medigraphic.com
ISSN 1527-3172 (Electronic)

2013, Number 3

<< Back Next >>

MEDICC Review 2013; 15 (3)

Sex education for children and adolescents with Type 1 diabetes in Camagüey province, Cuba

Granela K, Cardoso Y, Gutiérrez A, Carvajal M

Language: English
References: 23
Page: 34-37
PDF size: 84.90 Kb.


ABSTRACT

Education at the community level is indispensable for control of chronic non-communicable diseases and comprehensive patient care, with diabetes mellitus a case in point. The need is even more pronounced for type 1 diabetes, affecting children and adolescents. Families of diabetic adolescents naturally worry about vulnerability to sexually transmitted diseases, which create risks for glycemic control and the adolescent's health. We felt compelled to explore the issue of sexuality in diabetes education for adolescents, because education can do more than help maintain metabolic control; it can contribute to keeping diabetic children and adolescents on a healthy developmental curve, when combined with the other pillars of diabetes management. Accordingly, we carried out an educational intervention to increase type 1 diabetic adolescents' knowledge of sexuality and sexually transmitted infections. Participants were 20 adolescents in Camagüey Province's central clinic for type 1 diabetes patients. A six-session educational program was developed and implemented. Responses to a questionnaire before and after the program revealed that prior to the intervention only 3 of 20 participants (15%) demonstrated satisfactory knowledge of the material covered (≥ 70%), increasing to 20 (100%) after completion of the program.


REFERENCES

  1. de Velazco M. Salud y sexología en la adolescencia. Sexol Soc. 2003;2(4):20–2. Spanish.

  2. Pick S, Givaudan M, Saldívar A. La importancia de los factores psicosociales en la educación sexual en los adolescentes. Perinatol Reprod Hum. 1996;10(2):143–50. Spanish.

  3. Waster W, Johnson J, Koldni RC. La sexualidad humana: La sexualidad y la adolescencia. Havana: Editorial Científi co-Técnica; 1998. p. 229–75. Spanish.

  4. Basulto-Marrero E, Machado-del Risco E, Medina- Alí FE. Intervención educativa sobre las ETS /VIH/SIDA en adolescentes con Diabetes Mellitus Tipo 1 en la ciudad de Camagüey. Ciencias Holguín [Internet]. 2012 Jan–Mar [cited 2012 Mar 21];18(1)1–11. Available from: http://redalyc .uaemex.mx/redalyc/pdf/1815/181522730013 .pdf. Spanish.

  5. Ciego A. Conocimiento sobre sexualidad en embarazadas adolescentes. Trabajo de terminación de la especialidad de MGI [thesis]. [Camagüey (CU)]: Policlínico Tula Aguilera; 2000. p. 1–8. Spanish.

  6. Craig ME, Hattersley A, Donaghue KC. Defi nition, epidemiology and classifi cation of diabetes in children and adolescents. ISPAD Clinical Practice Consensus Guidelines 2009 Compendium. Pediatric Diabetes. 2009 Sep;10(Suppl 12):3–12.

  7. Couper JJ, Donaghue KC. Phases of diabetes in children and adolescents. ISPAD Clinical Practice Consensus Guidelines 2009 Compendium. Pediatric Diabetes. 2009 Sep;10(Suppl 12):13–6.

  8. Donaghue KC, Chiarelli F, Trotta D, Allgrove J, Dahl-Jorgensen K. Microvascular and macrovascular complications associated with diabetes in children and adolescents. ISPAD Clinical Practice Consensus Guidelines 2009 Compendium. Pediatric Diabetes. 2009 Sep;10(Suppl. 12):195–203.

  9. Bangstad HJ, Danne T, Deeb LC, Jarosz-Chobot P, Urakami T, Hanas R. Insulin treatment in children and adolescents with diabetes. ISPAD Clinical Practice Consensus Guidelines 2009 Compendium. Pediatric Diabetes. 2009;10(Suppl 12):82–99.

  10. Swift PGF. Diabetes education in children and adolescents. ISPAD Clinical Practice Consensus Guidelines 2009 Compendium Pediatric Diabetes. 2009;10(Suppl 12):51–7.

  11. Markowitz SM, Carper MM, Gonzalez JS, Delahanty LM, Safren SA. Cognitive– behavioral therapy for the treatment of depression and adherence in patients with Type 1 diabetes: pilot data and feasibility. Prim Care Companion CNS Disord. 2012;14(2).

  12. Hood KK, Rohan JM, Peterson CM, Drotar D. Interventions with adherence-promoting components in pediatric Type 1 diabetes: meta-ana lysis of their impact on glycemic control. Diabetes Care. 2010 Jul;33(7):1658–64.

  13. Robling M, McNamara R, Bennert K, Buttler CC, Channon S, Cohen D, et al. The effect of the Talking Diabetes consulting skills intervention on glycaemic control and quality of life in children with Type 1 diabetes: cluster randomised controlled trial (DEPICTED study). BMJ. 2012 Apr 26;344: e2359.

  14. García R, Suárez R. La educación a personas con diabetes mellitus en la atención primaria de salud. Rev Cubana Endocrinol. 2007;18(1):2. Spanish.

  15. Pérez A, Barrios Y, Monier A, Berenguer M, Martínez I. Repercusión social de la educación diabetológica en personas con diabetes mellitus. MEDISAN. 2009 Jul–Aug;13(4). Spanish.

  16. Navarro D. Diabetes Mellitus y sexualidad: experiencias y especulaciones. Sexol Soc. 2008;14(37):16–21. Spanish.

  17. Gutiérrez D. Intervención educativa sobre infecciones de transmisión sexual en adolescentes en el municipio Camagüey, República de Cuba. Acad Biomédica Digital [Internet]. 2007 Jul–Sep [cited 2012 Mar 5];(32):1–3. Available from: http://vitae.ucv.ve/pdfs/VITAE_1006.pdf. Spanish.

  18. World Health Organization [Internet] Geneva: World Health Organization; c2013. Global Health Observatory HIV/AIDS; 2013 [cited 2013 Jun 6]; [about 1 screen]. Available from: http://www.who .int/gho/hiv/en/

  19. Miranda O, Fariñas AT, Coutín G, Nápoles M, Lara H, Bueno LE. Panorámica de la infección por el VIH en Cuba, 1986–2007. Rev Cubana Hig Epidemiol. 2009 May–Aug;47(2):1–7. Spanish.

  20. Miranda O, Fariñas AT, Coutín G, Nápoles M, Lara H, Lago T. Comportamiento de la epidemia de VIH en Cuba. Rev Med Electrón. 2012 Jan– Feb;34(1):7–24. Spanish.

  21. Ramos I, Louro I, Fariñas AT, Llanusa S, Rojo N. Participación multisectorial en la respuesta nacional para la prevención y atención a la epidemia del VIH/SIDA, República de Cuba, 2007– 2008. Med Social. 2010 Sep;5(3):192–202. Spanish.

  22. González I, Hoyos A, Martínez LC, González I, Lama A. Intervención educativa sobre ETS-VHI/ sida en estudiantes de la enseñanza preuniversitaria. IPVC Carlos Marx. Años 2008–2009. Universidad de Ciencias Médicas Dr. Juan Guiteras Gener. Matanzas. Rev Méd Electrón. 2010 Jul– Aug;32(4). Spanish.

  23. Equipo de Educación Popular. Centro Memorial Dr. Martin Luther King, Jr. Técnicas de Participación. Havana: Editorial Caminos; 1999. p. 20, 37, 54, 55, 94. Spanish.




2020     |     www.medigraphic.com