sexta-feira, 18 de abril de 2008

Estratégias novedosas de prevención de embarazo de IST/VIH/SIDA entre adolescentes escolarizados mexicanos

Objective. To introduce the study design of an HIV/AIDS
and unplanned pregnancy prevention program targeting
high school students, and to present the results from the
baseline survey. Material and Methods. A school curriculum
was developed to inform adolescent students
about HIV/AIDS/STD prevention, which included information
on emergency contraception (EC) for adolescent
students. A randomized controlled study was conducted to
simultaneously evaluate the effect of this intervention. The
baseline survey collected data on contraception knowledge
and attitudes regarding sexual behaviors. Results. A total
of 11 117 students from 40 schools participated in the
baseline (52% female, the mean age of both males and females
was 15.5). A total of 10% of the females and 24% of
the men surveyed were sexually active at baseline, but only
39% of those sexually active reported using a condom at
the time of their first sexual intercourse. Among the sexually
active students surveyed, a third of the males and a fifth
of the females reported at least one condom slip or breakage.
Most of the students were aware of EC. Conclusions.
The low proportion of students that report using condoms
accompanied by their incorrect use points to the need for
HIV/AIDS and unplanned pregnancy prevention efforts. This
novel approach offers adolescents EC, a backup method to
the condom. The approach is feasible as students know what
EC is and furthermore it appears that they are willing to
use this method.
Key words: educative interventions; HIV/AIDS/STD; Emergency
Contraception (EC)

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