Infecciones de transmisión sexual en población joven y su prevenciónun análisis según la orientación del deseo sexual

  1. Giménez García, Cristina 1
  2. Ballester Arnal, Rafael 1
  3. Gil Llario, María Dolores 2
  4. Ruiz Palomino, Estefanía
  5. Martínez Gómez, Naiara 1
  1. 1 Salusex. Dpto. Psicología Básica, Clínica y Psicobiología Universitat Jaume I de Castelló
  2. 2 Salusex. Dpto. de Psicología Evolutiva y de la Educación Universitat de València Estudi General
Aldizkaria:
International Journal of Developmental and Educational Psychology: INFAD. Revista de Psicología

ISSN: 0214-9877

Argitalpen urtea: 2020

Zenbakien izenburua: PSICOLOGÍA Y CRECIMIENTO HUMANO

Alea: 1

Zenbakia: 1

Orrialdeak: 155-164

Mota: Artikulua

DOI: 10.17060/IJODAEP.2020.N1.V1.1771 DIALNET GOOGLE SCHOLAR lock_openSarbide irekia editor

Beste argitalpen batzuk: International Journal of Developmental and Educational Psychology: INFAD. Revista de Psicología

Laburpena

The prevalence of sexually transmitted infections is a serious problem for the Public Health. The young population is the most affected, but there is insufficient evidence about some differential profiles. This makes difficult preventive efforts, particularly when sexual diversity is only addressed in a categorical way, classifying among heterosexual, bisexual and homosexual people. For this reason, this study explores the prevalence of STIs, as well as differences in primary and secondary preventive behavior according to sexual orientation that is not evaluated categorically but according to the Kinsey scale. 600 university students (50% men and women; 67.5% attracted only to people of the other sex) filled in, online, voluntarily and anonymously, the Lifestyle and Health questionnaire (Giménez-García and Ballester-Arnal, 2017). The results show a STIs’ prevalence of 5.3% that is mainly placed among those who are a little more attracted to people of the opposite sex (19%) and to people of the same sex exclusively (14.3%), with significant differences (Chi2=15.75; p=.027). Regarding the systematic use of condoms, 52.8% reported it with sporadic partners and 37.1% with regular partners, showing differences for the last one (Chi 2=17.69; p=.007). For both of them, people who are a little more attracted to people of the same sex use it more (100% sporadic and 67.7% regular) compared to those who are basically attracted to people of the same sex (33.3% sporadic and 0% regular). About the HIV screening test that 16.7% report, there are significant differences (Chi2=16.86; p=.018), being more frequent among people who are attracted exclusively (35.7%) or basically (28.6 %) to same sex people. Therefore, the higher prevalence seems to beamong people who are a little more attracted to people of the opposite sex and to people of the same sex exclusively, differing the groups at highest risk according to preventive behavior. Consequently, preventive efforts should guarantee an inclusive view of all sexual orientations.

Erreferentzia bibliografikoak

  • Ballester-Arnal, R., Gil-Llario, M.D., Giménez-García, C. y Kalichman, S. (2015). What Works Well in HIV Prevention Among Spanish Young People? An Analysis of Differential Effectiveness Among Six Intervention Techniques. AIDS & Behavior, 19(7), 1157-1169.
  • Ballester, R., Gil-Llario, M.D., Ruiz-Palomino, E. y Giménez-García, C. (2013). Autoeficacia en la prevención sexual del Sida: la influencia del género. Anales de Psicología, 29(1), 76-82.
  • Biello, K. B., Edeza, A., Montgomery, M. C., Almonte, A. y Chan, P. A. (2019). Risk perception and interest in HIV pre-exposure prophylaxis among men who have sex with men with rectal gonorrhea and chlamydia infection. Archives of Sexual Behavior, 48(4), 1185–1190.
  • Calatrava, M.A., López del Burgo, C. y Irala, J. (2012). Factores de riesgo relacionados con la salud sexual en los jóvenes europeos. Medicina clínica, 138(12), 534-540.
  • Centro Nacional de Epidemiología - ISCIII (2019a). Vigilancia epidemiológica de las infecciones de transmisión sexual, 2017. Recuperado de https://www.mscbs.gob.es/ciudadanos/enfLesiones/enfTransmisibles/sida/vigilancia/Vigilancia_ITS_1995_2017_def.pdf. Recuperado 30/03/2020 (Consultado 30/03/2020)
  • Centro Nacional de Epidemiología - ISCIII (2019b). Vigilancia Epidemiológica del VIH y sida en España 2018. Recuperado de: https://www.mscbs.gob.es/ciudadanos/enfLesiones/enfTransmisibles/sida/vigilancia/doc/Informe_VIH_SIDA_2019_21112019.pdf (Consultado 30/03/2020)
  • Dafesh, B. (2018). Clinicians working with young women who have sexually transmitted infections. Dissertation Abstracts International: Section B: The Sciences and Engineering, 78, Issue 7–B(E).
  • Dyer, K. E. (2010). From cancer to sexually transmitted infection: Explorations of social stigma among cervical cancer survivors. Human Organization, 69(4), 321-330.
  • Frazier, E. L., Sutton, M. Y., Tie, Y., McNaghten, A. D., Blair, J. M. y Skarbinski, J. (2016). Screening for cervical cancer and sexually transmitted diseases among HIV-infected women. Journal of Women’s Health, 25(2),124–132.
  • Giménez-García, C. y Ballester-Arnal, R. (2017). Cuestionario de Estilo de Vida y Salud para Población Joven. Manuscrito no publicado, Universitat Jaume I de Castellón, España.
  • Giménez-García, C., Ballester-Arnal, R., Gil-Llario, M.D., Cárdenas-López, G. y Duran-Baca, X. (2013). Culture as an influence on the perceived risk of HIV infection: a differential analysis comparing young people from Mexico and Spain. Journal of Community Health, 38(3), 434-442.
  • Green, S.M., Turner, D., Baldwin, J.A., Walsh-Buhi, E.R., Vamos, C.A., Dagne, G. y Marhefka, S.L. (2019).Towards an Information Motivation and Behavioral Skills Model for New Sex Partners: Results of a Study of Condom Use as an HIV Prevention Method for Emerging Adults Who Met Partners on Dating and Sex-Seeking Platforms or Offline. AIDS & Behavior, 23(5), 1115–1134.
  • Hahn, H. (2017). Sexual Discounting of Condom Use with Delay by Men: Implications of Relationship Status and Sexual Orientation . (Electronic Thesis or Dissertation). Recuperado de https://etd.ohiolink.edu/ (Consultado30/03/2020)
  • Kinsey, A., Pomeroy, W. y Martin, C. (1948). Sexual behavior in the human male. Philadelphia: Saunders Company.
  • Kinsey, A., Pomeroy, W., Martin, C. y Gebhard, P. H. (1953). Sexual behavior in the human female. Indiana: University Press.
  • Lelu iu-Weinberger, C., Rendina, J., Mirandola, M., Gios, L., Folch, C., Rafila, A. y Pachankis, J.E. (2019). The Role of Gay-Related Stigma in HIV-Risk Behavior Among Sexual Minority Men in Europe. AIDS & Behavior, 23(3), 684–694.
  • Martinez, J., Harper, G., Carleton, R. A., Hosek, S., Bojan, K., Glum, G. y Ellen, J. (2012). The impact of stigma on medication adherence among HIV-positive adolescent and young adult females and the moderating effects of coping and satisfaction with health care. AIDS Patient Care and STDs, 26(2), 108–115.
  • Mazzitelli, M., Caridà, G., Scigliano, C., Vallone, M.C., Pirrò, F., Lombardo, M.R., Clemente, G., Bernaudo, F., Postorino, M.C., Strazzulla, A., Maselli, R. y Torti, C. (2016). Knowledge of HIV infection and transmission: a knowledge, attitudes, beliefs and practices (KABP) survey among a sample of students at the “Magna Graecia”, University of Catanzaro. Ann Ist Super Sanita, 52(4), 530-535.
  • McGarrity, L. A. y Huebner, D. M. (2014). Behavioral intentions to HIV test and subsequent testing: The moderating role of sociodemographic characteristics. Health Psychology, 33(4), 396–400.
  • Morales, A., Espada, J. P. y Orgilés, M. (2013). ¿Existen diferencias en riesgo sexual entre adolescentes heterosexuales y no heterosexuales?. Acción Psicológica, 10(2), x-xx. http://dx.doi.org/10.5944/ap.10.2.12218
  • Mueses-Marín, H., Galindo-Orrego, M., Tello-Bolívar, I. y Galindo, J. (2018). Características de personas que retornan voluntariamente a repetirse la prueba de VIH, 2012-2015. Revista de Salud Pública, 20 (4), 484-490.
  • Mullins, T. K., Braverman, P. K., Dorn, L. D., Kollar, L. M. y Kahn, J. A. (2012). Adolescents’ agreement to test for HIV when different testing methods are offered. International Journal of STD & AIDS, 23(3), 173–176.
  • Norris, A. L., Nelson, K. M. y Carey, M. P. (2019). HIV testing intentions and behaviors among 14-17-year-old sexual minority males. AIDS Care, 31(12), 1580–1584.
  • Pérez-Morente, M.A., Cano-Romero, E., Sánchez-Ocón, M.T., Castro-López, E., Jiménez-Bautista, F. y Hueso Montoro, C. (2017). Factores de riesgo relacionados con las infecciones de transmisión sexual. Revista Española de Salud Pública, 91(1), 1-6.
  • Rice, C. E., Lynch, C. D., Norris, A. H., Davis, J. A., Fields, K. S., Ervin, M. y Turner, A. N. (2016). Group sex and prevalent sexually transmitted infections among men who have sex with men. Archives of Sexual Behavior, 45(6), 1411–1419.
  • Saura, S., Jorquera, V., Rodríguez, D., Mascor, C., Castellà, I. y García, J. (2019). Percepción del riesgo de infecciones de transmisión sexual/VIH en jóvenes desde una perspectiva de género. Atención Primaria, 51(2), 61-70.
  • Schwarcz, S., Richards, T.A., Frank, H., Wenzel, C., Hsu, L.C. Chin, C.J., Murphy, J. y Dilley, J. (2011) Identifying barriers to HIV testing: personal and contextual factors associated with late HIV testing, AIDS Care, 23(7),892-900.
  • Skakoon-Sparling, S. y Cramer, K.M. (2019). Are We Blinded by Desire? Relationship Motivation and Sexual Risk-Taking Intentions during Condom Negotiation. The Journal of Sex Research, doi: 10.1080/00224499.2019.1579888.
  • Wand, H., Knight, V., Lu, H. y McNulty, A. (2018). Temporal trends in population level impacts of risk factors for sexually transmitted infections among men who have sex with men, heterosexual men, and women: Disparities by sexual identity (1998–2013). Archives of Sexual Behavior, 47(7), 1909–1922.