Clinical and epidemiological characteristics and individual experiences of illness in men with COVID-19
mixed method study
Palavras-chave:
Coronavirus infections, Pandemics, Men’s health, Epidemiology, SARS-CoV-2, CoronavirusResumo
BACKGROUND: Since the beginning of the coronavirus disease 2019 (COVID-19) pandemic, studies have shown that this disease has affected the male population on a significant scale in various parts of the world, making men one of the main risk groups. OBJECTIVE: To analyze the clinical and epidemiological characteristics and experiences of illness in men with COVID-19. DESIGN AND SETTING: A mixed sequential-explanatory study with cross-sectional and exploratory-descriptive approaches. METHOD: Data was collected from a small municipality located in the central-north region of the state of Bahia, Brazil. Primary quantitative data was extracted from compulsory notification forms from 598 men. Qualitative data from individual interviews of 30 men was analyzed by the Discourse of the Collective Subject method. RESULTS: The findings identified the characterization of reports of suspected and confirmed cases of COVID-19 in men, the organization of the healthcare system, and strategies for the control and combat of COVID-19 directed towards the men of the investigated municipality. They revealed the clinical characteristics based on the collective discourse of men with COVID-19. CONCLUSION: In men, the individual experience of disease explicitly explains the clinical markers of COVID-19 expressed by the self-reported syndromic approach. Additionally, this understanding also explains the behaviors observed in their search for health care, as well as the adoption of prevention and control measures and therapies recommended by health professionals.
Downloads
Referências
Peckham H, de Gruijter NM, Raine C, et al. Male sex identified by global COVID-19 meta-analysis as a risk factor for death and ITU admission. Nat Commun. 2020;11(1):6317. PMID: 33298944; https://doi.org/10.1038/s41467-020-19741-6.
Coronaviridae Study Group of the International Committee on Taxonomy of Viruses. The species Severe acute respiratory syndrome-related coronavirus: classifying 2019-nCoV and naming it SARS-CoV-2. Nat Microbiol. 2020;5(4):536-44. PMID: 32123347; https://doi.org/10.1038/s41564-020-0695-z.
Scully EP, Haverfield J, Ursin RL, Tannenbaum C, Klein SL. Considering how biological sex impacts immune responses and COVID-19 outcomes. Nat Rev Immunol. 2020;20(7):442-47. PMID: 32528136; https://doi.org/10.1038/s41577-020-0348-8.
Richardson S, Hirsch JS, Narasimhan M, et al. Presenting characteristics, comorbidities, and outcomes among 5700 patients hospitalized with COVID-19 in the New York city area. JAMA. 2020;323(20):2052-9. Erratum in: JAMA. 2020;323(20):2098. PMID: 32320003; https://doi.org/10.1001/jama.2020.6775.
Teich VD, Klajner S, Almeida FAS, et al. Epidemiologic and clinical features of patients with COVID-19 in Brazil. Einstein (Sao Paulo). 2020;18:eAO6022. PMID: 32813760; https://doi.org/10.31744/einstein_journal/2020ao6022.
Ximenes-Neto FR, Carneiro-Flor SM, Carvalho-da-Silva RC, et al. Descriptive study of the initial cases of Covid-19 in a city in the interior of Ceará, Brazil. Arch Med (Manizales). 2021;21(2):536-47. https://doi.org/10.30554/archmed.21.2.3989.2021.
Brasil. Ministério da Saúde. Boletim Epidemiológico Especial. Doença pelo Coronavírus COVID-19. 2021 [cited 2021 Apr 08]. Available from: Available from: https://www.gov.br/saude/pt-br/centrais-de-conteudo/publicacoes/boletins/boletins-epidemiologicos/covid-19/2021/boletim_epidemiologico_covid_52_final2.pdf Accessed in 2022 (Feb 23).
Sousa AR. How can COVID-19 pandemic affect men’s health? A sociohistoric analysis. Rev Pre Infec e Saúde. 2020;6:10549. https://doi.org/10.26694/repis.v6i0.10549.
Jin JM, Bai P, He W, et al. Gender differences in patients with COVID-19: Focus on severity and mortality. Front Public Health. 2020;8:152. PMID: 32411652; https://doi.org/10.3389/fpubh.2020.00152.
Song C, Wang Y, Li W, et al. Absence of 2019 novel coronavirus in semen and testes of COVID-19 patients†. Biol Reprod. 2020;103(1):4-6. PMID: 32297920; https://doi.org/10.1093/biolre/ioaa050.
Sansone A, Mollaioli D, Ciocca G, et al. Addressing male sexual and reproductive health in the wake of COVID-19 outbreak. J Endocrinol Invest. 2021;44(2):223-31. PMID: 32661947; https://doi.org/10.1007/s40618-020-01350-1.
Schurz H, Salie M, Tromp G, et al. The X chromosome and sex-specific fffects in infectious disease susceptibility. Hum Genomics. 2019;13(1):2. PMID: 30621780; https://doi.org/10.1186/s40246-018-0185-z.
Pereira LP, Nery AA. Planejamento, gestão e ações à saúde do homem na estratégia de saúde da família. Esc Anna Nery. 2014;18(4):635-43. https://doi.org/10.5935/1414-8145.20140090.
Sousa AR. Produzir cuidado à saúde de homens e suas masculinidades: uma prioridade. REVISA. 2020;9(4):681-4. https://doi.org/10.36239/revisa.v9.n4.p681a684.
Oliveira JA, Araújo IFM, Silva GTR, Sousa AR, Pereira A. Strategies and competences of nurses in men’s health care: an integrative review. Rev Bras Enferm. 2020;73(Suppl 6):e20190546. https://doi.org/10.1590/0034-7167-2019-0546.
Lefevre F, Lefevre AMC. Discourse of the collective subject: social representations and communication interventions. Texto Contexto - Enferm. 2014;23(2):502-7. https://doi.org/10.1590/0104-07072014000000014.
Brasil. Ministério da Saúde. Secretaria de Vigilância em Saúde. Doença pelo coronavírus COVID-19: Boletim epidemiológico especial nº 25. Brasília: Ministério da Saúde; 2020. Available from: Available from: https://www.gov.br/saude/pt-br/centrais-de-conteudo/publicacoes/boletins/boletins-epidemiologicos/covid-19/2020/boletim-epidemiologico-no-25-boletim-coe-coronavirus.pdf/view Accessed in 2022 (Jun 23).
Carvalho HEF, Schneider G, Sousa AR, et al. Suspected COVID-19 flu-like syndrome in men who have sex with men and have been involved in casual sex. Rev Bras Enferm. 2020;73(suppl 2):e20200913. PMID: 33111784; https://doi.org/10.1590/0034-7167-2020-0913.
Teich VD, Neto MC. Epidemiologic and clinical features of patients with COVID-19 in Brazil. Einstein (São Paulo). 2020;18:eAO6022. https://doi.org/10.31744/einstein_journal/2020AO6022.
Soni SL, Kajal K, Yaddanapudi LN, et al. Demographic & clinical profile of patients with COVID-19 at a tertiary care hospital in north India. Indian J Med Res. 2021;153(1-2):115-25. PMID: 33208558; https://doi.org/10.4103/ijmr.IJMR_2311_20.
Brasil. Ministério da Saúde. Secretaria de Vigilância em Saúde. Doença pelo Novo Coronavírus - COVID-19: Boletim epidemiológico especial nº 70. Brasília: Ministério da Saúde; 2021. Available from: Available from: https://www.gov.br/saude/pt-br/media/pdf/2021/julho/09/boletim_epidemiologico_covid_70-1.pdf Accessed in 2022 (Jun 23).
Santos KOB, Fernandes RCP, Almeida MMC, et al. Labor, health and vulnerability in the COVID-19 pandemic. Cad Saude Publica. 2020;36(12):e00178320. PMID: 33331542; https://doi.org/10.1590/0102-311X00178320.
Patine FS, Lourenção LG, Wysocki AD, et al. Analysis of vaccine loss due to temperature change. Rev Bras Enferm. 2021;74(1):e20190762. PMID: 33624702; https://doi.org/10.1590/0034-7167-2019-0762.
Albuquerque NLS. Operational planning during the Covid-19 pandemic: comparison between the who recommendations and the Brazilian national contingency plan. Cogitare Enferm. 2020;25:e72659. https://doi.org/10.5380/ce.v25i0.72659.
Sousa AR, Santos GLA, Silva RS, Carvalho ESS. Reflexões sobre o processo de enfermagem no trabalho de enfermeiras frente à pandemia da Covid-19. Enferm Foco (Brasília). 2020;11(1, n.esp):62-7. https://doi.org/10.21675/2357-707X.2020.v11.n1.ESP.
Sousa AR, Teixeira JRB, Mota TN, et al. Coping strategies, concerns, and habits of Brazilian men in the COVID-19 context. Rev Bras Enferm. 2021;74(Suppl 1):e20210040. PMID: 34259726; https://doi.org/10.1590/0034-7167-2021-0040.
Sousa AR, Santana TS, Carvalho ESS, et al. Vulnerabilities perceived by men in the context of the Covid-19 pandemic. Rev Rene. 2021;22:e60296. https://doi.org/10.15253/2175-6783.20212260296.
Sousa ÁFL, Queiroz AAFLN, Lima SVMA, et al. Chemsex practice among men who have sex with men (MSM) during social isolation from COVID-19: multicentric online survey. Cad Saude Publica. 2020;36(12):e00202420. PMID: 33237252; https://doi.org/10.1590/0102-311X00202420.
Downloads
Publicado
Como Citar
Edição
Seção
Licença
Este trabalho está licenciado sob uma licença Creative Commons Attribution 4.0 International License.
