[Analysis of the physical aspects of quality of life of kidney recipients]. / Análise dos aspectos físicos da qualidade de vida de receptores de rim .

OBJECTIVE: To identify the main factors of the physical domain modified after kidney transplantation and analyze the influence of those aspects in the perception of Overall quality of life (QOL). METHOD: Longitudinal study, conducted with 63 chronic kidney patients, evaluated before and after kidney transplant, using the quality of life scale proposed by the World Health Organization. RESULTS: We observed significant improvement in the physical aspects of QOL after kidney transplantation. Significant correlations were observed between physical aspects and the Overall QOL. CONCLUSION: The kidney transplant generated improvement in all physical aspects of QOL. The factors that showed stronger correlation with the Overall QOL before the transplant were the capacity to work and pain. After the transplant, the perception of need for treatment was the factor that showed stronger correlation with the Overall QOL.

Sexual behavior of university students in the context of the COVID-19 pandemic: a mixed-methods study.

OBJECTIVE: To analyze the sexual behaviors of university students during the COVID-19 pandemic. METHOD: Mixed study, carried out on four campuses of a public university in Paraíba, Brazil, between March 2021 and April 2022. The research followed ethical precepts. RESULTS: 404 university students were included, with an average age of 23.7 years, predominantly female, brown and single. The prevalence of self-reported sexually transmitted infections was 7.9%. Male students were more likely to engage in risky sexual behavior. Multiple logistic regression indicated that university students aged 25 or over who had engaged in casual sex in the last 12 months and had received or paid for sex were more likely to have sexually transmitted infections. The content analysis showed that social isolation was reflected in reduced consumption of alcohol and other substances, reduced sexual practices, increased use of social networks, as well as low adherence to condoms. CONCLUSION: Physical distancing has an impact on the sexual behavior of university students, as well as on the consumption of alcohol and other substances.

Knowledge of the workers of the construction industry about acquired immunodeficiency syndrome and associated factors.

BACKGROUND: Sexually Transmitted Infections (STIs), such as Human Immunodeficiency Virus (HIV) transmitted by biological, socioeconomic and cultural factors that increase the vulnerability of certain population groups such as civil construction workers. OBJECTIVE: To evaluate the knowledge of workers in the construction industry about infection by HIV and associated factors. METHODS: A cross-sectional, analytical study was conducted, including 381 construction workers, in the cities of João Pessoa, Cabedelo, and Santa Rita, in the State of Paraíba, Brazil, performed through interviews, using a data collection instrument with social demographic variables and the HIV Knowledge Questionnaire. Data were analyzed using descriptive measures, and for comparison between the categories the Kruskal-Wallis test was used, with margin of error of 5%. RESULTS: A predominance of male workers was observed (97.4%) among 381 workers; aged 30-39 (34.1%); married (81.4%); with up to eight years of education (66.6%); family income of up to 2x the minimum wage (52.8%) and coming from the country (43.8%). The average of correct responses was 63.3%, with higher indices (70.0%) related to transmission and forms of prevention. There were higher percentages of hits among those who had studied for 12 years or more. Workers from the capital of Paraíba presented a higher number of correct responses (67.44%). CONCLUSIONS: There is a low index of knowledge of construction workers about HIV, highlighting their consequent vulnerability to acquiring this infection.

Sociocognitive factors determining compliance with standard precautions by nursing professionals during the COVID-19 pandemic.

OBJECTIVES: to assess the socio-cognitive factors determining adherence to standard precautions by nursing professionals in care practice during the COVID-19 pandemic in Brazil. METHODS: an analytical cross-sectional study, carried out with 9,039 nursing professionals in Brazil, using an electronic form containing participant sociodemographic, training and work variables, and the Brazilian version of the Standard Precautions Questionnaire. Descriptive and inferential statistics were used using the statistical software R. RESULTS: participants recognize standard precautions as effective measures to reduce infections and report intention to perform them. Training regarding standard precautions was evidenced as a facilitator of adherence (4.72; SD: 0.73), and problems related to materials (3.78; SD: 1.45) were a hindrance. CONCLUSIONS: among the determining factors, facilitating organization presented the highest score, followed by intention to perform. Facilitating and hindering factor identification makes it possible to develop intervention strategies to strengthen patient safety and reduce occupational risks among professionals.

Factors Associated with Late Diagnosis of Human Immunodeficiency Virus/Acquired Immunodeficiency Syndrome (HIV/AIDS) in a University Hospital in Brazil: Challenges to Achieving the 2030 Target.

INTRODUCTION: This study aimed to identify factors associated with late diagnosis and clinically monitor newly diagnosed HIV/AIDS patients. METHOD: Retrospective study, based on secondary data from a specialized unit at the Hospital das Clínicas da Faculdade de Medicina de Ribeirão Preto of the University of Sao Paulo. Data collection included sociodemographic, behavioral, clinical, and laboratory data of newly diagnosed HIV patients between 2015 and 2019. Data analysis was undertaken using inferential statistical tests. RESULTS: A total of 314 individuals were newly diagnosed with HIV/AIDS, 86.6% (272) had a late diagnosis and 53.8% (169) were diagnosed very late. Using the adjusted odds ratio, we observed that bisexual and MSM patients were less likely to have a late diagnosis compared to straight patients. Individuals who entered through the emergency department and Outpatient Clinic had a lower chance of having a very late diagnosis compared to those diagnosed in the ward/inpatient unit. Having a higher education and university education were protective factors against having a very late diagnosis of HIV infection compared to elementary school education only. In addition, male patients were more likely to have a very late diagnosis compared to female patients. CONCLUSIONS: This study evidenced a high prevalence of late and very late diagnoses. Therefore, attention should be directed towards factors related to late and very late presentation.

Resilience, depression and self-efficacy among Brazilian nursing professionals during the COVID-19 pandemic. / Resiliência, depressão e autoeficácia entre profissionais de enfermagem brasileiros na pandemia de COVID-19.

This aim of this study was to analyze levels of resilience, depression and self-efficacy among Brazilian nursing professionals during the COVID-19 pandemic. We conducted an analytical cross-sectional study between October and December 2020. Student's t test, analysis of variance and multiple linear regression were used to investigate the impact of two main factors (Resilience and Self-efficacy) on depression. A total of 8,792 nursing professionals participated in the study; 5,124 (58.8%) had low levels of resilience. The mean overall score for Depression was 0.74, ranging from 0.59 to 0.80, while the mean overall score for Self-efficacy was 0.68, ranging from 0.56 to 0.80. The variable that had the strongest impact on depression levels was Resilience, explaining 6.6% of the outcome (p < 0.001, AdjustedR2 = 0.066). In general, respondents had low levels of resilience and self-efficacy and showed high mean depression scores. Level of resilience had an impact on depression. The findings reveal an urgent need for actions to promote the psychological health of nursing professionals working in crisis situations such as pandemics.

O objetivo deste artigo é analisar os níveis de resiliência, depressão e autoeficácia entre profissionais de enfermagem brasileiros na pandemia de COVID-19. Estudo transversal analítico realizado entre os meses de outubro e dezembro de 2020. Foram empregados o teste T de Student, a análise de variância e a regressão linear múltipla com o objetivo de investigar em que medida os dois grandes fatores (resiliência e autoeficácia) impactavam nos níveis de depressão. Participaram do estudo 8.792 profissionais de enfermagem, 5.124 (58,8%) tiveram baixos níveis de resiliência. A média da pontuação geral para "depressão" foi de 0,74 e variou de 0,59 a 0,80. A média da pontuação geral para "autoeficácia" foi de 0,68 e variou de 0,56 a 0,80. Quanto aos preditores de depressão, a variável que mais fortemente impactou os níveis de depressão foi resiliência, explicando 6,6% do desfecho (p < 0,001, R2 Ajustado = 0,066). Os participantes deste estudo tiveram, em geral, baixos níveis de resiliência e autoeficácia e maiores pontuações médias para depressão. Os níveis de resiliência impactaram a variável depressão. Urge a necessidade de ações voltadas para a promoção da saúde psicológica de profissionais de enfermagem inseridos em contextos pandêmicos.

Risk factors for healthcare professionals' mental health during the COVID-19 pandemic: a systematic review. / Fatores de risco à saúde mental dos profissionais da saúde durante a pandemia de COVID-19: revisão sistemática.

The aim of the present study was to map the available evidence on the mental health risk factors of frontline health professionals during the COVID-19 pandemic. This is a systematic review that followed the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) criteria. The search was independently carried out by four researchers, following the selection criteria in the electronic databases: PubMed Central, Ovid Technologies, GALE Academic Onefile, Science Citation Index Expanded. The data processing used Zotero software, responsible for creating and importing items according to the criteria established by the research. A total of 18,733 articles were found, of which 2,722 were excluded by the Zotero software because they were in duplicate, and another 366 were manually excluded. After applying the selection criteria, 43 articles entered the final analysis of this review. It is recommended that new scientific research be carried out, especially focusing on the analysis of health workers' mental health, aiming at providing the basis to create and implement public mental health programs and policies for workers.

Neste estudo, nosso objetivo foi mapear as evidências disponíveis sobre os fatores de risco à saúde mental dos profissionais de saúde trabalhadores da linha de frente durante a pandemia de COVID-19. Trata-se de uma revisão sistemática que seguiu os critérios dos Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA). A busca foi realizada independentemente, por quatro pesquisadores, seguindo os critérios de seleção nas bases de dados eletrônicas PubMed Central, Ovid Technologies, GALE Academic Onefile, Science Citation Index Expanded. No processamento de dados foi utilizado o software Zotero, responsável por criar e importar itens de acordo com os critérios estabelecidos pela pesquisa. Foram encontrados 18.733 artigos, dos quais 2.722 foram excluídos, a partir do programa Zotero, por estarem duplicados, e outros 366 excluídos manualmente. Após aplicação dos critérios de seleção, 43 artigos entraram na análise final desta revisão. Recomenda-se a elaboração de novas pesquisas científicas, sobretudo colocando como objeto a análise da saúde mental desses trabalhadores, com o objetivo de embasar a elaboração e implementação de programas e políticas públicas de saúde mental para os trabalhadores.

Skin lesions associated with the use of N95 respirators among health professionals in Brazil in 2020. / Lesiones cutáneas asociadas con el uso de respiradores N95 en profesionales de la salud de Brasil durante 2020.

OBJECTIVE: to investigate the prevalence of skin lesions and factors associated with the use of N95 respirators among health professionals in Brazil. METHOD: cross-sectional study conducted with 11,368 health professionals using a respondent-driven sampling method adapted for online environments. Univariate and multivariate analyses were performed to investigate the association between the "skin lesions with the use of N95 respirators" variable and gender, professional category, workplace, training, COVID-19 diagnosis, and availability of sufficient and high-quality Personal Protective Equipment. RESULTS: the prevalence of skin lesions was 61.8%. Women were 1.203 times (95% CI: 1.154-1.255) more likely to develop a lesion than men. The chances of skin lesions in psychologists (PR=0.805; 95% CI: 0.678-0.956) and dentists (PR=0.884; 95% CI: 0.788-0.992), were lower when compared to Nursing professionals. Professionals with a positive COVID-19 diagnosis and working in the Intensive Care Unit have an increased chance of presenting skin lesions (PR=1.074; 95% CI: 1.042-1.107); (PR=1.203; 95% CI: 1.168-1.241), respectively. CONCLUSION: the prevalence of skin lesions caused by the use of N95 respirators was 61.8% and was associated with female gender, professional category, workplace, training, COVID-19 diagnosis, and availability of sufficient and highquality Personal Protective Equipment. (1) The overall prevalence of skin lesions was 61.8%. (2) The most affected professional category was Nursing. (3) Women were more likely to develop skin lesions than men.

Syphilis in riverine communities: prevalence and associated factors.

OBJECTIVE: To estimate the prevalence of syphilis and associated factors in riverine communities. METHOD: This is a cross-sectional and analytical study carried out with 250 riverside dwellers living in five communities in the city of João Pessoa, state of Paraíba. Data were collected through interviews and rapid screening tests to investigate syphilis. Bivariate, logistic regression and weight of evidence analysis were performed to identify the association between risk factors and behavior variables and rapid test positivity. RESULTS: he prevalence of syphilis was 11.6% (95%CI: 7.5-15.6). Riverside dwellers who have a previous history of Sexually Transmitted Infection (OR 8.00; 95%CI: 2.76-23.2), history of imprisonment (OR 7.39; 95%CI: 1.61-33.7) and who reported having more than two sexual partners in the last 12 months (OR 4.31; 95%CI: 1.55-11.9) were more likely to be positive for syphilis. CONCLUSION: High prevalence of syphilis among riverside dwellers and the presence of behavioral factors that increase vulnerability to acquiring the infection. The need to invest in preventive and screening strategies for syphilis in populations considered vulnerable is highlighted.

Use of recommended personal protective equipment among Brazilian health professionals during the COVID-19 pandemic.

BACKGROUND: The COVID-19 pandemic is one of the biggest health crises in the world and the use of personal protective equipment (PPE) is significant measures to prevent the transmission of SARS-CoV-2. However, PPE needs to be used properly by healthcare professionals. OBJECTIVE: To analyze the use of PPE among Brazilian health professionals and associated factors during a period of the COVID-19 pandemic. METHODS: An analytical cross-sectional study was carried out from October to December 2020. For data collection, the respondent-driven sampling technique was used, adapted for social media, with a link to an online survey form. RESULTS: The study considered 12,086 Brazilian health professionals. Most (69%) used PPE recommended for the care of patients with suspected or diagnosed COVID-19. Factors associated with the use of PPE were: working in an Intensive Care Unit (ICU) or in a field hospital, receiving training, being provided with sufficient, high-quality PPE by the workplace and being an odontologist compared to nursing professionals. For procedures that generate aerosols in the context of COVID-19, 54.1% of them used the recommended PPE, the associated factors were: being married or in a stable relationship compared to a single/divorced professional, working in an ICU, being offered training, providing sufficient, high-quality PPE, and being an odontologist compared to nursing professionals. CONCLUSIONS: For the care of patients with COVID-19, 69% of health professionals used PPE properly, and several factors interfered with the use of this equipment.

Unsatisfactory completeness of nurses' records in the medical records of users with tuberculosis.

OBJECTIVES: to evaluate the completeness of nurses' records on the execution of the nursing process in assistance of tuberculosis patients at Primary Care. METHODS: this was a retrospective documental study, with 190 records in Family Health Units of a city in the state of Paraíba. The data were analyzed according to descriptive statistics, Pareto Diagram, and trend analysis. RESULTS: the overall mean incompleteness of records was 53.01% (DP=26.13). Therefore, the results presented very poor completeness classification related to nursing diagnosis (88.9%), nursing assessment (66.8%), data collection (60.5%), while nursing interventions were classified as regular (11.1%). The nursing diagnosis was the only variable with a decreasing trend of non-completeness. CONCLUSIONS: incompleteness of nurses' records in the medical records of users with tuberculosis. Evaluation strategies, permanent and continuing education are indispensable in the quality of nurses' documentation, directly implying the Systematization of Quality in Nursing Care.

Factors associated to the practice of using masks by the population of Paraíba during the COVID-19 pandemic. / Fatores associados à prática do uso de máscaras pela população paraibana durante a pandemia da COVID-19.

OBJECTIVE: To evaluate the practice of using masks by the population of the Brazilian state of Paraíba during the COVID-19 pandemic. METHOD: Cross-sectional, descriptive-analytical study conducted with adults living in the state of Paraíba through an online instrument from April to May 2020, through the Face Mask Use Scale of Faculdades Metropolitanas Unidas da Paraíba. RESULTS: The participants amounted to 1,307 (100.0%) individuals, who were predominantly female (78.0%), aged 35 to 45 (32.3%), married (53.3%) and post-graduates (46.9%). The mean score for the practice of using masks was 18.7 (SD = 8.0; minimum 6.00; maximum 30). The use of masks for self-protection scored 9.8 (DP = 3.9; minimum 3.0; maximum 15.0), whereas the score for protection of others was 8.9 (SD = 4.5; minimum 3.0; maximum 15.0). In the comparison between the scores of the practice of using masks, there was a significant statistical difference for gender, education, age group, and income (p ≤ 0.01). The practice of using masks was more frequent in health environments, 7.3 (DP = 3.2). CONCLUSION: The practice of using masks was predominant among women, people over 35, married, with an income higher than seven minimum wages, and post-graduation. The use of masks for self-protection was higher than for the protection of others and its use in health environments was higher than in the others.

How Indigenous and non-Indigenous women look at AIDS: convergences and singularities.

OBJECTIVE: To analyze the way AIDS is configured in the eyes of Indigenous and non-Indigenous women. METHOD: A descriptive study implementing a mixed approach, conducted in three indigenous villages and in a surrounding municipality. A semi-structured interview script was used, with identification data and questions related to the disease perception, the way of seeing and feeling AIDS. The corpus was processed by IRaMuTeQ software and analyzed by Descending Hierarchical Classification, Content Analysis and Word Cloud. RESULTS: A total of 164 Potiguara indigenous women and 386 non-Indigenous women participated. Three classes were formed: "AIDS and its repercussions", "Social aspects, spirituality and attributed feelings" and "Transmission modes". There was a better understanding of the etiology, treatment and AIDS transmission modes among non- Indigenous women, while the content mainly surrounds negative elements such as death, fear, sadness and prejudice among Indigenous women. CONCLUSION: The knowledge produced in interactions were formed according to the social context and gain its own significance. Such considerations may contribute to the direction of strategic HIV/AIDS control policies focusing on ethnic/cultural specificities.

Cloth masks as respiratory protections in the COVID-19 pandemic period: evidence gaps.

OBJECTIVE: to identify scientific evidence on the effectiveness of using cloth masks as safe protectors against COVID-19. METHOD: an integrative review of articles available in full obtained at PubMed, CINAHL, and Web of Science. Controlled, non-controlled descriptors and keywords such as "mask", "home-made" and "cloth" or "cotton" and "infection control" or "infection prevention" were used. RESULTS: thirty-eight articles were selected; of these, seven studies made up the sample. Evidence shows that cloth masks do not have the same protective characteristics as surgical masks, indicating an increased risk of infection due to humidity, diffusion of fluids, virus retention, and improper preparation. Considering the shortage of surgical masks during the pandemic, cloth masks could be proposed as a last resort. CONCLUSION: cloth masks should be used together with preventive measures, such as home insulation, good respiratory conduct, and regular hand hygiene.

Factors associated with sexually transmitted infections in sugarcane cutters: subsidies to caring for.

OBJECTIVE: to estimate the prevalence of Sexually Transmitted Infections (STIs) and associated factors in sugarcane cutters. METHOD: a cross-sectional, analytical study with 937 sugarcane cutters from Paraíba and Goiás, states of Brazil, respectively. An outcome variable was the positive results in some rapid tests for HIV, syphilis, hepatitis B and C. Bivariate and multiple analyses were performed to identify the association between these infections and sociodemographic and behavioral variables. RESULTS: all participants were male, most were young adults and had low schooling. Prevalence of STI was estimated at 4.1% (95% CI: 3.0-5.5). According to multiple regression analysis, the variables age over 40 years (OR 5.0; CI 95%: 1.8-14), alcohol consumption (OR 3.9; CI 95%: 1.3-11.9), and illicit drugs (OR 2.9; CI 95%: 1.3-6.3) were factors associated with the STIs investigated. On the other hand, having some religion (OR 0.4; CI 95%: 0.2-0.8), and work in the Midwest Region (OR 0.4; CI 95%: 0.2-0.9) were factors negatively associated with these infections. CONCLUSION: presence of risk behaviors for STI among sugarcane cutters. Screening for these infections in groups of rural workers is essential for early diagnosis and breaking the chain of transmission.

Factors associated with the use and reuse of face masks among Brazilian individuals during the COVID-19 pandemic.

OBJECTIVE: to identify the factors associated with the use and reuse of masks among Brazilian individuals in the context of the COVID-19 pandemic. METHOD: cross-sectional study conducted in the five Brazilian regions, among adult individuals, via an electronic form disseminated in social media, addressing general information and the use of masks. Bivariate analysis and binary logistic regression were used to identify the factors associated with the use and reuse of masks. RESULTS: 3,981 (100%) individuals participated in the study. In total, 95.5% (CI 95%: 94.8-96.1) reported using masks. Fabric masks were more frequently reported (72.7%; CI 95%: 71.3-74.1), followed by surgical masks (27.8%; CI 95%: 26.5-29.2). The percentage of reuse was 71.1% (CI 95%: 69.7-72.5). Most (55.8%; CI 95%: 51.7-60.0) of those exclusively wearing surgical masks reported its reuse. Being a woman and having had contact with individuals presenting respiratory symptoms increased the likelihood of wearing masks (p≤0.001). Additionally, being a woman decreased the likelihood of reusing surgical masks (p≤0.001). CONCLUSION: virtually all the participants reported the use of masks, most frequently fabric masks. The findings draw attention to a risky practice, that of reusing surgical and paper masks. Therefore, guidelines, public policies, and educational strategies are needed to promote the correct use of masks to control and prevent COVID-19.

Qualidade de vida, funcionalidade e autoestima de pessoas no pós-alta por cura de hanseníase / Quality of life, functionality, and self-concept of people post-discharge from leprosy / Calidad de vida, funcionalidad y autoestima de las personas tras el alta del tratamiento contra la lepra

RESUMO: Objetivo: avaliar a qualidade de vida, funcionalidade e autoestima de pessoas no pós-alta por cura de hanseníase. Métodos: estudo epidemiológico transversal, desenvolvido numa instituição de referência para hanseníase na Paraíba-Brasil, de maio a agosto de 2021. Utilizaram-se quatro instrumentos para caracterização sociodemográfica e clínica, avaliação da qualidade de vida, da funcionalidade e da autoestima. Os dados foram analisados pelos testes qui-quadrado de Pearson, exato de Fisher, Mann-Whitney e Kruskal-Wallis. Resultados: participaram 131 pessoas, dos quais 86 (65,6%) eram do sexo masculino e 72 (55%) com 41 a 60 anos. Houve impacto negativo da qualidade de vida relacionada à saúde em não escolarizados e com baixa renda familiar. Limitação da funcionalidade em quem não pratica atividade física, afetado por neurite e com algum grau de incapacidade física. Contudo, elevada autoestima. Conclusão: torna-se imprescindível capacitar profissionais e organizar medidas assistenciais frente ao cuidado longitudinal e interdisciplinar nessa fase terapêutica.

ABSTRACT Objective: to evaluate the quality of life, functionality, and self-concept of people after discharge from leprosy. Methods: This was a cross-sectional epidemiological study carried out in a reference institution for leprosy in Paraíba, Brazil, from May to August 2021. Four instruments were used for sociodemographic and clinical characterization, assessment of quality of life, functionality, and self-concept. The data was analyzed using Pearson's chi-square, Fisher's exact, Mann-Whitney, and Kruskal-Wallis tests. Results: 131 people took part, of whom 86 (65.6%) were male and 72 (55%) were aged between 41 and 60. There was a negative impact on health-related quality of life among those with no schooling and low family income. Limitation of functionality in those who do not practice physical activity, are affected by neuritis, and have some degree of physical disability. However, high self-concept. Conclusion: It is essential to train professionals and organize assistance measures in the face of longitudinal and interdisciplinary care in this therapeutic phase.

RESUMEN: Objetivo: evaluar la calidad de vida, la funcionalidad y la autoestima de las personas después del alta de la lepra. Métodos: Se trató de un estudio epidemiológico transversal realizado en una institución de referencia para lepra en Paraíba, Brasil, de mayo a agosto de 2021. Se utilizaron cuatro instrumentos para caracterización sociodemográfica y clínica, evaluación de la calidad de vida, funcionalidad y autoestima. Los datos se analizaron mediante las pruebas chi-cuadrado de Pearson, exacta de Fisher, Mann-Whitney y Kruskal-Wallis. Resultados: Participaron 131 personas, de las cuales 86 (65,6%) eran hombres y 72 (55%) tenían entre 41 y 60 años. Se observó un impacto negativo en la calidad de vida relacionada con la salud entre las personas sin estudios y con bajos ingresos familiares. Limitación de la funcionalidad en los que no practican actividad física, afectados por neuritis y con algún grado de discapacidad física. Sin embargo, alta autoestima. Conclusión: Es fundamental formar a los profesionales y organizar medidas asistenciales de cara a la atención longitudinal e interdisciplinar en esta fase terapéutica.

COVID-19 entre los fisioterapeutas brasileños: análisis de prevalencia y factores asociados / Covid-19 entre profissionais fisioterapeutas brasileiros: análise de prevalência e fatores associados / Covid-19 among brazilian physiotherapists: analysis of prevalence and associated factors

RESUMO Objetivo: estimar a prevalência de COVID-19 entre os fisioterapeutas brasileiros e seus fatores associados. Método: estudo transversal, segundo inquérito on-line, com a participação de 670 fisioterapeutas de todas as regiões do Brasil. Utilizou-se uma adaptação do método respondent driven sampling ao ambiente virtual para a coleta de dados. Análises bivariadas e de regressão logística múltipla foram utilizadas para identificar associação entre o diagnóstico de COVID-19 e variáveis demográficas e ocupacionais. Consideraram-se variáveis estatisticamente significativas com base em um p<0,05. Resultados: a prevalência de COVID-19 foi de 30% (IC95%: 27,8-32,3). Fisioterapeutas da região Sudeste tiveram menores chances de receber diagnóstico de covid-19. Fisioterapeutas que prestaram assistência em hospital de campanha, que ficaram isolados da família e que têm crianças menores de 12 anos em casa tiveram chances aumentadas de diagnóstico da infecção. Conclusão: questões sociodemográficas e ocupacionais impactam no aumento do diagnóstico de COVID-19 entre profissionais fisioterapeutas, o que enfatiza a necessidade de um sistema de saúde de qualidade e igualitário nas diferentes regiões brasileiras.

RESUMEN Objetivo: evaluar la tasa de prevalencia del COVID-19 en fisioterapeutas de Brasil y analizar sus factores asociados. Método: realizamos un estudio transversal mediante una encuesta on-line, en la que participaron 670 fisioterapeutas de todas las áreas de Brasil. Para la recogida de datos se utilizó una adaptación del método respondent driven sampling al entorno virtual. Se utilizaron análisis bivariados y de regresión logística múltiple para identificar la asociación entre el diagnóstico COVID-19 y variables demográficas y ocupacionales. Las variables se consideraron estadísticamente significativas en función de una p<0,05. Resultados: la prevalencia de COVID-19 fue del 30% (IC 95%: 27,8-32,3). Los fisioterapeutas del sudeste tenían menos probabilidades de ser diagnosticados de COVID-19. Los fisioterapeutas que prestaban asistencia en un hospital de campaña, que estaban aislados de sus familias y que tenían hijos menores de 12 años en casa tenían más probabilidades de que se les diagnosticara la infección. Conclusiones: aspectos sociodemográficos y ocupacionales inciden en el aumento del diagnóstico de COVID-19 entre los fisioterapeutas profesionales, lo que enfatiza la necesidad de un sistema de salud de calidad e igualitario en las diferentes regiones brasileñas.

ABSTRACT Objective: to estimate the prevalence of COVID-19 among Brazilian physiotherapists and its associated factors. Method: cross-sectional study, according to an online survey, with the participation of 670 physiotherapists from all regions of Brazil. An adaptation of the respondent driven sampling method to the virtual environment was used to collect data. Bivariate and multiple logistic regression analyzes were used to identify associations between the diagnosis of COVID-19 and demographic and occupational variables. Variables were considered statistically significant based on p<0.05. Results: the prevalence of COVID-19 was 30% (95%CI: 27.8-32.3). In the Southeast region, physiotherapists were less likely to be diagnosed with COVID-19. Physiotherapists who provided care in a field hospital, who were isolated from their families and who have children under 12 years of age at home had an increased chance of being diagnosed with the infection. Conclusion: sociodemographic and occupational issues impact the increase in COVID-19 diagnoses among physiotherapists, which emphasizes the need for a quality and egalitarian health system in different Brazilian regions.

Resiliência, depressão e autoeficácia entre profissionais de enfermagem brasileiros na pandemia de COVID-19 / Resilience, depression and self-efficacy among Brazilian nursing professionals during the COVID-19 pandemic

Resumo O objetivo deste artigo é analisar os níveis de resiliência, depressão e autoeficácia entre profissionais de enfermagem brasileiros na pandemia de COVID-19. Estudo transversal analítico realizado entre os meses de outubro e dezembro de 2020. Foram empregados o teste T de Student, a análise de variância e a regressão linear múltipla com o objetivo de investigar em que medida os dois grandes fatores (resiliência e autoeficácia) impactavam nos níveis de depressão. Participaram do estudo 8.792 profissionais de enfermagem, 5.124 (58,8%) tiveram baixos níveis de resiliência. A média da pontuação geral para "depressão" foi de 0,74 e variou de 0,59 a 0,80. A média da pontuação geral para "autoeficácia" foi de 0,68 e variou de 0,56 a 0,80. Quanto aos preditores de depressão, a variável que mais fortemente impactou os níveis de depressão foi resiliência, explicando 6,6% do desfecho (p < 0,001, R2 Ajustado = 0,066). Os participantes deste estudo tiveram, em geral, baixos níveis de resiliência e autoeficácia e maiores pontuações médias para depressão. Os níveis de resiliência impactaram a variável depressão. Urge a necessidade de ações voltadas para a promoção da saúde psicológica de profissionais de enfermagem inseridos em contextos pandêmicos.

Abstract This aim of this study was to analyze levels of resilience, depression and self-efficacy among Brazilian nursing professionals during the COVID-19 pandemic. We conducted an analytical cross-sectional study between October and December 2020. Student's t test, analysis of variance and multiple linear regression were used to investigate the impact of two main factors (Resilience and Self-efficacy) on depression. A total of 8,792 nursing professionals participated in the study; 5,124 (58.8%) had low levels of resilience. The mean overall score for Depression was 0.74, ranging from 0.59 to 0.80, while the mean overall score for Self-efficacy was 0.68, ranging from 0.56 to 0.80. The variable that had the strongest impact on depression levels was Resilience, explaining 6.6% of the outcome (p < 0.001, AdjustedR2 = 0.066). In general, respondents had low levels of resilience and self-efficacy and showed high mean depression scores. Level of resilience had an impact on depression. The findings reveal an urgent need for actions to promote the psychological health of nursing professionals working in crisis situations such as pandemics.

Sexual behavior of university students in the context of the COVID-19 pandemic: a mixed-methods study / Comportamiento sexual de los estudiantes universitarios en el contexto de la pandemia de covid-19: un estudio de métodos mixtos / Comportamento sexual de universitários no contexto da pandemia da COVID-19: um estudo de método misto

ABSTRACT Objective: To analyze the sexual behaviors of university students during the COVID-19 pandemic. Method: Mixed study, carried out on four campuses of a public university in Paraíba, Brazil, between March 2021 and April 2022. The research followed ethical precepts. Results: 404 university students were included, with an average age of 23.7 years, predominantly female, brown and single. The prevalence of self-reported sexually transmitted infections was 7.9%. Male students were more likely to engage in risky sexual behavior. Multiple logistic regression indicated that university students aged 25 or over who had engaged in casual sex in the last 12 months and had received or paid for sex were more likely to have sexually transmitted infections. The content analysis showed that social isolation was reflected in reduced consumption of alcohol and other substances, reduced sexual practices, increased use of social networks, as well as low adherence to condoms. Conclusion: Physical distancing has an impact on the sexual behavior of university students, as well as on the consumption of alcohol and other substances.

RESUMEN Objetivo: Analizar el comportamiento sexual de estudiantes universitarios durante la pandemia de COVID-19. Método: Estudio de método mixto realizado en cuatro campus de una universidad pública de Paraíba, Brasil, entre marzo de 2021 y abril de 2022. La investigación siguió preceptos éticos. Resultados: Fueron incluidos 404 estudiantes universitarios, con edad media de 23,7 años, predominantemente del sexo femenino, castaños y solteros. La prevalencia de infecciones de transmisión sexual autodeclaradas fue del 7,9%. Los estudiantes varones eran más propensos a tener conductas sexuales de riesgo. La regresión logística múltiple indicó que los estudiantes universitarios de 25 años o más, que habían mantenido relaciones sexuales ocasionales en los últimos 12 meses y que habían recibido o pagado por mantener relaciones sexuales tenían más probabilidades de padecer infecciones de transmisión sexual. El análisis de contenido mostró que el aislamiento social se reflejaba en una reducción del consumo de alcohol y otras sustancias, una reducción de las prácticas sexuales, un aumento del uso de redes sociales, así como una baja adherencia al preservativo. Conclusión: El distanciamiento físico influye en el comportamiento sexual de los universitarios, así como en el consumo de alcohol y otras sustancias.

RESUMO Objetivo: Analisar os comportamentos sexuais de estudantes universitários durante a pandemia da COVID-19. Método: Estudo misto, realizado em quatro campus de uma universidade pública na Paraíba, Brasil, entre março de 2021 e abril de 2022. A pesquisa seguiu os preceitos éticos. Resultados: Foram incluídos 404 universitários, com idade média de 23,7 anos de idade, com predomínio do sexo feminino, pardo e solteiro. A prevalência de infecções sexualmente transmissíveis por autorrelato foi de 7,9%. Estudantes do sexo masculino apresentaram com maior frequência a prática de comportamentos sexuais de risco. A regressão logística múltipla indicou que universitários com idade igual ou superior a 25 anos, que praticaram relação sexual casual nos últimos 12 meses e já receberam ou pagaram em troca de relação sexual apresentaram maiores chances de incidência de infecções sexualmente transmissíveis. A análise de conteúdo evidenciou que o isolamento social refletiu na diminuição do consumo de álcool e outras substâncias, redução de práticas sexuais, aumento do uso de redes sociais, assim como na baixa adesão ao preservativo. Conclusão: O distanciamento físico repercutiu no comportamento sexual de estudantes universitários, assim como no consumo de álcool e outras substâncias.