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      Principales conductas de riesgo sobre Papilomavirus Humano en universitarios argentinos Translated title: Main risk behaviors on Human Papillomavirus in Argentine university students

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          Abstract

          RESUMEN Introducción: El Papilomavirus Humano (VPH) es una enfermedad de transmisión sexual, siendo los estudiantes universitarios una población vulnerable para adquirir esta infección. La educación sexual es una estrategia fundamental en la promoción de la salud y prevención de la misma. Objetivo: Describir principales conductas de riesgo sobre VPH en estudiantes universitarios. Materiales y métodos: Se seleccionaron estudiantes de Facultad de Odontología de Universidad Nacional del Nordeste durante 2010. Luego del consentimiento informado, se empleó cuestionario anónimo sobre conductas sexuales de riesgo en relación al VPH. Resultados: Quedaron incluidos 61 estudiantes; 47 (77 %) mujeres y 14 (23 %) hombres. La edad media fue 22 años. Se observó que 36 (59%) tuvieron relaciones sexuales precozmente, (13 años y 27).En 41 (67 %) refirió haber tenido dos o más parejas sexuales. Se observó que 26 (43 %) nunca o rara vez usaron preservativos. Del total 33 (54 %) refirió sexo oral; 25 (41 %) no consumió anticonceptivos orales. El consumo de alcohol se observó en 31 (51 %). Conclusión: Las principales conductas de riesgo para la infección por VPH en esta población fueron haber tenido dos o más parejas sexuales, sexo oral y consumo de alcohol.

          Translated abstract

          ABSTRACT Background: Human papillomavirus (HPV) is a sexually transmitted disease, being college students vulnerable to acquiring this infection population. Sex education is a key strategy in promoting health and preventing it. To describe major risk behaviors in college students about HPV. Methods: Students of Faculty of Dentistry, National University of the Northeast were selected in 2010. After informed consent, anonymous questionnaire on sexual risk behavior in relation to HPV was used. Results: 61 students were included; 47 (77%) women and 14 (23%) men. The mean age was 22 years. It was observed that 36 (59%) had sex early (13 and 27). In 41 (67%) reported having had two or more sexual partners. It was observed that 26 (43%) never or rarely used condoms. Of the total 33 (54%) reported oral sex; 25 (41%) did not consume oral contraceptives. Alcohol consumption was observed in 31 (51%). Conclusion: The main risk behaviors HPV infection in this population were to have had two or more sexual partners, oral sex and alcohol.

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          Trends of cervical cancer mortality in the member states of the European Union.

          Marc Arbyn, Amidu O. Raifu, Elisabete Weiderpass … (2009)
          Cervical cancer mortality can be avoided to a large extent by screening and treatment of screen-detected cervical lesions. However, in 2004, more than 16,000 women died from cervical cancer in the European Union (EU). In the current paper, we analyse cervical cancer mortality trends in the 27 member states since 1970 and, subsequently, try to explain how screening and other factors have driven changes. Data on number of deaths from uterine cancers and overall female populations from EU member states were extracted from the World Health Organisation mortality database. Three different reallocation rules were applied to correct cervical cancer mortality for inaccuracies in certification of cause of death of not otherwise specified uterine cancer. Joinpoint regression was used to study annual variation of corrected cervical cancer mortality in all member states. We distinguished the 15 old from the 12 new member states, which acceded to the EU in 2004 or later. For Finland, France and Romania, age-specific trends by calendar period and the standardised cohort mortality ratios by birth cohort were analysed. Corrected age-standardised cervical cancer mortality rates have decreased significantly over the past decades in the old member states. Member states in Eastern Europe and also the Baltic states showed mortality rates that decreased at a lower intensity (Czech Republic, Poland), remained constant at a high rate (Estonia, Slovakia) or even increased (Bulgaria, Latvia, Lithuania, Romania). The standardised cohort mortality ratio indicated that mortality does not decrease further or even increase among women born after 1940. Remarkable contrasts were observed on cervical cancer mortality, in particular, between the old and new member states of the EU, which might probably be explained by differences in preventive strategies. This contrast might increase in the future, unless adequate preventive measures are adopted.
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            Effective screening programmes for cervical cancer in low- and middle-income developing countries

            Rengaswamy Sankaranarayanan, Atul Budukh, Rajamanickam Rajkumar (2001)
            Cervical cancer is an important public health problem among adult women in developing countries in South and Central America, sub-Saharan Africa, and south and south-east Asia. Frequently repeated cytology screening programmes -- either organized or opportunistic -- have led to a large decline in cervical cancer incidence and mortality in developed countries. In contrast, cervical cancer remains largely uncontrolled in high-risk developing countries because of ineffective or no screening. This article briefly reviews the experience from existing screening and research initiatives in developing countries. Substantial costs are involved in providing the infrastructure, manpower, consumables, follow-up and surveillance for both organized and opportunistic screening programmes for cervical cancer. Owing to their limited health care resources, developing countries cannot afford the models of frequently repeated screening of women over a wide age range that are used in developed countries. Many low-income developing countries, including most in sub-Saharan Africa, have neither the resources nor the capacity for their health services to organize and sustain any kind of screening programme. Middle-income developing countries, which currently provide inefficient screening, should reorganize their programmes in the light of experiences from other countries and lessons from their past failures. Middle-income countries intending to organize a new screening programme should start first in a limited geographical area, before considering any expansion. It is also more realistic and effective to target the screening on high-risk women once or twice in their lifetime using a highly sensitive test, with an emphasis on high coverage (>80%) of the targeted population. Efforts to organize an effective screening programme in these developing countries will have to find adequate financial resources, develop the infrastructure, train the needed manpower, and elaborate surveillance mechanisms for screening, investigating, treating, and following up the targeted women. The findings from the large body of research on various screening approaches carried out in developing countries and from the available managerial guidelines should be taken into account when reorganizing existing programmes and when considering new screening initiatives.
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              Mothers' intention for their daughters and themselves to receive the human papillomavirus vaccine: a national study of nurses.

              J Kahn, L. Ding, B. Huang … (2009)
              The aims of this study were to examine mothers' intention to vaccinate their daughters and themselves against human papillomavirus and to determine which demographic, behavioral, and attitudinal factors were associated with intention to vaccinate daughters. We surveyed 10,521 US mothers, all nurses, between June 2006 and February 2007. Multivariable logistic regression models were used to determine which of the following factors were associated with a mother's intention to vaccinate a 9- to 12-year-old daughter: demographic factors, gynecologic history, belief that one's daughter should have regular Papanicolaou testing, beliefs about Papanicolaou testing outcomes (3-item scale), and beliefs about human papillomavirus vaccines (7-item scale measuring beliefs about human papillomavirus vaccine efficacy, impact of vaccination on sexual and Papanicolaou screening behaviors, severity of and susceptibility to human papillomavirus, and anticipated clinician recommendations). Of the 8832 mothers who completed a survey (84% response rate), 7207 had a daughter. Among mothers with a daughter, 48% intended to vaccinate a daughter if she were 9 to 12 years of age, 68% if she were 13 to 15 years of age, and 86% if she were 16 to 18 years of age. Forty-eight percent intended to receive the vaccine themselves if recommended. In multivariable regression models, variables significantly associated with intention to vaccinate a 9- to 12-year-old daughter included belief that one's daughter should have regular Papanicolaou testing and beliefs about human papillomavirus vaccines. In this first national study of mothers' attitudes about human papillomavirus vaccines, mothers' intention to vaccinate a daughter <13 years of age was lower than intention to vaccinate an older daughter, contrasting with national recommendations to target 11- to 12-year-old girls for vaccination. Educational interventions designed to affect mothers' willingness to vaccinate daughters should focus on human papillomavirus vaccine efficacy, behavioral impact of vaccination, perceived risk of human papillomavirus, and clinician support for vaccination.
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                Author and article information

                Contributors
                ML Medina: Role: ND
                MG Medina: Role: ND
                LA Merino: Role: ND
                Journal
                Journal ID (publisher-id): odonto
                Title: Avances en Odontoestomatología
                Abbreviated Title: Av Odontoestomatol
                Publisher: Ediciones Avances, S.L. (Madrid, Madrid, Spain )
                ISSN (Print): 0213-1285
                ISSN (Electronic): 2340-3152
                Publication date (Print and electronic): December 2018
                Volume: 34
                Issue: 6
                Pages: 311-319
                Affiliations
                [8] orgnameUniversidad Nacional del Nordeste orgdiv1Facultad de Medicina orgdiv2Secretaría General de Ciencia y Técnica Argentina
                [7] orgnameUniversidad Nacional del Nordeste orgdiv1Instituto de Medicina Regional Argentina
                [3] orgnameUniversidad Nacional del Nordeste orgdiv1Instituto de Medicina Regional Argentina
                [4] orgnameUniversidad Nacional del Nordeste orgdiv1Instituto de Medicina Regional Argentina
                [9] orgnameUniversidad Nacional del Nordeste orgdiv1Instituto de Medicina Regional orgdiv2Departamento de Bacteriología Argentina
                [1] orgnameHospital Pediátrico Dr. Avelino Castelán orgdiv1División de Educación Permanente e Investigación orgdiv2Unidad de Investigación
                [6] orgnameUniversidad Nacional del Nordeste orgdiv1Facultad de Veterinaria orgdiv2Cátedra de Salud Pública Argentina
                [2] orgnameUniversidad Nacional del Nordeste orgdiv1Facultad de Medicina orgdiv2Cátedra de Metodología de la Investigación Argentina
                [5] orgnameUniversidad Nacional del Nordeste orgdiv1Facultad de Medicina orgdiv2Cátedra de Microbiología, Inmunología y Parasitología Argentina
                [10] orgnameUniversidad Nacional del Nordeste orgdiv1Facultad de Medicina orgdiv2Cátedra de Microbiología, Inmunología y Parasitología Argentina
                Article
                Publisher ID: S0213-12852018000600005
                SO-VID: 61722429-dacd-4e3b-8ff5-97ddda2a34ef
                License:

                http://creativecommons.org/licenses/by/4.0/

                History
                Date received : 26 January 2016
                Date accepted : 27 September 2017
                Page count
                Figures: 0, Tables: 0, Equations: 0, References: 43, Pages: 9
                Product

                SciELO Spain

                Categories
                Subject: Artículos

                Keywords: VPH,universitarios,comportamientos de riesgo,HPV,college students,risk behaviors
                Data availability:
                Keywords: VPH, universitarios, comportamientos de riesgo, HPV, college students, risk behaviors

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