OBJECTIVES:To investigate whether the presence of persistent self-reported oral lesions (PSOLs) is associated with sexual behaviors and with the presence of sexually transmitted infections (STIs) in individuals aged 16-25 years in the state capitals of Brazil. MATERIALS AND METHODS:Data from the POP-Brazil study were analyzed. An association analysis was performed by Poisson regression with the presence of PSOLs as the outcome. The exposure variables were the age at first sexual intercourse, the number of partners, oral sex practice, and aspects of condom use for model 1, and the presence of a self-reported STI or a positive rapid test for HIV/syphilis and the presence of genital human papillomavirus (HPV) for model 2. The results were adjusted for socioeconomic variables. RESULTS:The prevalence of PSOLs was 76% higher among individuals who had two or more sexual partners in the past year (p = 0.046) and 68% higher in those who reported not using condoms for contraception (p = 0.032). The group with HIV/syphilis or self-reported STI had a 140% higher PSOL prevalence (p = 0.003). CONCLUSIONS:The self-report of oral lesions in adolescents and young adults may suggest risky sexual behavior and the presence of STI. CLINICAL RELEVANCE:It is necessary to contextualize the reality of the young person to optimize oral health care.

译文

目的:调查在巴西州首府16-25岁的人群中,是否存在持续自我报告的口腔损伤(PSOL)与性行为以及性传播感染(STI)是否相关。
材料与方法:对来自POP-巴西研究的数据进行了分析。通过Poisson回归进行关联分析,并以PSOLs作为结果。暴露变量包括第一次性交的年龄,伴侣的数量,口交行为以及模型1使用安全套的方面,是否存在自我报告的性传播感染或对HIV /梅毒的快速快速检测以及是否存在模型2的生殖器人类乳头瘤病毒(HPV)的检测结果。根据社会经济变量对结果进行了调整。
结果:在过去的一年中,有两个或更多性伴侣的人中PSOLs的患病率高76%(p = 0.046),而那些不使用避孕套进行避孕的人(p = 0.032)则高68%。 HIV /梅毒或自我报告的STI组的PSOL患病率高140%(p = 0.003)。
结论:青少年和青年人口腔损伤的自我报告可能提示危险的性行为和性传播感染的存在。
临床相关性:有必要根据年轻人的实际情况,以优化口腔保健。

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