RESUMO
BACKGROUND: Adolescents, particularly those aged 14 to 15 y, often begin exploring their sexuality, during which time they are more vulnerable to traditional influences and ideologies imposed by society. This study aimed to identify the association between more traditional attitudes toward women and sexual risk attitudes and behaviors in Peruvian adolescents. MATERIALS AND METHODS: Cross-sectional study with data from the fifth round of the Young Lives study with 1860 adolescents aged 14 and 15 y. Population characteristics were described by relative frequencies and using chi-squared test with p-value. The 12 items of the Attitudes toward Women Scale for Adolescents instrument were analyzed by relative frequencies and mean with standard deviation. For further analysis, the values of the global scores of all participants were divided into two categories, using the median as the cutoff point, where the group with higher scores indicated that these adolescents had more traditional attitudes (or more gender stereotypes). More traditional attitudes were associated with sexual risk attitudes and behaviors, with crude prevalence ratio (PR) and then adjusted prevalence ratio (aPR) with 95% CI. The Universidad Privada de Tacna's ethics committee approved the research protocol. RESULTS: Adolescents with more traditional attitudes were more likely to have sexual risk attitudes compared to those with less traditional attitudes. In addition, adolescents with more traditional attitudes were 2.6 times more likely to have at least one sexual intercourse while drunk as compared to the reference group (95% CI: 1.43-4.74; p=0.002). CONCLUSIONS: The expression of more traditional attitudes toward women was associated with sexual risk attitudes. However, there was no association with most of the sexual risk behaviors studied, except for the higher probability of having at least one sexual intercourse while drunk.
Assuntos
Comportamento do Adolescente , Assunção de Riscos , Comportamento Sexual , Estereotipagem , Humanos , Adolescente , Feminino , Peru/epidemiologia , Masculino , Estudos Transversais , Comportamento Sexual/psicologia , Comportamento Sexual/estatística & dados numéricos , Comportamento do Adolescente/psicologia , Conhecimentos, Atitudes e Prática em Saúde , Inquéritos e QuestionáriosRESUMO
Progressive hemifacial atrophyor Parry-Romberg syndromeis a rare disease, classified as one of the forms of localized morphea or scleroderma. Its cause is unknown. It is characterized by atrophy of the skin, fat, muscles and underlying osteocartilaginous structures that usually affects the face and neck unilaterally, and is associated with neurological symptoms (secondary epilepsy) and involvement of other organs and systems. Its course is slow and progressive and begins in the first two decades of life. Predilection for female sex has been observed. We report the case of a 10-year-old girl diagnosed at the Hipólito Unánue Hospital in Tacna, Peru. Knowledge of this condition is important in the differential diagnosis of localized morpheas or scleroderma.
La atrofia hemifacial progresiva o síndrome de Parry-Romberg es una enfermedad rara, clasificada como una de las formas de morfea o esclerodermia localizada. Su causa es desconocida. Se caracteriza por la atrofia de la piel, tejido celular subcutáneo, músculos y estructuras osteocartilaginosas subyacentes que afecta usualmente unilateralmente la cara y cuello, se asocia a síntomas neurológicos y afección de otros órganos y sistemas. Su curso es lento y progresivo y se inicia generalmente en las primeras dos décadas de la vida. Se ha observado predilección por el sexo femenino. Presentamos el caso de una niña de 10 años, diagnosticada en el Hospital Hipólito Unánue de Tacna, Perú.
Assuntos
Hemiatrofia Facial/diagnóstico , Esclerodermia Localizada/diagnóstico , Criança , Diagnóstico Diferencial , Hemiatrofia Facial/fisiopatologia , Feminino , Humanos , Peru , Doenças Raras/diagnóstico , Doenças Raras/fisiopatologia , Esclerodermia Localizada/fisiopatologiaRESUMO
INTRODUCTION AND AIM: Suicide and harmful alcohol consumption are major health problems, especially in medical students. This study aimed to evaluate the association between risk for alcohol abuse and suicide risk in medical interns of Peruvian hospitals. DESIGN AND METHODS: We conducted a multicentre cross-sectional study in medical interns from 18 Peruvian hospitals. We measured suicide risk, risk for alcohol abuse, depression and self-esteem using the Plutchik Suicide Risk Scale, CAGE, Zung Self-Rating Depression Scale and Rosenberg Self-Esteem Scale, respectively. We used χ2 and Student t-tests for descriptive analysis. To evaluate the association between risk for alcohol abuse and suicide risk we generated crude and adjusted Poisson regression models with robust variance and estimated prevalence ratios with 95% confidence intervals. RESULTS: We surveyed 433 medical interns. The prevalence of suicide risk and risk for alcohol abuse was 19.6% and 27.5%, respectively. We found significant differences in suicide risk according to age (P < 0.001), region of origin (P = 0.002), with whom the participant lived (P < 0.001), university of origin (P = 0.040), type of hospital (P = 0.042), family history of attempted suicide (P = 0.043), self-esteem level (P < 0.001) and alcohol consumption (P < 0.001). In the adjusted model, age (PRa: 1.11, 95% confidence interval 1.05-1.17) and risk for alcohol abuse (PRa: 7.60, 95% confidence interval 4.46-12, 96) were associated with suicide risk. DISCUSSION AND CONCLUSIONS: Two out of 10 medical interns had a positive screening for suicide risk. Age and especially risk for alcohol abuse were the associated variables.