Letramento em saúde, comportamentos de risco e infecções sexualmente transmissíveis em adultos: revisão de escopo

Autores

DOI:

https://doi.org/10.36517/2175-6783.20262796445

Palavras-chave:

Literacia para a Saúde; Conhecimento; Infecções Sexualmente Transmissíveis; Comportamentos de Risco à Saúde.

Resumo

Objetivo: mapear a relação entre o letramento em saúde, comportamentos de risco e ocorrência de infecções sexualmente transmissíveis em adultos. Métodos: revisão de escopo, com busca em sete bases de dados, sem recorte temporal. Resultados: foram identificados 23.572 registros, dos quais 27 artigos compuseram a amostra final após triagem pelos critérios de elegibilidade. Observou-se a predominância de estudos com delineamento transversal e concentração de evidências sobre a infecção pelo HIV. Os achados indicam que níveis reduzidos de letramento em saúde estão relacionados a lacunas no conhecimento sobre as infecções sexualmente transmissíveis, além da persistência de crenças equivocadas e atitudes estigmatizantes. Ademais, fatores sociodemográficos e econômicos foram apontados como elementos que influenciam o nível de letramento em saúde e a adoção de comportamentos protetores. Conclusão: as evidências destacam a relevância do letramento em saúde na relação com comportamentos sexuais de risco, indicando que níveis insuficientes de letramento podem contribuir para maior vulnerabilidade às infecções sexualmente transmissíveis. Contribuições para a prática: os achados subsidiam ações educativas e estratégias de cuidado, contribuindo para o fortalecimento do letramento em saúde, para a qualificação das práticas assistenciais e para o aprimoramento das ações de prevenção.

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Referências

1. Ministério da Saúde (BR). Protocolo Clínico e Diretrizes Terapêuticas para Atenção Integral às Pessoas com Infecções Sexualmente Transmissíveis [Internet]. 2022 [cited Jan 30, 2026]. Available from: https://www.gov.br/aids/pt-br/central-de-conteudo/pcdts/2022/ist/pcdt-ist-2022_isbn-1.pdf

2. Sul S, Ferreira L, Maia AC, Coelho A, Costa A. Sexually transmitted infections and health literacy: a community-based preventive program. J Prim Care Community Health. 2023; 14:21501319231159973. doi: https://dx.doi.org/10.1177/21501319231159973

3. World Health Organization (WHO). Global Health sector strategies on, respectively, HIV, viral hepatitis and sexually transmitted infections for the period 2022-2030 [Internet]. 2022 [cited Jan 30, 2026]. Available from: https://www.who.int/publications/i/item/9789240053779

4. Ferreira RC, Torres TS, Ceccato MDGB, Bezerra DR, Thombs BD, Luz PM, et al. Development and evaluation of short-form measures of the HIV/AIDS knowledge assessment tool among sexual and gender minorities in Brazil: cross-sectional study. JMIR Public Health Surveill. 2022;8(3):e30676. doi: https://doi.org/10.2196/30676

5. Praça NS, Freitas P, Kimura AF. Knowledge about HIV/aids on women’shealth: a descriptive study with under graduates. Online Braz J Nurs. 2013;12(2):359-76. doi: https://dx.doi.org/10.5935/1676-4285.20133831

6. Zakar R, Iqbal S. An overview of PLOS curated collection in health literacy. PLoS One. 2026; 21(1):e0339159. doi: http://dx.doi.org/10.1371/journal.pone.0339159

7. Nutbeam D, Lloyd JE. Understanding and responding to health literacy as a social determinant of health. Annu Rev Public Health. 2021;42:159-73. doi: https://doi.org/10.1146/annurev-publhealth-090419-102529

8. Sykes S, Wills J, Rowlands G, Popple K. Understanding critical health literacy: a concept analysis. BMC Public Health. 2013;13:150. doi: https://doi.org/10.1186/1471-2458-13-150

9. Alimohammadi N, Baghersad Z, Boroumandfar Z. Vulnerable women’s self-care needs in knowledge, attitude and practice concerning sexually transmitted diseases. Int J Community Based Nurs Midwifery [Internet]. 2016 [cited Jan 30, 2026];4(3):219-28. Available from: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4926001/

10. Zou H, Dai X, Meng X, Wang H, Jiang C, Wang Y, et al. HIV/AIDS - Related Knowledge, Attitudes, and Sexual Practices among Migrant Wives in Rural Anhui Province, China. J AIDS Clin Res. 2014;5(7):319. doi: http://doi.org/10.4172/2155-6113.1000319

11. Aromataris E, Lockwood C, Porritt K, Pilla B, Jor-dan Z, editors. JBI manual for evidence synthesis [Internet]. 2024 [cited Jan 30, 2026]. Available from: https://synthesismanual.jbi.global

12. Pollock D, Peters MDJ, Khalil H, McInerney P, Alexander L, Tricco AC, et al. Recommendations for the extraction, analysis, and presentation of results in scoping reviews. JBI Evid Synth. 2023;21(3):520-32. doi: http://doi.org/10.11124/JBIES-22-00123

13. Gray JA. Evidence-based public health – what level of competence is required? J Public Health Med. 1997;19(1):65-8. doi: https://doi.org/10.1093/oxfordjournals.pubmed.a024591

14. Page MJ, McKenzie JE, Bossuyt PM, Boutron I, Hoffmann TC, Mulrow CD, et al. The PRISMA 2020 statement: an updated guideline for reporting systematic reviews. BMJ. 2021;372:n71. doi: https://doi.org/10.1136/bmj.n71

15. Vakilian K. Investigating the knowledge of sexually transmitted diseases in university students of Iran. Open Public Health J. 2021;14:277-81. doi: http://dx.doi.org/10.2174/1874944502114010277

16. Duteil C, Rochebrochard E, Piron P, Segouin C, Troude P. What do patients consulting in a free sexual health center know about HIV transmission and post-exposure prophylaxis? BMC Public Health. 2021;21(1):494. doi: https://dx.doi.org/10.1186/s12889-021-10547-9

17. Guimarães MDC, Magno L, Ceccato MGB, Gomes RRFM, Leal AF, Knauth DR, et al. HIV/AIDS knowledge among MSM in Brazil: a challenge for public policies. Rev Bras Epidemiol. 2019;22:e190005. doi: https://doi.org/10.1590/1980-549720190005.supl.1

18. Xu W, Zhao P, Li H, Wang C. HCV knowledge and attitudes among HIV-negative MSM and MSM living with HIV in China: results from a cross-sectional online survey. BMC Infect Dis. 2023;23(1):599. doi: http://doi.org/10.1186/s12879-023-08586-1

19. Bano S, Rahat R, Fischer F. Inconsistent condom use for prevention of HIV/STIs among street-based transgender sex workers in Lahore, Pakistan: socio-ecological analysis based on a qualitative study. BMC Public Health. 2023;23(1):635. doi: https://doi.org/10.1186/s12889-023-15550-w

20. Al-Gburi G, Al-Shakarchi A, Al-Dabagh JD, Lami F. Assessing knowledge, attitudes, and practices toward sexually transmitted infections among Baghdad undergraduate students for research-guided sexual health education. Front Public Health. 2023;11:1017300. doi: https://doi.org/10.3389/fpubh.2023.1017300

21. Sherafat-Kazemzadeh R, Gaumer G, Hariharan D, Sombrio A, Nandakumar A. Between a rock and a hard place: how poverty and lack of agency affect HIV risk behaviors among married women in 25 African countries: a cross-sectional study. J Glob Health. 2021;11:04059. doi: https://doi.org/10.7189/jogh.11.04059

22. Pullen E, Gupta A, Stockman JK, Green HD Junior, Wagner KD. Association of social network characteristics with HIV knowledge, stigma, and testing: findings from a study of racial and ethnic minority women in a small Western city. AIDS Care. 2022;34(1):39-46. doi: https://doi.org/10.1080/09540121.2021.1913717

23. Jiao K, Wei R, Li H, Chow EPF, Piqueiras E, Lewis T, et al. HIV testing frequency and associated factors among five key populations in ten cities of China: a cross-sectional study. BMC Infect Dis. 2022;22(1):195. doi: https://dx.doi.org/10.1186/s12879-022-07189-6

24. Paschen-Wolff MM, Greene MZ, Hughes TL. Sexual minority women’s sexual and reproductive health literacy: a qualitative descriptive study. Health Educ Behav. 2020;47(5):728-39. doi: https://doi.org/10.1177/1090198120925747

25. Santos CMA, Oliveira JDS, Lima SVMA. Men’s knowledge, attitudes and practice regarding sexually transmitted diseases. Cogitare Enferm. 2018;23(1):e54101. doi: http://doi.org/10.5380/ce.v23i1.54101

26. Zhou J, Yang L, Ma J, Jiang S, Liu Y, Sun Z. Factors associated with HIV testing among MSM in Guilin, China: results from a cross-sectional study. Int J Public Health. 2022;67:1604612. doi: https://doi.org/10.3389/ijph.2022.1604612

27. Scott-Sheldon LA, Carey MP, Carey KB, Cain D, Simbayi LC, Mehlomakhulu V, et al. HIV testing is associated with increased knowledge and reductions in sexual risk behaviours among men in Cape Town, South Africa. Afr J AIDS Res. 2013;12(4):195-201. doi: https://doi.org/10.2989/16085906.2013.863219

28. Lotfi R, Ramezani Tehrani F, Yaghmaei F, Hajizadeh E. Barriers to condom use among women at risk of HIV/AIDS: a qualitative study from Iran. BMC Womens Health. 2012;12:13. doi: https://doi.org/10.1186/1472-6874-12-13

29. Liao M, Wang M, Shen X, Huang P, Yang X, Hao L, et al. Bisexual behaviors, HIV knowledge, and stigmatizing/discriminatory attitudes among men who have sex with men. PLoS One. 2015;10(6):e0130866. doi: https://dx.doi.org/10.1371/journal.pone.0130866

30. Giuseppe G, Sessa A, Mollo S, Corbisiero N, Angelillo IF. Knowledge, attitudes, and behaviors regarding HIV among first time attenders of voluntary counseling and testing services in Italy. BMC Infect Dis. 2013;13:277. doi: https://doi.org/10.1186/1471-2334-13-277

31. Kuete M, Huang Q, Rashid A, Ma XL, Yuan HF, Antezana JPE, et al. Differences in knowledge, attitude, and behavior towards HIV/AIDS and sexually transmitted infections between sexually active foreign and chinese medical students. Biomed Res Int. 2016;2016:4524862. doi: https://dx.doi.org/10.1155/2016/4524862

32. Grin B, Chan PA, Operario D. Knowledge of acute human immunodeficiency virus infection among gay and bisexual male college students. J Am Coll Health. 2013;61(4):232-41. doi: https://doi.org/10.1080/07448481.2013.781027

33. Olivi M, Santana RG, Mathias TAF. Behavior, knowledge and perception of risks about sexually transmitted diseases in a group of people over 50 years old. Rev Latino-Am Enfermagem. 2008;16(4):679-85. doi: http://doi.org/10.1590/S0104-11692008000400005

34. Nguyen TMT, Tran BX, Fleming M, Pham MD, Nguyen LT, Nguyen ALT, et al. HIV knowledge and risk behaviors among drug users in three Vietnamese mountainous provinces. Subst Abuse Treat Prev Policy. 2019;14:3. doi: https://doi.org/10.1186/s13011-019-0191-8

35. Ma W, Wu G, Zheng H, Zhang W, Peng Z, Yu R, et al. Prevalence and risk factors of HIV and syphilis, and knowledge and risk behaviors related to HIV/AIDS among men who have sex with men in Chongqing, China. J Biomed Res. 2016;30(2):101-11. doi: https://doi.org/10.7555/JBR.30.20150057

Publicado

2026-05-12

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1.
Silva S de PP da S, Silva BM da, Porto CF, Viegas SM da F, Cortes VF. Letramento em saúde, comportamentos de risco e infecções sexualmente transmissíveis em adultos: revisão de escopo. Rev Rene [Internet]. 12º de maio de 2026 [citado 14º de maio de 2026];27:e96445. Disponível em: https://periodicos.ufc.br/rene/article/view/96445