Trajetórias de mulheres vivendo com HIV/aids no Brasil. Avanços e permanências da resposta à epidemia

Villela, Wilza Vieira

doi:10.1590/1413-81232017221.14222016

Cited by 33 publications

(15 citation statements)

References 22 publications

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“…1 Currently, involvement of socially more vulnerable populations, non-homogeneous distribution of the disease among Brazilian regions, especially with increased numbers of notifications in small and medium-sized municipalities, and the growing number of HIV-infected women are hallmarks of this epidemic. [2][3][4] These characteristics indicate that the Brazilian healthcare system presents deficiencies with regard to prevention and treatment of HIV infection, especially in municipalities and population groups located in more distant and difficult-to-access areas, as occurs in northern Brazil. 1,2,[5][6][7] Over the last ten years, the northern region of Brazil has shown an upward trend in the rate of HIV/AIDS detection: 16.4 cases per 100,000 inhabitants were registered in 2007 and 23.6 cases per 100,000 inhabitants were registered in 2017 (an increase of 44.2%), with the state of Pará contributing an increase of 55%.…”

Section: Introductionmentioning

confidence: 99%

Adherence to antiretroviral therapy among women living with HIV/AIDS in the interior of the Brazilian state of Pará: cross-sectional study

Cândido

Amador²,

Silva

et al. 2021

Sao Paulo Med. J.

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BACKGROUND: High prevalence of human immunodeficiency virus (HIV) infection and occurrence of drug-resistant strains have been recorded in northern Brazil. Abandonment of treatment and insufficient and inadequate adherence to antiretroviral therapy (ART) among people living with HIV/AIDS (PLWHA) have been recorded in the metropolitan area of Belém, the capital of the state of Pará. OBJECTIVES: To identify the sociodemographic profile and level of adherence to ART among women seen at a referral unit in the interior of Pará, northern Brazil. DESIGN AND SETTING: Cross-sectional study at a referral unit for care for PLWHA. METHODS: We included 86 women living with HIV/AIDS (WLWHA) in the Rio Caeté integrated region, northeastern Pará. Social, demographic and behavioral information, as well as the ART level, were obtained using forms that have been described in the scientific literature. Logistic regression models were used to assess associations of variables with ART. RESULTS: Most WLWHA were single (52.4%), young (47.7%) and heterosexual (97.7%), had low levels of education (63.0%), were unemployed (69.8%), had one sexual partner (75.7%), used condoms (46.7%) and were not using either licit drugs (68.7%) or illicit drugs (89.6%). Their adherence level was classified as insufficient , and only their viral load showed an association with ART. CONCLUSIONS: The participants' low level of education and poor socioeconomic conditions may have been interfering with their adherence to ART. Such influences can be minimized through multiprofessional interventions that take the individuality of women served by the healthcare service into consideration.

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Section: Introductionmentioning

confidence: 99%

Adherence to antiretroviral therapy among women living with HIV/AIDS in the interior of the Brazilian state of Pará: cross-sectional study

Cândido

Amador²,

Silva

et al. 2021

Sao Paulo Med. J.

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“…Furthermore, the low educational level tends to make it more difficult for the person to find a place in the job market (18) , which would explain the results found, according to which most pregnant women (46.8%) reported not having a paid job. Similar studies showed that HIV was more common among housekeepers and women who received low salaries for their work (2,4,(19)(20) .…”

Section: Discussionmentioning

confidence: 98%

HIV infection in pregnant women and its challenges for the prenatal care

et al. 2021

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Objective: To analyze the epidemiological profile of HIV infections in pregnant women. Methods: Analytical study with a quantitative approach. Results: The HIV rate in pregnant women increased from 1.5/1000 babies born alive, in 2010, to 3.3/1000 in 2017. There was a significant association between the prenatal and the variables educational level (p<0.0001), occupation (p=0.0105), gestational age (p < 0.0001), and type of delivery (p < 0.0001). The mean rate of adherence to the antiretroviral treatment in the prenatal was 68.8% (DP = ± 3.7). Conclusion: The high rates of HIV detection in pregnant women suggest the need to intensify the health care to women during the prenatal, guaranteeing an integral care, early diagnoses, and enhancing the strategies to improve the adherence to the antiretroviral treatment, aiming to achieve the viral suppression of the mother by the time of childbirth, thus diminishing the risk of a vertical transmission.

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“…Dessa forma, a efetivação da individualidade do cuidado humanizado é essencial às mães soropositivas, com a finalidade de prover meios para o enfrentamento das principais dificuldades vivenciadas por elas, com isso, tornase indispensável que os profissionais se aproximem da realidade dessas mulheres, ouvindo-as e permitindo que elas expressem todas as suas dúvidas 8 . Entretanto, para que haja adesão as consultas, são necessários, suportes psicossociais que contribuam para a aceitação do diagnóstico e elaboração de formas de convívio com a infecção que permitam o desfrute da vida e a continuidade dos projetos que lhe dão sentido 16 .…”

Section: Discussionunclassified

Transmissão Vertical Do Hiv Em Gestantes: Consulta Coletiva Como Estratégia Para Redução / Vertical Transmission of Hiv in Pregnant Women: Collective Consultation as a Strategy to Reduce

Santos

Rodrigues

Santos

et al. 2020

BJD

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Objetivo: conhecer a efetividade da consulta coletiva para as gestantes com HIV como uma estratégia para a redução da transmissão vertical. Método: estudo de abordagem qualitativa, realizado com oito mulheres vivendo com HIV. A coleta de dados realizou-se pela técnica da entrevista individual, ocorrida no período de dezembro/2019 a janeiro/2020. A análise ocorreu através Temática de Conteúdo. Resultado: A partir das falas das gestantes foram elencadas duas categorias "Condição sorológica para as mulheres vivendo com HIV" e "Acompanhamento e participação na consulta coletiva". A primeira apresenta o viver com o HIV durante a gestação, e a

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Trajetórias de mulheres vivendo com HIV/aids no Brasil. Avanços e permanências da resposta à epidemia

Abstract: Trajetórias de mulheres vivendo com HIV/aids no Brasil. Avanços e permanências da resposta à epidemiaTrajectories of women living with HIV/AIDS in Brazil. Progress and permanence of the response to the epidemic

Cited by 33 publications

References 22 publications

Adherence to antiretroviral therapy among women living with HIV/AIDS in the interior of the Brazilian state of Pará: cross-sectional study

Adherence to antiretroviral therapy among women living with HIV/AIDS in the interior of the Brazilian state of Pará: cross-sectional study

HIV infection in pregnant women and its challenges for the prenatal care

Transmissão Vertical Do Hiv Em Gestantes: Consulta Coletiva Como Estratégia Para Redução / Vertical Transmission of Hiv in Pregnant Women: Collective Consultation as a Strategy to Reduce

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