Fuzzy Logic: vulnerability of women who have sex with women to sexually transmitted infections.
Juliane Andrade, Kendra Yanne da Silva Santos, Ana Paula Freneda de Freitas and 3 others
PMID 39082538WHAT IT FOUND
Low STI/HIV knowledge and lack of risk perception were the model's strongest vulnerability signals in women who have sex with women.
This was a pilot method, not tested care.
Key findings
01The model computed 103,250 yes/no combinations from 17 vulnerability variables.
02The vulnerability surfaces showed low STI/HIV knowledge and lack of risk perception as prominent high-vulnerability signals.
03Not disclosing sex with women to healthcare professionals had the least impact on modeled vulnerability, with a value of 0.1498.
STILL TO COME
How it was doneWhat they foundWhat it means for RNs
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What it does not show
The model was illustrated with a participant from the larger study, so it cannot show accuracy in many women. The input variables were chosen by convenience and expert opinion, so important vulnerability factors may be missing. The model used only yes/no answers, not graded responses such as maybe, much or little. No validation against STI diagnoses or clinical outcomes was reported.
Declared interests
FAPESP in Brazil funded the work; no other conflicts are reported.
The easy way to misread this
Do not read the model's vulnerability values as proof that low knowledge or lack of risk perception causes STIs in women who have sex with women. This was a pilot method using yes/no variables and a case-study participant, not a test of infection risk or clinical care.