Social determinants of health and vulnerabilities to sexually transmitted infections in adolescents

ABSTRACT Objective: To verify the association between social determinants of health and the vulnerability of adolescents to Sexually Transmitted Infections (STIs). Method: Cross-sectional study, performed with 287 students aged 11 to 17 years, in the outskirts of Fortaleza, Ceará, Brazil, from August do September 2016. Two instruments were used, one destined to social determinants of health and another to investigating the vulnerability to STIs. The magnitude of associations was expressed through odds ratio and interval of confidence, considering a 5% significance level. This research was approved by the Research Ethics Committee of the Federal University of Ceará. Results: 212 (73.9%) adolescents were considered more vulnerable, with a score ≥ 4. The intermediate social determinant “housing (home ownership)” obtained significant association with with the vulnerability to STIs (p of 0.022; CI 1.1 to 3.3; OR 1.9). Conclusion: The intermediate social determinant “type of housing” influences the vulnerability to STAs.

摘要
研究目的：验证健康社会决定因素（social determinants of health）与青少年性传播感染（Sexually Transmitted Infections，STIs）易感性之间的关联。
研究方法：本研究为横断面研究，于2016年8月至9月在巴西塞阿拉州福塔莱萨市郊区开展，共纳入287名11至17岁的学生作为研究对象。本研究采用两套研究工具，一套用于评估健康社会决定因素，另一套用于调查青少年的性传播感染易感性。关联强度通过比值比（odds ratio, OR）与置信区间（confidence interval, CI）进行呈现，设定显著性水平为5%。本研究经塞阿拉联邦大学研究伦理委员会批准。
研究结果：共有212名（73.9%）青少年得分≥4分，被归类为高易感性群体。其中中间层级健康社会决定因素"住房（房屋所有权）"与性传播感染易感性存在显著关联（p=0.022；置信区间1.1~3.3；比值比=1.9）。
研究结论：中间层级健康社会决定因素"住房类型"会影响性传播感染易感性。