Vulnerabilidade ao HIV entre mulheres usuárias de drogas injetáveis

Abstract

OBJECTIVE:To assess some aspects of vulnerability to HIV infection in women users of injecting drugs. METHODS:Thirteen semi-structured interviews were performed with female drug users (or former users) of injecting drugs, leaving in the East side of São Paulo, in 2002. The script of interviews approached four focal point issues: socioeconomic context and affective relationships, drug use, prevention against HIV and health care. Interviews were assessed through content analysis. RESULTS:Poverty, absence of strong and continuous affective ties, being expelled from the family and school, exposure to violence, institutionalization, drug use, criminality, and discrimination were constant in interviewees' reports. These aspects made it diffi cult to adopt practices for HIV prevention such as the use of condoms, disposable syringes and needles, and looking for health care services. CONCLUSIONS:Vulnerability to HIV infection makes it clear the fragility use have effective access to social, economic and cultural rights, requiring welfare policies of specifi c population segments such as women (children and adolescents), low income citizens, people living in the outskirts, with poor access to educational, cultural and health resources. This access is complicated especially for those that are discriminated by behaviors such as drug use.

Mapeamento dos estudos sobre vulnerabilidade em saúde: uma revisão de escopo

“…Apesar disso, a importância do conceito para a saúde coletiva do mundo, pois tem sido discutido em diferentes países, chegando aos cinco continentes, com destaque para a América do Sul (Figueredo & Ayres, 2002;Meneghel et al, 2003;Silva et al, 2007;Bonolo et al, 2008;Maia et al, 2008;Berardinelli et al, 2011;Pimentel et al, 2011;Mussi et al, 2012;Gaviria et al, 2012;Silva & Saldanha, 2012;Bezerra et al, 2012;Santos & Gomes., 2013a;Barros et al, 2013;Sousa et al, 2013;Nicolau et al, 2013;Lima et al, 2013;Bubadué et al, 2013;Taquette et al, 2013;Santos et al, 2013b;Atanázio et al, 2013;Muñoz et al, 2013;Fatini et al, 2014;Carrillo et al, 2014;Barbesí-Fernández et al, 2014;Amendola et al, 2014;Mello et al, 2014;Duarte et al, 2014;Takahashi et al, 2014;Taglietti et al, 2014;Santos et al, 2014;Bringol et al, 2015;Matínez et al, 2015;Santos et al, 2015;Bittencourt et al, 2015;Souza et al, 2015;Silva, Laroca et al, 2015;Pasqual et al, 2015;Bezerra et al, 2015;Zanatta & Motta, 2015;…”

“…Com o surgimento do quadro conceitual, os estudos que utilizaram o método qualitativo (Wolffers et al, 2002;Figueredo et al, 2002;Meneghel et al, 2003;Silva et al, 2007;Torres et al, 2010;Abley et al, 2011;Pugh, 2011;Downs et al, 2011;Pimentel et al, 2011;Silva, Saldanha et al, 2012;Nicolau et al, 2013;Lima & Souza, 2013;Bubadué et al, 2013;Atanázio et al, 2013;Muñoz et al, 2013;Mello et al, 2014;Stephenson et al, 2014;Silva, Maftum et al, 2014;Santos, Gomes et al, 2015;Bittencourt et al, 2015;Thompson et al, 2017, Damasceno et al, 2017Vatne, 2017;Tippens, 2017;Zanatta et al, 2018a;Zanatta et al, 2018b;Silva et al, 2018; ganharam destaque até 2010, pois a proposta inicial previa uma construção baseada na síntese e não na fatoração analítica trazida pelos estudos quantitativos (Bonolo et al, 2008;Maia et al, 2008;Berardinelli et al, 2011;Bieler et al, 2012;Lou et al, 2012a;Offidani et al, 2012;Lou et al, 2012b;Anjos et al, 2012;Mussi et al, 2012;Gaviria et al, 2012;Bezerra et al, 2012;…”

Path of infectious diseases in Brazil in the last 50 years: an ongoing challenge

“…Moreover, studies on AIDS with other specific populations, such as pregnant women and vertical transmission 173 , health professionals 109 , sex workers 53 , drug users 160 , and homeless population 83 are also carried out.…”

Uso de drogas injetáveis entre mulheres na Região Metropolitana de Santos, São Paulo, Brasil

“…As situações de violência eram ainda mais agudas quando ambos os parceiros faziam uso de drogas, assim como descrito por Silva, D´Oliveira e Mesquita (2007).…”