Introduction: Sexually Transmitted Infections such as HPV mainly affect adolescents and young adults; Women are more susceptible to contracting them due to multiple factors. Promoting sexual health has increased knowledge about prevention, but it is still insufficient. Objective: to propose a model of sexual health care in young adults before HPV. Methodology: the focus of the study was qualitative, convenience sampling, with 13 sexually active key informants. A semi-structured interview was used in the data collection to identify the paradigm of the young adult against HPV in three categories: sexuality,risk of infection, and care. The theoretical proposal of the model reinterprets the concepts to build the framework of the proposal. Results: beliefs or myths prevail about sexuality limited to intercourse as the only source of pleasure; HPV is recognized as an STI, but it is unknown if there are symptoms and it is confused with another STI; there is a risk ofinfection mainly due to the number of sexual partners, the responsibility for care is left to the couple, and health services are not used as a preventive form. The care proposal emphasizes self-care according to this paradigm that integrates the physical, psychological, self-knowledge and spiritual areas. Conclusions: self-care is an interesting concept to address in promoting the sexual health of young adults in the face of the reality that they live concerning STIs.

Objective: To identify the clinical manifestations associated with pain in nursing students in emerging adulthood with Long COVID (LC). Methods: A cross-sectional, descriptive, and analytical study was conducted. The universe comprised 1508 students from a Faculty of Nursing in the State of Mexico. The sample size of 307 participants was calculated using Cochran’s formula (1977) with 95% confidence and a 5% margin of error, with correction for finite populations; participants were invited through an open call and selected non-probabilistically according to inclusion criteria and willingness to participate. Instrument: A questionnaire on post-SARS-CoV-2 health conditions was used, with reliability assessed in a pilot test through internal consistency measures, obtaining a Cronbach’s Alpha = 0.86 and KR-20 = 0.87. It was administered between the third and fourth week following the three-month mark after COVID-19 onset. Descriptive analysis, Fisher’s exact test, and a binary logistic regression model were used, with pain as the dependent variable (1 = yes, 0 = no); statistical significance was set at p < 0.05, with a 95% CI. Results: 40.4% of students reported pain—(46.6%) males and (39.0%) females—with a significant association between age group and pain (p < 0.001). A total of 198 painful clinical manifestations were reported: headache (48.0%), chest oppression (26.8%), and myalgias (23.2%). The model showed that taste alteration (p < 0.001) and decreased vision (p < 0.001) were associated with a lower likelihood of pain, while gastrointestinal alterations (p = 0.025) and fatigue (p = 0.048) were associated with a higher likelihood of pain. Conclusions: Pain in students with LC is associated with clinical manifestations, mainly gastrointestinal alterations, and fatigue.

Physical functional impairment generates pain, fear and anguish, impacting the activities of daily living (ADLs) of older adults (OAs); The background was to design an instrument that can measure pain in OA living with pain. Methods: mixed analytical and cross-sectional study in two non-probabilistic samples: 15 experts in the care of OAs and 185 OAs from day homes in three municipalities of the State of Mexico. The instruments used included an integrated scale of 30 items, elaborated with the Delphi technique over three rounds, and the Scale for Measuring Pain in Older Adults (SMPOA), with 30 items divided into four factors. An analysis was conducted using content validity ratios and the Lawshe´s method adapted by Tristán for qualitative studies, with a minimum of 0.87 and a maximum of 1.0. An exploratory factor analysis (EFA) was conducted to structure the underlying factors into a data matrix, addressing the relationships between a set of variables, and a confirmatory factor analysis (CFA) was conducted to validate the scale using the main axis method and rotation via Quartimax with Kaiser normalisation. Results: proposal of a scale to measure pain in MA (EMEDAM). Conclusion: the adapted scale assesses sensory and affective intensity and the influence on the ADLs and can be used in OAs living with acute or chronic pain.