A re-emergência da epidemia de aids no Brasil: desafios e perspectivas para o seu enfrentamento

Grangeiro, Alexandre; Castanheira, Elen Rose Lodeiro; Nemes, Maria Inês Battistella

doi:10.1590/1807-57622015.0038

Cited by 56 publications

(66 citation statements)

References 6 publications

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“…The decision about condom use based in a process of risk classification following biological markers of serostatus and viral load indicates that people have agency over prevention speeches and practices. Moreover, it shows a process of acculturation of the knowledge produced by bioscience, 47 which, as the constructionist approach of sexuality and the human rights framework teaches us [48][49][50] , is always expected. Each person, at each meeting, reframes the prevention speeches that they access, according to their experience, their particular context of life, and their happiness projects.…”

Section: Resultsmentioning

confidence: 99%

Sex, human rights and AIDS: an analysis of new technologies for HIV prevention in the Brazilian context

Ferraz

Paiva

2015

Rev. bras. epidemiol.

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Worldwide, HIV prevention is challenged to change because clinical trials show the protective effect of technologies such as circumcision, preexposure prophylaxis, and the suppression of viral load through antiretroviral treatment. In the face of demands for their implementation on population levels, the fear of stimulating risk compensation processes and of increasing riskier sexual practices has retarded their integration into prevention programs. In this article, following a narrative review of the literature on risk compensation using the PubMed database, we offer a critical reflection on the theme using a constructionist approach of social psychology integrated to the theoretical framework of vulnerability and human rights. The use of biomedical technologies for prevention does not consistently induce its users to the increase of riskier practices, and variations on the specificity of each method need to be carefully considered. Alternatives to the theories of sociocognitive studies, such as social constructionist approaches developed in the social sciences and humanities fields, indicate more comprehensive interpretations, valuing the notions of agency and rights. The critical analysis suggests priority actions to be taken in the implementation process: development of comprehensive programs, monitoring and fostering dialog on sexuality, and technical information. We highlight the need to implement a human rights-based approach and to prioritize dialog, stressing how complementary these technologies can be to meet different population needs. We conclude by stressing the need to prioritize sociopolitical changes to restore participation, dialog about sexuality, and emphasis on human rights such as core elements of the Brazilian AIDS policy.

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Section: Resultsmentioning

confidence: 99%

Sex, human rights and AIDS: an analysis of new technologies for HIV prevention in the Brazilian context

Ferraz

Paiva

2015

Rev. bras. epidemiol.

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“…No ano de 2013, o número de óbitos foi similar ao de 1996, quando a política pública de acesso aos medicamentos foi implementada, podendo haver indícios de uma reemergência da epidemia 5 .…”

Section: Tabela 2 -Número De Indivíduos Acometidos Por Comorbidades unclassified

“…As Nações Unidas convocaram os países a implantar até 2020 programas ambiciosos para diagnosticar 90% das pessoas com HIV, tratar 90% delas com antirretrovirais e fazer com que 90% das tratadas tenham carga viral indetectável. É a denominada meta 90-90-90 que, segundo as Nações Unidas, poderia levar ao fim da epidemia no mundo até 2030, e o Brasil é um dos países que se certificaram a cumprir esta meta 5,23 . Todas essas medidas tendem levar a uma melhor qualidade de vida dos portadores do HIV.…”

Section: Tabela 2 -Número De Indivíduos Acometidos Por Comorbidades unclassified

Mortalidade por AIDS e fatores associados no município de Ponta Grossa, Paraná: 2008-2015

Brojan¹,

Müller²,

Brasil³

2018

RBPS

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“…Due to the relations between various events in the health of women at risk of HIV infection and vice-versa, designing comprehensive, integrated strategies in the care for women and men, whether in primary or specialized services, is crucial in a time marked by evidence of the AIDS epidemic's resurgence in Brazil 50 . There are no published data on the integration of sexual and reproductive health services and testing and treatment services for persons living with HIV/AIDS in Brazil, although such integration is featured in the National Policy on Women's Comprehensive Healthcare (2004) and the Plan for Dealing with the Feminization of the AIDS Epidemic and other STIs (2007).…”

Section: Final Remarksmentioning

confidence: 99%

Diferenças e similaridades entre mulheres que vivem e não vivem com HIV: aportes do estudo GENIH para a atenção à saúde sexual e reprodutiva

Pinho

Cabral

2017

Cad. Saúde Pública

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Differences and similarities in women living and not living with HIV: contributions by the GENIH study to sexual and reproductive healthcareDiferenças e similaridades entre mulheres que vivem e não vivem com HIV: aportes do estudo GENIH para a atenção à saúde sexual e reprodutiva Diferencias y similitudes entre mujeres que viven y no viven con VIH: aportes del estudio GENIH para la atención a la salud sexual y reproductiva

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A re-emergência da epidemia de aids no Brasil: desafios e perspectivas para o seu enfrentamento

Cited by 56 publications

References 6 publications

Sex, human rights and AIDS: an analysis of new technologies for HIV prevention in the Brazilian context

Sex, human rights and AIDS: an analysis of new technologies for HIV prevention in the Brazilian context

Mortalidade por AIDS e fatores associados no município de Ponta Grossa, Paraná: 2008-2015

Diferenças e similaridades entre mulheres que vivem e não vivem com HIV: aportes do estudo GENIH para a atenção à saúde sexual e reprodutiva

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