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BACKGROUND: Access to the full spectrum of healthcare should be available to all individuals. After the revocation of the constitutional right to abortion, women have fewer alternatives to unplanned pregnancy. Telehealth provides an additional option for such pregnancies through its remote provision of services. This could benefit women of all social strata. However, data regarding telehealth among underserved populations are limited. OBJECTIVE: This study aimed to evaluate the use of contraception, awareness of abortion services, and receptiveness to telehealth among women in Puerto Rico, a Spanish-speaking minority population. STUDY DESIGN: This was a cross-sectional study of women living in Puerto Rico aged between 21 and 65 years. Data were collected with a self-administered survey via SurveyMonkey from March to December of 2021. Recruitment was done through social media and at the gynecology clinics of the University of Puerto Rico, Medical Sciences Campus and San Juan City Hospital. Analysis was done with Stata, version 14.2. Chi-square and Cochran-Armitage tests were used to evaluate the unadjusted relationship between variables. A P value ≤.05 was considered statistically significant. RESULTS: A total of 286 women were recruited. Of these, 73.3% (189/258) were sexually active, 89.1% (229/257) were heterosexual, and 62.7% (163/260) were not using contraception. In addition, 63.3% (157/248) knew about emergency contraception, yet 42.4% (103/243) were unaware of any sources of access to it; 76.6% (197/257) were unaware of nearby abortion services. A higher education level was associated with knowing about emergency contraception (P<.05) and awareness of sources of access to it (P<.05). However, no significant association was found between a higher education level and awareness of nearby abortion services (P=.799). Regarding telehealth, 65.2% (176/270) were willing to use the service for future gynecologic visits, yet only 18.9% (51/269) were offered telehealth services. No association was found between previous telehealth experiences and willingness to use telehealth for future gynecologic visits (P=.325). CONCLUSION: The lack of contraceptive use and unawareness of nearby abortion services place women at increased risk of unplanned pregnancy and unsafe practices. The gap between knowledge about and access to emergency contraception also calls for action. Telehealth may be of benefit given that most women showed interest in using it, and could be used for educating and providing women in Puerto Rico with contraception and medical abortions, further increasing their access to reproductive healthcare. Clarifying misconceptions and instructing women about safe practices is essential to our role as physicians. Ensuring women's access to adequate services is also vital for upholding their rights to healthcare.

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No escopo de uma pesquisa de abrangência nacional sobre práticas sexuais e gestão de risco, nos chamou atenção, na procura por materiais de mídia relacionando sexo e sexualidades com a pandemia de Covid-19, a presença majoritária de um grupo de "especialistas" ligados ao campo heterogêneo da Sexologia, tais como psicólogas, psiquiatras, urologistas, sexólogas, educadoras sexuais, associadas/os aos infectologistas. Por meio da pesquisa de palavras-chave, via buscador do Google, inventariamos um número de 44 matérias oriundas de sites de grupos jornalísticos grandes e alternativos, bem como de clínicas, associações profissionais e blogs particulares, publicadas entre março de 2020 a julho de 2021. Dessas, concentramos nossa análise em 30 matérias correspondentes àquelas veiculadas pelos grupos jornalísticos grandes e alternativos. A leitura realizada foi inspirada pela problemática da produção de objetos via práticas enunciativas e materiais, mediante as quais associações entre elementos diversos, perguntas e respostas explicitadas vão estabilizando não só os sentidos, mas os próprios objetos em disputa, no caso aqui observado, as práticas sexuais. Ao final de nosso estudo, percebeu-se que o sexo e a sexualidade produzidos pelos "especialistas" através dos canais de mídia tendem à generalização dos corpos e a descontextualização das práticas.

In the scope of a nationwide survey on sexual practices and risk management, what caught our attention, in the search for media materials relating sex and sexualities to the Covid-19 pandemic, the majority presence of a group of "specialists" linked to the heterogeneous field of Sexology, such as psychologists, psychiatrists, urologists, sexologists, sex educators, associated with infectologists. Through keyword research, via google search, we inventoried a number of 44 articles from large and alternative journalistic groups websites, as well as clinics, professional associations and private blogs, published between March 2020 and July 2021. From these, we focused our analysis on 30 articles corresponding to those published by large and alternative journalistic groups. The reading performed was inspired by the problematic of the production of objects via enunciative and material practices, through which associations between different elements, questions and explicit answers, stabilize not only the senses, but the objects in dispute, in the case observed here, sexual practices. At the end of our study, it was noticed that the sex and sexuality produced by the "specialists" through the media channels tends to the generalization of bodies and the decontextualization of practices.

En el ámbito de una encuesta a nivel nacional sobre prácticas sexuales y gestión de riesgos, lo que llamó nuestra atención, en la búsqueda de materiales mediáticos que relacionan el sexo con la pandemia de la Covid-19, destaca la presencia mayoritaria de un grupo de especialistas vinculados al heterogéneo campo de la Sexología, como psicólogos, psiquiatras, urólogos, sexólogos, y otra. A través de una investigación de palabras clave, a través de una búsqueda en Google, inventariamos una serie de 44 artículos de sitios web de grupos periodísticos grandes y alternativos, así como clínicas, asociaciones profesionales y blogs privados, publicados entre marzo de 2020 y julio de 2021. Enfocamos nuestro análisis en 30 artículos publicados por grandes y alternativos grupos periodísticos. La lectura realizada se inspiró en el problema de la producción de objetos a través de prácticas enunciativas y materiales, a través de las cuales asociaciones entre diferentes elementos, preguntas y respuestas explícitas, estabilizan no sólo los sentidos, sino los objetos en disputa, en el caso, prácticas sexuales. Al final de nuestro estudio, se percibió que el sexo y la sexualidad producidos por los especialistas tienden a la generalización de los cuerpos ya la descontextualización de las prácticas.

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RESUMO O texto aborda as práticas sexuais e a prevenção do HIV nos circuitos de Homens que fazem Sexo com Homens (HSH) da Região Metropolitana do Recife, embasados em inquérito comportamental com 380 HSH de idade de 18 a 51 anos, e entrevistas com 20 dos respondentes. Os dados analisados foram coletados entre janeiro de 2016 e fevereiro de 2017, quando a Profilaxia Pré-Exposição (PrEP) ainda não estava disponível e a Profilaxia Pós-Exposição (PEP) era pouco conhecida (51,8%) e utilizada (1,3%). O Sexo Anal Desprotegido (SAD) (50,6% em parcerias fixas, 30,2% em casuais) ocorria, geralmente, com parceiros presumidamente negativos para HIV. As sorologias eram inferidas pelos vínculos (estranho, conhecido, amigo, namorado). As emoções (medo, tesão, amor, confiança, nojo, carência) eram importantes na configuração do SAD, normalmente articuladas às vinculações. Observaram-se regimes de prazer dissidentes da heteronormatividade: boca-ânus e boca-pênis; sexo a três e em grupo. Considerando a forte presença de SAD e a alta prevalência de HIV em Recife (21,5%), constatou-se a necessidade de ações educativas que apresentem técnicas da prevenção combinada (camisinha, PrEP, PEP, soroescolha, segurança negociada etc.) mediante narrativas que incorporem vínculos, emoções e regimes de prazer dissidentes, para que, ao se aproximarem dos contextos de usos, possibilitem escolhas mais seguras.

ABSTRACT In this text we address sexual practices and HIV prevention in the circuits of men who have sex with men (MSM) in the Metropolitan Region of Recife (RMR), based on a behavioral survey with 380 MSM, aged between 18 and 51 years, and interviews with 20 of the respondents. The analyzed data were collected between January 2016 and February 2017, when Pre-Exposure Prophylaxis (PrEP) was not yet available and Post-Exposure Prophylaxis (PEP) was little known (51%) and used (1.3%). Unprotected Anal Sex (UAS) (50.6% in steady partners, 30.2% in casual partners) generally occurred between partners who were presumed to be HIV-negative. Serologies were inferred by ties (stranger, acquaintance, friend, boyfriend). Emotions (fear, lust, love, trust, disgust, neediness) were important in UAS configuration, almost always linked to attachments. We observed dissident pleasure regimes of heteronormativity: mouth-anus and mouth-penis; threesome and group sex. Considering the strong presence of UAS and the high prevalence of HIV in Recife (21.5%), we found the need for educational actions that introduce combined prevention techniques (condoms, PrEP, PEP, serochoice, negotiated safety etc.) through narratives that incorporate dissident bonds, emotions, and pleasure regimes, so that, when approaching the contexts of use, they enable safer choices.

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OBJECTIVE: Heterosexual intercourse is the main mode of HIV transmission among heterosexual women in Puerto Rico and the third for men. We conducted an Internetbased study of heterosexual young adults in Puerto Rico to explore their sexual practices, beliefs and decision-making skills for HIV prevention. Data presented in this study will help to understand the factors that contribute to the sexual transmission of HIV among heterosexuals within the Puerto Rican context. METHODS: We administered an online-based survey to a sample of 618 young adult heterosexual men and women. Data were collected using Perseus Survey Solutions software. RESULTS: Overall, most participants expressed they had the same sexual partner in the previous six months, never or almost never used male condoms with their main partner and did not perceive themselves at-risk of contracting HIV (have a low HIV risk perception). Men reported using male condoms more frequently than women (e.g. male condom on their male partner) during vaginal sex, in particular single and younger men. Women expressed more positive attitudes toward male condoms than men. CONCLUSION: Results confirm the need to implement interventions that increases the sense of vulnerability among heterosexuals, as well as skills and use of male condoms. This study contributes additional data on sexual practices and attitudes to encourage the identification of new or current changes in HIV protective or risk factors, specifically for an understudied population of Heterosexuals in Puerto Rico.

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OBJETIVO: Determinar las prácticas de salud sexual en adolescentes de dos colegios de la provincia de Cañete, Región Lima. MÉTODO: Estudio descriptivo transversal realizado en adolescentes entre 15 y 17 años de edad. RESULTADOS: Se incluyó un total de 127 estudiantes. 50,4% (64) fueron mujeres. La edad promedio fue de 15.67 ±0,65. El 24% (30) de los alumnos habían iniciado relaciones sexuales. Los varones tuvieron más probabilidad de inicio de relaciones sexuales que las mujeres (OR= 4,67 IC95% [1,83-11,95]; p = 0,001) y de acceso a los servicios de salud (OR= 2,51 IC95% [1,065 - 5,92]; p=0,032). Las mujeres tuvieron mayor probabilidad de recibir educación sexual de sus padres (OR = 2,2 IC95% [1,05-4,65]; p= 0,035). CONCLUSIONES: El inicio de relaciones sexuales en los alumnos estuvo dentro de lo reportado en la literatura nacional, los varones tuvieron más probabilidad de inicio de relaciones sexuales y las mujeres mayor probabilidad de recibir educación sexual de sus padres.

OBJECTIVE: To determine the sexual health practices in adolescents from two schools in the province of Cañete, Lima Region. METHOD: Cross-sectional descriptive study carried out in adolescents between 15 and 17 years of age. RESULTS: A total of 127 students were included. 50.4% (64) were women. The average age was 15.67 ± 0.65. The 24% (30) of the students had started sexual relations. Males were more likely to initiate sexual intercourse than females (OR = 4.67 95% CI [1.83-11.95]; p = 0.001) and access to health services (OR = 2.51 CI95 % [1,065-5,92]; p = 0.032). Women were more likely to receive sexual education from their parents (OR = 2.2 95% CI [1.05-4.65]; p = 0.035). CONCLUSIONS: The beginning of sexual relations in the students was within that reported in the national literature, the men were more likely to initiate sexual relations and the women were more likely to receive sexual education from their parents.

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A proposta deste texto é estabelecer diálogos com os estudos sobre as travestilidades e transexualidades que possam contribuir para as problematizações acerca dos modos de subjetivação e práticas sexuais dissidentes e abjetas. As expressões de gêneros desviantes dos modelos de produção normativos são sublinhadas, neste diálogo, a partir da exploração dos prazeres e práticas sexuais que transbordam visões naturalizadas e reprodutivas, iniciando com a problematização da prostituição como modo de vida, trabalho, socialização e de descoberta de saberes em relação às práticas sexuais. Tais problematizações partem de duas pesquisas realizadas em pós-graduação em Psicologia, ambas sob orientação do método da cartografia e desenvolvidas com participantes do movimento social organizado. Com base em perspectivas teórico-políticas queer, procuramos por posições alternativas que não tomem a dissidência pelo viés da negatividade, mas interessados nas pedagogias alternativas que operam nos territórios de subjetivação trans e que ampliam as noções sobre "ser gente". Assim, entendemos que estas problematizações podem estabelecer conexões com outras experiências e provocar a ampliação de esquemas de saber que considerem as dissidências como formas de resistências micropolíticas e desejantes.(AU)

This paper proposes dialogues with studies about travestis and transsexuals that offered contributions to problematize modes of subjectivation and sexual practices dissidents and abjects. The gender expressions that deviate from normative production models featured, in this paper, from the exploration of pleasures and sexual practices that extrapolate naturalized and reproductive visions, starting with a problematization of prostitution as a way of life, work, socialization and discovery of knowledge regarding sexual practices. Such problematizations come from research developed in Psychology postgraduate courses, under the methodological guidance of cartography and developed with participants from the organized social movement. Based on queer theoretical-political perspectives, we objective alternative positions that do not consider dissent as negativity, but more interested in alternative pedagogical forms in territories of trans subjectivation and that can broaden the notions about being "a person". These problematizations can establish connections with other experiences and cause the expansion of knowledge schemes that consider dissent as modes of micropolitical and desiring resistance.(AU)

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Background/objective: Advances in antiretroviral therapy and assisted reproduction technology which allow for longer and healthier lives and safer conception options necessitate a new understanding of the sexual and reproductive needs of persons living with HIV (PLHIV). This study examines fertility desire and motives for having children among PLHIV in Jamaica and explores the association with depressive symptoms.Methods: In a cross-sectional study, 251 PLHIV in their reproductive years voluntarily completed an interviewer-administered questionnaire. SPSS analyses involved bivariate and logistic regression models significant at p < .05.Results: A desire to have children was expressed by 66% (n = 166), mostly males and persons younger than 40 years. Of those in a current relationship (n = 126), not having previous children best predicted fertility desire (p = .001; CI 0.04-0.44) as well as motives to conceive (p = .02; CI 0.01-0.66). PLHIVs in their reproductive years who are at depression risk are those in a sero-discordant relationship (p = .01; CI 1.48-30.22) and who have been diagnosed between 1 and 4 years (p = .05; CI 0.01-1.04).Conclusions: HIV status does not dampen the desire to have future children. There is need to evaluate the sexual, reproductive and mental health needs of PLHIV.

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Resumo: Este estudo teve como objetivo desenvolver uma medida de práticas sexuais liberais, reunindo evidências de suas propriedades psicométricas. Dois estudos foram realizados na população geral. No Estudo 1 (N = 216; Midade = 24,5; 65,7% mulheres), os participantes responderam a Escala de Práticas Sexuais Liberais e perguntas demográficas. Uma análise fatorial exploratória indicou uma estrutura unifatorial, composta por nove itens, com fidedignidade adequada. Via Teoria de Resposta ao Item se observou que estes itens contribuíram similarmente com a taxa total de informação do instrumento. No Estudo 2 (N = 220; Midade = 24,1; 68,2% mulheres), os participantes responderam adicionalmente o Questionário de Liberalismo e Conservadorismo Sexual. Uma análise fatorial confirmatória corroborou a estrutura unifatorial da EPSL que se correlacionou da maneira esperada com os fatores do QLCS (autoerotismo, pornografia, homossexualidade e sexo pré-marital). Conclui-se que a EPSL apresenta evidências psicométricas satisfatórias para mensurar as práticas sexuais liberais no contexto brasileiro.

Resumen: Este estudio ha tenido como objetivo desarrollar una medida de prácticas sexuales liberales, reuniendo evidencias de sus propiedades psicométricas. En el Estudio 1 (N=216; M edad = 24.5, 65.7% mujeres), las cuales contestaron a la Escala de Prácticas Sexuales Liberales y preguntas demográficas. Un análisis factorial exploratorio indicó una estructura unifatorial compuesta por nueve ítems. Por medio de teoría de respuesta al ítem se ha podido observar que estos ítems contribuyeron con la tasa total de información del instrumento. En el Estudio 2 (N= 220; M edad = 24.1; 68.2% mujeres), que contestaron a la EPSL, el Cuestionario de Liberalismo y Conservadurismo Sexual. Un análisis factorial confirmatorio ha corroborado la estructura de la EPSL que se ha correlacionado con los factores del CLCS (autoerotismo, pornografía, homosexualidad y sexo premarital). Se ha concluido que la EPSL, presenta siendo adecuada para uso en investigaciones sobre prácticas sexuales liberales en el contexto brasileño.

Abstract: This study aimed to develop a measure of liberal sexual practices, gathering evidence of its psychometric properties. Two studies were performed in the general population. In Study 1, the participants (N = 216; Mage = 24.5, 65.7% women) answered the Liberal Sexual Practices Scale and demographic questions. An exploratory factorial analysis indicated a one-factor solution composed by nine items, which presented adequate reliability. Through Item Response Theory, it was observed that these items contributed similarly to the total information rate of this instrument. In Study 2, the participants (N = 220; Mage = 24.1, 68.2% women) answered additionally the Liberalism and Conservatism Sexual Questionnaire. A confirmatory factor analysis corroborated the one-factor structure of the LSPS, which was correlated as expected with the LCSQ factors (autoeroticism, pornography, homosexuality, and premarital sex). In conclusion, the LSPS, presents satisfactory psychometric evidences to measure liberal sexual practices in the Brazilian context.

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Introducción: en Uyuntza, una comunidad indígena shuar de Morona Santiago, se constata un alto riesgo de adquirir enfermedades de transmisión sexual y VIH/SIDA debido al escaso conocimiento sobre este tema. Objetivo: caracterizar los conocimientos y prácticas sexuales vinculadas con el VIH/SIDA, en la Comunidad Uyuntza- Morona Santiago 2018. Métodos: grupo focal, se aplicó la metodología cualitativa, la muestra fue seleccionada por conveniencia: tres hombres y tres mujeres entre los 22 y 42 años, con vida sexual aoctiva y no diagnosticada de VIH/SIDA. Resultados: la principal fuente de información son las charlas en los sub centros de salud. El conocimiento es limitado, existe confusión entre los conceptos VIH y SIDA. Las mujeres se limitan a expresar sus conocimientos y opiniones. Las prácticas sexuales de riesgo son frecuentes en el grupo masculino, entre estas está: el inicio precoz de las relaciones sexuales, frecuentar burdeles, la promiscuidad, infidelidad y el escaso uso de preservativo. Conclusión: tanto hombres como mujeres de este estudio, tienen escaso conocimiento sobre el VIH/SIDA lo que los deja como una comunidad con alto riesgo de contagio y tienen la predisposición grupal por instruirse en el tema para evitar "esta terrible enfermedad".

Introduction: in Uyuntza, a Shuar indigenous community of Morona Santiago, there is a high risk of acquiring sexually transmitted diseases and HIV / AIDS due to the scarce knowledge on this subject. Objective: to characterize the sexual knowledge and practices related to HIV / AIDS, in the Uyuntza-Morona Santiago 2018 Community. Methods: a focus group, the qualitative methodology was applied, the sample was selected for convenience: three men and three women between 22 and 42 years, with active sexual life and not diagnosed with HIV / AIDS. Results: the main source of information is the talks in the health sub-centers. Knowledge is limited, there is confusion between the concepts HIV and AIDS. Women limit themselves to expressing their knowledge and opinions. The risky sexual practices are frequent in the male group, among these are: the early onset of sexual relations, frequenting brothels, promiscuity, infidelity and the scarce use of condoms. Conclusion: both men and women in this study, have little knowledge about HIV / AIDS which leaves them as a community with high risk of infection and have the group predisposition to be educated on the subject to avoid "this terrible disease."

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Esse estudo é integrado à pesquisa "Sexualidade e vulnerabilidade dos jovens em tempos de Infecções Sexualmente Transmissíveis", e tem como objetivo geral analisar o uso do preservativo pelos jovens universitários na perspectiva da prevenção de Infecções Sexualmente Transmissíveis (IST). E como objetivos específicos: descrever as condutas sexuais dos jovens universitários e o uso do preservativo em seus relacionamentos e compreender os aspectos motivacionais que favorecem (ou não) o uso do preservativo pelos universitários de ambos os sexos. Pesquisa descritiva, qualitativa, desenvolvida em uma universidade privada situada no município do Rio de Janeiro. Foram participantes do estudo 30 jovens, sendo 15 mulheres e 15 homens, na faixa etária de 18 a 29 anos. A coleta de dados ocorreu em três encontros com os universitários, ocasião em que foi aplicada a técnica do Grupo Focal. Para analisar os dados capturados nos grupos focais foi empregada a técnica de análise lexical com o auxílio do software Interface de R pour les Analyses Multidimensionnelles de Textes et de Questionnaires (IRAMUTEQ), que auxiliou no processo de organização dos dados. Na análise dos achados emergiram cinco classes: o uso de álcool como determinante de comportamento de risco para IST; risco de contrair IST pela multiplicidade de parcerias sexuais; o uso inadequado de preservativo associado ao risco de contrair IST; experiência de jovens que convivem com pessoas acometidas por IST e pouca informação sobre a prevenção de IST e o uso de preservativo. Os resultados denotam que os jovens, em suas práticas sexuais, preocupam-se mais com a ocorrência de uma gravidez não planejada. Acreditam que ao empregar a pílula como método contraceptivo é desnecessário utilizar o preservativo. A desinformação e inconsequência de suas atitudes pode torná-los vulneráveis para adquirir IST. Em suas descrições, deixaram transparecer a assunção de risco pelo uso abusivo de álcool e/ou drogas, a multiplicidade de parcerias sexuais e o uso descontinuado do preservativo que os expõe às IST. Conclui-se que o uso descontinuado (ou não uso) do preservativo pelos jovens universitários favorece a disseminação das IST, sendo um problema de saúde pública. A assunção de comportamentos de risco pelos jovens denota vulnerabilidade nos âmbitos individual e social. A universidade, entendida como um espaço de construção e reconstrução de saberes (e valores), concentra uma pluralidade de pessoas que compartilham hábitos de vida distintos. Algumas dessas práticas podem comprometer a saúde dos universitários, como uso/abuso de álcool e outras drogas. Espaços para estimular a reflexão dos universitários sobre a importância dos cuidados com a saúde sexual, que pudessem instrumentalizar os jovens para vivenciar a sexualidade de modo saudável, reduzindo a exposição às IST, à gravidez indesejável e a outros riscos poderiam contribuir para a redução de agravos para a saúde desse grupo.

This study is integrated into the research "Sexuality and vulnerability of young people in times of Sexually Transmitted Infections" and has the general objective of analysing the use of preservatives by young university students in the perspective of prevention of Sexually Transmitted Infections (STI). And as specific objectives: to describe the sexual conduct of young university students and the use of preservatives in their relationships and to understand the motivational aspects that favor (or not) the use of preservatives by university students of both sexes. Descriptive, qualitative research developed in a private university located in the city of Rio de Janeiro. Thirty young people, 15 women and 15 men, aged 18 to 29 years, were participants in the study. The data collection occurred in three meetings with the university students, when the Focal Group technique was applied. To analyze the captured data in the focus groups, the technique of lexical analysis was employed, using the Interface de R pour les Analyses Multidimensionnelles de Textes et de Questionnaires (IRAMUTEQ) software, which assisted in the process of data organization. In the analysis of the findings, five classes emerged: the use of alcohol as a determinant of risk behavior for STI; the risk of contracting STI by multiple sexual partnerships; improper use of preservatives is associated to the risk of contracting STI; experience of young people who cohabit with people affected by IST and little information on prevention of STI and on the use of preservatives. The results reflect that the youth, in their sexual practices, are more concerned with the occurrence of an unplanned pregnancy. They believe that when using the pill as a contraceptive method, the use of the preservative is unnecessary. The misinformation and inconsistency in their attitude can make them vulnerable to acquire STI. In their descriptions, they showed the assumption of risk by the overuse of alcohol and/or drugs, the multiplicity of sexual partnerships and the discontinued use of the preservative that exposes them to the STI. It is concluded that the discontinued use (or no use) of preservatives by young university students favors the dissemination of STI, being a public health problem. The assumption of risk behaviors by young people shows vulnerability at the individual and social levels. The university, understood as a space of construction and reconstruction of knowledge (and values), concentrates a plurality of people who share different living habits. Some of these practices may compromise the health of college students, as the use/abuse of alcohol and other drugs. Spaces to stimulate the college students' reflection about the importance of sexual health care, that could equip young people to experience sexuality in a healthy way, reducing exposure to STI, unwanted pregnancy and other risks, could contribute to the reduction of health injuries to this group.

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Resumo O objetivo deste artigo é analisar algumas questões vinculadas às práticas afetivo-sexuais do "ficar", ficar "ficando" e namorar, assinalando diferenças entre elas. Seu referencial teórico são estudos de diferentes autores das ciências humanas e sociais que abordam essa temática. O campo empírico da pesquisa são entrevistas extensas e semiestruturadas realizadas com doze jovens cariocas de 18 a 25 anos de idade. A partir da análise das entrevistas, pode-se dizer que os jovens diferenciam essas práticas em função do compromisso e envolvimento amoroso com o outro; constroem um jogo cambiante entre sensação/superficialidade e sentimento/profundidade; e, muitas vezes, colocam o outro no lugar de meio de acesso à autossatisfação. As formas como os jovens constroem e vivenciam seus relacionamentos amorosos contribuem para o desenvolvimento de um campo amoroso cada vez mais instável e complexo.

Resumen El objetivo de este artículo es analizar algunas cuestiones vinculadas a las practicas afectivo-sexuales del "quedar", quedar "quedando" y "tener una relación" marcando diferencias entre ellas. Toma como referencia estudios de diferentes autores de las ciencias humanas y sociales que abordan esta temática. El campo empírico de investigación son entrevistas extensas y semi-estructuradas realizadas con doce jóvenes de Rio de Janeiro de 18 a 25 años de edad. Del análisis de las entrevistas podemos decir que los jóvenes diferencian esas prácticas en función del compromiso y relación romántica con el otro; desarrollan un juego cambiante entre sensación/superficialidad y sentimiento/profundidad; y, muchas veces, ponen el otro en el lugar de medio de acceso a la autosatisfacción. Las formas como los jóvenes construyen y experimentan sus relaciones amorosas contribuyen al desarrollo de un campo amoroso cada vez más inestable y complejo.

Abstract The objective of this article is to analyze questions related to the sexual-affective practices of "hooking up", "seeing each other" and starting relationships, noting its differences. The work draws from various theoretical studies addressing this issue by other authors in human and social sciences. The empirical data are comprised by extensive semi-structured interviews with twelve youths between the ages of 18 and 25 living in Rio de Janeiro. The research shows how young people distinguish these practices in terms of romantic commitment and involvement with others; how they construct a game of variables distinguishing sensation/superficiality and feeling/profundity; and how they often see others as a means of accessing self-satisfaction. The forms by which young people build and live out their romantic relationships contribute to the development of a romantic field that is increasingly unstable and complex.

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Resumo O objetivo deste artigo é analisar algumas questões vinculadas às práticas afetivo-sexuais do "ficar", ficar "ficando" e namorar, assinalando diferenças entre elas. Seu referencial teórico são estudos de diferentes autores das ciências humanas e sociais que abordam essa temática. O campo empírico da pesquisa são entrevistas extensas e semiestruturadas realizadas com doze jovens cariocas de 18 a 25 anos de idade. A partir da análise das entrevistas, pode-se dizer que os jovens diferenciam essas práticas em função do compromisso e envolvimento amoroso com o outro; constroem um jogo cambiante entre sensação/superficialidade e sentimento/profundidade; e, muitas vezes, colocam o outro no lugar de meio de acesso à autossatisfação. As formas como os jovens constroem e vivenciam seus relacionamentos amorosos contribuem para o desenvolvimento de um campo amoroso cada vez mais instável e complexo.

Resumen El objetivo de este artículo es analizar algunas cuestiones vinculadas a las practicas afectivo-sexuales del "quedar", quedar "quedando" y "tener una relación" marcando diferencias entre ellas. Toma como referencia estudios de diferentes autores de las ciencias humanas y sociales que abordan esta temática. El campo empírico de investigación son entrevistas extensas y semi-estructuradas realizadas con doce jóvenes de Rio de Janeiro de 18 a 25 años de edad. Del análisis de las entrevistas podemos decir que los jóvenes diferencian esas prácticas en función del compromiso y relación romántica con el otro; desarrollan un juego cambiante entre sensación/superficialidad y sentimiento/profundidad; y, muchas veces, ponen el otro en el lugar de medio de acceso a la autosatisfacción. Las formas como los jóvenes construyen y experimentan sus relaciones amorosas contribuyen al desarrollo de un campo amoroso cada vez más inestable y complejo.

Abstract The objective of this article is to analyze questions related to the sexual-affective practices of "hooking up", "seeing each other" and starting relationships, noting its differences. The work draws from various theoretical studies addressing this issue by other authors in human and social sciences. The empirical data are comprised by extensive semi-structured interviews with twelve youths between the ages of 18 and 25 living in Rio de Janeiro. The research shows how young people distinguish these practices in terms of romantic commitment and involvement with others; how they construct a game of variables distinguishing sensation/superficiality and feeling/profundity; and how they often see others as a means of accessing self-satisfaction. The forms by which young people build and live out their romantic relationships contribute to the development of a romantic field that is increasingly unstable and complex.

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Resumen: Objetivo Comprender la iniciación sexual en mujeres con prácticas homoeróticas en cuatro ciudades del Eje Cafetero Colombiano. Métodos . Una encuesta biográfica fue aplicada en 2012 a 308 mujeres haciendo uso de las técnicas de RDS (Respondent Driven Sampling) y bola de nieve. Resultados . El 83,7% de las mujeres manifestó sentir atracción por otra mujer antes de los 18 años; un 67.5% había tenido en su curso biográfico relaciones sexuales con hombres y con mujeres. Las mujeres mayores de 40 años tardaron más tiempo en reconocer su atracción homoerótica y presentan altos porcentajes de iniciación heterosexual (79,6%), previa a la homosexual. Conclusiones. El debut sexual entre mujeres presenta diferencias entre cohortes, notándose una aceleración del evento entre las jóvenes y una cada vez mayor iniciación sexual con personas del mismo sexo. Los hallazgos confirman que en la construcción del deseo se imbrican, de manera problemática, la homosexualidad y la heterosexualidad.

Resumo: O objetivo do estudo foi compreender a iniciação sexual em mulheres com práticas sexuais homoeróticas em quatro cidades na região cafeeira da Colômbia. Foi aplicado um levantamento biográfico, em 2012, a 308 mulheres usando técnicas RDS (Respondent Driven Sampling) e bola de neve. Para a análise das informações foram definidos coortes de nascimentos. 83,7% das mulheres relataram se sentirem atraídas por outra mulher antes dos 18 anos, 67,5% tiveram sexo com homens e mulheres no seu curso biográfico. Mulheres com mais de 40 anos de idade levaram mais tempo para reconhecer a sua atração homossexual e têm altas taxas de iniciação heterossexual (79,6%), pré-homossexual. Os resultados indicam que a iniciação sexual entre as mulheres apresenta diferenças entre coortes, observando-se uma aceleração do evento entre jovens e um crescimento na iniciação sexual com pessoas do mesmo sexo. Os resultados confirmam que na construção do desejo se sobrepõem problematicamente homossexualidade e heterossexualidade.

Abstract: Objective . The aim of the study was to understand sexual initiation in women who have sex with women in four cities of the Colombian Coffee triangle. Methods . A biographical survey was applied in 2012 to 308 women using the RDS (Respondent Driven Sampling) and snowball techniques. For information analysis birth cohorts were defined. Results . 83.7% of women said they felt attracted to another woman before the age of 18; 67.5% had had sex with men and women in their biographical course. Women over age 40 took longer to recognize their homosexual attraction and have high rates of heterosexual initiation (79.6%), before homosexual practices. Conclusions . The results indicate that sexual initiation among women are differences between cohorts, with a notable acceleration of the event among young people and a growing sexual initiation with people of the same sex. The findings confirm that the fields of homosexuality and heterosexuality overlap problematically in the construction of desire.

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Embasado em pesquisa etnográfica, o artigo reflete sobre posições identitárias de homens que comercializam prazeres sexuais nas ruas do centro do Recife. O ânus surge como símbolo maior da masculinidade dos varões do mercado do sexo. A partir de seu uso como mercadoria, diversificam-se as posições identitárias: boys ativos (nunca disponibilizam), boys bicha (facilmente disponibilizam) e boys flex (negociam seu preço). Bem raro, pois seu uso como fonte de prazer desonra o homem, ele se torna símbolo de poder e subjugação nas relações que se estabelecem no mercado do sexo; sinalizador de virilidade e de mais-valia.

Basado en una investigación etnográfica, el artículo reflexiona sobre las posiciones de identidad de los hombres que comercializan placeres sexuales en las calles del centro de Recife. El ano aparece como un símbolo importante para la masculinidad de los varones en el mercado sexual. Existe una clasificación que toma como criterio el uso del ano como mercadería sexual: boys ativos (nunca ofertan), boys pasivos (siempre ofertan) y boys flex (negocian su precio). Aunque parezca paradójico, pues su uso como fuente de placer deshonra al hombre, mas el ano se convierte en un símbolo de poder y sometimiento en las relaciones que se establecen en el comercio sexual; marcador de virilidad y de mayor valor.

Grounded in ethnographic research, the paper reflects on identity positions of men who sell sexual pleasures in the streets of downtown Recife. The anus appears as the major symbol of masculinity of men on the sex market. They are classified by the availability of their anus on the sex market: boys ativos (not available), boys bicha (easily available) and boys flex (price negotiable). Rare commodity, because of its use as source of pleasure to dishonor man, it becomes a symbol of power and subjugation in the relations established on the sex market; a marker of manliness and "more value".

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ResumoEmbasado em pesquisa etnográfica, o artigo reflete sobre posições identitárias de homens que comercializam prazeres sexuais nas ruas do centro do Recife. O ânus surge como símbolo maior da masculinidade dos varões do mercado do sexo. A partir de seu uso como mercadoria, diversificam-se as posições identitárias: boys ativos (nunca disponibilizam), boys bicha (facilmente disponibilizam) e boys flex (negociam seu preço). Bem raro, pois seu uso como fonte de prazer desonra o homem, ele se torna símbolo de poder e subjugação nas relações que se estabelecem no mercado do sexo; sinalizador de virilidade e de mais-valia.(AU)

ResumenBasado en una investigación etnográfica, el artículo reflexiona sobre las posiciones de identidad de los hombres que comercializan placeres sexuales en las calles del centro de Recife. El ano aparece como un símbolo importante para la masculinidad de los varones en el mercado sexual. Existe una clasificación que toma como criterio el uso del ano como mercadería sexual: boys ativos (nunca ofertan), boys pasivos (siempre ofertan) y boys flex (negocian su precio). Aunque parezca paradójico, pues su uso como fuente de placer deshonra al hombre, mas el ano se convierte en un símbolo de poder y sometimiento en las relaciones que se establecen en el comercio sexual; marcador de virilidad y de mayor valor.(AU)

AbstractGrounded in ethnographic research, the paper reflects on identity positions of men who sell sexual pleasures in the streets of downtown Recife. The anus appears as the major symbol of masculinity of men on the sex market. They are classified by the availability of their anus on the sex market: boys ativos (not available), boys bicha (easily available) and boys flex (price negotiable). Rare commodity, because of its use as source of pleasure to dishonor man, it becomes a symbol of power and subjugation in the relations established on the sex market; a marker of manliness and "more value".(AU)

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Estudo descritivo, quantitativo realizado com informações do banco de dados da pesquisa Avaliando o conhecimento, as práticas e crenças dos estudantes universitários em relação às doenças sexualmente transmissíveis, com objetivo de identificar as práticas sexuais dos graduandos de enfermagem, a vulnerabilidade e as condutas adotadas para a prevenção dessas doenças. A pesquisa foi desenvolvida, em 2013/2014, em uma universidade pública, no município do Rio de Janeiro, com estudantes de graduação em enfermagem, que responderam a um questionário. Para compor esta investigação, extraiu-se uma amostra de 89 participantes. Os resultados indicam que os jovens não adotam o uso do preservativo de forma contínua, tornando-se vulneráveis às doenças sexualmente transmissíveis. Ações que contribuam na educação para a saúde dos jovens, com estímulo à adoção de práticas sexuais seguras, favorecem a prevenção da ocorrência de doenças sexualmente transmissíveis e devem ser intensificadas.

This quantitative, descriptive study drew on the database of the research Evaluating university students' knowledge, practices and beliefs in relation to sexually transmitted diseases in order to identify the sexual practices of nursing undergraduates, their vulnerability to STDs, and the attitudes and practices they deploy to prevent them. A questionnaire was applied to a sample of 89 undergraduate nursing students at a public university Rio de Janeiro City in 2013-2014. The results showed that these young people's use of condoms is not continuous, making them vulnerable to contracting sexually transmitted diseases. Actions that contribute to these young people's health education, including encouragement for their adopting safe sex practices, help to prevent the occurrence of sexually transmitted diseases and should be promoted.

Estudio descriptivo y cuantitativo realizado con material almacenado en los bancos de datos de la investigación Evaluando el conocimiento, las prácticas y creencias de los estudiantes universitarios en relación con las enfermedades de transmisión sexual, con el objetivo de identificar las prácticas sexuales de los estudiantes de enfermería, la vulnerabilidad y las prácticas adoptadas por los estudiantes para la prevención de esas enfermedades. Fue realizado, en 2013/2014, en una universidad pública, en la ciudad de Río de Janeiro junto a estudiantes de enfermería que respondieron a un cuestionario. Para componer esta investigación se extrajo uma muestra de 89 participantes. Los resultados evidencian que los jóvenes no adoptan el uso de condones de forma continua, lo que los vuelve vulnerables a las enfermedades de transmisión sexual. Acciones que contribuyan a la educación en la salud de los jóvenes, con incentivos a la adopción de prácticas sexuales seguras favorecen la prevención de la ocurrencia de enfermedades de transmisión sexual y deben ser estimuladas.

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Background: To analyse knowledge, attitudes and sexual practices on HIV/AIDS, and estimate HIV prevalence among residents of Sucre (Bolivia).Methodology: Population-based survey of residents aged 15-49 randomly selected during 2008/2009. Blood samples were collected on Whatman-filter paper and tested with enzyme-linked immunosorbent assay. Knowledge on HIV/AIDS, sexual risk practices and discriminatory attitudes against people living with HIV/AIDS (PLWHA) were modelled with multiple logistic regression.Results: Of 1499 subjects, 59% were women. All subjects were HIV-negative. Inadequate knowledge of HIV/AIDS transmission and prevention was observed in 67% and risk factors varied by gender (interaction p-value < 0.05). Discriminatory attitudes were displayed by 85% subjects; associated factors were: rural residence, low educational level and low income. Unsafe sex was reported by 10%; risk factors varied by residence area (interaction p-value < 0.05). In urban areas, risk factors were male sex, younger age and being in common-law union.Conclusions: Prevalence of HIV infection is very low and unsafe sex is relatively uncommon. Inadequate knowledge on HIV/AIDS and discriminatory attitudes towards PLWHA are extremely high and are associated to gender, ethnic and economic inequalities.

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BACKGROUND: To analyse knowledge, attitudes and sexual practices on HIV/AIDS, and estimate HIV prevalence among residents of Sucre (Bolivia). METHODOLOGY: Population-based survey of residents aged 15-49 randomly selected during 2008/2009. Blood samples were collected on Whatman-filter paper and tested with enzyme-linked immunosorbent assay. Knowledge on HIV/AIDS, sexual risk practices and discriminatory attitudes against people living with HIV/AIDS (PLWHA) were modelled with multiple logistic regression. RESULTS: Of 1499 subjects, 59% were women. All subjects were HIV-negative. Inadequate knowledge of HIV/AIDS transmission and prevention was observed in 67% and risk factors varied by gender (interaction p-value<0.05). Discriminatory attitudes were displayed by 85% subjects; associated factors were: rural residence, low educational level and low income. Unsafe sex was reported by 10%; risk factors varied by residence area (interaction p-value<0.05). In urban areas, risk factors were male sex, younger age and being in common-law union. CONCLUSIONS: Prevalence of HIV infection is very low and unsafe sex is relatively uncommon. Inadequate knowledge on HIV/AIDS and discriminatory attitudes towards PLWHA are extremely high and are associated to gender, ethnic and economic inequalities.

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En este artículo de revisión se analizan diversos estudios sobre las conductas y prácticas sexuales de riesgo, con la finalidad de entablar una reflexión de los principales hallazgos a la luz de la perspectiva de género. A partir de allí se establecen los puntos de divergencia y convergencia de las investigaciones y se da lugar a un diálogo reflexivo que sugiere el reconocimiento de las relaciones de poder constituidas social e históricamente, su impacto en la realidad social y las relaciones entre hombres y mujeres contemporáneos. Finalmente, en las conclusiones se exponen argumentos que reflejan significados atribuidos a la feminidad, la masculinidad, el cuerpo y la sexualidad, cuestiones que evidencian la necesidad de redireccionar el planteamiento de los programas de intervención que promuevan la salud sexual y reproductiva de los jóvenes.

This article presents the revision and analysis of several studies that address the categories behaviors and unsafe sex to engage in a reflec-tion of the main findings under the gender perspective. On this basis, points of divergence and convergence of research were established, leading to a reflective dialogue that suggests the recognition of social and historically constituted power relations, their impact on social reality and the relationship between contemporary men and women. Finally conclusions are presented reflecting meanings attributed to femininity, masculinity, body and sexuality, which is exposed as an invitation to consider the approach to address intervention programs that promote health and reproductive rights of young people.

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INTRODUCTION: Despite the wealth of literature addressing sexual practices and condom use among men and women, very little data are available among Hispanic/Latino populations and in the Caribbean Region. This study adds to the existing literature on sexual practices and condom use in Puerto Rico (PR) and provides comparisons based on sex given the need for more current information on the sexual characteristics and condom use rates among understudied populations. AIM: The aim of this study was to assess the rates of sexual practices and condom use among adults, aged 21-49, in PR. METHODS: We report the prevalence of lifetime and recent (past 3 months) sexual practices by sex, as event-level condom use rates, and condom familiarity and accessibility in an online-based sample of adult men and women in PR. MAIN OUTCOME MEASURES: The main variables assessed include sociodemographic characteristics, solo and partnered sexual practices, and condom use frequencies, as well as familiarity and accessibility to male and female condoms. RESULTS: Overall, 93% of the sample reported having been sexually active (engaged in oral, vaginal, and/or anal sex) in their lifetime and 78% reported sexual practices in the past 3 months. As in other studies Hispanic/Latino populations, reported rates of anal intercourse (AI) among both men and women were relatively high. Overall, a greater proportion of men reported condom use during all sexual practices (41% vaginal intercourse (VI); 65% receptive AI; 46% insertive AI) than women (22% VI; 18% AI). CONCLUSIONS: These findings provide current sexual practice and condom use frequency rates that can aid in the understanding of the particular sexual health needs of Hispanic/Latino populations as well as of other groups in the Caribbean. It also serves for the development of future studies and sexual health promotion programs, including comprehensive sexual health care.

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