Knowledge of women who have sex with women about Sexually Transmitted Infections and AIDS

Parenti, Ana Beatriz Henrique; Ignácio, Mariana Alice de Oliveira; Buesso, Thayná Santos; Almeida, Margareth Aparecida Santini de; Parada, Cristina Maria Garcia de Lima; Duarte, Marli Teresinha Cassamassimo

doi:10.1590/1413-81232023281.09882022EN

Ana Beatriz Henrique Parenti

conception

planning/design

data collection and interpretation

article writing and review

approval of final version

article formatting

Departamento de Enfermagem, Faculdade de Medicina, Universidade Estadual Paulista (Unesp). Av. Prof. Mário Rubens Guimarães Montenegro s/n, Campus de Botucatu. 18618-687 Botucatu SP Brasil. a.parenti@unesp.br

https://orcid.org/0000-0002-4165-9800

Mariana Alice de Oliveira Ignácio

data collection and interpretation

article writing

critical review

approval of final version

Departamento de Enfermagem, Faculdade de Medicina, Universidade Estadual Paulista (Unesp). Av. Prof. Mário Rubens Guimarães Montenegro s/n, Campus de Botucatu. 18618-687 Botucatu SP Brasil. a.parenti@unesp.br

https://orcid.org/0000-0002-3209-035X

Thayná Santos Buesso

data collection

approval of final version

Departamento de Enfermagem, Faculdade de Medicina, Universidade Estadual Paulista (Unesp). Av. Prof. Mário Rubens Guimarães Montenegro s/n, Campus de Botucatu. 18618-687 Botucatu SP Brasil. a.parenti@unesp.br

https://orcid.org/0000-0002-9987-4087

Margareth Aparecida Santini de Almeida

conception

data interpretation

critical article review

approval of the final version

Departamento de Saúde Pública, Faculdade de Medicina, Unesp. Botucatu SP Brasil.

https://orcid.org/0000-0002-4603-2513

Cristina Maria Garcia de Lima Parada

data interpretation

critical article review

approval of the final version

Departamento de Enfermagem, Faculdade de Medicina, Universidade Estadual Paulista (Unesp). Av. Prof. Mário Rubens Guimarães Montenegro s/n, Campus de Botucatu. 18618-687 Botucatu SP Brasil. a.parenti@unesp.br

https://orcid.org/0000-0002-9597-3635

Marli Teresinha Cassamassimo Duarte

conception

planning/design

data interpretation

writing of the article and review

approval of the final version

Departamento de Enfermagem, Faculdade de Medicina, Universidade Estadual Paulista (Unesp). Av. Prof. Mário Rubens Guimarães Montenegro s/n, Campus de Botucatu. 18618-687 Botucatu SP Brasil. a.parenti@unesp.br

https://orcid.org/0000-0001-9582-2944

Chief editors:

Romeu Gomes, Antônio Augusto Moura da Silva

Variables		WSW (n=81)		WSM (n=179)		Total (n=260)
Variables		n	%	n	%	n	%
Age
	18-21	18	22.2	31	17.3	49	18.8
	22-29	39	48.1	74	41.3	113	43.5
	≥30	24	29.7	74	41.3	98	37.7
Skin color
	White	62	76.5	139	77.7	201	77.3
	Non-white	19	23.5	40	22.3	59	22.7
Education
	≤11 years	9	11.1	26	14.5	35	13.5
	≥12 years	72	88.9	153	85.5	225	86.5
Marital status
	Together	20	24.7	39	21.8	59	22.3
	Not together	61	75.3	140	78.2	201	77.3
Religion		43	53.1	128	71,5	171	65.8
Gainful occupation		46	56.8	117	65.4	163	62.7
Tobacco use		44	54.3	47	26.2	91	35.0
Use of illicit drugs*		46	56.8	60	33.5	106	40.8
Abusive use of alcohol†		44	54.3	66	36.9	110	42.3
Sexual partnerships in the last 3 months
	0	5	6.2	20	11.2	25	9.6
	1	52	64.2	123	68.7	175	67.3
	≥2	24	29.6	36	20.1	60	23.1
Use of sex accessories		27	33.3	18	10.1	45	17.3
Consistent use of condoms‡ (n=254)		3	4.0	40	22.3	43	16.9
Use of hormonal contraceptives		12	14.8	86	48.0	98	37.7
Common Mental Disorder§		35	43.2	46	25.7	81	31.2
Gynecological consultation last 12 months		43	53.1	122	68.2	165	63.5
Questions about STI/AIDS were answered by HC		35	43.2	112	62.6	147	56.5
Got information about STI/AIDS at the HC		33	40.7	109	60.8	142	54.6
Received free condoms at the HC		22	27.2	58	32.4	80	30.8
Received condoms elsewhere#		10	12.3	20	11.2	30	11.5
Knows about the female condom		80	98.8	176	98.3	256	98.5

Questions (STD-KQ)	WSW	WSM	Total		p
Questions (STD-KQ)	n (%)	n (%)	n	%
1. Genital Herpes is caused by the same virus as HIV	67 (82.7)	149 (83.2)	216	83.1	0.917
2. Frequent urinary infections can cause Chlamydia	14 (17.3)	38 (21.2)	52	20.0	0.461
3. There is cure for Gonorrhea	62 (76.5)	135 (75.4)	197	75.8	0.845
4. It is easier to get HIV if a person has another STD	25 (30.9)	77 (43.0)	102	39.2	0.063
5. HPV is caused by the same virus that causes HIV	62 (76.5)	151 (84.4)	213	81.9	0.129
6. Having anal sex increases a person´s risk of getting Hepatitis B	23 (28.4)	70 (39.1)	93	35.8	0.095
7. Soon after infection with HIV a person develops open sores on his or her genitals (penis or vagina)	59 (72.8)	142 (79.3)	201	77.3	0.247
8. There is cure for Chlamydia	54 (66.7)	133 (74.3)	187	71.9	0.205
9. A woman who has Genital Herpes can pass the infection to her baby during childbirth	53 (65.4)	137 (76.5)	190	73.1	0.062
10. A woman can look at her body and tell if she has Gonorrhea	32 (39.5)	87 (48.6)	119	45.8	0.173
11. The same virus causes all the STD	74 (91.4)	170 (95.0)	244	93.8	0.261
12. HPV can cause genital warts	69 (85.2)	158 (88.3)	227	87.3	0.489
13. HPV can lead to cancer in women	66 (81.5)	166 (92.7)	232	89.2	0.007
14. A men must have vaginal sex to get genital warts	68 (84.0)	149 (83.2)	217	83.5	0.886
15. STD can lead to health problems that are usually more serious for men than in women	63 (77.8)	149 (83.2)	212	81.5	0.293
16. A woman can tell that she has Chlamydia if she has a bad smelling odor from her vagina	37 (45.7)	102 (57.0)	139	53.5	0.091
17. If a person tests positive for HIV the test can tell how sick the person will become	65 (80.2)	156 (87.2)	221	85.0	0.149
18. There is a vaccine available to prevent a person from getting Gonorrhea	49 (60.5)	116 (64.8)	165	63.5	0.504
19. A woman can tell by the way her body feels if she has a STD	33 (40.7)	84 (46.9)	117	45.0	0.353
20. A person who has Genital Herpes must have open sores to give the infection to his or her sexual partner	44 (54.3)	81 (45.3)	125	48.1	0.175
21. There is a vaccine that prevents a person from getting Chlamydia	46 (56.8)	117 (65.4)	163	62.7	0.186
22. A man can tell by the way his body feels if he has Hepatitis B	51 (63.0)	132 (73.7)	183	70.4	0.078
23. If a person had Gonorrhea in the past her or she is immune (protected) from getting it again	55 (67.9)	142 (79.3)	197	75.8	0.046
24. HPV can cause HIV	69 (85.2)	148 (82.6)	217	83.5	0.615
25. A man can protect himself from getting Genital Warts by washing his genitals after sex	53 (65.4)	142 (79.3)	195	75.0	0.017
26. There is a vaccine that can protect a person from getting Hepatitis B	71 (87.7)	148 (82.7)	219	84.2	0.308
27. Even if your partner doesn't have any injuries on penis, anus or vagina, he or she still may infect you with syphilis	64 (79.0)	165 (92.2)	229	88.1	0.002
28. Syphilis can hide in the body for years	60 (74.1)	146 (81.6)	206	79.2	0.168

Variables		PR	IC(95%)	P
Age
	18-21		1.0	0.269
	22-29	1.84	(0.62-5.48)	0.271
	≥30	1.00	(0.30-3.32)	1.000
Skin color
	White		1.0
	Non-white	1.79	(0.83-3.86)	0.135
Education
	≤11 years	3.92	(1.85-8.31)	<0.001
	≥12 years		1.0
Marital status
	Together		1.0
	Not together	1.08	(0.46-2.54)	0.853
Religion
	Yes		1.0
	No	0.61	(0.26-1.43)	0.257
Gainful occupation
	Yes		1.0
	No	0.76	(0.34-1.66)	0.486
Per capita family income		1.00	(1.00-1.00)	0.148
Tobacco use
	Yes	0.71	(0.31-1.60)	0.405
	No		1.0
Use of illicit drugs*
	Yes	0.55	(0.25-1.25)	0.154
	No		1.0
Abusive use of alcohol†
	Yes	1.46	(0.71-3.03)	0.308
	No		1.0
Common Mental Disorder
	Yes	0.84	(0.37-1.90)	0.679
	No		1.0
Use of hormonal contraceptives
	Yes	0.53	(0.22-1.23)	0.139
	No		1.0
Sexual partnerships in the last 3 months
	0		1.0	0.561
	1	3.00	(0.40-22.30)	0.283
	≥2	2.92	(0.36-23.71)	0.317
Use of sex accessories
	Yes	1.00	(0.38-2.61)	0.992
	No		1.0
Gynecological consultation last 12 months
	Yes		1.0
	No	1.41	(0.68-2.93)	0.356
Questions about STI/AIDS were answered by HC
	Yes		1.0
	No	6.24	(2.38-16.37)	0.000
Got information about STI/AIDS at the HC
	Yes		1.0
	No	5.78	(2.20-15.14)	0.000
Received free condoms at the HC
	Yes		1.0
	No	0.84	(0.39-1.82)	0.665
Received condoms elsewhere‡
	Yes		1.0
	No	1.13	(0.34-3.73)	0.841
Knows about the female condom
	Yes		1.0
	No	2.29	(0.31-16.80)	0.417
Source of information about STI/AIDS
	Formal Education	2.80	(1.28-6.15)	0.010
	Media	1.76	(0.83-3.73)	0.139
	Family/Friends/Work	1.66	(0.75-3.64)	0.209
Sexual partnership
	WSW	2.37	(1.14-4.91)	0.020
	WSM		1.0

Variables		PR (IC95%)	p
Skin color
	White	1.0
	Non-white	1.30 (0.58-2.92)	0.516
Education
	≤11 years	2.64 (1.12-6.21)	0.026
	≥12 years	1.0
Per capita family income		1.00 (1.00-1.00)	0.618
Use of illicit drugs*		0.64 (0.26-1.56)	0.333
Use of hormonal contraceptives		0.76 (0.30-1.89)	0.564
Source of information about STI/AIDS
	Formal Education	1.93 (0.82-4.52)	0.131
	Media	1.18 (0.53-2.59)	0.679
Sexual partnership
	WSW	2.36 (1.07-5.21)	0.033
	WSM	1.0

[1] Chief editors:

Romeu Gomes, Antônio Augusto Moura da Silva

Brasil

Brasil

Knowledge of women who have sex with women about Sexually Transmitted Infections and AIDS

Abstract