1. Factors associated with the increase in sexually transmitted infections in men: an integrative review.
- Author
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Lao-López, Cristina, Garriga-Comas, Neus, and Goberna-Tricas, Josefina
- Subjects
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SEXUALLY transmitted disease risk factors , *RISK assessment , *SUBSTANCE abuse , *SEXUAL orientation , *RISK-taking behavior , *CINAHL database , *HUMAN sexuality , *BEHAVIOR , *DESCRIPTIVE statistics , *SYSTEMATIC reviews , *MEDLINE , *PRE-exposure prophylaxis , *MEN'S health , *MEDICAL databases , *ONLINE information services , *ALCOHOL drinking , *EARLY diagnosis , *SOCIODEMOGRAPHIC factors , *EDUCATIONAL attainment - Abstract
Objective: To analyse the scientific evidence regarding the factors associated with risk behavior in men in relation to the increase in sexually transmitted infections (STIs). Method: An integrative review based on a bibliographic search of the PubMed, WoS, CINHAL, and Cochrane databases. Results/Discussion: 151 articles were identified applying the following selection criteria: a) use of English or Spanish, and b) publication between 2015 and 2021. 128 articles were discarded after reading the title and abstract, leaving a total of 23. In accordance with the adapted version of the Precede-Proceed Model, the following factors associated with the presence of STIs: predisposing factors: drug use, alcohol, multiple partners, STI diagnosis, post-exposure prophylaxis (PEP) administration, and sexual orientation; facilitating factors of risk behavior: unprotected sexual intercourse, needle exchange; and reinforcing factors/predictors of behavior change: early diagnosis, use of pre-exposure prophylaxis (PrEP), educational interventions and health programs. All these factors should be considered in a socio-demographic and cultural context along with factors such as age, country of origin, migrant status, work or income level, and educational level. Conclusion: The prevalence of STIs has decreased, but further improvements are necessary. Identification of all the factors associated with risk behavior and the application of the Precede-Proceed method can help to strengthen the impact of educational interventions designed by health professionals with regard to changing sexual behavior. [ABSTRACT FROM AUTHOR]
- Published
- 2024
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