Título:	Prevalence of sexually transmissible infections in adolescents treated in a family planning outpatient clinic for adolescents in the western Amazon
Autor(es):	Monteiro, Ida Peréa Azzi, Camila Flávia Gomes Bilibio, João Paolo Monteiro, Pedro Sadi Braga, Giordana Campos Araújo, Nadjar Nitz Silva Lociks de
ORCID:	https://orcid.org/0000-0003-4755-170X https://orcid.org/0000-0002-0719-056X https://orcid.org/0000-0001-7820-0027
Afiliação do autor:	Municipal Health Department, Mãe Esperança Municipal Maternity, Porto Velho, Rondônia, Brazil, Central Laboratory of Public Health of Rondônia, Molecular Biology Laboratory, Porto Velho Centro Universitário de Brusque–UNIFEBE, Faculty of Medicine University of Brasilia, Department of Nursing University of São Paulo, Ribeirão Preto Medical School, Department of Social Medicine, University of Brasília, Faculty of Medicine, Interdisciplinary Laboratory of Biosciences
Assunto:	Infecções Sexualmente Transmissíveis (IST) Adolescentes Amazônia
Data de publicação:	23-Jun-2023
Editora:	Plos
Referência:	MONTEIRO, Ida Peréa et al. Prevalence of sexually transmissible infections in adolescents treated in a family planning outpatient clinic for adolescents in the western Amazon. PLoS ONE, [S. l.], v. 18, n. 6, e0287633, 2023. DOI: https://doi.org/10.1371/journal.pone.0287633. Disponível em: https://journals.plos.org/plosone/article?id=10.1371/journal.pone.0287633
Abstract:	Sexually transmitted infections (STIs) are among the most common public health problems worldwide, especially among adolescents and young adults, who account for almost 50% of all STI patients. Studies on the subject in the western Amazon are limited. This study aimed to evaluate the prevalence of STIs (chlamydia, gonorrhea, trichomoniasis, herpes simplex virus, syphilis, human immunodeficiency virus [HIV], hepatitis B, and hepatitis C) in adolescents treated at a family planning outpatient clinic in the western Amazon: Porto Velho, Rondônia, Brazil. A total of 196 adolescents were enrolled. During the gynecological examination, endocervical samples were collected to test for four STIs (chlamydia, gonorrhea, trichomoniasis, and herpes simplex virus), and blood samples were collected for the detection of HIV, syphilis, and hepatitis B and C. The mean age was 17.3 ± 1.5 years, the age at sexarche was 14.4 ± 1.6 years, and 54.6% of participants had their first sexual intercourse at 14 years or younger. Only 1.0% of the adolescents used condoms in all sexual relations, and 19.9% had casual partner(s) in the last year. In the evaluation of prevalence, we found that 32% of the adolescents had at least one STI, with the most prevalent being chlamydia (23%), followed by trichomoniasis (5.6%), herpes simplex (4.6%), and gonorrhea (3.1%). No positive cases of hepatitis B, hepatitis C, or HIV were detected, but 1% of the adolescents tested positive for syphilis. These indicators will support more effective health care strategies aimed at improving the quality of life of populations in this region of the western Amazon. In conclusion, our findings demonstrated high rates of STIs in the studied patients, reinforcing the need to expand epidemiological studies to implement more appropriate public policies and intervention strategies to prevent STIs in adolescents and other vulnerable populations in the western Amazon.
Unidade Acadêmica:	Faculdade de Ciências da Saúde (FS) Departamento de Enfermagem (FS ENF) Faculdade de Medicina (FM)
Licença:	© 2023 Monteiro et al. This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited
DOI:	https://doi.org/10.1371/journal.pone.0287633
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