Public policies on sexually transmitted infections in Brazil

Miranda, Angélica Espinosa; Freitas, Francisca Lidiane Sampaio; Passos, Mauro Romero Leal; Lopez, Miguel Angel Aragón; Pereira, Gérson Fernando Mendes

doi:10.1590/0037-8682-611-2020

Cited by 9 publications

(11 citation statements)

References 18 publications

(21 reference statements)

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“…Rev enferm UERJ, Rio de Janeiro, 2022; 30:e64543 p.4 impactos gerados, incluem-se os relativos à saúde. Diante dos desafios e das lacunas a serem superados na formulação e na implementação das políticas públicas brasileiras na abordagem das IST, nos diferentes grupos socioculturais 18 , reconhece-se esse relevante esforço. Além disso, os aspectos educacionais compõem a rede de influências das ações de (auto)cuidado adotadas por um grupo social na perspectiva transcultural 11 .…”

Section: O Papel Da Universidade Nas Ações De Prevenção De Infecções ...unclassified

Políticas de prevenção de infecções sexualmente transmissíveis e universidades promotoras da saúde: reflexão teórica à luz da Teoria Transcultural [Policies for health-promoting universities and prevention of sexually transmitted infections: theoretical reflection in the light of Transcultural Theory] [Políticas de prevención de infecciones de transmisión sexual y universidades promotoras de la salud: una reflexión teórica a la luz de la Teoría Transcultural]

et al. 2022

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Objetivo: refletir sobre as políticas para a prevenção de IST, à luz da perspectiva teórica de Madeleine Leininger sobre o cuidado transcultural, com enfoquena população jovem universitária. Conteúdo: selecionadas 21 obras, entre artigos científicos, políticas e documentos oficiais em saúde no contexto (inter)nacional, discutidas em duas categorias: 1) Políticas públicas para a prevenção de infecções sexualmente transmissíveis e; 2) O papel da universidade nas ações de prevenção de infecções sexualmente transmissíveis na perspectiva da teoria transcultural de Madeleine Leininger. Conclusão: as políticas públicas de saúde relacionadas à prevenção de infecções sexualmente transmissíveis têm enfoque na saúde sexual e reprodutiva de cada segmento social. Salientam-se as peculiaridades e potencialidades envolvidas no ambiente universitário, permeado pela vulnerabilidade dos comportamentos sexuais, numa perspectiva transcultural. O espaço da universidade deve ser inserido nas ações de promoção da saúde e prevenção de doenças, como as infecções sexualmente transmissíveis, sob o prisma do cuidado culturalmente congruente.ABSTRACTObjective: to think, in the light of Madeleine Leininger's transcultural care theory, about policies for the prevention of sexually transmitted infections, focusing on the young university student population. Content: 21 documents were selected, including scientific papers, policies, and official documents on health in the (inter)national context. These were discussed in two categories: 1) policies for the prevention of sexually transmitted infections and; 2) the university’s role in preventing sexually transmitted infections, as seen from the perspective of Madeleine Leininger's transcultural theory. Conclusion: policies for the prevention of sexually transmitted infections focus on sexual and reproductive health by social segment. The peculiarities and potentials of the university environment permeated by the vulnerability of sexual behaviors are highlighted from a transcultural perspective. The university space must be included, through the prism of culturally congruent care, in measures to promote health and prevent diseases, such as sexually transmitted infections.RESUMENObjetivo: reflexionar sobre las políticas de prevención de infecciones de transmisión sexual, a la luz de la teoría transcultural de Madeleine Leininger, dirigidas a la población joven universitaria. Contenido: fueron seleccionados 21 trabajos, entre artículos científicos, políticas y documentos oficiales en salud en el contexto (inter)nacional, discutidos en dos categorías: 1) Políticas públicas para la prevención de infecciones de transmisión sexual y; 2) El papel de la universidad en las acciones de prevención de infecciones de transmisión sexual desde la perspectiva de la teoría transcultural de Madeleine Leininger. Conclusión: las políticas públicas de salud relacionadas con la prevención de infecciones de transmisión sexual se enfocan en la salud sexual y reproductiva de cada segmento social. Se resaltan las peculiaridades y potencialidades involucradas en el ambiente universitario, permeado por la vulnerabilidad de las conductas sexuales, desde una perspectiva transcultural. El espacio universitario debe estar insertado en las acciones de promoción de la salud y prevención de enfermedades, -como las infecciones de transmisión sexual-, bajo el prisma de una atención culturalmente congruente.

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Section: O Papel Da Universidade Nas Ações De Prevenção De Infecções ...unclassified

Políticas de prevenção de infecções sexualmente transmissíveis e universidades promotoras da saúde: reflexão teórica à luz da Teoria Transcultural [Policies for health-promoting universities and prevention of sexually transmitted infections: theoretical reflection in the light of Transcultural Theory] [Políticas de prevención de infecciones de transmisión sexual y universidades promotoras de la salud: una reflexión teórica a la luz de la Teoría Transcultural]

et al. 2022

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“…In this policy, women are followed during the prenatal stage and their babies up to 2 years after birth. The inclusion of HIV tests in the prenatal prevention and treatment routine in 2012, are other policies contributing to this decrease among HTW ( 10 ). Furthermore, all these policies succeeded partly due to the governmental public health campaigns devoted only to HIV in HTW ( 11 ).…”

Section: Discussionmentioning

confidence: 99%

“…Other public policies to combat HIV were generally for the public, such as the policy Treatment as Prevention, implemented in 2013, in which people diagnosed with HIV receive antiretroviral therapy regardless of T-CD4 cell count. Another example is decentralization of HIV tests in primary health care locations, in 2015, with the main goal of increasing test coverage ( 10 ). Regarding female sexual minorities, it was only in 2016 that the Brazilian Ministry of Health included transgender women in the health campaigns ( 11 ).…”

Section: Introductionmentioning

confidence: 99%

HIV epidemic among Brazilian women who have sex with women: An ecological study

Bezerra

Sörensen²,

Rodrigues³

et al. 2022

Front. Public Health

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The influences of public policies fighting HIV among women who have sex with women is scarcely studied. This study aimed to analyse the time series of human immunodeficiency virus (HIV) epidemic, between 2007 and 2020, among Brazilian women who have sex with women, in order to evaluate the effect of Brazilian policies for fighting HIV in this subpopulation compared to women who have sex with men (WSM). This ecological study employed HIV and acquired immunodeficiency syndrome (AIDS) new cases among women who have sex strictly with women (WSW), women who have sex with men and women (WSMW), and WSM reported to the Sistema de Informação de Agravos de Notificação from 2007 to 2020. Crude Brazilian and regional annual age-adjusted HIV/AIDS population-level incidence rates were calculated for WSW, WSMW and WSM. The rates were then analyzed using the Joinpoint regression model. A total of 102,890, 757, and 1,699 notifications of WSW, WSMW, and WSM living with HIV/AIDS were reported during the study period, respectively. South Brazilian region had the greatest HIV/AIDS incidence rates among WSM and bisexual women while the North region had the greatest incidence among WSW. In the WSM population, the temporal trends showed at least one stable or an increasing trend period from 2007 to 2013 or 2014, followed by one decreasing trend in all Brazilian regions. While among the WSMW most of the regions had a stable trend period from 2007 to 2020, in WSW group most of the trends had only one decreasing period. The decreasing trends were faster in WSM than in WSW. These results suggest a low efficiency of Brazilian policies for fighting HIV among WSW and WSMW and show the necessity of implementing new policies specific to this population.

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“…Initially, health education actions were the first primary prevention measures for STIs that were implemented, mainly with mass media campaigns that stimulated the use of condoms. In recent years, structural and biomedical preventive measures have been incorporated into the Unified Health System [ 1 , 6 , 27 , 28 ].…”

Section: Discussionmentioning

confidence: 99%

“…Brazil continues to use syndromic management and, due to the gaps of laboratory diagnosis of the infection and of reporting of cases in primary healthcare, the reported case prevalence and incidence data do not represent the national, regional and local burden of infection [ 4 , 6 ]. Among small communities from the Brazilian Amazon, such as riverine, the lack of data is more concerning, due to the asymptomatic nature of some chlamydia infections and complications associated with it [ 4 ].…”

Section: Introductionmentioning

confidence: 99%

Seroprevalence of Chlamydia trachomatis and Associated Factors among Vulnerable Riverine in the Brazilian Amazon

Galvão

Cunha

Pinho

et al. 2022

IJERPH

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Due to social and individual conditions and access to health services, Amazonian riverside populations are highly vulnerable to sexually transmitted infections, including Chlamydia trachomatis. The aim is to estimate the seroprevalence of Chlamydia trachomatis and analyze the associated factors among riverside dwellers in a capital city in the Brazilian Amazon. A cross-sectional study was carried out with residents of the Combu Island, Belém. The study sample was calculated using the population survey technique in the EPI INFO. Only people aged 18 and over were included. ELISA serology was performed to detect antibodies against Chlamydia trachomatis. For data collection, a form containing vulnerability factor questions was applied. Binary regression analysis was performed using the Minitab 20 program. The study sample consisted of 325 participants. The prevalence of IgG/IgM antibodies against Chlamydia trachomatis was 22.2% and 5.5%, respectively. In the multiple regression, only participants with a broken condom were more likely to have antibodies against the bacteria (OR: 1.90; 95% CI: 1.01; 3.37; p = 0.046). Seroprevalence was associated with condom breakage. This factor demonstrates that despite having an attitude towards condom use, probably, they may have inadequate knowledge about the correct practice of introduction.

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Public policies on sexually transmitted infections in Brazil

Cited by 9 publications

References 18 publications

HIV epidemic among Brazilian women who have sex with women: An ecological study

Seroprevalence of Chlamydia trachomatis and Associated Factors among Vulnerable Riverine in the Brazilian Amazon

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