ABSTRACT Introduction: sexual satisfaction and safety are key elements for male well-being, integrating physical and emotional aspects of intimacy. These concepts encompass the full enjoyment of sexual relationships, along with comfort and confidence in the protective practices used. Objective: determine sexual happiness and satisfaction with sexual safety in men from Asunción and Central during 2023. Methodology: a cross-sectional study was carried out in Asunción and Central during the months of September to November 2023. The study population consisted of eligible men who were over 18 years of age, who were assigned the sex male at birth, residents of the selected cities. The study variables were demographics, mental health (anxiety, depression and suicidal ideation). Results: the study included 143 participants. Of these, 55.24 % (79) were between 18 and 29 years old, 69.23 % (99) identified as gay, and 12.59 % (18) as bisexual. Men who have sex with men showed a higher probability of reporting satisfaction, with an age-adjusted odds ratio of 2.82 (95 % CI: 1.41-3.57, p=0.001) compared to heterosexuals. Having three or more stable partners and eleven or more non-stable partners was strongly associated with being MSM (p=0.003 and p=0.001, respectively). Conclusion: men who have sex with men reported higher levels of sexual satisfaction, suggesting a positive experience in their intimate relationships. However, this group also showed a tendency to have a higher number of sexual partners, both stable and non-stable. These differences in sexual behaviors may indicate distinct social norms or personal preferences among the studied groups.

RESUMEN Introducción: la satisfacción y seguridad sexual son elementos clave para el bienestar masculino, integrando aspectos físicos y emocionales de la intimidad; estos conceptos engloban el disfrute pleno de las relaciones sexuales, junto con la comodidad y confianza en las prácticas de protección utilizadas. Objetivo: determinar la felicidad sexual y satisfacción con la seguridad sexual en hombres de Asunción y Central durante el 2023. Metodología: se realizó un estudio observacional, descriptivo de corte transversal en Asunción, y Central durante los meses de setiembre a noviembre del 2023. La población de estudio lo constituyeron los hombres elegibles que tenían mayor de 18 años, a quienes se les asignó el sexo masculino al nacer, residentes de las ciudades seleccionadas. Las variables del estudio fueron las demográficas, salud mental (ansiedad, depresión e ideación suicida). Resultados: el estudio incluyó 143 participantes. De estos, el 55,24 % (79) tenía entre 18 y 29 años, el 69,23 % (99) se identificó como gay, y el 12,59 % (18) como bisexual. Los Hombres que tienen sexo con hombres mostraron una mayor probabilidad de reportar satisfacción, con una odds ratio ajustada por edad de 2,82 (IC 95 %: 1,41-3,57, p=0,001) en comparación con los heterosexuales, tener tres o más parejas estables y once o más parejas no estables se asoció fuertemente con ser HSH (p=0,003 y p=0,001, respectivamente). Conclusión: los hombres que tienen sexo con hombres reportaron niveles más altos de satisfacción sexual, lo que sugiere una experiencia positiva en sus relaciones íntimas. Sin embargo, este grupo también mostró una tendencia a tener un mayor número de parejas sexuales, tanto estables como no estables. Estas diferencias en comportamientos sexuales pueden indicar distintas normas sociales o preferencias personales entre los grupos estudiados.

Resumen La investigación tuvo como objetivo comprender las experiencias alrededor de la sexualidad desde la teoría de los holones en un grupo de mujeres diagnosticadas con cáncer ginecológico en la ciudad de Pereira, Colombia. Se implementó un diseño cualitativo y fenomenológico, con la participación de seis mujeres entre 30 y 60 años, a quienes se aplicaron entrevistas semiestructuradas explorando los holones de reproductividad, género, erotismo y vinculación afectiva interpersonal. Las entrevistas fueron transcritas y analizadas de forma manual, mediante codificación abierta y axial para identificar categorías emergentes. En los discursos de las mujeres se evidenciaron elementos relacionados a los holones de la sexualidad. En el holón de reproductividad, se encontró una resignificación del rol reproductivo como madres; en el holón de género, se presentaron actitudes positivas hacia el cuerpo y amenazas a la identidad de género por causa de los cambios provocados por la enfermedad; en el holón de erotismo, las mujeres relataron experiencias sexuales marcadas por el dolor y el apoyo erótico de la pareja; y en el holón de vinculación afectiva interpersonal, se evidenciaron situaciones de estabilidad conyugal, separación temporal con la pareja y sostenimiento de vínculos abusivos durante el proceso de tratamiento oncológico. Estos hallazgos muestran una amplia reconfiguración integral de la sexualidad femenina en cada uno de los holones y realizan un aporte significativo a la comprensión de las subjetividades de las mujeres en el proceso de afrontar el cáncer ginecológico. Se recomienda realizar nuevas investigaciones con mayor cantidad de participantes y en otras regiones de Colombia.

Abstract The research aimed to understand the experiences around sexuality, from the holon theory, in a group of women diagnosed with gynecological cancer from Pereira, Colombia. A qualitative and phenomenological design was carried out, with the participation of six women between 30 and 60 years of age, to whom semi-structured interviews were applied, exploring the holons of reproductivity, gender, eroticism and interpersonal affective bonding. The interviews were transcribed and analyzed manually, using open and axial coding to identify emerging categories. In the women's discourses, elements related to the holons of sexuality were evident. In the holon of reproductivity, a resignification of the reproductive role as mothers was found; in the holon of gender, positive attitudes towards their bodies and threats to gender identity due to the changes caused by the disease were presented; in the holon of eroticism, women reported sexual experiences characterized by pain and erotic support from their partners; and in the holon of affective interpersonal bonding, they reported situations of marital stability, temporary separation from their partners and abusive ties during the process of cancer treatment. These findings show a comprehensive reconfiguration of female sexuality in each of the holons and make a significant contribution to the understanding of women's subjectivities in the process of coping with gynecological cancer. Further research with a larger number of participants and in other regions of Colombia is recommended.

Abstract Child Sexual Abuse (CDA), an uncomfortable reality for humanity whose numbers rise every year. Given the demands established by international organizations, this research represents a first approach to the phenomenon through a documentary and comparative review to identify CSA prevention programs developed in Mexico and other countries in search of granting Children and Adolescents (C&A) a dignified life and promote their rights to integrity. A qualitative study was implemented through a review of materials using documentary review as an analysis technique. Once the pertinent literature was located, the documentary record was carried out under a methodological process and the corresponding analysis was elaborated through a comparative technique. Within the results of the research, sexual education is insufficient at the basic level even though the SEP has provided material for its prevention without sufficient coverage and the school has become responsible for implementing programs that meet the needs of the context. In the present work, programs aimed at students, parents, teachers and civil organizations whose objectives are to inform, detect risk situations, promote health and provide self-care tools are identified.

Resumen El Abuso Sexual Infantil (ASI), una realidad incómoda para la humanidad cuyas cifras se elevan cada año. Ante las demandas establecidas por las organizaciones internacionales, esta investigación representa una primera aproximación al fenómeno a través de una revisión documental y comparativa para identificar los programas de prevención de ASI desarrollados en México y otros países en busca de otorgar a Niños, Niñas y Adolescentes (NNA) una vida digna y se promuevan sus derechos a la integridad. Se implementó un estudio cualitativo por medio de una revisión de materiales utilizando como técnica de análisis la revisión documental. Una vez localizada la literatura pertinente se procedió el registro documental bajo proceso metodológico y mediante una técnica comparativa se elaboró el análisis correspondiente. Dentro de los resultados de la investigación, la educación sexual resulta insuficiente en el nivel básico a pesar de que la SEP ha dotado de material para su prevención sin cobertura suficiente y la escuela se ha convertido en responsable de implementar programas que atiendan las necesidades del contexto. En el presente trabajo, se identifican programas dirigidos a alumnos, padres, maestros y organizaciones civiles cuyos objetivos son informar, detectar situaciones de riesgo, promover la salud y otorgar herramientas de autocuidado.

Abstract Introduction: The literature shows an increasing interest in the relationship between individuals’ sexual orientation and their subjective well-being, linking the former to various spheres of life, such as social support, health, and life satisfaction. However, research on the impact of sexual orientation in the relationship between subjective well-being variables is scarce in the university population. This study examined the associations between support from family, friends and other people with life satisfaction, directly and mediated by self-perceived health, comparing these relationships in heterosexual and lesbian, gay, bisexual and other non-heterosexual (LGB+) university students in Chile. Method: The sample (n = 525) answered an online questionnaire with sociodemographic questions about perceived social support, self-perceived health, and life satisfaction. Data were analyzed using structural equation modeling and multigroup analysis. Results: Family support was positively associated with life satisfaction, directly and mediated by self-perceived health, in both heterosexual and LGB+ students; support from friends and others showed differential associations by sexual orientation. However, the proposed model was statistically similar for both groups. Conclusion: These findings highlight the relevance of different types of support on the life satisfaction of university students according to their sexual orientation.

Resumen Introducción: Existe un creciente interés en la relación entre la orientación sexual de una persona y su bienestar subjetivo, por el vínculo de dicha orientación con diversas esferas de la vida, como apoyo social, salud y satisfacción vital. Sin embargo, la investigación sobre la relación entre estas variables en función de la orientación sexual es escasa en población universitaria. Este estudio examina la asociación entre el apoyo de familia, amistades y otras personas con la satisfacción vital, de forma directa y mediada por la salud autopercibida; se comparan estas relaciones en estudiantes universitarios heterosexuales y lesbianas, gays, bisexuales y de otras orientaciones no heterosexuales (LGB+) en Chile. Método: La muestra (n = 525) respondió un cuestionario en línea con preguntas sociodemográficas, sobre apoyo social percibido, salud autopercibida y satisfacción vital. Los datos se analizaron utilizando un modelo de ecuaciones estructurales y análisis multigrupo. Resultados: El apoyo familiar se asoció positivamente con la satisfacción vital, directamente y mediado por la salud autopercibida, tanto en estudiantes heterosexuales como LGB+; el apoyo de amigos y de otras personas mostró asociaciones diferenciadas por orientación sexual. Sin embargo, este modelo fue estadísticamente similar para ambos grupos. Conclusiones: Estos hallazgos destacan la relevancia de distintos tipos de apoyo social en la satisfacción vital de estudiantes universitarios según su orientación sexual.

RESUMO Mulheres privadas de liberdade no Uruguai enfrentam um déficit de assistência em Saúde Sexual e Reprodutiva. O objetivo do estudo é melhorar o exercício dos Direitos Sexuais e Reprodutivos em mulheres privadas de liberdade, proporcionando acesso a serviços ginecológicos integrales dentro das prisões. Estudo descritivo retrospectivo. A população-alvo foram todas as mulheres privadas de liberdade nas prisões uruguaias. A intervenção consistiu em uma consulta clínica ginecológica integral, abordando aspectos de saúde sexual e reprodutiva com diagnóstico e tratamento. As consultas foram realizadas em prisões de Montevidéu e do interior. Realizou-se a consulta clínica a 513 mulheres privadas de liberdade (83% do total) em 800 horas de atendimento médico e 640 horas de gestão, com a participação de 52 profissionais médicos. Foram realizadas 401 colpocitologias oncológicas, 74 patológicas (18%). Foram realizados 108 Testes de Vírus do Papiloma Humano, com 16 positivos para Alto Risco oncogênico (14%). Foram realizadas 103 colposcopias, detectando 11 lesões escamosas de alto grau, sendo realizado tratamento cirúrgico. Em anticoncepção, realizaram-se ações específicas em 166 pacientes: 55 implantes subdérmicos; 27 Dispositivos Intrauterinos, 62 anticoncepcionais orais e 23 injetáveis. Para 61 mulheres foram fornecidos preservativos masculinos e femininos. Foi desenvolvida uma intervenção em saúde sexual e reprodutiva para 83% das mulheres privadas de liberdade no Uruguai, com foco especial na prevenção do câncer genitomamário e na contracepção. Esta iniciativa pode servir como um recurso para o desenvolvimento de políticas públicas voltadas para essa população.

ABSTRACT Incarcerated women in Uruguay face a healthcare deficit in Sexual and Reproductive Health. The study's objective is to improve the exercise of Sexual and Reproductive Rights for incarcerated women by providing access to comprehensive gynecological services within prisons. This is a descriptive retrospective study. The target population was all incarcerated women in Uruguayan prisons. The intervention consisted of a comprehensive gynecological clinical consultation, addressing aspects of sexual and reproductive health with diagnosis and treatment. Consultations were conducted in prisons in Montevideo and other regions. Clinical consultations were conducted for 513 incarcerated women (83% of the total) over 800 hours of medical attention and 640 hours of management, with the participation of 52 medical professionals. A total of 401 oncological colpocytologies were performed, 74 of which were pathological (18%). Additionally, 108 Human Papillomavirus (HPV) tests were conducted, with 16 testing positive for high oncogenic risk (14%). 103 colposcopies were performed, detecting 11 high-grade squamous lesions, which were subsequently treated surgically. Specific contraception actions were taken for 166 patients: 55 subdermal implants, 27 intrauterine devices, 62 oral contraceptives, and 23 injectable contraceptives. Male and female condoms were provided to 61 women. A sexual and reproductive health intervention was developed for 83% of incarcerated women in Uruguay, with a special focus on the prevention of genital and breast cancer and contraception. This initiative can serve as a resource for the development of public policies targeting this population.

RESUMEN En mujeres privadas de libertad de Uruguay existe un déficit asistencial en Salud Sexual y Reproductiva. El objetivo del estudio es mejorar el ejercicio de los Derechos Sexuales y Reproductivos en mujeres privadas de libertad, brindando acceso a servicios ginecológicos integrales dentro de las cárceles. Estudio descriptivo retrospectivo, se incluyeron todas las mujeres privadas de libertad en cárceles uruguayas. La intervención consistió en una consulta clínica ginecológica integral, se abordaron aspectos de salud sexual y reproductiva con diagnóstico y tratamiento. Las consultas se realizaron en cárceles de Montevideo e interior. Se realizó la consulta clínica a 513 mujeres privadas de libertad (83% del total) en 800hs de atención médica y 640hs de gestión, con participación de 52 profesionales médicos. Se realizaron 401 colpocitologías oncológicas, 74 patológicas (18%). Se realizaron 108 Test Virus Papiloma Humano, 16 positivos para Alto Riesgo oncogénico (14%). Se realizaron 103 colposcopías y detectando 11 lesiones escamosas de alto grado, realizándose tratamiento quirúrgico. En anticoncepción se realizaron acciones específicas en 166 pacientes: 55 implantes subdérmicos; 27 Dispositivos Intrauterinos, 62 anticonceptivos orales y 23 inyectables. En 61 mujeres se brindaron preservativos masculinos y femeninos. Se desarrolló una intervención en salud sexual y reproductiva al 83% de las mujeres privadas de libertad de Uruguay con especial abordaje en prevención del cancer genitomamario y anticoncepción. Puede ser un insumo para el desarrollo de políticas públicas en esta población.

RESUMEN Introducción: El acceso a métodos anticonceptivos modernos constituye un determinante clave en la salud sexual y reproductiva, particularmente en regiones con desigualdades socioeconómicas. En Argentina, diversas políticas públicas han buscado garantizar este acceso, especialmente en las regiones del Norte del país. Objetivo: Analizar las variaciones en el uso de métodos anticonceptivos entre mujeres de 15-49 años en Argentina, con énfasis en las regiones NOA y NEA durante 2011-2012 y 2019-2020, examinando su distribución según estratos socioeconómicos. Materiales y métodos: Estudio cuantitativo, transversal descriptivo. Se analizaron datos de las Encuestas Nacionales de Indicadores Múltiples por Conglomerados (MICS) 2011-2012 (n=20844) y 2019-2020 (n=11763). Se realizó análisis comparativo de prevalencias con intervalos de confianza del 95%. Resultados: Se observó un incremento significativo en el uso de métodos anticonceptivos en Argentina (57,69% a 61,33%) y NOA (43,78% a 57,46%) entre 2011-2012 y 2019-2020. Los implantes subdérmicos mostraron el mayor aumento en adolescentes del NOA (0% a 35,24%) y NEA (0% a 32,59%). En los quintiles más pobres, el uso de anticonceptivos aumentó significativamente, especialmente en el NEA (31,04% a 52,30%). Conclusión: El incremento en el uso de métodos anticonceptivos modernos, particularmente en poblaciones vulnerables del Norte argentino, sugiere un impacto positivo de las políticas públicas implementadas, especialmente del Plan ENIA, en la mejora del acceso a la anticoncepción.

ABSTRACT Introduction : Access to modern contraceptive methods constitutes a key determinant in sexual and reproductive health, particularly in regions with socioeconomic inequalities. In Argentina, several public policies have sought to guarantee this access, especially in the northern regions of the country. Objective : To analyze variations in the use of contraceptive methods among women aged 15-49 years in Argentina, with emphasis on the NOA and NEA regions during 2011-2012 and 2019-2020, examining their distribution according to socioeconomic strata. Materials and methods : Quantitative, cross-sectional descriptive study. Data from the National Multiple Indicator Cluster Surveys (MICS) 2011-2012 (n=20844) and 2019-2020 (n=11763) were analyzed. Comparative prevalence analysis was performed with 95% confidence intervals. Results: A significant increase in the use of contraceptive methods was observed in Argentina (57.69% to 61.33%) and NOA (43.78% to 57.46%) between 2011-2012 and 2019-2020. Subdermal implants showed the greatest increase in adolescents in the NOA (0% to 35.24%) and NEA (0% to 32.59%). In the poorest quintiles, contraceptive use increased significantly, especially in the NEA (31.04% to 52.30%). Conclusion : The increase in the use of modern contraceptive methods, particularly in vulnerable populations of Northern Argentina, suggests a positive impact of the implemented public policies, especially the ENIA Plan, in improving access to contraception.

Abstract Introduction: Erectile dysfunction (ED) is a common sexual problem among men with chronic kidney disease (CKD). The severity of sexual dysfunction tends to worsen with kidney damage. This study aims to evaluate the erectile function and sexual quality of life of adult male CKD patients undergoing hemodialysis (HD) in a hospital located in the Brazilian Amazon. Methods: A cross-sectional quantitative study was performed within the HD Sector of the Nephrology Unit including men with CKD aged ≥ 18 years, undergoing ≥ 3 weekly HD sessions for ≥ 3 months who had been sexually active for ≥ 6 months. We used the Male Sexual Quotient (MSQ) to measure sexual satisfaction and the International Index of Erectile Function (IIEF5) to establish erectile function. Statistical analysis was performed with SPSS 21.0 using appropriate tests, such as Mann-Whitney and Kruskal-Wallis (P < 0.05). Results: Ninety-eight patients (51.68 ± 15.28 years) were evaluated. They were primarily married/or living with a partner (60.20%), with HD time between 1 to 5 years (55.10%), and an average KTV of 1.17. ED prevalence was 66.30%, and it was associated with a higher age group (p = 0.01), lower family income (p = 0.02), diabetes (p = 0.01), lower mean corpuscular hemoglobin (p = 0.04), higher total calcium (p = 0.04), and lower albumin (p = 0.03). Around 75% classified their sex life as regular to excellent. Conclusion: Despite the high ED prevalence, most men with CKD in HD reported experiencing regular to excellent sex life. The study underscores the importance of establishing effective screening and conducting routine evaluations regarding sexual issues in these men. Introduction (ED CKD. . (CKD) damage (HD Amazon Methods crosssectional cross sectional MSQ (MSQ IIEF5 IIEF (IIEF5 210 21 0 21. tests MannWhitney Mann Whitney KruskalWallis Kruskal Wallis P 0.05. 005 0.05 05 0.05) Results Ninetyeight Ninety eight 51.68 5168 51 68 (51.6 1528 15 28 15.2 evaluated marriedor married or 60.20%, 6020 60.20% , 60 20 (60.20%) 55.10%, 5510 55.10% 55 10 (55.10%) 117 17 1.17 6630 66 30 66.30% p 0.01, 001 0.01 01 0.01) 0.02, 002 0.02 02 0.02) 0.04, 004 0.04 04 0.04) 0.03. 003 0.03 03 0.03) 75 Conclusion (CKD (IIEF 2 00 0.0 51.6 516 (51. 152 15. 602 60.20 (60.20% 551 55.10 (55.10% 11 1.1 663 66.30 7 0. 51. (51 60.2 (60.20 55.1 (55.10 1. 66.3 (5 60. (60.2 55. (55.1 66. ( (60. (55. (60 (55 (6

Resumo Introdução: Disfunção erétil (DE) é um problema sexual comum entre homens com doença renal crônica (DRC). A gravidade da disfunção sexual tende a piorar com a lesão renal. Este estudo tem como objetivo avaliar função erétil e qualidade de vida sexual de pacientes homens adultos com DRC em hemodiálise (HD) em um hospital na Amazônia brasileira. Métodos: Realizou-se estudo quantitativo transversal no Setor de HD da Unidade de Nefrologia, incluindo homens com DRC ≥ 18 anos, submetidos a ≥ 3 sessões semanais de HD por ≥ 3 meses e sexualmente ativos por ≥ 6 meses. Utilizamos o Quociente Sexual Masculino (QSM) para medir satisfação sexual e o Índice Internacional de Função Erétil (IIEF5) para estabelecer função erétil. A análise estatística foi realizada com o SPSS 21.0 usando testes apropriados, como Mann-Whitney e Kruskal-Wallis (P < 0,05). Resultados: Avaliamos 98 pacientes (51,68 ± 15,28 anos). Eles eram predominantemente casados/ou vivendo com um(a) parceiro(a) (60,20%), com tempo de HD entre 1 e 5 anos (55,10%) e KTV médio de 1,17. A prevalência de DE foi 66,30% e foi associada a maior faixa etária (p = 0,01), menor renda familiar (p = 0,02), diabetes (p = 0,01), menor hemoglobina corpuscular média (p = 0,04), maior cálcio total (p = 0,04) e menor albumina (p = 0,03). Aproximadamente 75% classificaram sua vida sexual como regular a excelente. Conclusão: Apesar da elevada prevalência de DE, a maioria dos homens com DRC em HD relatou vida sexual regular a excelente. O estudo ressalta a importância de estabelecer triagem eficaz e realizar avaliações de rotina sobre questões sexuais nesses homens. Introdução (DE DRC. . (DRC) (HD brasileira Métodos Realizouse Realizou se Nefrologia QSM (QSM IIEF5 IIEF (IIEF5 210 21 0 21. apropriados MannWhitney Mann Whitney KruskalWallis Kruskal Wallis P 0,05. 005 0,05 05 0,05) Resultados 9 51,68 5168 51 68 (51,6 1528 15 28 15,2 anos. anos) casadosou casados ou uma um(a parceiroa parceiro parceiro(a 60,20%, 6020 60,20% , 60 20 (60,20%) 55,10% 5510 55 10 (55,10% 117 17 1,17 6630 66 30 66,30 p 0,01, 001 0,01 01 0,01) 0,02, 002 0,02 02 0,02) 0,04, 004 0,04 04 0,03. 003 0,03 03 0,03) 75 excelente Conclusão (DRC (IIEF 2 00 0,0 51,6 516 (51, 152 15, 602 60,20 (60,20% 55,10 551 (55,10 11 1,1 663 66,3 7 0, 51, (51 60,2 (60,20 55,1 (55,1 1, 66, (5 60, (60,2 55, (55, ( (60, (55 (60 (6

Abstract Introduction: Sexual education must take on a holistic perspective because only in this way can the younger segment of the population have a fulfilling experience of their sexuality. Therefore, it is interesting to understand the state of sexual education in Portugal. Objective: To assess the knowledge and beliefs of adolescents regarding sexuality and sexual education. Methods: An observational and analytical study was conducted, involving the administration of questionnaires to adolescents aged 13-19 attending middle and high school in the Metropolitan Area of Porto. Results: A total of 572 answers were included for analysis. The average age of the participants was 14.9±1.6 years, and the majority identified as girls. In the assessment of knowledge, 84% of the questions had more correct answers than incorrect ones. It was observed that with increasing age, knowledge levels increase while limiting beliefs and negative attitudes regarding sexuality decrease (p<0.001). Individuals identifying as girls tend to have higher knowledge levels; conversely, those identifying as boys tend to have higher levels of limiting beliefs and negative attitudes (p<0.05). Conclusion: The age and gender identity of adolescents influence their knowledge and beliefs associated with sexuality.

Resumo Introdução: A educação sexual deve assumir uma perspetiva holística, já que desta forma será possível que a camada jovem da população tenha uma vivência gratificante da sua sexualidade. Assim, é de interesse perceber o estado da educação sexual em Portugal. Objetivo: Avaliar os conhecimentos e crenças de adolescentes sobre sexualidade e educação sexual. Métodos: Foi desenvolvido um estudo observacional e analítico, tendo sido aplicados questionários a adolescentes com idade entre os 13 e os 19 anos que frequentam escolas básicas e secundárias da Área Metropolitana do Porto. Resultados: Foram incluídas 572 respostas para análise. A idade média das pessoas inquiridas foi de 14,9±1,6 anos e a maioria identificava-se como rapariga. Na avaliação de conhecimentos, 84% das questões tem mais respostas certas do que erradas. Verificou-se que quanto maior a idade, maiores são os conhecimentos e menores são as crenças limitantes e atitudes negativas relativamente à sexualidade (p<0,001). As pessoas que se identificam como rapariga tendem a apresentar níveis elevados de conhecimentos; por contraste, as pessoas que se identificam como rapaz tendem a ter um maior nível de crenças limitantes e atitudes negativas (p<0,05). Conclusão: A idade e a identidade de género dos adolescentes influenciam os conhecimentos e crenças associadas à sexualidade.

Abstract Objective Child sexual violence is a multidimensional problem of many contemporary societies, affecting people of all sexes, social stratum and age groups. Offenses involving children and adolescents are more serious, given their total or partial dependence on parents and caregivers. Information on child sexual violence in Brazil is found in raw form and without detail. The objective was to compare the information with social and economic data in the state of Paraná. Methods The authors conducted a retrospective study of secondary data from the Notifiable Diseases Information System (SINAN) on cases of sexual violence involving victims aged 0 to 19 years. Results are presented according to notification characteristics. The authors applied exploratory spatial data analysis to assess spatial autocorrelations and investigated relationships by the ordinary least squares regression model. Results Between 2017 and 2021, there were 13,403 reports of child sexual violence in Paraná State, Brazil. Most victims (82.8%) were female and aged between 10 and 14 years. The majority of sexual violence cases (67.8%) occurred in the home environment. The highest rates on a population basis were observed in the North Central and Greater Curitiba regions, mainly in cities with higher population density and with higher rates of other types of violence. Conclusion The results provide data that can promote a broader understanding of the distribution of sexual violence and the state and associated variations. It is expected to improve the provision of care for victims of child sexual violence and assist in strategic planning to prevent future offenses. societies sexes groups serious caregivers detail SINAN (SINAN 1 years characteristics model 201 2021 13403 13 403 13,40 State 82.8% 828 82 8 (82.8% 67.8% 678 67 (67.8% environment regions variations offenses 20 202 1340 40 13,4 82.8 (82.8 67.8 6 (67.8 2 134 4 13, 82. (82. 67. (67. (82 (67 (8 (6 (

SUMMARY OBJECTIVE: Pregnancy, childbirth, and postpartum periods bring along biological, psychological, and social changes that could affect women's sexual health. The aim of this study was to evaluate the effect of genital self-image on sexual satisfaction and stress in women who had a vaginal delivery. METHODS: This descriptive and cross-sectional study was conducted online between June and September 2023 by using snowball sampling and the data collection forms prepared in the GoogleDocs program. Women who had a normal vaginal delivery were included, were within 6 weeks to 1 year postpartum, were able to use at least one of the social media networks (e-mail, WhatsApp, Facebook, and Instagram), and volunteered to participate in the research. Data were collected through the Personal Information Form, the "Female Genital Self-Image Scale," the "Golombok-Rust Inventory of Sexual Satisfaction," and the "Female Sexual Distress Scale-Revised." RESULTS: The average age of the participating women was 30.54±5.83 years (n=235). The participants’ mean scores were 18.94±2.92 for the Female Genital Self-Image Scale, 40.07±15.51 for the Golombok-Rust Inventory of Sexual Satisfaction, and 8.85±8.50 for the Female Sexual Distress Scale-Revised total. A statistically significant and negative relationship was found between Female Genital Self-Image Scale and Golombok-Rust Inventory of Sexual Satisfaction and Female Sexual Distress Scale-Revised total scores (r=-0.183, p<0.01; r=-0.387, p<0.01). Regression analysis (forward) was performed, and genital self-image was found to be the predictive factor affecting sexual satisfaction and stress. CONCLUSION: This study found that women had a medium level of genital self-image and sexual satisfaction and a low level of sexual distress. OBJECTIVE Pregnancy childbirth biological psychological womens s health selfimage self image METHODS crosssectional cross sectional 202 program included email, email e mail, mail (e-mail WhatsApp Facebook Instagram, Instagram , Instagram) research Form SelfImage Self Image GolombokRust Golombok Rust ScaleRevised. ScaleRevised Revised. Revised Scale-Revised. RESULTS 3054583 30 54 5 83 30.54±5.8 n=235. n235 n n=235 . 235 (n=235) participants 1894292 18 94 2 92 18.94±2.9 40071551 40 07 15 51 40.07±15.5 885850 8 85 50 8.85±8.5 r=0.183, r0183 r r= 0.183, 0 183 (r=-0.183 p<0.01 p001 p 01 r=0.387, r0387 0.387, 387 r=-0.387 p<0.01. p<0.01) forward (forward performed CONCLUSION distress 20 305458 3 30.54±5. n23 n=23 23 (n=235 189429 9 18.94±2. 4007155 4 40.07±15. 88585 8.85±8. r=0.183 r018 0183 0.183 (r=-0.18 p<0.0 p00 r=0.387 r038 0387 0.387 38 r=-0.38 30545 30.54±5 n2 n=2 (n=23 18942 18.94±2 400715 40.07±15 8858 8.85±8 r=0.18 r01 018 0.18 (r=-0.1 p<0. p0 r=0.38 r03 038 0.38 r=-0.3 3054 30.54± n= (n=2 1894 18.94± 40071 40.07±1 885 8.85± r=0.1 r0 0.1 (r=-0. p<0 r=0.3 03 0.3 r=-0. 305 30.54 (n= 189 18.94 4007 40.07± 88 8.85 r=0. 0. (r=-0 p< r=-0 30.5 (n 18.9 400 40.07 8.8 r=0 (r=- r=- 30. 18. 40.0 8. (r= 40. (r

Objetivos: Investigar os fatores associados à disposição para conhecer o estado sorológico para a sífilis entre estudantes do ensino superior. Métodos: Estudo transversal e analítico realizado com estudantes do ensino superior de Portugal. A coleta de dados ocorreu por meio de questionário on- line. Os dados foram analisados pela regressão logística de Poisson com variância robusta, utilizando o SPSS-24. Resultados: Incluídos 413 estudantes, maioria do sexo feminino, idade média de 20,5 anos e matriculada em cursos de saúde. Observou -se vulnerabilidades comportamentais como não uso do preservativo e uso de álcool/outras drogas; baixa percepção de risco e conhecimento ruim sobre sífilis. Menos da metade dos estudantes se dispuseram a realizar o teste para sífilis. Conclusões: A adesão ao rastreio para sífilis foi baixa e associada a fatores incomuns como menor conhecimento, baixa percepção de risco, menor idade e número de parcerias sexuais e frequentar cursos de áreas diferentes da saúde.

Objectives: To investigate the factors associated with the willingness to know the serological status for syphilis among higher education students. Methods: A cross-sectional and analytical study was conducted with higher education students in Portugal. Data collection was carried out through an online questionnaire. The data were analyzed using Poisson logistic regression with robust variance, utilizing SPSS-24. Results: A total of 413 students were included, the majority of whom were female, with an average age of 20.5 years, and enrolled in health-related courses. Behavioral vulnerabilities such as not using condoms and using alcohol/other drugs were observed; there was also a low-risk perception and poor knowledge about syphilis. Less than half of the students were willing to undergo the syphilis test. Conclusions: Adherence to syphilis screening was low and associated with uncommon factors such as lower knowledge, low risk perception, younger age, fewer sexual partnerships, and enrollment in courses outside the health field.

Objetivos: Investigar los factores asociados con la disposición a conocer el estado serológico para sífilis entre estudiantes de educación superior. Métodos: Estudio transversal y analítico realizado con estudiantes de educación superior en Portugal. La recogida de datos se realizó a través de un cuestionario en línea. Los datos se analizaron mediante regresión logística de Poisson con varianza robusta, utilizando SPSS-24. Resultados: Se incluyeron 413 estudiantes, la mayoría del sexo femenino, la edad promedio fue de 20,5 años y matriculados en carreras de salud. Observar vulnerabilidades de comportamiento como no usar condones y consumir alcohol u otras drogas; baja percepción de riesgo y escaso conocimiento sobre la sífilis. Menos de la mitad de los estudiantes estaban dispuestos a realizar la prueba de sífilis. Conclusiones: La adherencia al tamizaje de sífilis fue baja y se asoció con factores obvios como menor conocimiento, baja percepción de riesgo, menor edad y número de parejas sexuales y asistencia a cursos en áreas distintas a la salud.

Abstract Background: Objectives: The COM-B model of capability, motivation, and opportunity was used to estimate the determinants of PrEP usage intention among men who have sex with men (MSM). Methods: Fourteen semi-structured interviews were conducted with MSM recruited through snowball sampling. The interviews lasted 30-60 minutes and were conducted via Zoom or telephone. The data were analyzed using Atlas Ti v.8 and mapped to capability, motivation, and opportunity domains. Results: Potential facilitators identified were the skills and interest in seeking information about PrEP (capability), social support and peer opinion (opportunity), and motivations to use PrEP as an additional tool in HIV prevention. The main barriers identified were stigma towards homosexuality and HIV (opportunity); healthcare system organization and financing (opportunity); perceived lack of ability to adhere to PrEP usage (capability); and monitoring of PrEP that could be attributed to personal and healthcare system factors (capability and opportunity). Conclusions: Four strategies are suggested to address these barriers: 1) adaptation of interventions that promote knowledge and skills for PrEP; 2) development of navigator interventions to engage organizations and leaders; 3) education and skills training for primary care physicians; and 4) improvement of sexual health care systems.

Resúmen Introducción: Estudios previos en relación con los determinantes del uso de la profilaxis preexposición al VIH en Colombia son escasos, en este estudio nos proponemos usar el modelo de capacidad, motivación y oportunidad COM-B para estimar los determinantes de la intención de uso de PrEP en hombres que tienen sexo con hombres (HSH). Metodología: se realizaron 14 entrevistas semiestructuradas con HSH reclutados por muestreo de bola de nieve, con una duración entre de 30-60 minutos, por zoom o teléfono. Se realizo un análisis de contenido y luego se realizó el mapeo de los temas con los dominios de capacidad, motivación y oportunidad. Resultados: Se encontró como posibles facilitadores las habilidades e interés para buscar información sobre PrEP (Capacidad), el apoyo social y la opinión de pares (oportunidad), y las motivaciones para usar la PrEP como una herramienta adicional en la prevención del VIH. Como barrera se resalta principalmente el estigma hacia la homosexualidad y el VIH (oportunidad), la organización y financiación del sistema de salud, (oportunidad), la percepción de falta de habilidad para cumplir con el uso de PrEP (capacidad), y la monitoria de PrEP que se pudiera atribuir a factores personales y del sistema de salud (capacidad y oportunidad). Consideraciones finales: se sugieren 4 estrategias para abordar esas barreras 1) adaptación de intervenciones que promuevan el conocimiento y las habilidades para PrEP, 2) desarrollos de intervenciones de navegantes que promuevan la participación de organizaciones y lideres, 3) educación y habilidades para médicos de atención primaria, 4) mejoramiento del sistema de atención en salud sexual.

Abstract Context: Female Sexual Dysfunctions (FSD) are prevalent conditions, can occur in any stage of life and can severely affect women’s quality of life. The etiology of FSD is often multifactorial, including biologic, psychological, interpersonal and sociocultural factors. Objectives: To evaluate FSD in a Portuguese population and what factors can influence the female sexual function. Methods: A cross-sectional study was conducted between August and September of 2023. Participants filled an anonymous online survey, including a demographic questionnaire and the Female Sexual Function Index (FSFI) for evaluation of sexual function. Inclusion criteria: age between 18 and 75 years old, residence in Portugal and being in a heterosexual relationship. The total score FSFI and domain scores (desire, arousal, lubrification, orgasm, satisfaction and discomfort) were analyzed using SPSS 22®. Results: A total of 401 women completed the questionnaire, 393 fulfilled the inclusion criteria. Women had a mean age of 41,6 years (range: 20-71 years). From these, 48% of women reported being moderately satisfied or very satisfied with their sex life and 9,6% reported no sexual intercourse in the past 4 weeks. Among sexually active women, the mean total FSFI score was 27.37 (range: 7.5-34.5±4.99) and 36% met the criteria for sexual dysfunction (FSFI score ≤ 26.55). Post-menopausal participants, when compared to women in reproductive age, had a lower mean total score and also had lower mean scores across all domains, except for discomfort (p<0.05). Women with children or a BMI ≥ 25 had lower mean total score and lower mean scores for desire, arousal and satisfaction domains (p<0.05). Conclusions: The prevalence of FSD was 36%. These findings highlight the importance of addressing FSD as a significant concern for women health and quality of life and the need for training and awareness among healthcare professionals.

Resumo Introdução: As disfunções sexuais femininas (DSF) são condições prevalentes. Estas podem ocorrer em qualquer fase da vida e podem afetar negativamente a qualidade de vida de muitas mulheres. A etiologia das DSF é frequentemente multifatorial, incluindo fatores biológicos, psicológicos, interpessoais e socioculturais. Objetivos: Avaliar as DSF em mulheres portuguesas e identificar possíveis fatores que possam influenciar a sexualidade feminina. Métodos: Estudo transversal observacional realizado entre agosto e setembro de 2023, através do preenchimento de questionário online anónimo, que incluía um questionário demográfico e o Female Sexual Function Index (FSFI) para avaliação da resposta sexual. A pontuação total e dos domínios (desejo, excitação, lubrificação, orgasmo, satisfação e desconforto) foram analisados utilizando o SPSS 22®. Resultados: De um total de 401 mulheres que completaram o questionário, 393 preenchiam os critérios de inclusão no estudo. A idade média das inquiridas foi de 41,6 anos (20-71 anos). Quando questionadas, 74% das mulheres referiram estar moderadamente satisfeitas ou muito satisfeitas com a sua vida sexual e 9,6% das mulheres referiu ausência de relações sexuais nas últimas quatro semanas. Entre as mulheres sexualmente ativas, a pontuação média total do FSFI foi de 27,37 (7,5-34,5±4,99) e 36% preenchiam os critérios para disfunção sexual (Pontuação FSFI ≤ 26,55). As participantes na pós-menopausa, em comparação com as mulheres em idade reprodutiva, apresentaram uma pontuação média total inferior, assim como pontuações médias inferiores em todos os domínios, exceto no desconforto (p<0,05). Mulheres com filhos ou com IMC ≥25 tiveram uma pontuação média total e pontuações médias inferiores nos domínios do desejo, excitação e satisfação (p<0,05). Conclusões: A prevalência de problemas sexuais na população em estudo foi de 36%. Estes achados destacam a importância de abordar as DSF como uma preocupação na saúde e qualidade de vida das mulheres e da necessidade de formação e sensibilização dos profissionais de saúde.

ABSTRACT This study aimed to determine the coexistence and food sources of adult mosquitoes (Diptera: Culicidae) in a rural health center in Piura, Peru by using a descriptive cross-sectional design. Entomological techniques were used to capture and identify mosquitoes, and molecular biotechnology techniques were used to identify food sources. A total of 793 specimens of the Culex and Aedes genera were found coexisting, 789 (99.5%) were Culex quinquefasciatus, 607 (76.9%) were males and 182 (23.1%) were females. Likewise, 4 (100%) corresponded to Aedes aegypti females. The food sources of Aedes aegypti were Homo sapiens sapiens, and Homo sapiens sapiens and Canis familiaris were the food sources of Culex quinquefasciatus. This study provides evidence that rural health centers could be acting as foci of arbovirosis, with the risk that people who come for different ailments could contract diseases transmitted by C. quinquefasciatus and A. aegypti.

RESUMEN Con el objetivo del estudio fue determinar la coexistencia y fuentes de alimentación de mosquitos adultos (Diptera: Culicidae) en un centro de salud rural de Piura en Perú, se realizó un estudio descriptivo transversal. Se usaron técnicas entomológicas para capturar e identificar mosquitos, y técnicas de biotecnología molecular para identificar las fuentes de alimentación. Un total de 793 ejemplares de los géneros Culex y Aedes se encontraron coexistiendo, 789 (99,5%) corresponden a Culex quinquefasciatus, 607 (76,9%) fueron machos y 182 (23,1%) hembras. Así mismo, 4 (100%) corresponden a Aedes aegypti hembras. Las fuentes de alimentación de Aedes aegypti fueron Homo sapiens sapiens, y de Culex quinquefasciatus fueron Homo sapiens sapiens y Canis familiaris. Este estudio proporciona evidencia de que los centros de salud rurales estarían actuando como focos de arbovirosis, existiendo el riesgo de que personas que acuden por distintas dolencias, puedan contraer enfermedades transmitidas por C. quinquefasciatus y A. aegypti.

Abstract Sexual satisfaction is expressed as an evaluation to gauge the level of enjoyment in one’s sexual life. Studies of the sexuality of the LGBTIQ population have been limited, as this group grapples with taboos, repression, and social stigma, which impact various aspects of their lives, including health and sexual satisfaction. This study investigates the unidimensional scale of sexual satisfaction in the LGBTIQ population in Ecuador, We analyze how this scale is affected when compared to different sociodemographic variables. We utilized a quantitative, descriptive, correlational, and prospective methodology, applying a questionnaire to 625 residents of Ecuador to gather sociodemographic data and the Sexual Satisfaction Index (SSI). The results on the unidimensional scale of sexual satisfaction are as follows: 33% of respondents report sexual satisfaction, while 60.5% experience sexual dissatisfaction, and 6.6% undergo a severe stress experience. There is less sexual dissatisfaction among individuals living in Quito, males, homosexuals, those with a higher level of education, and Afro-Americans, with a P value < 0,005 that is statistically significant. A negative value of sexual satisfaction is observed in the studied population, emphasizing the need for further investigation into the causes and factors influencing sexual dissatisfaction. This will help us understand their needs and provide support in a safe and respectful environment due to ongoing discrimination.

Resumen La satisfacción sexual se expresa como una evaluación, para manifestar el nivel de agrado a la vida sexual. Los estudios en la sexualidad de la población LGBTIQ han sido poco profundizados, grupos rodeados de tabúes, víctimas de una represión y condenas sociales; afectando las diferentes dimensiones de la salud, como la satisfacción sexual. Este trabajo investiga la escala unidimensional de la satisfacción sexual en la población LGBTIQ Ecuador. Se analiza cómo esta escala es afectada al correlacionarse con las diferentes variables sociodemográficas. Se utiliza una metodología cuantitativa, correlacional descriptiva y prospectiva. Se aplica: cuestionario a 625 personas residentes en Ecuador con recogida de datos sociodemográficos, Índice de Satisfacción Sexual (ISS). Los resultados de la escala unidimensional de satisfacción sexual muestran que el 33 % de la población tiene satisfacción sexual, el 60,5 % experimenta insatisfacción sexual y un 6,6 % reporta una experiencia severa de estrés en esta área. Se observa una menor insatisfacción sexual en los residentes de la ciudad de Quito, en hombres, en personas homosexuales, en aquellos con un nivel educativo más alto y en individuos afrodescendientes, con un valor de p < 0,005, lo que indica una significancia estadística. Estos resultados reflejan un nivel negativo de satisfacción sexual en la población estudiada. Por lo tanto, se hace necesario continuar investigando la satisfacción sexual para comprender las causas y los factores que inciden en la insatisfacción sexual. Es crucial visibilizar las necesidades y los apoyos que requiere esta comunidad en un entorno seguro y respetuoso, especialmente considerando los constantes actos de discriminación que enfrentan.