Sexuality and social vulnerability in face of sexually transmitted infections among people with mental illnesses

Abstract

Introduction: Self-care in face of sexually transmitted infections(STI) and HIV/Aids is related to meanings attributed to sexuality. Objectives: This study aimed at understanding representations of patients with mental illness about sexuality. Methods: Thirty-nine patients were interviewed in public mental health services in Brazil. The analysis was based on narrative structural analysis. Results: Social representations about sexuality included sex, gender roles and gender identity, among others, forming a Web of interdependent representations that have important gender asymmetry and imply different vulnerabilities. Participants have limited knowledge on STI and their modes of prevention. Conclusions: Mentally ill patients have an excess vulnerability due to social exclusion context, poverty, violence, drug use, prostitution and low selfesteem. It is urgent to fully address health needs, including promoting sexual health and prevention of HIV/Aids of this population.