TALKING ABOUT SEXUALITY , STI AND AIDS WITH POOR ADOLESCENTS

La finalidad de este estudio fue relatar la experiencia de una acción educativa sobre sexualidad/ IST/Sida en un grupo de adolescentes en contexto de pobreza. El sitio del estudio fue una Unidad de Salud de la Familia ubicada en un municipio del interior del estado de São Paulo, Brasil. La acción educativa les involucró a seis adolescentes del sexo femenino, y cada uno de los cinco encuentros tuvo duración promedia de 70 minutos. La acción educativa posibilitó un saber/hacer a partir de una red de gestos, palabras y afectos que se entrelazaron, permeando nuevas construcciones. Así, nacieron nuevos sentidos, no sólo para las adolescentes, que descubrieron la fuerza de ser/estar en el grupo, pero también para los investigadores que lograron visualizar otros horizontes para el trabajo en comunidades de alta vulnerabilidad social.


CONVERSANDO SOBRE SEXUALIDAD, IST Y SIDA CON ADOLESCENTES POBRES
La finalidad de este estudio fue relatar la experiencia de una acción educativa sobre sexualidad/IST/ Sida en un grupo de adolescentes en contexto de pobreza.El sitio del estudio fue una Unidad de Salud de la Familia ubicada en un municipio del interior del estado de São Paulo, Brasil.La acción educativa les involucró a seis adolescentes del sexo femenino, y cada uno de los cinco encuentros tuvo duración promedia de 70 minutos.La acción educativa posibilitó un saber/hacer a partir de una red de gestos, palabras y afectos que se entrelazaron, permeando nuevas construcciones.Así, nacieron nuevos sentidos, no sólo para las adolescentes, que descubrieron la fuerza de ser/estar en el grupo, pero también para los investigadores que lograron visualizar otros horizontes para el trabajo en comunidades de alta vulnerabilidad social.DESCRIPTORES: estructura de grupo; educación en salud; programa salud de la familia; adolescente; pobreza Nowadays, the epidemic presents increments among heterosexuals, women, young people, individuals with low education levels and income.This portrait no longer points towards specific groups or behaviors; rather, it points to a tangle of variables, certainly more complex and intricate than what was thought at the beginning of the epidemic (1) .

CONVERSANDO SOBRE SEXUALIDADE, IST E AIDS COM ADOLESCENTES POBRES
Currently, a significant increase in the infection among heterosexuals (particularly women), accompanied by the expansion of the epidemic among individuals with low education levels, as well as in small municipalities, favors the emergence of the concept of vulnerability.
This concept is both a construct and constructor of a broadened and reflexive perception that identifies the ultimate reasons of the epidemic as well as its impacts, which range from organic susceptibilities to how health programs are structured, going through behavioral, cultural, economic and political aspects (2) .
The World Health Organization (WHO) estimates that approximately 50% of new HIV infections in the world occur during adolescence .
In adolescence, aspects associated to sexuality assume a key position in teenagers' lives.
It is mandatory that parents, teachers and health team professionals, who are part of the universe of relationships with the referred subjects, contribute to people's healthy development (4)   .
HIV infection has a complex relationship with poverty, although it affects both rich and poor (5) .
The relevance of educational problems involving adolescents in a context of poverty has been pointed out, since most appear to be more susceptible to behaviors that favor the transmission of Sexually Transmissible Diseases (STD) (6) .
Due to the limited portrait, this study aimed to report on the experience of an educative action about sexuality/STI (Sexually Transmissible Infections)/AIDS with a group of adolescents in a context of poverty.

THE PLACE OF STUDY AND THE OPERATIONALIZATION OF A CONTEXT OF POVERTY
The  (7) .

THE EDUCATIONAL ACTION AND THE CONTEXT OF POVERTY: THE SEARCH FOR POSSIBILITIES
We adopted the Systemic Thought and the Operative Group as the Theoretical and Methodological Framework.
Six adolescent girls participated in the educational action, and each meeting lasted an average of 70 minutes.A nurse with specialization in Operative Groups, a nursing undergraduate, and a nurse from the Family Health Unit (of two meetings) took part in the activity.
In this context, we also sought an articulation between the Sao Carlos Federal University and the USF, with a view to providing feedback to the production, consumption and knowledge usage processes.
Hence, we aimed for a partnership between nurse teachers, staff nurses and health institutions in every research stage, with a view to not only producing or communicating or using, but to produce, communicate and use nursing research (8) .
In this setting, we also highlight the educational action, which permitted knowledge/action based on a network of gestures, words and attachments that were intertwined and permeated new constructions.
We were surprised to find out the number of possibilities that can emerge from one question.The many words one word can have (9) .The richness that can be involved in the context of poverty.At each picture, body, pleasure and STI/AIDS were explored by the groups from stories and ideas brought by the adolescents.The embarrassment to speak slowly gave way to the idea of the group as a sober space, in which listening, attachment and welcoming have fundamental roles in learning to learn.
For the researchers, the group's discovery as a space of systemic and circular construction showed how it can be inspiring and revealing for nurses' work, since it permitted the emergence of a practice converging with the sociocultural context at stake.
Hence, new senses emerged, not only for the adolescents, who discovered the strength of composing/ being in the group, but also for the researchers, who were able to visualize new horizons for working in communities with high social vulnerability levels.

FINAL CONSIDERATIONS
We observed that the IPVS resizes and puts in practice a new concept for poor and poverty, allowing for the emergence of a conceptual outline for innovating practices, contextualized and empowered in contexts of social vulnerability.
We also highlight our desire that, through experience reports like this one, nurses will feel invited to overcome models that are merely instructive and advance towards an affective and dialogic practice in their work context.

Disponible en castellano/Disponível em língua portuguesa SciELO Brasil www.scielo.br/rlae INTRODUCTION In Brazil
O presente estudo objetivou relatar a experiência de uma ação educativa sobre sexualidade/IST/Aids junto a um grupo de adolescentes em contexto de pobreza.O local do estudo foi uma Unidade de Saúde da , for over 20 years of AIDS epidemic, deep changes are observed regarding the transmission dynamics of the Human Immunodeficiency Virus (HIV).