{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,8,2]],"date-time":"2025-08-02T05:05:49Z","timestamp":1754111149276,"version":"3.40.5"},"reference-count":33,"publisher":"Cambridge University Press (CUP)","license":[{"start":{"date-parts":[[2021,11,12]],"date-time":"2021-11-12T00:00:00Z","timestamp":1636675200000},"content-version":"unspecified","delay-in-days":315,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc-sa\/4.0\/"}],"content-domain":{"domain":["cambridge.org"],"crossmark-restriction":true},"short-container-title":["Prim Health Care Res Dev"],"published-print":{"date-parts":[[2021]]},"abstract":"<jats:title>Abstract<\/jats:title>\n\t  <jats:sec id=\"S1463423621000700_as1\">\n\t    <jats:title>Background:<\/jats:title>\n\t    <jats:p>Populations living in subnormal agglomerates in urban areas are more vulnerable to infections, including sexually transmitted infections (STIs). In these groups, inadequate knowledge about sexually transmitted infections can further increase the risk of contracting STIs.<\/jats:p>\n\t  <\/jats:sec>\n\t  <jats:sec id=\"S1463423621000700_as2\">\n\t    <jats:title>Aim:<\/jats:title>\n\t    <jats:p>We investigated the factors associated with low knowledge about STIs in a peripheral population in the Brazilian Amazon.<\/jats:p>\n\t  <\/jats:sec>\n\t  <jats:sec id=\"S1463423621000700_as3\">\n\t    <jats:title>Methods:<\/jats:title>\n\t    <jats:p>This cross-sectional study was conducted in Bel\u00e9m, in the Amazon region that has a high percentage of subnormal agglomerates in an urban area and a high incidence of STIs. Random sampling was adopted which resulted in a sample of 320 participants. To assess knowledge about STIs, the self-administered Sexually Transmitted Disease Knowledge Questionnaire was used. To assess aspects of vulnerability, a questionnaire was constructed which is linked to individual, social, and programmatic factors. The chi-square test, G test, and ordinal regression analyses were all performed.<\/jats:p>\n\t  <\/jats:sec>\n\t  <jats:sec id=\"S1463423621000700_as4\">\n\t    <jats:title>Findings:<\/jats:title>\n\t    <jats:p>The sample of this study was composed of 320 participants. The mean age of the participants was 46.09 years. 37.5% (120), 50.6% (162), and 11.9% (38) showed low, medium, and high knowledge, respectively. Multiple analysis revealed that the factors associated with higher chance of having smaller knowledge about sexually transmitted infections were single\/separated\/divorced\/widow(er) marital status (AOR: 1.80, CI: 1.15-2.84, <jats:italic>P<\/jats:italic> = 0.01); income equal to or less than one minimum wage (1.98, CI: 1.21-3.17, <jats:italic>P<\/jats:italic> = 0.00); equal to or over than 52 years old (AOR: 1.99, CI: 1.25-3.17, <jats:italic>P<\/jats:italic> = 0.00); lack of guidance by a health professional (AOR: 1.59, CI: 1.01-2.51, <jats:italic>P<\/jats:italic> = 0.04). Our results show that this community suffer from suboptimal levels of knowledge on STIs, which are linked to individual, social, and programmatic factors. Characterising the risk and vulnerabilities factors allows for carrying out appropriate interventions for populations living in subnormal agglomerates in urban area.<\/jats:p>\n\t  <\/jats:sec>","DOI":"10.1017\/s1463423621000700","type":"journal-article","created":{"date-parts":[[2021,11,12]],"date-time":"2021-11-12T09:53:33Z","timestamp":1636710813000},"update-policy":"https:\/\/doi.org\/10.1017\/policypage","source":"Crossref","is-referenced-by-count":4,"title":["Factors associated with low knowledge about sexually transmitted infections in subnormal agglomerate, in the Brazilian Amazon"],"prefix":"10.1017","volume":"22","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-8206-4950","authenticated-orcid":false,"given":"Glenda Roberta Oliveira Naiff","family":"Ferreira","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ingrid Saraiva","family":"de Oliveira","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6726-5148","authenticated-orcid":false,"given":"Wanne Let\u00edcia Santos","family":"Freitas","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7255-960X","authenticated-orcid":false,"given":"Ana Luisa Brand\u00e3o de Carvalho","family":"Lira","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0681-4721","authenticated-orcid":false,"given":"Renata Karina","family":"Reis","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3757-4900","authenticated-orcid":false,"given":"Elucir","family":"Gir","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8812-2923","authenticated-orcid":false,"given":"Aline Maria Pereira Cruz","family":"Ramos","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5172-7814","authenticated-orcid":false,"given":"Lucia Hisako Takase","family":"Gon\u00e7alves","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9682-6530","authenticated-orcid":false,"given":"Eli\u00e3 Pinheiro","family":"Botelho","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"56","published-online":{"date-parts":[[2021,11,12]]},"reference":[{"key":"S1463423621000700_ref17","doi-asserted-by":"publisher","DOI":"10.1590\/1981-22562021024.210007"},{"key":"S1463423621000700_ref6","doi-asserted-by":"publisher","DOI":"10.1590\/1980-549720190005.supl.1"},{"key":"S1463423621000700_ref33","unstructured":"World Health Organization WHO (2016) Global health sector strategy on sexually transmitted infections 2016\u20132021. 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Available at https:\/\/www.unaids.org\/sites\/default\/files\/media_asset\/2020_global-aids-report_en.pdf (Accessed on 10 September 2020)."},{"key":"S1463423621000700_ref11","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0130866"},{"key":"S1463423621000700_ref18","doi-asserted-by":"publisher","DOI":"10.1016\/j.jadohealth.2016.03.014"},{"key":"S1463423621000700_ref8","unstructured":"Instituto Brasileiro de Geografia e Estat\u00edstica (IBGE) (2020) Dados demogr\u00e1ficos e Dados sobre: Aglomerados subnormais.- Available at https:\/\/www.ibge.gov.br\/ (Accessed on 30 June 2021). 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Published by Cambridge University Press","name":"copyright","label":"Copyright","group":{"name":"copyright_and_licensing","label":"Copyright and Licensing"}},{"value":"This is an Open Access article, distributed under the terms of the Creative Commons Attribution-NonCommercial-ShareAlike licence (https:\/\/creativecommons.org\/licenses\/by-nc-sa\/4.0\/), which permits non-commercial re-use, distribution, and reproduction in any medium, provided the same Creative Commons licence is included and the original work is properly cited. The written permission of Cambridge University Press must be obtained for commercial re-use.","name":"license","label":"License","group":{"name":"copyright_and_licensing","label":"Copyright and Licensing"}},{"value":"This content has been made available to all.","name":"free","label":"Free to read"}],"article-number":"e70"}}