was a non-significant association with bacterial vaginosis 31.2% (p = 0.091) and initiation of sexual activity < 18 years 20.6% (p = 0.07). CONCLUSIONS: It would be beneficial to incorporate in the gynecological semiology of the women attended in PHC services, the factors found to favor C. trachomatis infection, as this could help the management of this STI.

Factores asociados al uso de condón en hombres y mujeres con parejas no conyugales no convivientes en Panamá

Objetivo. Identificar la prevalencia y factores asociados al uso del condón en la última relación sexual con una pareja no conyugal no conviviente (PNCC) entre aquellos que mantuvieron relaciones con este tipo de parejas en los últimos 12 meses. Métodos. Análisis secundario de 3261 entrevistados con PNCC de la Encuesta Nacional de Salud Sexual y Reproductiva (ENASSER) 2015, utilizando regresión logística multivariada para identificar asociaciones entre características sociodemográficas, acceso a servicios, comportamiento, y violencia de pareja con el uso del condón. Resultados. El 54% de los entrevistados usó condón en la última relación sexual. El análisis ajustado muestra que los hombres (aOR=2.89; p<0.001) tienen mayores oportunidades de usar condón. Estas oportunidades disminuyen con la edad y aumentan con el bienestar: menor en el grupo de 25-49 (aOR=0.47; p<0.001) y 20-24 (aOR=0.51; p=0.019) en comparación con el grupo de 15-19 años, mayor en hogares con bienestar alto (aOR=2.48; p<0.001) y medio (aOR=1.83; p=0.034), viviendo en áreas no comarcales (aOR=1.74; p=0.026), con trabajadora sexual/casual/conocido (aOR=6.82; p<0.001), novio/novia (aOR=3.41; p<0.001) como última pareja sexual. En las mujeres, las oportunidades eran mayores si vivían en áreas no comarcales (aOR=2.95; p=0.021), con trabajadora sexual/casual/conocido como última pareja sexual (aOR=3.99; p=0.001); y baja con menor educación (noveno grado o menos) (aOR=0.55; p=0.031), y si sufrió violencia por parte de una pareja en los últimos 12 meses (aOR=0.43; p=0.027). Conclusiones. La prevalencia de uso del condón con PNCC fue baja. Los factores asociados fueron sexo, edad, residencia, bienestar, tipo de pareja y violencia reciente en las mujeres. (provisto por Infomedic International)

Alcohol, age at first sexual intercourse and number of sexual partners in young Mexican women. / Alcohol, edad de la primera relación sexual y número de parejas sexuales en jóvenes mexicanas.

AIM: To identify the relationship between use of alcohol, number of sexual partners and age of sexual initiation. METHOD: Descriptive-correlational study. A random sample of 319 young women (age 18-25) from Nuevo Laredo, Mexico was recruited. A sociodemographic data sheet and the AUDIT questionnaire were used. Non-parametric Spearman's rank correlation coefficient and Kruskal-Wallis H test were selected. RESULTS: On average the participants were 20.70 years old (±2.1), had had 1.86 sexual partners (±1.27), started drinking alcohol at the age of 16.82 (±1.79), and their first sexual intercourse was at the age of 17.38 (±1.65). There was a decrease in the age of onset of alcohol use (H=16.646, p <.001) and the age at first sexual intercourse (H=26.749, P<.001) on the lower their current age. The overall AUDIT score negatively correlated with the age of the participants on their first sexual intercourse (rs=-.168, P<.001) and positively correlated with the number of sexual partners (rs=.243, P<.001). The aforementioned correlations were more intense among the younger participants (18- and 19-year olds; P<.01). CONCLUSIONS: There was an association between higher use of alcohol, early age of sexual initiation and number of sexual partners. Nursing professionals may address such variables simultaneously through preventive strategies directed specifically at young women.

Estratégias de notificação de parceiros sexuais de pessoas com infecções sexualmente transmissíveis: ensaio clínico randomizado / Estrategias para reportar parejas sexuales de personas con enfermedades de transmisión sexual: ensayo clínico randomizado / Strategies for notifying sexual partners of people with sexually transmitted infections: a randomized clinical trial*

RESUMO Objetivo Comparar a efetividade da comunicação verbal e por cartão no comparecimento de parceiros sexuais de pessoas com infecções sexualmente transmissíveis com fatores associados ao seu êxito. Método Ensaio clínico, controlado, randomizado, cuja intervenção consistiu no oferecimento de um cartão de notificação para os pacientes-índices entregarem aos seus parceiros. Resultados A amostra foi de 189 pacientes-índices, 94 do grupo controle que convidaram verbalmente os parceiros sexuais para atendimento e 95 do grupo intervenção que levaram o cartão de notificação de parceiros como forma de convite para atendimento. Houve comparecimento de 52,6% dos parceiros convidados por cartão, e 43,6% dos convidados verbalmente, mas sem diferença estatística significativa (p=0,215). Os fatores associados ao não êxito no comparecimento de parceiros foram: não residir com o parceiro (p=0,0001), não ter parceiros fixos (p=0,0001), ter parceria casual (p=0,028) e usar preservativo com parceiro fixo (p=0,045). O tipo de infecção não influenciou a vinda do parceiro. Conclusão Face à ausência de maior efetividade na notificação por cartão, recomenda-se outro modelo de cartão contendo informações destinadas a parceiros para ser usado combinado a outros métodos. Registro Brasileiro de Ensaios Clínicos: RBR-7jp5mr.

RESUMEN Objetivo Comparar efectividad de comunicación oral y por tarjeta en la comparecencia de parejas sexuales de personas con enfermedades de transmisión sexual y factores asociados a su éxito. Método Ensayo clínico, controlado, randomizado, con participación consistente en entrega de tarjeta informativa para que los pacientes indicados entreguen a sus parejas. Resultados Muestra de 189 pacientes indicados, 94 del grupo control, que invitaron verbalmente a sus parejas sexuales para atención, y 95 del grupo intervención, que entregaron tarjeta de reporte de parejas como medio de citación a su atención. Comparecieron 52,6% de las parejas invitadas vía tarjeta, y 43,6% de citados oralmente, sin diferencia estadísticamente significante (p=0,215). Los factores asociados al fracaso de la comparecencia de parejas fueron: no residir con la pareja (p=0,0001), tener una relación casual (p=0,028) y utilizar preservativos con la pareja fija (p=0,045). El tipo de infección no influyó en la comparecencia de la pareja. Conclusión Considerando carencia de mayor efectividad del reporte vía tarjeta, se recomienda otro modelo de la misma incluyendo información destinada a parejas para utilizarse combinada con otros métodos. Registro Brasileño de Ensayos Clínicos: RBR-7jp5mr.

ABSTRACT Objective To compare the effectiveness of verbal communication and communication by card in getting sexual partners of people with sexually transmitted infections to attend a health service and the factors associated with the success of these types of communication. Method Clinical, controlled, and randomized study, whose intervention was offering a reporting card for index patients to hand to their sexual partners. Results The sample was 189 index patients, 94 of whom were in the control group, and verbally invited their sexual partners to receive care, and 95 were allocated to the intervention group, and took their partner's reporting card to their partners as a way to invite them to receive care. The percentage of partners invited by card who came to the service was 52.6%, in contrast with 43.6% among partners who were invited verbally, but no significant statistical difference was found (p=0.215). The factors associated with failure to convince partners to come to the service were: not living with the partner (p=0.0001); not having a steady partner (p=0.0001); having casual partners (p=0.028); and using condoms with a steady partner (p=0.045). The infection type did not influence the studied partners' visits to the service. Conclusion Given the failure to achieve effectiveness when applying the reporting by card, the authors recommend another card model containing information for partners to be used in combination with other methods. Brazilian Clinical Trials Registry: RBR-7jp5mr.

Factores del estilo de vida predisponentes a displasia cervical en mujeres atendidas en el hospital María Auxiliadora, 2013-2017 / Lifestyle factors predisposing to cervical dysplasia in women attended in the hospital María Auxiliadora, 2013-2017

Introduccion: La displasia cervical es la lesión precursora del cáncer de cuello uterino, en el que se observan alteraciones de las células cervicales sin llegar a adoptar características de malignidad. Objetivo: Identificar los factores predisponentes para displasia cervical en las pacientes atendidas en el hospital María Auxiliadora durante el 2013 al 2017. Métodos: Estudio de diseño casos y controles, analítico y observacional. Se analizaron 216 historias clínicas de pacientes, dividiéndose en 72 casos y 144 controles. Resultados: En el análisis bivariado, resultaron significativos la menarquia temprana (OR=2,071;p=0.024), el inicio temprano de relaciones sexuales (OR=2,213;p=0.017), el tener múltiples parejas sexuales (OR=3,036;p=0.001) y la multiparidad (OR=2,316;p=0.005). En el análisis multivariado las variables independientes fueron el tener múltiples parejas sexuales (OR=2,626; p=0.003) y la multiparidad (OR=2,759;p=0.045) las cuales resultaron significativas. Conclusión: Se concluye que los factores del estilo de vida predisponentes a displasia cervical fueron tener múltiples parejas sexuales y la multiparidad.

Introduction: The cervical clearance is the precursor lesion of cancer of the cervix, in which alterations of the cervical cells are observed. Objective: To identify the predisposing factors for the cervical dispute in the patients treated at the María Auxiliadora Hospital during 2013 to 2017. Methods: Design study, cases, controls, analytical and observational. 216 clinical records of patients will be analyzed, divided into 72 cases and 144 controls. Results: In the bivariate analysis, significant results in early menarche (OR = 2.071, p = 0.024), early onset of sexual relations (OR = 2.213, p = 0.017), having multiple sexual partners (OR = 3.036; = 0.001) and multiparity (OR = 2.316, p = 0.005). In the multivariate analysis, the independent variables were multiple sexual partners (OR = 2.626, p = 0.003) and multiparity (OR = 2.759, p = 0.045). Conclusion: It is concluded that lifestyle factors predispose a cervical dispute.

Inicio sexual en contexto de sexo casual y su asociación a comportamientos de riesgo en salud sexual y reproductiva en adolescents / Sexual initiation in the context of casual sex and its association with risk behaviors in sexual and reproductive health in adolescents

RESUMEN Antecedentes: Los adolescentes que se comprometen en actividad sexual en un contexto de sexo casual, pueden desarrollar patrones de actividad sexual que los llevarán a resultados en salud negativos tales como embarazo no planificado, infecciones de transmisión sexual, y mayor exposición a múltiples parejas sexuales. Objetivo: Analizar la asociación entre inicio sexual en contexto de sexo casual y comportamientos de riesgo en la salud sexual y reproductiva en adolescentes. Método: Estudio transversal y analítico en una población adolescente de ambos sexos. Se compararon adolescentes que iniciaron actividad sexual en un contexto de relaciones románticas y aquellos que lo hicieron en un contexto de sexo casual. Se analizó la asociación entre edad inicio relaciones sexuales, número de parejas sexuales, uso de método anticonceptivo y variables personales y familiares seleccionadas. Resultados: Se entrevistaron 3.565 adolescentes que habían iniciado relaciones sexuales. Las variables personales y familiares asociadas al inicio sexual en un contexto de sexo casual fueron: tener escolaridad básica, menor mediana de notas, antecedente de repitencia, proyectos académicos futuro solo terminar enseñanza media o secundaria, malas relaciones familiares, y disfunción familiar. Los comportamientos de riesgo en salud sexual en adolescentes de ambos sexos, que iniciaron actividad sexual en un contexto de relación de sexo casual fueron: inicio sexual más temprano, no uso de métodos anticonceptivos y mayor número de parejas sexuales. Conclusión: El inicio de la actividad sexual en un contexto de sexo casual expone a los adolescentes a mayores riesgos en sus comportamientos en su salud sexual y reproductiva cuando se comparan con aquellos que inician actividad sexual en un contexto más romantico.

ABSTRACT Background: Adolescents who engage in sexual activity in a non-romantic relationship may develop patterns of sexual activity that lead to negative health outcomes such as unplanned pregnancy, sexually transmitted infections, and increased exposure to multiple sexual partners. Objective: To analyze the association between sexual initiation in the context of non-romantic relationship and risk behaviors in sexual and reproductive health in adolescents. Method: Cross-sectional and analytical study in a teenage population of both sexes. We compared adolescents who initiated sexual activity in a context of romantic relationships and those who did it in a non-romantic context. The association between age at sexual initiation, number of sexual partners, use of contraceptive method and selected personal and family variables was analyzed. Results: 3,565 adolescents who had initiated sexual intercourse were interviewed. The personal and family variables associated with sexual initiation in a non-romantic context are: having a basic schooling, a lower grade point average and repeating background, and academic projects finishing secondary or high school, bad family relationships, and family dysfunction. The risk behaviors in sexual health in adolescents of both sexes who initiated sexual activity in a context of non-romantic relationship were: sexual debut earlier, no use of contraceptive methods and greater number of sexual partners. Conclusion: The beginning of sexual activity in a non-romantic context exposes adolescents to risk behaviors in their sexual and reproductive health.

[Condom use, number of partners and sexual debut in young people in penile-vaginal intercourse, oral sex and anal sex]. / Uso del preservativo, número de parejas y debut sexual en jóvenes en coito vaginal, sexo oral y sexo anal.

OBJECTIVE: The aim of this study is to analyse condom use, number of sexual partners and age of sexual debut in young people in penile-vaginal intercourse, oral sex and anal sex, to establish a comparison between men and women (first part of the study), and to analyse the differences according to sexual behavior conducted in the three variables (second part of the study). MATERIAL AND METHOD: Ex post facto descriptive study by online survey. A total of 886 young heterosexual people (485 women and 401 men) participated for the first part of the study. For the second part of the study, youngsters who had carried out the three sexual behaviors under study were selected. The premises of two Spanish universities were used to distribute the survey by internet. RESULTS: Women reported a more frequent use condom during oral sex, and men reported to have more sexual partners with whom they perform penile-vaginal intercourse (4.57 vs. 3.80) and oral sex (3.34 vs. 2.65). The average onset age for penile-vaginal intercourse and oral sex was close to 17 years and for anal sex close to 19 years. Frequency of condom use and number of sexual partners were higher in penile-vaginal intercourse and the age of sexual debut was higher in anal sex (men=19.20; women=19.38). CONCLUSIONS: The results support the idea that young people use the condom more to prevent pregnancies than to prevent STD. Moreover, the sexual behaviors follow a pattern of progression in heterosexual young people (from penile-vaginal intercourse to anal sex).

Concurrence and selection of sexual partners as predictors of condom use among Mexican indigenous migrant workers / Concurrencia y selección de parejas sexuales como predictores del uso de condón en trabajadores migrantes indígenas mexicanos

ABSTRACT Objective To identify if the selection of mixed sexual partners and the existence of concurrent partners are predictors of condom use in indigenous migrant agricultural workers from Colima, Mexico. Methods Analytical cross-sectional study using an egocentric sexual network approach. Community interviewers applied a structured questionnaire to 192 indigenous migrant workers in a sugarcane agro-industrial context. Data were analyzed with binary logistic regression; odds ratios (OR) and 95% confidence intervals (CI 95%) were estimated. Results In the logistic regression model, adjusted odds (OR; 95% CI) of steady condom use were lower within partnerships of the same indigenous ethnicity compared to other partnerships (0.30; 0.17-0.53), partnerships that were concurrent to other partnerships (0.27; 0.15-0.50), and partnerships that used illegal drugs during sex to other partnerships (0.23; 0.11-0.49). Those variables were actually associated with increased risk of unprotected sex (occasionally or never using condoms), and therefore exposures were unprotected. Conclusion Sexual partners of the same ethnicity, concurrent partnerships and partnerships that use illegal drugs favor the low frequency of constant condom use and, in turn, the vulnerability to STIs and HIV transmission in indigenous migrant agricultural workers.(AU)

RESUMEN Objetivo Identificar si la selección de parejas sexuales mixtas y la existencia de parejas concurrentes son predictores del uso de condón en trabajadores agrícolas migrantes indígenas de Colima, México. Métodos Estudio transversal analítico bajo un enfoque egocéntrico de redes de parejas sexuales. Entrevistadores comunitarios aplicaron un cuestionario estructurado a 192 trabajadores migrantes indígenas de un contexto agroindustrial cañero. Los datos se analizaron mediante regresión logística binaria; se calcularon razones de momios (RM) e intervalos de confianza (IC) de 95%. Resultados En el modelo de regresión de predictores del uso constante de condón, las RM ajustadas (RM; IC 95%) fueron: menores en las parejas sexuales de la misma etnicidad que en las otras parejas (0.30; 0.17-0.53), menores en las parejas concurrentes que en las no concurrentes (0.27; 0.15-0.50); y menores en las parejas usuarias de drogas ilegales que en las no usuarias (0.23; 0.11-0.49). El sentido predictor de estas variables se asoció a un mayor riesgo de sexo no protegido (algunas veces o nunca usaron condón). Conclusión Las parejas sexuales de la misma etnicidad, las parejas concurrentes y las parejas que usan drogas ilegales favorecen una baja frecuencia de uso constante del condón y con ello la vulnerabilidad a la transmisión de ITS y VIH en los trabajadores agrícolas migrantes indígenas.(AU)

Religiosidad juvenil y su asociación a comportamientos sexuales en adolescentes consultantes en un centro de salud sexual y reproductiva en la Región Metropolitana / Youth religiosity and its association to sexual behaviors in adolescent consultants in a sexual and reproductive health center in the Metropolitan Region

ANTECEDENTES: La evidencia muestra que uno de los factores fuertemente asociado con la postergación de la actividad sexual, es la afiliación o membrecía a religiones judeo-cristianas, con códigos estrictos de conductas. OBJETIVO: analizar la asociación entre religiosidad y comportamientos sexuales en adolescentes. MÉTODO: Estudio transversal analítico en una población adolescente. Se compararon adolescentes católicas, evangélicas y sin religión. Se analizó la asociación entre afiliación y asistencia a servicios religiosos y edad de inicio de la actividad sexual, uso de condón y número de parejas sexuales. RESULTADOS: Se entrevistaron 5.231 adolescentes (mediana de edad 16 años, 91,6% mujeres, 97,3% estudiantes). Las adolescentes que se declaran evangélicas, dejan de asistir a los servicios religiosos en mayor proporción que las adolescentes católicas al iniciar actividad sexual. La afiliación religiosa, sea católica o evangélica, retarda el inicio de la actividad sexual y disminuye el riesgo de tener más de una pareja sexual, comparadas con aquellas sin religión. Pero la afiliación religiosa, sea católica o evangélica, aumenta la posibilidad del no uso de condón, en comparación con aquellas sin religión. CONCLUSIÓN: La afiliación religiosa influye en los comportamientos sexuales en adolescentes, disminuyendo el riesgo en el inicio sexual y en el número de parejas sexuales, aumenta la posibilidad del no uso de condón pero no influye en el uso de anticonceptivos orales.

BACKGROUND: Evidence shows that one of the factors associated with the postponement of sexual activity is membership or affiliation to Judeo-Christian religions, with strict codes of behavior. OBJECTIVE: To analyze the association between religiosity and sexual behaviors in adolescents. METHOD: Analytical cross-sectional study conducted in a population of adolescents. Were compared catholic, evangelical and without religion. Association between affiliation and assistance religious services and age sexual initiation, condom use and number of sexual partners were analyzed. RESULTS: In total, 5.231 adolescents (median age 16 years, 91.6% female, 97.3% students,), were interviewed. Adolescents who declare to be evangelicals cease to attend religious services in greater proportion than Catholic adolescents when initiating sexual activity. Religious affiliation, whether Catholic or evangelical, delay the onset of sexual activity and decreases the risk of having more than one sexual partner, compared with those without religion, but religious affiliation, whether Catholic or evangelical, increases the risk of non-use of condoms, compared to those without religion. CONCLUSION: Religious affiliation influences sexual behaviors in adolescents, decreasing the risk in the age of sexual debut and in the number of sexual partners but increasing the risk in the non-use of the condom but does not influence the pill use.

Partner notification for sexually transmitted infections and perception of notified partners / Notificación de parejas sexuales con infección transmitida sexualmente y percepciones de los notificados / Notificação de parceiros sexuais com infecção sexualmente transmissível e percepções dos notificados

Abstract OBJECTIVE Learn the perceptions of patients with sexually transmitted infections and sexual partners who are notified of the infection. METHOD A descriptive and qualitative study, based on the collective subject discourse technique, was conducted in four healthcare centers of reference in Fortaleza, Ceará, from March to July 2014. The sample comprised 21 subjects (11 index patients and 10 notified partners). RESULTS The index patients reported complicity, concern about the partner's health and revelation of diagnosis aiming to preserve the relationship. The partners showed antagonistic perceptions: tranquility-betrayal, fear of death, of incurability and the diagnosis, especially of HIV. The reasons for coming to a healthcare center were: fear of being sick, attenuation of guilt of infection transmission, need for diagnosis, early start of treatment. CONCLUSION Fear of losing trust, insecurities when dealing with a sexual infection and being responsible or co-responsible for the transmission were the predominant feelings. Various types of partner notification were reported (verbal, telephone, notification card), according to individual convenience. This study suggests the use of alternative methods of notification and an integrated system of notification.

Resumen OBJETIVO Conocer las percepciones de los pacientes con infecciones transmitidas sexualmente y parejas sexuales sobre la notificación de la infección. MÉTODO Estudio descriptivo y cualitativo, basado en la técnica del discurso del sujeto colectivo, llevado a cabo en cuatro Unidades Sanitarias de referencia en Fortaleza/CE, de marzo a julio de 2014. Muestra compuesta de 21 sujetos (11 pacientes índice y 10 parejas notificadas). RESULTADOS Pacientes índice relataron complicidad, preocupación con la salud de la pareja y revelación del diagnóstico como forma de preservación de la relación. Para las parejas, las percepciones fueron antagónicas: tranquilidad-traición, miedo de la muerte, de la incurabilidad y el diagnóstico, especialmente del VIH. Los motivos para la comparecencia fueron: miedo de estar enfermo, atenuación de la culpa relativa a la transmisión, necesidad del diagnóstico, inicio precoz del tratamiento. CONCLUSIÓN Predominó el miedo de la ruptura de la confianza, inseguridades al manejar una infección sexual y ser responsable o corresponsable de la transmisión. Las formas de comunicación a las parejas sexuales fueron diversificadas: verbal (teléfono, tarjeta de comunicación), atendiendo a una conveniencia individual. Se sugiere la unión de métodos alternativos de notificación y un sistema de notificación integrado.

Resumo OBJETIVO Conhecer as percepções dos pacientes com infecções sexualmente transmissíveis e parceiros sexuais sobre a notificação da infecção. MÉTODO Estudo descritivo e qualitativo, baseado na técnica do discurso do sujeito coletivo, realizado em quatro Unidades de Saúde de referência em Fortaleza/CE, de março a julho de 2014. Amostra composta por 21 sujeitos (11 pacientes-índice e 10 parceiros notificados). RESULTADOS Pacientes-índice relataram cumplicidade, preocupação com a saúde do parceiro e revelação do diagnóstico como forma de preservação do relacionamento. Para os parceiros, as percepções foram antagônicas: tranquilidade-traição, medo da morte, da incurabilidade e do diagnóstico, especialmente do HIV. Os motivos para o comparecimento foram: medo de estar doente, atenuação da culpa relativa à transmissão, necessidade do diagnóstico, início precoce do tratamento. CONCLUSÃO Predominou o medo da quebra da confiança, inseguranças em lidar com uma infecção sexual e ser responsável ou corresponsável pela transmissão. As formas de comunicação às parcerias sexuais foram diversificadas (verbal, telefone, cartão de comunicação), atendendo a uma conveniência individual. Sugere-se a união de métodos alternativos de notificação e um sistema de notificação integrado.

Virus papiloma humano y Chlamydia trachomatis según número de parejas sexuales y tiempo de actividad sexual en estudiantes universitarias en la Región de La Araucanía, Chile / Human papilloma virus and Chlamydia trachomatis by number of sexual partners and time of sexual activity on university students in the Region of La Araucanía, Chile

Introducción: El virus papiloma humano (VPH) y Chlamydia trachomatis son las infecciones de transmisión sexual (ITS) más frecuentes, en adolescentes y jóvenes, con factores de riesgo: vida sexual activa y múltiples parejas. Chlamydia trachomatis puede favorecer el ingreso de VPH y éste el desarrollo del cáncer cérvico uterino. Ambas infecciones pueden dejar secuelas en la salud sexual y reproductiva. Objetivo: Determinar frecuencias VPH y C trachomatis en estudiantes universitarias asinto-máticas bajo 25 años, asociándolas con número de parejas sexuales (n°PSx) y tiempo de actividad sexual (TASx). Material y Método: Se procesaron 151 muestras/exo y endo cervicales para VPH y C. trachomatis, mediante reacción de polimerasa en cadena convencional y en tiempo real. Resultados: La frecuencia fue: VPH 21,8%, C. trachomatis 11,2% y co-infección 4,6%. De las jóvenes con infección por VPH, 80,6% presentó VPH alto riesgo oncogénico. El n°PSx se asoció fuertemente a VPH. Entre las jóvenes con co-infección VPH/C. trachomatis, 71,4% tenían tres o más PSx. Según TASx, C. trachomatis fue más frecuente (64,7%) entre 3-5 años que VPH. Conclusión: Se observó alta prevalencia de VPH y C trachomatis. Mujeres jóvenes con co-infección VPH/C. trachomatis podrían ser un grupo de alto riesgo con necesidad de mo-nitorear sus infecciones. Es sugerida la implementación de programas universitarios en educación, orientación y prevención en ITS.

Background: Human papilloma virus (HPV) and Chlamydia trachomatis are the most prevalent sexually transmitted infections (STIs), among teenagers and young people, with risk factors: active sex life and multiple partners. Chlamydia trachomatis infection may favor HPV infection and this, the development of cervical cancer. Both infections can lead to consequences on sexual and reproductive health. Objective: To determine frequency of HPV and C. trachomatis in asymptomatic university women less than 25 years, associating them with number of sexual partners (n°SxP) and time of sexual activity (TSxA). Material andMethods: 151 cervical samples for HPV and C. trachomatis, were processed by conventional and in real time reaction polymerase chain. Results: HPV 21, 8%, C. trachomatis 11, 2% and co-infection (HPV/C.trachomatis), 4.6%. Aimong HPV +, 80, 6% showed high risk HPV. The n°SxP was strongly associated with HPV. Aimong young coinfected HPV/C. trachomatis, 71.4% had 3 or more PSx. Chlamydia trachomatis was more frequent (64,7%) that HPV within range of 3-5 years according to the TSxA, Discussion: A high prevalence of HPV and C. trachomatis was observed. Young women with coinfection HPV/C. trachomatis could be a high-risk group need to monitor their infections. It suggests the implementation of university programs in education, counseling and prevention in sexual health.

Use of new technologies to notify possible contagion of sexually-transmitted infections among men.

BACKGROUND: Among men who have sex with men (MSM), the association between searching for sexual partners' on the Internet and increased risk of sexually transmitted infections (STIs)/HIV infection, together with current low levels of partner notification (PN), justifies a study to explore the intention to use new communication technologies for PN in Spain. METHODS: Two cross-sectional surveys were performed: the first was administered online to visitors to web pages where the survey was advertised; the second was administered on paper to patients attending an STI Unit and centres similar to Community-Based Voluntary Counselling and Testing centres. RESULTS: The study population comprised 1578 Spanish residents (median age, 34 years [range: 18 to 74]); 84% lived in urban areas, and 69% reported searching for sexual partners on the Internet. Thirty-seven per cent would be willing to use a website for PN, 26% did not know if they would use one, and 37% would not want to use one. The main reasons for not intending to notify STI/HIV were "shame or fear" (stable partner) and "not knowing how to contact them" (casual partner). The preferred method of notification was face to face (73%) for both stable and casual partners, although using new technologies (Short Messaging System, e-mail, web page, phone applications) was widely accepted for notifying casual partners. CONCLUSIONS: Fighting stigma and promoting alternative methods of PN among MSM and health professionals through new technologies could increase the frequency of PN. This approach will improve early detection and reduce transmission in Spain.

Factores asociados a la vulnerabilidad al VIH en habitantes de calle, Medellín, Colombia 2011 / Factors associated with vulnerability to HIV in homeless, Medellín, Colombia 2011

Introducción: los habitantes de calle tienen tres veces más la probabilidad de morir en comparación a la población general, lo que se ve reflejado en el alto riesgo de sufrir una amplia gama de problemas de salud, como el VIH. La presente investigación tiene por objetivo identificar el uso del preservativo como un indicador de vulnerabilidad y los contextos sociales y demográficos, que pueden estar asociados a esta práctica. Métodos: se realizó un estudio descriptivo transversal. Se obtuvo información sobre algunas características del contexto demográfico, social, comportamientos de riesgo y la proporción de VIH de los habitantes de calle durante el segundo semestre de 2011 en la ciudad de Medellín-Colombia. El análisis de información incluyó pruebas estadísticas y el cálculo de razones de disparidad con sus respectivos intervalos de confianza de 95%, asumiendo un nivel de significancia del 5 %. Resultados: la edad promedio de los habitantes de calle fue de 38,2 ± 10,9 años, la más frecuente de 34 años y el 67,9 % eran hombres. Con respecto al uso del condón, como factor de vulnerabilidad al VIH, el 10,1 % de los habitantes de calle lo utilizaron con las parejas que consideran estables; 30,7 % con parejas casuales y 21,2 % con parejas comerciales. El 90,7 % de los hombres habitantes de calle no utilizaron el condón con las parejas casuales. Se encontraron diferencias significativas para el uso del condón según estado civil en parejas estables y para grupos de edad en parejas comerciales. Conclusiones: el uso inconstante del condón, la no adopción de prácticas de sexo seguro y las condiciones desfavorables en el ambiente social de los habitantes de calle, son situaciones que los hacen vulnerables al VIH y requieren la aplicación de políticas prioritarias en esta población de riesgo.

ABSTRACT Introduction: street people are three times more likely to die compared to the general population, which is reflected in the high risk of a wide range of health problems such as HIV. This research aims to identify condom use as an indicator of vulnerability and social and demographic contexts, which may be associated with this practice. Methods: This is a descriptive sectional study. Information was obtained on some characteristics of the demographic, social, economic, risk behaviors, and HIV seroprevalence of street dwellers in the second half of 2011 in the city of Medellin, Colombia. The data analysis and statistical tests include calculating OR with a significance level of 5%. Results: The average age of street dwellers was 38.2 ± 10.9 years and the most common of 34 years. 67.9% were male. With regard to condom use as a factor of vulnerability to HIV, 10.1% of street dwellers used a condom with couples who considered stable, 30.7% used it with casual partners and 21.2% with commercial partners. 90.7% of the street people men did not use condoms with casual partners. Significant differences in condom use by marital status in stable couples and age groups were found in commercial partners. Conclusions: Inconsistent use of condoms, the failure to adopt safe sex practices and unfavorable conditions in the social and economic environment of street dwellers are situations that make them vulnerable to HIV and require the implementation of priority policies in this population at risk.