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OBJECTIVE: analyze the association between drug use and body dissatisfaction among adolescents in three Brazilian cities. METHOD: cross-sectional study, using a nested randomized controlled trial to evaluate the drug use prevention program #TamoJunto2.0 of the Ministry of Health in Brazilian schools. The sample consisted of 5,213 students from 73 schools in three Brazilian cities. The outcome body satisfaction was analyzed using the Stunkard scale and the explanatory variables were drug use and sociodemographic data. RESULTS: the adolescents were between 12 and 14 years old; about 69.9% of them reported body dissatisfaction, and 35.67% used alcohol in the previous year. Dissatisfaction due to overweight was higher among girls (41.5%) and dissatisfaction due to underweight was higher among boys (33.1%). Adolescents who used marijuana were 39% (OR=1.39) more likely to feel dissatisfied due to underweight and being a girl increased the chances of feeling dissatisfied due to overweight by 24% (OR=1.24). CONCLUSION: the levels of body dissatisfaction deserve attention in hebiatric nursing care and reinforce the importance of educational strategies addressing body image and drug use, relating them to the various subjective attributes that can affect the health of adolescents, whether in the community or at school.(1) High prevalence of body dissatisfaction related to overweight. (2) Girls presented 24% more chances of feeling body dissatisfaction due to overweight. (3) Marijuana use in adolescence can increase by 39% body dissatisfaction due to underweight. (4) Last year, about 35.7% of adolescents had already consumed alcohol. (5) Health promotion and stimulation of positive perceptions of self-image.

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Resumo Objetivo: analisar a associação entre uso de drogas e a insatisfação com a imagem corporal de adolescentes em três cidades brasileiras. Método: estudo transversal, aninhado em um ensaio controlado randomizado para avaliar o programa de prevenção ao uso de drogas em escolas brasileiras #TamoJunto2.0 do Ministério da Saúde. A amostra foi de 5.213 alunos de 73 escolas de três cidades brasileiras. O desfecho satisfação corporal foi analisado por meio da escala de Silhuetas de Stunkard e as variáveis explicativas foram o uso de drogas e dados sociodemográficos. Resultados: os adolescentes tinham entre 12 e 14 anos e cerca de 69,9% relataram insatisfação corporal, e no último ano 35,67% utilizaram álcool. A insatisfação por sobrepeso foi maior nas meninas (41,5%) e por baixo peso nos meninos (33,1%). Os adolescentes que usavam maconha apresentaram 39% (OR=1,39) mais chance de insatisfação por baixo peso e ser menina aumentou em 24% (OR=1,24) as chances de insatisfação por sobrepeso. Conclusão: os níveis de insatisfação corporal merecem atenção no cuidado de enfermagem hebiátrica e reforçam a necessidade de estratégias educativas abordando a imagem corporal e uso de drogas, a relacionando aos vários atributos subjetivos que podem afetar a saúde dos adolescentes, seja na comunidade ou escola.

Abstract Objective: analyze the association between drug use and body dissatisfaction among adolescents in three Brazilian cities. Method: cross-sectional study, using a nested randomized controlled trial to evaluate the drug use prevention program #TamoJunto2.0 of the Ministry of Health in Brazilian schools. The sample consisted of 5,213 students from 73 schools in three Brazilian cities. The outcome body satisfaction was analyzed using the Stunkard scale and the explanatory variables were drug use and sociodemographic data. Results: the adolescents were between 12 and 14 years old; about 69.9% of them reported body dissatisfaction, and 35.67% used alcohol in the previous year. Dissatisfaction due to overweight was higher among girls (41.5%) and dissatisfaction due to underweight was higher among boys (33.1%). Adolescents who used marijuana were 39% (OR=1.39) more likely to feel dissatisfied due to underweight and being a girl increased the chances of feeling dissatisfied due to overweight by 24% (OR=1.24). Conclusion: the levels of body dissatisfaction deserve attention in hebiatric nursing care and reinforce the importance of educational strategies addressing body image and drug use, relating them to the various subjective attributes that can affect the health of adolescents, whether in the community or at school.

Resumen Objetivo: analizar la asociación entre uso de drogas y la insatisfacción con la imagen corporal de adolescentes en tres ciudades brasileñas. Método: estudio transversal, anidado en un ensayo controlado aleatorio para evaluar el programa de prevención del uso de drogas en escuelas brasileñas #TamoJunto2.0 del Ministerio de la Salud. La muestra fue de 5.213 alumnos de 73 escuelas de tres ciudades brasileñas. El desenlace satisfacción corporal se analizó mediante la escala de Siluetas de Stunkard y las variables explicativas fueron el consumo de drogas y los datos sociodemográficos. Resultados: los adolescentes tenían entre 12 y 14 años y alrededor del 69,9% relató insatisfacción corporal, y en el último año el 35,67% consumió alcohol. La insatisfacción por sobrepeso fue mayor en las niñas (41,5%) y por bajo peso en los niños (33,1%). Los adolescentes que consumían marihuana tenían un 39% (OR=1,39) más de probabilidades de estar insatisfechos con el bajo peso y ser niña aumentó en un 24% (OR=1,24) las chances de insatisfacción por sobrepeso. Conclusión: los niveles de insatisfacción corporal merecen atención en el cuidado de enfermería hebiátrica y refuerzan la necesidad de estrategias educativas abordando la imagen corporal y el uso de drogas, relacionándola a los varios atributos subjetivos que pueden afectar la salud de los adolescentes, ya sea en la comunidad o en la escuela.

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Abstract Objectives: to describe the profile of women affected with premature childbirth and neonatal outcomes at a referral maternity in the city of Fortaleza-CE, Brazil. Methods: descriptive and retrospective documentary type study, with a quantitative approach, carried out from January to December, 2017, with 253 medical records of women who had premature childbirth in a referral maternity. Results: the average age was 28, with the prevalence of women living in a stable union, graduated from high school and without formal work. The gestational mean average was three pregnancies, gestational age of 34 weeks and three days, and six prenatal consultations, starting in the first trimester. The major intercurrence was pre-eclampsia. In relation to the neonatal data, there was a prevalence of male newborns, with an average of 2.251 kg and a score of seven on the 1-minute Apgar and eight on the 5-minute Apgar. Newborns in going to a hospital accommodation after childbirth and in room air, spending an average of 12.71 days in the hospital. Conclusion: in this case of this research, knowing the woman's profile and the outcomes in premature newborns is useful to encourage public policies and reduce the sequelae on mother and baby

Resumo Objetivos: descrever o perfil de mulheres acometidas por parto prematuro e os desfechos neonatais em maternidade de referência, na cidade de Fortaleza-CE, Brasil. Métodos: estudo do tipo documental, descritivo, retrospectivo, com abordagem quantitativa, realizadode janeiro a dezembro de 2017, com 253 prontuários de mulheres que tiveram parto prematuro em maternidade de referência. Resultados: média de idade de 28 anos, com prevalência de mulheres vivendo em união estável, ensino médio completo, sem trabalho formal. A média gestacional foi de três gravidezes, idade gestacional de 34 semanas e trêsdias e seis consultas de pré-natal, iniciando no primeiro trimestre. A maior intercorrência foi a pré-eclâmpsia. Relacionado aos dados neonatais, houve prevalência de recém-nascidos do sexo masculino, com média de 2,251 quilos e escore sete no Apgar do 1º minuto e oito, no Apgar do 5º minuto. Recémnascidos indo para alojamento conjunto após o parto e em ar ambiente, tendo passado, em média, 12,71 dias internados. Conclusões: no caso da pesquisa, conhecer o perfil dessa mulher e os desfechos do recém-nascido prematuro é útil para estimular as políticas públicas e diminuir as sequelas para mãe e bebê.

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ABSTRACT Objective: To analyze scientific productions about the relationship between HIV and Systemic Arterial Hypertension (SAH) in people living with HIV/AIDS (PLWHA). Method: Integrative literature review in six databases, held in March 2016. "AIDS" and "hypertension" were the keywords used in Portuguese, English and Spanish languages. We found 248 articles and selected 17. The categories formulated were "prevalence of SAH in PLWHA," "risk factors for SAH in PLWHA" and "adverse events of antiretroviral therapy (ART) that contribute to HAS." Results: There is no consensus whether HIV and ART influence the SAH development, but there are several risk factors for SAH among PLWHA. It was observed that protease inhibitors medicines influence SAH the most. Conclusion: Guidelines for SAH prevention must be performed in all individuals, however, in PLWHA, they must focus on characteristic risk factors of this population.

RESUMEN Objetivo: Analizar la producción científica sobre la relación entre el VIH y la Hipertensión Arterial (HTA) en Personas que Viven con el VIH/sida (PVVS). Método: Revisión integradora de la literatura en seis bases de datos, realizada en marzo de 2016. Se utilizaron los descriptores "sida" y "hipertensión" en portugués, inglés y español. Se encontraron 248 artículos, entre los cuales se seleccionaron 17. Las categorías formuladas fueron "prevalencia de la HTA en PVVS", "factores de riesgo de HTA en PVVS" y "eventos adversos de la terapia antirretroviral (TAR) que contribuyen con la HTA". Resultados: No hay consenso si el VIH y la TAR influyen en el desarrollo de la HTA, pero hay varios factores de riesgo de HTA entre PVVS. Se constató que los fármacos inhibidores de la proteasa son los que más influencian en la HTA. Conclusión: Las directrices para la prevención de la HTA deben ser puestas en práctica en todos los individuos. Sin embargo, en PVVS, deberían centrarse en factores de riesgo propios de esta población.

RESUMO Objetivo: Analisar as produções científicas sobre a relação entre o HIV e Hipertensão Arterial Sistêmica (HAS) em Pessoas Vivendo com HIV/aids (PVHA). Método: Revisão integrativa da literatura em seis bases de dados, realizada no mês de março de 2016. Utilizaram-se os descritores "aids" e "hipertensão", nos idiomas português, inglês e espanhol. Foram encontrados 248 artigos e selecionados 17. As categorias formuladas foram "prevalência de HAS em PVHA", "fatores de risco para HAS em PVHA" e "eventos adversos da terapia antirretroviral (TARV) que contribuem para HAS". Resultados: Não há consenso se o HIV e TARV influenciam no desenvolvimento da HAS, mas existem diversos fatores de risco para HAS entre PVHA. Constata-se que os fármacos inibidores de protease são os que mais influenciam na HAS. Conclusão: As orientações para prevenção da HAS devem ser realizadas em todos os indivíduos, porém, nas PVHAs, devem focar nos fatores de risco característicos dessa população.

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OBJECTIVE: To analyze scientific productions about the relationship between HIV and Systemic Arterial Hypertension (SAH) in people living with HIV/AIDS (PLWHA). METHOD: Integrative literature review in six databases, held in March 2016. "AIDS" and "hypertension" were the keywords used in Portuguese, English and Spanish languages. We found 248 articles and selected 17. The categories formulated were "prevalence of SAH in PLWHA," "risk factors for SAH in PLWHA" and "adverse events of antiretroviral therapy (ART) that contribute to HAS." RESULTS: There is no consensus whether HIV and ART influence the SAH development, but there are several risk factors for SAH among PLWHA. It was observed that protease inhibitors medicines influence SAH the most. CONCLUSION: Guidelines for SAH prevention must be performed in all individuals, however, in PLWHA, they must focus on characteristic risk factors of this population.

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Abstract Antiretroviral therapy has increased the survival of patients with HIV/AIDS, thus necessitating health promotion practice with immunization. Vaccines are critical components for protecting people living with HIV/AIDS (PLWHA). The purpose of study was to analyze the vaccination status of PLWHA in outpatient care in Fortaleza, Ceará, Brazil. Cross-sectional study performed from June 2014 to June 2015. The screening was done with patients in antiretroviral therapy, 420 patients underwent screening, but only 99 met the inclusion criteria. Data were collected for interviews using forms to characterize sociodemographic, clinical and vaccination situations. Only 14 patients had complete vaccination schedules. The most used vaccines were hepatitis B, influenza vaccine and 23-valent pneumococcal. There was no difference between men and women regarding the proportion of PLWHA with full vaccination schedule or between sex, skin color, marital status, sexual orientation, religion or occupational status. There was no difference between having or not having a complete vaccination schedule and age, years of education, family income or number of hospitalizations. CD4+ T-cells count of patients with incomplete immunization was lower than patients with complete immunization. Health education strategies can be done individually or in groups to explain the importance of vaccination and to remind about doses to be administered. Most patients did not have proper adherence to vaccination schedules, especially due to lack of guidance. Results implied that education in health is important for vaccination adhesion, knowledge of adverse events and continuation of schemes.

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Antiretroviral therapy has increased the survival of patients with HIV/AIDS, thus necessitating health promotion practice with immunization. Vaccines are critical components for protecting people living with HIV/AIDS (PLWHA). The purpose of study was to analyze the vaccination status of PLWHA in outpatient care in Fortaleza, Ceará, Brazil. Cross-sectional study performed from June 2014 to June 2015. The screening was done with patients in antiretroviral therapy, 420 patients underwent screening, but only 99 met the inclusion criteria. Data were collected for interviews using forms to characterize sociodemographic, clinical and vaccination situations. Only 14 patients had complete vaccination schedules. The most used vaccines were hepatitis B, influenza vaccine and 23-valent pneumococcal. There was no difference between men and women regarding the proportion of PLWHA with full vaccination schedule or between sex, skin color, marital status, sexual orientation, religion or occupational status. There was no difference between having or not having a complete vaccination schedule and age, years of education, family income or number of hospitalizations. CD4+ T-cells count of patients with incomplete immunization was lower than patients with complete immunization. Health education strategies can be done individually or in groups to explain the importance of vaccination and to remind about doses to be administered. Most patients did not have proper adherence to vaccination schedules, especially due to lack of guidance. Results implied that education in health is important for vaccination adhesion, knowledge of adverse events and continuation of schemes.

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