Background: The COVID-19 pandemic has led to abrupt restrictions of life-space mobility. The impact of shelter-in-place orders on older adults' health and well-being is still unclear. Objective: To investigate the relationship between life-space mobility and quality of life (QoL) in older adults with and without frailty during the COVID-19 pandemic. Design: Multicenter prospective cohort study based on structured telephone interviews. Setting: Four geriatric outpatient clinics in the metropolitan area of Sao Paulo, Brazil. Participants: 557 community-dwelling adults aged 60 years and older. Measurements: The Life-Space Assessment was used to measure community mobility before and during the COVID-19 pandemic, and a previously validated decrease of ≥ 5 points defined restricted life-space mobility. Frailty was assessed through the FRAIL (fatigue, resistance, ambulation, illnesses, and loss of weight) scale. The impact of shelter-in-place orders on QoL was evaluated with the question «How is the COVID-19 pandemic affecting your QoL?», to which participants could respond «not at all», «to some extent», or «to a great extent». We used ordinal logistic regressions to investigate the relationship between restricted life-space mobility and impact on QoL, adjusting our analyses for demographics, frailty, comorbidities, cognition, functionality, loneliness, depression, and anxiety. We explored whether frailty modified the association between life-space mobility and impact on QoL. Results: Participants were on average 80±8 years old, 65% were women, and 33% were frail. The COVID-19 quarantine led to a restriction of community mobility in 79% of participants and affected the QoL for 77% of participants. We found that restricted life-space mobility was associated with impact on QoL in older adults during the pandemic, although frailty modified the magnitude of the association (P-value for interaction=0.03). Frail participants who experienced restricted life-space mobility had twice the odds of reporting an impact on QoL when compared with non-frail individuals, with respective adjusted odds ratios of 4.20 (95% CI=2.36-7.50) and 2.18 (95% CI=1.33-3.58). Conclusion: Older adults experienced substantial decreases in life-space mobility during the COVID-19 pandemic, and this unexpected change impacted their QoL. Providers should be particularly watchful for the consequences of abrupt life-space restrictions on frail individuals.

As políticas públicas e demais ações de promoção da saúde, relativas às DST (doenças sexualmente transmissíveis), devem atentar para quais informações ou o que as pessoas conhecem sobre DST. Dados do Boletim Epidemiológico-AIDS/DST do Ministério da saúde apresentam um total de 608.230 casos de AIDS notificados de 1980 a junho de 2011 no Brasil. E apesar das instituições de ensino serem um excelente campo de conscientização sobre as DSTs, no cotidiano das escolas há uma grande dificuldade dos professores em abordar assuntos relacionados com a sexualidade não só com adolescentes, mas também com jovens e adultos membros da EJA (Educação de jovens e adultos). O presente artigo apresenta resultados do trabalho desenvolvido com alunos da EJA pelo Projeto Sexualidade-Mitos e Verdades da UFG, que aborda temas que envolvem a sexualidade e DSTs. Foi possível verificar que a maior parte dos alunos sabe identificar pelo menos um sintoma que costuma ser relacionado às DSTs, além disso, as mulheres apresentaram maior conhecimento sobre as formas de prevenção da AIDS do que os homens, mas também foi possível verificar a falta de conhecimento dos alunos sobre informações básicas referentes a prevenção de DSTs. Estes resultados expõem a necessidade da atuação de projetos e políticas públicas relacionadas à sexualidade não só entre adolescentes, mas também entre jovens e adultos, tendo como campo aberto e carente, os estudantes da EJA. PALAVRAS-CHAVE: DSTs. Doenças sexualmente transmissíveis. AIDS. Educação de Jovens e Adultos. EJA. Analysis of knowledge of students and the education of young adults (EJA) about diseases sexually transmitted ABSTRACT: Public politics and other actions to promote health, relating to STD (sexually transmitted diseases), should pay attention to what information or what people know about STDs. Data from the Epidemiological Bulletin-AIDS / STD Ministry of Health show a total of 608,230 AIDS cases were reported from 1980 to June 2011 in Brazil. And while educational institutions are excellent field awareness about STDs, in daily school there is a great difficulty for teachers in teach subjects related to sexuality not only to teens but also to young and adults members of the EYA (education of youth and adults). This article presents results of the work with the EYA students by Sexuality Project at UFG, which subjects involving sexuality and STDs. We noticed that most students can identify at least one symptom that is often related to STDs, moreover, women had greater knowledge about ways of preventing AIDS than men, but it was also possible to verify the absence of students' knowledge of basic information regarding the prevention of STDs. These results expose the need of projects and public politics related to sexuality not only among adolescents but also among youth and adults, it having the open field and needy, the students of the EYA.