Factores de Riesgo para ETS en la Adolescencia, Conclusiones

En síntesis, los adolescentes constituyen una pobla-ción en alto riesgo para adquirir ETS, incluyendo VIH, pese a las limitaciones actuales de los programas de educación sexual entre adolescentes, esta educación no debe limitarse al contexto académico.

Los profesionales de la salud juegan un papel crucial en este proceso y sería recomendable que aprovecharan cualquier consulta o visita para la promoción de actividades sexuales seguras.

Los cursos o programas sobre educación sexual son un paso importante para la formación integral de los jóve-nes. Sin duda, todos los adolescentes se pueden benefi-ciar de un programa integral de educación sexual orien-tado no sólo a brindar información anatómica y sobre prevención de embarazos o de ETS sino también encaminado a la formación de valores positivos hacia una vida sexual segura y responsable. Incuestionablemente, en condiciones ideales, la abstinencia y el retraso de la actividad sexual podrían ser los métodos más efectivos para prevenir las consecuencias negativas de las actividades sexuales entre adolescentes. Se debe continuar la investigación y la constante evaluación de estos programas. En Colombia, es preciso iniciar un programa estructurado, consistente y consecuente.

Agradecimientos

Queremos agradecer a la señora Dora Robayo, Biblioteca Erasmo de Rótterdam de la Clínica Montserrat, por su invaluable colaboración en la búsqueda bibliográfica.

Referencias

1. Netting NS. Sexuality and youth culture: identity and changes. Adolescence 1992; 27: 961-76.
2. Yang M. Adolescent sexuality and its problems. Ann Acad Med Singapore 1995; 24: 736-40.
3. Maddaleno M. Enfoque familiar y los problemas de salud del adolescente. En: Florenzano R, Horwitz N, Ringeling I, Venturini G, Villaseca P. Salud Familiar. Corporación de Promoción Universitaria. Santiago de Chile 1986: 125-41.
4. Yarber WL, Parrillo AV. Adolescents and sexually transmitted diseases. J Sch Health 1992; 62: 331-8.
5. Valenzuela MS, Herold JM, Morris L, López IM. “Reproductive health survey of young adults in greater Santiago”. Bol Ofic Sanit Panam 1992; 112; 19-30.
6. MacHale E, Newell J. Sexual behavior and sex education in Irish school-going teenagers. Int J STD AIDS 1997; 8: 196-200.
7. Fernández-Martínez C, Brugos A, Sánchez E. “Risk of pregnancy in adolescence”. Atent Primaria 1992; 9: 90-8.
8. Kapiga SH, Hunter DJ, Nachtigal G. Reproductive knowledge, and contraceptive awareness and practice among secondary school pupils in Bagamoyo and Dar-es-Salaam, Tanzania. Cent Afr J Med 1992; 38: 375-80.
9. Martínez E, Salazar M, Parada DM, Cardoso AM. “The sexuality of adolescents from 14 to 19 in a given population”. Rev Cub Enferm 1992; 8: 101-10.
10. Buga GA, Amoko DH, Nkayiyana DJ. Adolescent sexual behavior, knowledge, attitudes to sexuality among school girls in rural Transkei, South Africa. East Afr Med J 1996; 76: 55-100.
11. Mitchel-DiCenso A, Thomas BH, Devlin MC, Goldsmith CH, Willan A, Singer J et al. Evaluation of an educational program to prevent adolescent pregnancy. Health Educ Behav 1997; 24: 300-12.
12. MacHale E, Newell J. Sexual behavior and sex education in Irish school-going teenagers. Int J STD AIDS 1997; 8: 196-200.
13. Graham A, Green L, Glasier AF. Teenager knowledge of emergency contraception: questionnaire survey in South east Scotland. BMJ 1996; 312: 1567-9.
14. Herold JM, Valenzuela MS, Morris L. Premarital sexual activity and contraceptive use in Santiago, Chile. Stud Fam Plann 1992; 23: 128-36.
15. Castañeda X, Garcia C, Langer A. Ethnography of fertility and menstruation in rural Mexico. Soc Sci Med 1996; 42: 133-40.
16. Stanton BF, Li X, Galbraith J, Feigelman S, Kaljee L. Sexually transmitted diseases, human immunodeficiency virus, and pregnancy prevention. Combined contraceptive practices among urban African-American early adolescents. Arch Pediatr Adolesc Med 1996; 150: 17-24.
17. Anderson V, Reis J, Stephens V. Male and female adolescents´ perceived interpersonal communication skills according to history of sexual coercion. Adolescence 1997; 32: 419-27.
18. Beitz JM. Sexual health promotion in adolescents and young adults: primary prevention strategies. Holist Nurs Pratic 1998; 12: 27-37.
19. Friedland GH, Klein RS. Transmission of the human immunodeficiency virus. N Engl J Med 1987; 317: 1125-35.
20. Prada G. SIDA: riesgo y prevención. En: Medina JE, Urdinola J. Manual de planificación familiar. Bogotá, Fundación Santafé de Bogotá 1990: 105-9.
21. Royce RA, Seña A, Cates W, Cohen MS. Sexual transmission of HIV. N Engl J Med 1997; 336: 1072-8.
22. Hiltabiddle SJ. Adolescent condom use, the health belief model, and the prevention of sexually transmitted disease. J Obstet Gynecol Neonatal Nurs 1996; 25: 61-6.
23. Marcelino SS, Sánchez A, Marcelino DA. “Adolescent pregnancy. A proposal for intervention”. Rev Enferm 1997; 20: 10-5.
24. Caballero MC. Conocimiento y comportamiento de riesgo de infección por VIH en estudiantes universitarios. Revista Latinoamericana de Sexología 1996; 11: 41-55.
25. Vera LM, López N, Orozco LC, Caicedo P. Conocimientos, actitudes y prácticas sexuales de riesgo para adquirir infección por VIH en jóvenes. Acta Med Colomb 2001; 26: 16-23.
26. Buga GA, Amoko DH, Nkayiyana DJ. Sexual behavior, contraceptive practice and reproductive health among school teenager in rural Transkei. S Afr Med J 1996; 86: 523-7.
27. Ruusuvaara L. Adolescent sexuality: an educational and counseling challenge. Ann N Y Acad Sci 1997; 816P: 411-3.
28. DeMilio L. Psychiatric syndromes in adolescents substance abusers. Am J Psychiatry 1989; 146: 1212-4.
29. Milin R, Halikas JA, Meller JE, Morse C. Psychopathology among substance abusing juvenile offenders. J Am Acad Child Adolesc Psychiatry 1991; 30: 569-74.
30. Strunin L, Hingson R. Alcohol, drugs, and adolescent sexual behavior. Int J Addict 1992; 27: 129-46.
31. Gillmore MR, Morrison DM, Lowery C et al. Belief about condoms and their association with intentions to use condoms among youth in detention. J Adolesc Health 1994; 15: 228-37.
32. Brook JS, Whiteman M, Finch SJ, Cohen P. Young adult drug use and delinquency: childhood antecedents and adolescent mediator. J Am Acad Child Adolesc Psychiatry 1996; 35: 1584-94.
33. Malow RM, Mc Mahon R, Cremer DJ, Lewis JE, Alferi SM. Psychosocial predictor of HIV risk among adolescent offenders who abuse drugs. Psychiatr Serv 1997; 48: 185-7.
34. Langer LM, Tubman JG. Risky sexual behavior among substance-abusing adolescents: psychosocial and contextual factors. Am J Orthopsychiatry 1997; 67: 315-22.
35. Bursktein OG, Brent DA, Kaminer Y. Comorbidity of substance abuse and other psychiatric disorders in adolescents. Am J Psychiatry 1989; 146: 1131-41.
36. Baker DW, Mossman D. Potential HIV exposure in psychiatrically hospitalized adolescent girls. Am J Psychiatry 1991; 148: 528-30.
37. Stefan MD, Catalan J. Psychiatric patients and HIV infection: a new population at risk? Br J Psychiatry 1995; 167: 721-7.
38. Steiner BD, Shields CG, Noble GL, Bayer WH. Associations with high-risk sexual behavior: a survey of young men of color attending urban youth centers. J Am Board Fam Pract 1994; 7: 189-95.
39. Auslander WF, Slonim-Nevo V, Elze D, Sherraden M. HIV prevention for youths in independent living programs: expanding life options. Child Welfare 1998; 77: 208-21.
40. Bailey CE, Piercy FP. Enhancing ethical decision making in sexuality and AIDS education. Adolescence 1997; 32: 989-98.
41. Shaughnessy MF, Shakesby P. Adolescent sexual and emotional intimacy. Adolescence 1992; 27: 475-80.
42. Grunseit A. Young people and sex/HIV education: the debate continues…. Promot Educ 1994; 1: 21-3.
43. Visser AP, van Bilsen P. Effectiveness of sex education provided to adolescents. Patient Educ Couns 1994; 23: 147-60.
44. Rew L. Health-related, help-seeking behaviors in female Mexican-American adolescents. J Soc Pediatr Nurse 1997; 2: 156-62.
45. Mauldon J, Luker K. The effects of contraceptive education on method use al first intercourse. Fam Plann Perspect 1996; 28: 19-24.
46. Keller SE, Schleifer SJ, Barrtlett JA, Johnson R. The sexual behavior of adolescents and risk of AIDS (letter). JAMA 1988; 260: 3586.
47. Kirby D, Korpi M, Adivi C, Weissman J. An impact evaliation of project SNAPP: an AIDS and pregnancy prevention middle school program. AIDS Educ Prev 1997; 9 (Suppl 1): 44-61.
48. Mbizvo MT, Kasule J, Gupta V, Rusakaniko S, Gumbo J, Kinoti SN et al. Effects of a randomized health education intervention on aspect of reproductive health knowledge, and reported behavior among adolescents in Zimbabwe. Soc Sci Med 1997; 44: 573-7.
49. Hanna KM, Hanrahan S, Hershey J, Greer D. Evaluation of the effect of an AIDS prevention program on high school students´ sexual risk-taking behavior. Issues Compr Pediatr Nurs 1997; 20: 25-34.
50. Rusakaniko S, Mbizvo MT, Kasule J, Guvta V, Kinoti SN, Mpanju-Shumbushu W et al. Trends in reproductive health knowledge following a health education intervention among adolescents in Zimbabwe. Cent Afr J Med 1997; 43: 1-6.
51. Kirby D, Short L, Collins J et al. School-based programs to reduce sexual risk behaviors: a review of effectiveness. Public Health Rep 1994; 109: 339-60.
52. Furtenburg FF, Geitz LM, Teitler JO, Weiss CC. Does condom availability make a difference? An evalation of Philadelphia’s health resource centers. Fam Plann Perspect 1997; 29: 123-7.
53. Genius SJ, Genius SK. Orgasm without organism: science or propaganda? Clin Pediatr 1996; 35: 10-7.
54. Condom availability for adolescents. J Adolesc Health 1996; 18: 380-3.
55. Smith PB, Weinman ML, Parrilli J. The role of condom motivation education in the reduction of new and reinfection rates of sexuality transmitted diseases among innercity female adolescents. Patient Educ Couns 1997; 31: 77-81.
56. Buysse A, Van Oost P. Impact of a school-based prevention programme on traditional and egalitarian adolescents´ safer sex intentions. J Adolesc 1997; 20: 177-88.
57. Olayinka BA, Osho AA. Changes in attitude, sexual behavior and the risk of HIV/AIDS transmission in southwest Nigeria. East Afr Med J 1997; 74: 554-60.
58. Witte K. Preventing teen pregnancy through persuasive communications: realities, myths, and the hard-fact truths. J Community Health 1997; 22: 137-54.
59. Eisenberg ME, Wagenaar A, Neumark-Sztainer D. Viewpoint of Minnesota students on school-based sexuality education. J Sch Health 1997; 67: 322-6.
60. Liu GR. An investigation of adolescent health from China. J Adolesc Health 1997; 20: 306-8.
61. Goldfarg AF. Adolescent sexuality. Ann N Y Acad Sci 1997; 816P: 395-403.
62. HIV-related belief, knowledge, and behaviors among high school students. MMWR 1988; 37: 717-27.

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