From “combined prevention” to “comprehensive prevention

Building the response to the syndemic with adolescents and youth in São Paulo, Brazil (2020-2023)

Dados Bibliográficos

ID7695348
AutoresVera S F Paiva (0000-0002-8852-3265, Universidade de São Paulo), José Ricardo De Mesquita Ayres (0000-0002-5225-6492, Universidade de São Paulo), Ivan França Junior (0000-0002-7004-7301, Universidade de São Paulo), Marcos Roberto Vieira Garcia (0000-0002-5668-2923, Universidade Federal de São Carlos), Cristiane Gonçalves Da Silva (0000-0001-9120-3169, Universidade Federal de São Paulo), Júlio Assis Simões (0000-0002-9000-3621, Universidade de São Paulo), Luis Guilherme Galeao-Silva (0000-0003-4259-3564, Universidade de São Paulo), Jan Billand (0000-0003-2481-1476, Universidade de São Paulo)
Ano2025
Volume41
Fascículo4
Páginase00084323-e00084323
Data de publicação2025-01-01
Peer ReviewedSim
Open AccessSim
TipoARTICLE
PeriódicoCadernos de Saude Publica (JOURNAL)
Identificadores do periódicoISSN: 0102-311X • E-ISSN: 1678-4464
EditoraFapUNIFESP (SciELO) (PUBLISHER)
DOI10.1590/0102-311xen084323
PMID40396814
OpenAlexW4410482055
IdiomaEN
Citações recebidas4
Referências citadas24

This essay discusses the need for and the possibilities of transitioning from the conceptual framework of combined prevention to the conception of “comprehensive prevention,” based on intervention research aimed at supporting and protecting the sexual and reproductive health of adolescents and youth in three cities in the state of São Paulo, Brazil (São Paulo, Santos and Sorocaba). Particularly effective in preparing for syndemic cycles within the context of environmental crises, the concept of comprehensive prevention contributed to understanding processes of vulnerability to COVID-19, mpox, sexually transmitted infections/AIDS, violence, unwanted pregnancy and psychosocial distress. It provided guidance for addressing the syndemic nature of pandemics intensified by social crises, and encouraged young people to develop creative responses to political polarization fueled by the far right, which aggressively inhibits approaches based on human rights, especially in the field of sexuality, enhancing the infodemic that downplays the severity of ongoing pandemics. We underline the productivity of the concept of comprehensive care in developing initiatives related to human rights and prevention which dynamically anticipate and address events that synergistically overlap in marginalized territories. By adopting “scenes” as units of interpretation and focal points for responding to contexts of vulnerability, we favor the co-construction of transversal skills in the personal, collective and territorial responses necessary for the prevention of adversities that threaten adolescents and youth both physically and mentally

Computer security · Context (archaeology) · Criminology · Developmental psychology · Environmental health · Geography · Human rights · Intervention (counseling) · Political science · Population · Positive Youth Development · Psychiatry · Psychosocial · Public health · Reproductive health · Sociology · Syndemic · Vulnerability (computing) · Adolescent Sexual and Reproductive Health · Food Security and Health in Diverse Populations · HIV/AIDS Research and Interventions · Medicine · Nursing · Psychology