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Metas de Enfermería

Metas de Enfermería

FEBRERO 2019 N° 1 Volumen 22

Evaluation before and after the intervention on the knowledge by adolescents about sexually transmitted infections

Section: Originals

How to quote

Raya Tena A, García Hernández D, Blázquez Gómez C, Martínez Blanco P, Tierz Bartolomé N, Fernández San Martín MI. Evaluación pre-post intervención de los conocimientos de infecciones de transmisión sexual en adolescentes. Metas Enferm feb 2019; 22(1):5-13.

Authors

Antonia Raya Tena1, David García Hernández2, Celia Blázquez Gómez3, Pelayo Martínez Blanco4, Natalia Tierz Bartolomé3, Mª Isabel Fernández San Martín5

Position

1Máster en Salud Pública. Equipo de Atención Primaria Dr. Lluís Sayé. Instituto Catalán de la Salud. Gerencia Territorial de Barcelona 2Especialista en Medicina familiar y comunitaria. Equipo de Atención Primaria Dr. Lluís Sayé. Instituto Catalán de la Salud. Gerencia Territorial de Barcelona3Especialista en Enfermería familiar y comunitaria. Equipo de Atención Primaria Dr. Lluís Sayé. Instituto Catalán de la Salud. Gerencia Territorial de Barcelona4Residente de Medicina familiar y comunitaria. Equipo de Atención Primaria Dr. Lluís Sayé. Instituto Catalán de la Salud.Gerencia Territorial de Barcelona 5Doctora en Medicina preventiva y salud pública. Unidad docente Multidisciplinar de Barcelona ciudad. Instituto Catalán de la Salud. Gerencia Territorial de Barcelona

Contact address

Antonia Raya Tena. C/ Pujades, 218-220. 08005 Barcelona.

Contact email: arayat.bcn.ics@gencat.cat

Abstract

Objective: to evaluate the impact of an intervention on the knowledge about sexually transmitted infections (STIs) and the healthcare services available among adolescents attending school in the Raval Nord neighborhood (Barcelona).
Method: a quasi-experimental study before and after the intervention in adolescents >14-year-old attending 3rd and 4th term of Secondary School and 1st and 2nd term of High School in three centres. Variables: sociodemographical, risk behaviours (11 items with answer through the 0-10 Likert Scale), use of condoms, initiation of sexual relationships, use of alcohol and other drugs, knowledge of healthcare services and of STIs. An intervention with three educational units: risk behaviours and ways of infection; symptoms, knowledge and treatment of STIs; use of healthcare services. Data treatment and analysis: Chi Square and Mann Whitney’s U for bivariate analysis with sociodemographical variables. Confidence intervals were calculated at 95% safety (CI95%).
Results: the study included 211 adolescents: 56.8% were female, with 15.4 years as mean age. Of these, 79.6% came from outside Europe, 30.3% had initiated sexual relationships, and 32.4% always used condoms; 61.0% of them never associated alcohol or other drugs with their relationship. HIV was the most widely known STI (59.8%). Men had a lower perception of risk than women. After the intervention, there was an increase in their overall perception of risk, as well as in their knowledge of healthcare services and STIs.
Conclusions: there is lack of knowledge among adolescents about STIs. After the intervention, there was an improvement in their knowledge of STIs and healthcare services, as well as in their perception of risk.

Keywords:

adolescents; sexually transmitted infections; Primary healthcare; Sexual Health; health education

Versión en Español

Título:

Evaluación pre-post intervención de los conocimientos de infecciones de transmisión sexual en adolescentes

Artículo completo no disponible en este idioma / Full article is not available in this language

Bibliography

  1. Centre d’ Estudis Epidemiològics sobre les ITS i Sida de Catalunya (CEEISCAT). Vigilància epidemiològica de les infeccions de transmissió sexual a Catalunya [internet]. Badalona: CEEISCAT; 2015 [citado 8 dic 2018]. Disponible en: http://canalsalut.gencat.cat/web/.content/Documents/anual_ITS.pdf
  2. Kirby D, Laris B, Rolleri L. Sex and educations programs: Their impact on sexual behaviors of joung people throughout the worl. J Adolescents Health 2007; 40:206-17
  3. Generalitat de Catalunya. Departament de Salut. Actuacions preventives a l’adolescència. Guia per a l’Atenció primaria de Salut. Barcelona: Generalitat de Catalunya; 2004.
  4. Calatrava M, López-Del Burgo C, De Irala J. Factores de riesgo relacionados con la salud sexual en los jóvenes europeos. Rev Medicina Clin. 2012; 138(12):534-40.
  5. Silva-Fhon J, Andrade-Iraola K, Palacios-Vallejos E, Rojas-Huayta V, Mendoça-Júnior J. Nivel de conocimientos y comportamientos de riesgo relacionados con infecciones de transmisión sexual entre adolescentes mujeres. Rev Enfermeria Universitaria 2014; 11(4):139-44.
  6. Picot J, Shepherd J, Kavanagh J, Cooper K, Harden A, Barnett-Page E, et al. Behavioural interventions for the prevention of sexually transmitted infections in young people aged 13-19 years: a systematic review. HealthEduc Res. 2012 Jun; 27(3):495-512.
  7. Agència de Salut Pública de Barcelona (ASPB). Estadístiques de Salut. Morbilitat per a malalties de declaración obligatòria a Barcelona ciutat [internet]. Barcelona: ASPB; 2013 [citado 8 dic 2018]. Disponible en: http://www.aspb.cat/quefem/docs/Morbiditat
  8. Generalitat de Catalunya. Departament de Salut. Programa Salut i Escola [internet]. Barcelona: Generalitat de Catalunya; 2008 [citado 8 dic 2018]. Disponible en: http://salutpublica.gencat.cat/web/.content/minisite/aspcat/promocio_salut/infancia-i-adolescencia/03salut-i-escola/guia-implementacio-salutescola.pdf
  9. Jane Checa M, Amorós Martí P, Molina Garuz C, Vidal Benedé J, Mateu i Serra A. Pla de Salut afectiva i sexual (PSAS): promoció i prevenció en la infancia i adolescencia [internet]. Barcelona: ASPB. Departament de Salut; 2013 [citado 8 dic 2018]. Disponible en: https://scientiasalut.gencat.cat/handle/11351/1277
  10. Info ICS. L’ICS crea una comissió de referents territorials d’infeccions de transmissió sexual de l’atenció primària. ICS: InstitutCatalà de la Salut. InfoICS; 2014 [citado 8 dic 2018]. Disponible en: https://infoicscat.wordpress.com/2014/07/30/lics-crea-una-comissio-de-referents-territorials-dinfeccions-de-transmissio-sexual-de-latencio-primaria/
  11. Generalitat de Catalunya. Departament de Salut. Proposta de Pla de Salut de Catalunya 2016-2020 [internet]. Barcelona: Direcció General de Planificació i Recerca de Salut [citado 8 dic 2018]. Disponible en: http://salutweb.gencat.cat/ca/el_departament/Pla_salut/pla-de-salut-2016-2020/
  12. Espada JP, Guillen-Riquelme A, Morales A, Orgilés M, Sierra JC. Validación de una escala de conocimientos sobre el VIH y otras infecciones de transmisión sexual en población adolescente. Aten Primaria 2014; 46(10): 558-64.
  13. CDC, USAID. Reproductive Health Assessment Toolkit for Conflict-Affected Women [internet] 2007. [cited 8 dec 2018]. Available from: https://www.unscn.org/web/archives_resources/files/ToolkitforConflictAffectedWomen.pdf
  14. Schenk K, Williamson J. Ethical approaches to gathering information from children and adolescents in international settings: guidelines and resources, population council, 2005 [internet]. [cited 8 dec 2018]. Available from: http://www.popcouncil.org/pdfs/horizons/childrenethics.pdf
  15. Instituto de Estadística de Cataluña. 2017 [sede web]. [citado 8 dic 2018]. Disponible en: https://idescat.cat
  16. Oficina Regional para Europa de la Organización Mundial de la Salud y la Organización Alemana BZgA, Centre Federal de Eduación para la salud sita en la ciutat de Colonia. Estándares de Educación sexual en Europa: Marco para las personas encargadas de formular políticas educativas, responsables y especialistas de salud (versión traducida al español por Madrid salud). Centro Federal de Educación para la Salud 2010; 11-80.
  17. Picot J, Shepherd J, Kavanagh J, Cooper K, Harden A, Barnett-Page E, et al. Behavioural interventions for the prevention of sexually transmitted infections in young people aged 13-19 years: a systematic review. HealthEduc Res. 2012 Jun; 27(3):495-512.
  18. Serowoky M, George N, Yarandi H. Using the program logic model to evaluate ¡Cuídate!: A sexual health program for latino adolescents in a school-based health center. Worldviews Evid Based Nurs. 2015; 12(5):297-305.
  19. Lee YM, Florez E, Holm K, Horwitz J, Waters R. Latino adolescents perspectives toward sexually transmitted infection educational programs. Int J Nurs Knowl. 2016 Jan; 27(1):17-23.
  20. Espada J, Morales A, Orgilés M, Jemmott J. Short-term evaluation of a skill-development sexual education program for Spanish adolescents compared with a well-established program. J Adolesc Health. 2015; 56(1):30-7.
  21. Golsberry J, Moore L, MacMillan D, Butler S. Assessing the effects of a sexually transmitted disease educational intervention on fraternity and sorority members knowledge and attitudes toward safe sex behaviors. J Am Assoc Nurse Pract. 2016; 28(4):188-95.
  22. Gámez Y, Bou Y, Meriño N, Valdespino M, Hechavarria M. Intervención educativa sobre infecciones de transmisión sexual en adolescentes. Rev. Inf. Cient. [internet]. 2015 [citado 8 dic 2018]; 91(3). Disponible en: http://www.revinfcientifica.sld.cu/index.php/ric/article/view/225/1340
  23. Kalamar A, Bayer A, Hindin M. Interventions to prevent sexually transmitted infections, including VIH, among young people in low-and middle-income countries: a systematic review of the published and gray literature. Journal of Adolescent Health 2016; 56:522-31.
  24. Shepherd J, Harder A, Barnett-Page E, Kavanagh J, Picot J, Frampton GK, et al. Using process data to understand outcomes in sexual health promotion: a example from a review of school-based programmes to prevent sexually transmitted infections. Health Educ Res. 2014; 29(4): 566-82.
  25. O’Connor EA, Lin JS, Burda BU, Henderson JT, Walsh ES, Whitlock EP. Behavioral sexual risk-reduction counseling in Primary Care to prevent sexually transmitted infections: a systematic review for the US, preventive services Task Force. Ann Intern Med. 2014; 61:874-83.
  26. Dalfó A, Dalfó E, Pelegrina FJ, Rosell J. The important role of nursing in primary care exploring knowledge about human immunodeficiency virus and other sexually transmitted diseases in adolescents. J Adolesc Health. 2015 Jun; 56(6):681-2.
  27. Villegas N, Santiesteban D, Cianelli R, Ferrer L, Ambrosia T, Peragallo N. Pilot testing an intgernet-based STI and VIH prevention intervention with Chilean women. J Nurs Scholars. 2015; 47(2):106-60.