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Assessing the vulnerability of women to sexually transmitted diseases STDS/ HIV: construction and validation of markers* * Extracted from the thesis "Construção e validação de marcadores de vulnerabilidade de mulheres às DST/HIV na atenção básica à saúde," School of Nursing, University of São Paulo, 2012

Evaluación de la vulnerabilidad de mujeres a las enfermedades de transmisión sexual - ets/vih: construcción y validación de marcadores

Objective

To construct and validate markers of vulnerability of women to STDs/HIV, taking into consideration the importance of STDs/HIV.

Method

Methodological study carried out in three stages: 1) systematic review and identification of elements of vulnerability in the scientific production; 2) selection of elements of vulnerability, and development of markers; 3) establishment of the expert group and validation of the markers (content validity).

Results

Five markers were validated: no openness in the relationship to discuss aspects related to prevention of STDs/HIV; no perception of vulnerability to STDs/HIV; disregard of vulnerability to STDs/ HIV; not recognizing herself as the subject of sexual and reproductive rights; actions of health professionals that limit women’s access to prevention of STDs/HIV. Each marker contains three to eleven components.

Conclusion

The construction of such markers constituted an instrument, presented in another publication, which can contribute to support the identification of vulnerabilities of women in relation to STDs/HIV in the context of primary health care services. The markers constitute an important tool for the operationalization of the concept of vulnerability in primary health care and to promote inter/multidisciplinary and inter/multi-sectoral work processes.


Women; Health vulnerability; Sexually transmitted diseases; HIV; Acquired immunodeficiency syndrome; Nursing in public health


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E-mail: reeusp@usp.br