S291Acesso a cuidados relativos à saúde sexual entre mulheres que fazem sexo com mulheres em São Paulo, Brasil Access to sexual health care for women who have sex with women in São Paulo, Brazil

OBJECTIVE:To estimate the prevalence of HIV infections, as well as hepatitis B and C and syphilis viruses in homeless people. METHODS:Cross-sectional study with educational intervention, conducted in the city of São Paulo, between 2002 and 2003. A convenience sample of homeless people who used night shelters was selected, according to the following criteria: aged 18 or older and not showing psychiatric disturbances. During interviews, sociodemographic and behavioral data were gathered and HIV, hepatitis B and C and syphilis laboratorial tests and post-test counseling were carried out. RESULTS:A total of 330 shelter users participated, with an average age of 40.2 years, 80.9% of them male, having lived on the streets for one year in average. Prevalences of 1.8% for HIV, 8.5% for hepatitis C virus, 30.6% for previous hepatitis B infection, 3.3% for chronic or acute infection by hepatitis B virus, and 5.7% for syphilis. The consistent use of condoms was referred to by 21.3% of interviewees and the use of injecting drugs by 3% of them. Positivity was 10% for HIV and 50% for hepatitis C virus among injectable drug users, versus 1.5% for HIV and 7.3% for hepatitis C among the others, showing an association between the virus and the use of injecting drugs. Previous imprisonment was referred to by 7.9% of women and 26.6% of men, with a prevalence of 2.6% for HIV and 17.1% for hepatitis C virus. CONCLUSIONS:The high prevalences of HIV and hepatitis B and C viruses require prevention programs based on vaccination against hepatitis B, early diagnosis of these infections and placement of homeless people into health services.

This article is an objective examination of aspects of gender and sexual rights, and their implications in the field of health field, using the methodology of an essay. The first part discusses femicide, highlighting that there are deaths of women due to the fact of being women, which constitute what could be described as the crimes of lèse-humanité or 'femi-genocide'. The second part discusses sexual and gender diversity, with an emphasis on the fragility of the 'right to have rights' expressed in the deterioration in health conditions of the population that is LGBTI (Lesbians, Gays, Bisexuals, Transvestites, Transsexuals and Intersex). Finally, the essay discusses recognition of gender plurality, and the limitations imposed on the rights of non-usual normativebodies bodies; criticism is directed at reiteration of the binary and cisgender normative ethos, which can exacerbate the health vulnerability of people with trans and other non-normative bodies and identities. It is concluded that, in the 30 years' existence of Brazil's Unified Health System (SUS), there have been advances in the political sphere, many of them created by or as a result of social movements, and initiatives that seek to confront femicide and the inadequate assistance available to LGBTI people. In the context of these challenges, it is reiterated that there is a necessary relationship between promotion of health and protection of human rights related to gender and sexuality.

We conducted a time-location sampling sero-behavioral surveillance survey of men who have sex with men (MSM) in São Paulo, Brazil, the largest city in Latin America and the Southern Hemisphere (N = 1,217 interviewed with serological results for 771). HIV prevalence was 15.4 % (95 % CI 11.6-20.1), with only 45.8 % previously aware of their infection. HIV prevalence achieved 6.4 % among youth 18-24 years and was higher among MSM with lower socio-economic status. In multivariate analysis, correlates of HIV were older age, gay identity, lower socio-economic status, social networks with HIV-positive MSM, receptive anal sex, and internet sex partners. Policy change towards increasing avenues for HIV testing coupled with antiretroviral treatment regardless of CD4 count or stage of disease stand to benefit the MSM community if scaled up fast enough.

RESUMO Este artigo examina processos de mudança nos movimentos feminista, negro e no atualmente conhecido como LGBTI. Objetiva produzir aproximações comparativas sobre a produção de enquadramentos e as formas de organização de cada um deles, considerando suas trajetórias nas últimas quatro décadas. É dada ênfase especial aos anos recentes e ao modo como as noções de experiência e interseccionalidade têm operado no período pós-2010, notadamente em iniciativas ativistas protagonizadas por jovens. Para tanto, lança-se mão de uma perspectiva teórica relacional e processual, em diálogo com estudos socioantropológicos que têm se debruçado sobre movimentos sociais. O artigo se baseia em material etnográfico e revisão de literatura.

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A apropriação com sentido erótico da categoria sadomasoquismo e/ou a adesão ao acrônimo BDSM têm se feito presentes no Brasil desde pelo menos a década de 1980, com a organização de uma comunidade que imagina a si mesma a partir da adesão a um conjunto diverso de práticas eróticas e a noções relacionadas à consensualidade e à segurança, marca-das pela (des)identificação com perspectivas patologizantes. A partir de perspectiva etnográfica, este artigo focaliza conexões, diálogos e o trânsito de categorias e classificações entre diferentes atores sociais envolvidos na disputa de sentidos acerca desse conjunto diverso de práticas e convenções. A produção de subjetividades e de agenciamentos coletivos é analisada tomando por base a relação com outros atores sociais, especialmente com as classificações oriundas dos saberes médico-científicos. O BDSM como lugar social é situado num espaço intersticial entre diagnósticos médicos, nichos de mercado erótico e comunidades políticas.