Access to sexual health services among young Brazilians: Analysis in light of social determinants of health

IF 1.7 Q2 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH

Clinical Epidemiology and Global Health Pub Date : 2026-03-01 Epub Date: 2026-02-13 DOI:10.1016/j.cegh.2026.102307

William Caracas Moreira , Guilherme Frederico Abdul Nour , Mônica Oliveira Batista Oriá , Ana Kelve de Castro Damasceno , Jordana de Almeida Nogueira , Oriana Deyze Correia Paiva Leadebal , Hellen Lívia Oliveira Catunda Ferreira , Ana Karina Bezerra Pinheiro

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引用次数: 0

Abstract

Objective

Analyze young people's access to two sexual health services in two macro-regions of Brazil.

Methods

A cross-sectional study was conducted with 301 young people aged 15–24 years at two sexual health services in two cities, headquarters of macro-regions in Paraíba, Brazil. Data were collected from February to July 2021 using a validated form and analyzed using descriptive statistics, chi-square tests, and prevalence ratios, based on the World Health Organization's Social Determinants of Health.

Results

301 young people, average age 20.83 (±2.30) years, predominantly male (51.50%), non-white (72.10%), cisgender (96.70%), and heterosexual (58.10%). Difficulty accessing services (14.60%) was influenced by income, age group, and discrimination. Difficulty in undergoing rapid testing (22.60%) was influenced by education, work, alcohol consumption, and risky sexual behaviors. Difficulty in acquiring condoms was influenced by victimization by sexual violence, history of incarceration, and transactional sex.

Conclusion

These factors had a direct impact on young people's access to sexual health services.

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巴西年轻人获得性健康服务的情况：根据健康的社会决定因素进行分析

目的分析巴西两个宏观地区年轻人获得两种性健康服务的情况。方法采用横断面研究方法，对巴西Paraíba大区域总部两个城市性健康服务机构的301名15-24岁年轻人进行调查。数据收集于2021年2月至7月，使用经过验证的表格，并根据世界卫生组织的《健康的社会决定因素》，使用描述性统计、卡方检验和患病率进行分析。结果青年301例，平均年龄20.83（±2.30）岁，男性占51.50%，非白人占72.10%，顺性别占96.70%，异性恋占58.10%。获得服务的困难（14.60%）受收入、年龄组和歧视的影响。难以接受快速检测（22.60%）受教育、工作、饮酒和危险的性行为的影响。性暴力受害者、监禁史和交易性行为影响了获得避孕套的困难。结论这些因素对青少年获得性健康服务有直接影响。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Clinical Epidemiology and Global Health PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH-

CiteScore

4.60

自引率

7.70%

发文量

218

审稿时长

66 days

期刊介绍： Clinical Epidemiology and Global Health (CEGH) is a multidisciplinary journal and it is published four times (March, June, September, December) a year. The mandate of CEGH is to promote articles on clinical epidemiology with focus on developing countries in the context of global health. We also accept articles from other countries. It publishes original research work across all disciplines of medicine and allied sciences, related to clinical epidemiology and global health. The journal publishes Original articles, Review articles, Evidence Summaries, Letters to the Editor. All articles published in CEGH are peer-reviewed and published online for immediate access and citation.