Revista Panamericana De Salud Publica-pan American Journal of Public Health最新文献

{"title":"[Compliance with drivers of the HEARTS-based integrated model for noncommunicable disease control in PeruNível de implementação dos fatores impulsionadores do modelo integrado para doenças não transmissíveis da iniciativa HEARTS no Peru].","authors":"Vicente Benites-Zapata, Pedro Kikushima-Alcántara, Carlos Díaz-Arocutipa, Percy Herrera-Añazco","doi":"10.26633/RPSP.2026.54","DOIUrl":"10.26633/RPSP.2026.54","url":null,"abstract":"<p><strong>Objective: </strong>To describe compliance with the interventions defined as drivers of the HEARTS-based integrated model for noncommunicable disease control in Peru.</p><p><strong>Method: </strong>All Ministry of Health institutional health service providers (IHSPs) that are implementing the HEARTS initiative were invited to participate. The assessment was conducted between January and May 2025. Compliance was measured using the maturity index (MI), scored on a five-level scale ranging from incipient to fully mature. The percentage of IHSPs meeting the intervention targets for drivers of the MI for hypertension (HTN), type 2 diabetes mellitus (T2DM), and chronic kidney disease (CKD) was calculated.</p><p><strong>Results: </strong>Of 1000 IHSPs implementing the model, 92% reported their MIs for HTN, 92% for T2DM, and 93% for CKD. Overall, 82.3% of facilities were at maturity level 1 for HTN, 75% were at level 1 for T2DM, and 99.5% were at level 1 for CKD. For HTN, the target with the highest level of compliance was immediate initiation of pharmacological therapy, achieved by 75% of IHSPs. For T2DM, the targets most frequently met were timely delivery of screening results and early treatment optimization, achieved by 49% of IHSPs. For CKD, the target with the highest level of compliance was availability of a standardized treatment protocol, achieved by 17% of IHSPs.</p><p><strong>Conclusion: </strong>Although most IHSPs were only at the incipient maturity level, compliance was achieved for some interventions. Priority activities to improve care were identified.</p>","PeriodicalId":21264,"journal":{"name":"Revista Panamericana De Salud Publica-pan American Journal of Public Health","volume":"50 ","pages":"e54"},"PeriodicalIF":1.7,"publicationDate":"2026-07-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13330637/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148391688","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Factors associated with laboratory confirmation of suspected hantavirus pulmonary syndrome in southern Argentina: a retrospective observational case-control study.","authors":"Fernando Tortosa, Victoria Lucca, Rodrigo Bustamante, Yesica Espasandin, Ayelén Iglesias, Ariel Izcovich, Martin Lammel","doi":"10.26633/RPSP.2026.70","DOIUrl":"10.26633/RPSP.2026.70","url":null,"abstract":"<p><strong>Objective: </strong>To identify demographic, occupational, exposure, clinical, and laboratory factors independently associated with diagnostic confirmation of hantavirus infection by RT-PCR or IgM among patients with suspected hantavirus pulmonary syndrome evaluated in Río Negro and Neuquén, Argentina.</p><p><strong>Methods: </strong>A retrospective case-control study using emergency department records and epidemiological notification forms from public hospitals in Río Negro and Neuquén, Argentina, during 1996-2025. Cases were patients with suspected hantavirus pulmonary syndrome confirmed by RT-PCR detection of hantavirus RNA and/or hantavirus-specific IgM ELISA through a standardized laboratory confirmation pathway verified by the reference laboratory. Controls were suspected cases in whom hantavirus infection was ruled out through the same pathway. Demographic, occupational, exposure, clinical, laboratory, and chest radiography variables were analyzed. Logistic regression models were adjusted for age and sex; symptoms were mutually adjusted in the clinical block.</p><p><strong>Results: </strong>We included 325 suspected cases: 113 confirmed and 212 ruled out. Compared with no evident risk, the activity-based exposure scale showed strong associations for high-risk activity (aOR 156; 95% CI [10, 2 448]) and moderate-risk activity (aOR 33; 95% CI [2.4, 456]). Confirmed cases more often had elevated hematocrit (aOR 7.40; 95% CI [3.96, 13.8]), elevated lactate dehydrogenase (aOR 10.67; 95% CI [4.85, 23.3]), thrombocytopenia (aOR 11.08; 95% CI [5.59, 21.9]), and elevated creatinine (aOR 2.91; 95% CI [1.59, 5.34]). Severe respiratory failure/criteria for mechanical ventilation (aOR 5.58; 95% CI [3.16, 9.85]) and neurological symptoms (aOR 5.17; 95% CI [1.16, 28.0]) were independently associated with confirmation.</p><p><strong>Conclusions: </strong>Among patients with suspected hantavirus pulmonary syndrome evaluated in southern Argentina, structured exposure assessment and selected laboratory abnormalities were associated with laboratory confirmation. Given the study limitations, these hypothesis-generating findings may inform future development and prospective validation of clinical prediction tools.</p>","PeriodicalId":21264,"journal":{"name":"Revista Panamericana De Salud Publica-pan American Journal of Public Health","volume":"50 ","pages":"e70"},"PeriodicalIF":1.7,"publicationDate":"2026-07-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13330638/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148391632","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Behavioral and structural drivers of HIV in men who have sex with men in Belize: a mixed-methods study.","authors":"Olusola Oladeji, Marvin L Manzanero, Enrique Romero, Peter Baffoe","doi":"10.26633/RPSP.2026.62","DOIUrl":"10.26633/RPSP.2026.62","url":null,"abstract":"<p><strong>Objective: </strong>To estimate the prevalence of human immunodeficiency virus (HIV) in men who have sex with men (MSM) in Belize and identify behavioral and structural factors associated with infection.</p><p><strong>Methods: </strong>This mixed-methods study was a secondary analysis of data from the 2024 Integrated Biological and Behavioral Surveillance Survey. A total of 490 MSM were recruited using respondent-driven sampling. Data were collected using a structured behavioral questionnaire administered via computer-assisted self-interview. Qualitative data were collected through key informant interviews and focus group discussions.</p><p><strong>Results: </strong>HIV prevalence was 11.0%. Condom use was inconsistent: 70.4% reported consistent use, while 16.1% never used condoms. Transactional sex was common (18.8% received payment and 22.0% paid for sex). Condom use was higher in respondents who paid for sex (84.3%) than in those who were paid (64.1%). HIV testing was moderate: 74.5% had ever tested, but only 42.0% were tested in the past year and 6.5% had self-tested. Awareness of pre-exposure prophylaxis and post-exposure prophylaxis was low (8.6% and 8.4%, respectively). Among respondents who were aware, < 20% had used prophylaxis in the past 6 months. Substance use was prevalent (high alcohol risk 56.7% and cannabis use 41.4%) and 50.4% engaged in risky sex under intoxication. Depression risk was 46.1%. Qualitative findings identified three themes: individual factors, health system factors, and stigma.</p><p><strong>Conclusion: </strong>MSM in Belize face a high HIV burden driven by behavioral and structural factors. Interventions should prioritize condom promotion, pre-exposure prophylaxis scale-up, mental health support, substance use prevention, and stigma reduction.</p>","PeriodicalId":21264,"journal":{"name":"Revista Panamericana De Salud Publica-pan American Journal of Public Health","volume":"50 ","pages":"e62"},"PeriodicalIF":1.7,"publicationDate":"2026-07-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13330639/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148391660","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"[Glycemic control, psychosocial factors, and quality of life among people with diabetes in primary health care settingsControl de la glucemia, factores psicosociales y calidad de vida en personas con diabetes en entornos de atención primaria de salud].","authors":"Cilio Antonio Ribeiro Junior, Cleber Nascimento do Carmo, Sabrina da Silva Santos","doi":"10.26633/RPSP.2026.52","DOIUrl":"10.26633/RPSP.2026.52","url":null,"abstract":"<p><strong>Objectives: </strong>To examine the mediating role of psychosocial factors in the association between glycemic control and health-related quality of life (HRQoL) among people with diabetes living in the east side of Manaus, Amazonas, Brazil.</p><p><strong>Methods: </strong>A cross-sectional study was conducted involving 288 people with diabetes aged 18 or older, of both sexes, who were patients at Family Health Units providing primary health care (PHC). Data collection involved individual interviews using validated instruments, such as the WHOQoL-<i>bref</i> for HRQoL, the SOC-13 for sense of coherence (SOC), and the Medical Outcomes Study - Social Support Survey for social support. Data on glycated hemoglobin were collected from the <i>e-SUS APS</i> Health Information System. A descriptive analysis was conducted, followed by structural equation modeling.</p><p><strong>Results: </strong>The mean age was 59.0 ± 11.3 years; 110 participants (38.2%) were male and 178 (61.8%) were female. With regard to glycemic control, 89 (31.0%) had adequate glycated hemoglobin levels (below 7.0%), while 199 (69.0%) had inadequate levels (7.0% or higher). The means and standard deviations for SOC, social support, and HRQoL were 59.2 ± 16.8; 71.9 ± 26.5; and 52.6 ± 16.4, respectively. Glycemic control was directly associated with HRQoL (β = 0.185; <i>p</i> < 0.05) and indirectly mediated by SOC (β = -0.200; <i>p</i> < 0.01) and social support (β = -0.096; <i>p</i> < 0.05).</p><p><strong>Conclusion: </strong>SOC and social support proved to be key mediators of the association between glycemic control and HRQoL, and are factors that could be taken into account in clinical practice.</p>","PeriodicalId":21264,"journal":{"name":"Revista Panamericana De Salud Publica-pan American Journal of Public Health","volume":"50 ","pages":"e52"},"PeriodicalIF":1.7,"publicationDate":"2026-06-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13267756/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148265442","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"[Commercially available complementary foods in Argentina and Mexico: An analysis of their nutritional composition, labeling, and promotionAlimentos complementares comercializados na Argentina e no México: análise da composição nutricional, rotulagem e promoção].","authors":"María Elisa Zapata, Paula Veliz, Alicia Rovirosa, María Celeste Nessier, Verónica Risso Patrón, Cecilia De Bustos, Evelyn Gitz, Eric Crosbie","doi":"10.26633/RPSP.2026.53","DOIUrl":"10.26633/RPSP.2026.53","url":null,"abstract":"<p><strong>Objective: </strong>To characterize commercially available complementary foods (CACFs) sold in Argentina and Mexico and analyze their alignment with a nutrient and promotion profile model (NPPM) designed and adapted for Latin America and the Caribbean.</p><p><strong>Methods: </strong>This was a descriptive study of all CACFs available in Argentina and Mexico in 2025. Data were collected from product labels and evaluated for compliance with the NPPM, which defines criteria for nutritional composition, presence of non-nutritive additives, and processing level, as well as requirements for promotional practices.</p><p><strong>Results: </strong>Overall, 17 CACFs were found in Argentina and 234 in Mexico. None of the CACFs marketed in Argentina and only 5% of those marketed in Mexico met all of the nutritional criteria of the NPPM. The results showed that added sugars were frequently present and that, given their high total sugar content, these products should carry a front-of-package warning label. None of the purée-style baby foods specified a maximum age recommendation. In addition, 65% of CACFs marketed in Argentina and 47% of those marketed in Mexico were classified as ultraprocessed. None of the products met the NPPM requirements regarding promotion, primarily due to the absence of warnings against sucking directly from the spout of pouch-type containers, the omission of messages promoting and protecting breastfeeding, and the presence of health, nutrition, or marketing claims and other commercial statements.</p><p><strong>Conclusions: </strong>These findings underscore the need to strengthen public policies - particularly from a regulatory standpoint - aimed at improving the nutritional composition of processed foods and preventing misleading promotional and labeling practices.</p>","PeriodicalId":21264,"journal":{"name":"Revista Panamericana De Salud Publica-pan American Journal of Public Health","volume":"50 ","pages":"e53"},"PeriodicalIF":1.7,"publicationDate":"2026-06-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13267755/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148265515","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"[An overview of home care for patients with chronic diseases in Latin America: A scoping reviewPanorama da atenção domiciliar para pacientes com doenças crônicas na América Latina: revisão de escopo].","authors":"Carolina Fonseca Valencia, Alejandra Botero Toro, Adriana Patricia Forero, Javier González-Rodríguez, Olga Lucía Pinzón Espitia, Luisa Fernanda Murcia-Soriano","doi":"10.26633/RPSP.2026.55","DOIUrl":"10.26633/RPSP.2026.55","url":null,"abstract":"<p><strong>Objective: </strong>To review the available evidence on home care services for older adults with chronic conditions in Latin America and to describe the characteristics of care models and reported outcomes.</p><p><strong>Method: </strong>Scoping review conducted in accordance with the Joanna Briggs Institute methodology and the PRISMA-ScR guidelines. Studies published through March 2025 that addressed at least one of the following dimensions were included: a) description of the service; b) financial results; c) patient-reported outcomes; and d) clinical outcomes. The search was conducted in MEDLINE, Scopus, Embase, LILACS, REDALyc, Epistemonikos, Web of Science, and SciELO. Data selection and extraction were performed by two independent reviewers and discrepancies were resolved by consensus. The protocol was registered on the Open Science Framework.</p><p><strong>Results: </strong>Of the 7312 records identified, 38 studies met the inclusion criteria. Most described characteristics of the services and populations; 5 assessed costs, 10 reported patient-centered outcomes, and 14 reported clinical outcomes, including hospitalizations and complications. Most studies used descriptive designs, with considerable heterogeneity.</p><p><strong>Conclusion: </strong>It is suggested that home care services could help to improve efficiency, continuity of care, and patient experience. However, the evidence is limited and inconsistent, with little comparative evaluation. Multicenter studies, cost-effectiveness analyses, and standardized outcome measurement are needed to guide decision-making and the development of public policies in the Region.</p>","PeriodicalId":21264,"journal":{"name":"Revista Panamericana De Salud Publica-pan American Journal of Public Health","volume":"50 ","pages":"e55"},"PeriodicalIF":1.7,"publicationDate":"2026-06-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13267757/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148265427","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"[Governance, organization, and task distribution in family planning in Latin America and the CaribbeanGovernança, organização e distribuição de tarefas no planejamento familiar na América Latina e no Caribe].","authors":"Rodolfo Gómez Ponce de León, Jovita Ortiz Contreras, Verónica Fiol, Bruna Moreno Dias, María Begoña Carroza Escobar, Benjamín Puertas","doi":"10.26633/RPSP.2026.57","DOIUrl":"10.26633/RPSP.2026.57","url":null,"abstract":"<p><strong>Objective: </strong>To provide a comparative description of governance, service organization, and task distribution in family planning in countries of Latin America and the Caribbean (LAC), by level of care and subregion.</p><p><strong>Methods: </strong>An observational, cross-sectional comparative study conducted in 2025 through a survey sent to ministries of health in LAC countries with Pan American Health Organization (PAHO) offices. The study analyzed (1) the governance and organization of family planning services and (2) task distribution. Comparisons between care levels were performed using the Skillings-Mack and Wilcoxon tests, and comparisons between groups were performed using Fisher's exact test (p <0.05) using Stata v.19.</p><p><strong>Results: </strong>Responses were received from 22 of 29 countries (75.9%). Of those, 20 (90.9%) reported having family planning policies and 16 (72.7%) reported having quality assurance systems. The availability of modern contraceptive methods showed an upward trend across levels of care, from community-based services to hospitals (p <0.001). On average, countries reported that 9 of 11 modern contraceptive methods were available at least at one level. The main differences among countries were in long-acting reversible methods. The authority to provide modern contraceptive methods was largely limited to medical professionals.</p><p><strong>Conclusions: </strong>Family planning in LAC is highly regulated, although gaps remain in quality assurance, service organization across levels of care, and the distribution of tasks among different health professionals. Strengthening it requires better coordination between regulation, service organization, and task distribution.</p>","PeriodicalId":21264,"journal":{"name":"Revista Panamericana De Salud Publica-pan American Journal of Public Health","volume":"50 ","pages":"e57"},"PeriodicalIF":1.7,"publicationDate":"2026-06-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13267754/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148265460","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Co-developing a community health worker-led hypertension control intervention in Peru through a human-centered design approach.","authors":"Kendra N Williams, Karina Campos-Blanco, Lindsay J Underhill, Janeth Tenorio-Much, Lisa de Las Fuentes, Lucy Cordova-Ascona, Zoila Vela-Clavo, Gonzalo Mariano Cuentas-Canal, Juan Carlos Mendoza-Velasquez, Raquel Hurtado, Elvin H Geng, William Checkley, Joel Gittelsohn, Victor G Davila-Roman, Laura K Beres, Stella M Hartinger","doi":"10.26633/RPSP.2026.50","DOIUrl":"10.26633/RPSP.2026.50","url":null,"abstract":"<p><strong>Objective: </strong>To define the essential content and design elements for hypertension support delivered by community health workers (CHWs) in Puno, Peru, aligned with the HEARTS Initiative.</p><p><strong>Methods: </strong>We applied a human-centered design approach to co-create strategies for a CHW-led hypertension intervention through five interactive workshops with 24 CHWs, 32 healthcare workers (doctors, nurses, and administrators), and 18 community members with hypertension.</p><p><strong>Results: </strong>We identified five key recommendations on the objectives and needs of a CHW-led hypertension support program. First, improve patient-level health behaviors. CHWs can encourage heart-healthy diets, exercise, medication adherence in tandem with traditional remedies, and regular care-seeking through home-based behavioral education tailored to the local context. Second, improve facility-level hypertension care. CHWs can fill care gaps due to physician shortages, complicated healthcare systems, complex scheduling procedures, and language differences, while fostering more respectful healthcare. Third, link CHWs to the formal health system. Joint training, monthly meetings, and improved communication with formal healthcare providers can enhance CHW integration in the healthcare system and reduce concerns about CHWs overstepping their role in patient care. Fourth, train and equip CHWs. CHWs require training on hypertension and their roles in healthcare delivery, as well as compensation, appropriate and sufficient materials, and transportation assistance. Fifth, design educational materials on hypertension. Culturally relevant, pictorial materials with accessible language and regular content updates help engage patients.</p><p><strong>Conclusions: </strong>The human-centered design process enabled co-development of a culturally responsive, CHW-led hypertension support intervention that operationalizes HEARTS principles.</p>","PeriodicalId":21264,"journal":{"name":"Revista Panamericana De Salud Publica-pan American Journal of Public Health","volume":"50 ","pages":"e50"},"PeriodicalIF":1.7,"publicationDate":"2026-05-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13219843/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148138810","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Sexually transmitted infections in Brazilian adolescent offenders in correctional facilities.","authors":"Celina Roma Sánchez de Toledo, Luiz Antônio Bastos Camacho, Bernard Larouzé, Simone da Costa Cruz Silva, Angélica Espinosa Miranda, Cláudia Brito, Alexandra Sánchez","doi":"10.26633/RPSP.2026.46","DOIUrl":"10.26633/RPSP.2026.46","url":null,"abstract":"<p><strong>Objective: </strong>To assess the prevalence and risk factors of sexually transmitted infections (STI) among adolescent offenders held in correctional facilities.</p><p><strong>Methods: </strong>This quantitative cross-sectional study, carried out in Rio de Janeiro, Brazil, included interviews to collect sociodemographic and clinical data and knowledge about STIs. Rapid tests for detection of syphilis antibodies and HIV infection, and molecular urine tests for chlamydia and gonorrhea were performed. Statistical analysis included STI prevalence estimates and multivariate analysis to identify risk factors.</p><p><strong>Results: </strong>A total of 965 adolescents (average age: 16.1 years; 85.1% male) were included in the study. STI prevalence was higher in the female unit than in the male units: syphilis (45.6% vs. 7.7%), chlamydia (34.6% vs. 19.7%), gonorrhea (12.5% vs. 6.0%), and HIV (1.5% vs. 0.4%). The prevalence of \"at least one STI\" was higher in the female unit compared to the male units (68.4% vs. 27.3%; prevalence ratio 2.51). This high burden of STIs, which were often asymptomatic, was associated with multiple sexual partners and unprotected sex practices, reflecting important gaps in sex education in this highly vulnerable group who demonstrated limited knowledge on STI risk and prevention.</p><p><strong>Conclusions: </strong>This high prevalence of STIs, combined with limited knowledge of prevention, calls for comprehensive strategies associating systematic screening, timely treatment, and sexual health education into the routine activities of socio-educational institutions.</p>","PeriodicalId":21264,"journal":{"name":"Revista Panamericana De Salud Publica-pan American Journal of Public Health","volume":"50 ","pages":"e46"},"PeriodicalIF":1.7,"publicationDate":"2026-05-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13151946/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147869459","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Current Yellow fever situation in the Americas: call for strengthened surveillance and vaccination efforts in enzootic and newly affected areas.","authors":"","doi":"10.26633/RPSP.2026.51","DOIUrl":"https://doi.org/10.26633/RPSP.2026.51","url":null,"abstract":"","PeriodicalId":21264,"journal":{"name":"Revista Panamericana De Salud Publica-pan American Journal of Public Health","volume":"50 ","pages":"e51"},"PeriodicalIF":2.2,"publicationDate":"2026-05-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13151945/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147869501","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}