Direitos sexuais e reprodutivos: desafios para as políticas de saúde

Ávila, María Betânia

doi:10.1590/s0102-311x2003000800027

Cited by 59 publications

(41 citation statements)

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“…Nossa abordagem teórica, derivada da antropologia do corpo e da reprodução, toma o parto como um processo simultaneamente fisiológico, emocional, mental e social 1,2,3 . O registro dessa experiência no contexto enfocado fornece subsídios para a discussão sobre o modelo hegemônico de atenção ao parto, adotado no Brasil, bem como para as questões da "humanização do parto" 4,5 , do "acolhimento de usuários nos serviços de saú-de" 6 , da "integralidade na atenção à saúde" 7 e dos "direitos reprodutivos" 8 .…”

Section: Introductionunclassified

Re-significando a dor e superando a solidão: experiências do parto entre adolescentes de classes populares atendidas em uma maternidade pública de Salvador, Bahia, Brasil

McCallum

Reis

2006

Cad. Saúde Pública

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Section: Introductionunclassified

Re-significando a dor e superando a solidão: experiências do parto entre adolescentes de classes populares atendidas em uma maternidade pública de Salvador, Bahia, Brasil

McCallum

Reis

2006

Cad. Saúde Pública

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“…Additionally, studies have emphasized that women’s vulnerability to HIV is directly associated with gender inequality, which reduces their power to negotiate condom use and other prevention practices with their partners [18–19]. Precarious access to family planning methods, lack of information about how to prevent pregnancy and lack of access to safe abortion complete the scenario in which WLHIV make their reproductive decisions and choices in Brazil [22;25–28]. …”

Section: Introductionmentioning

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Differences in the Access to Sterilization between Women Living and Not Living with HIV: Results from the GENIH Study, Brazil

2016

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BackgroundIn many countries, young women of reproductive age have been especially affected by the HIV epidemic, which have fostered research to better understand how HIV infection influences and shapes women´s fertility and reproductive and sexual decisions. In Brazil, few studies have focused on the impact of the HIV epidemic on contraceptive choices among women living with HIV (WLHIV).ObjectiveThis study evaluates the impact HIV infection may have in the access to female sterilization in Brazil, using a time-to-event analysis.MethodsA cross-sectional quantitative study (GENIH study) was conducted between February 2013 and April 2014 in the city of São Paulo, comparing two probabilistic samples of 975 WLHIV and 1,003 women not living with HIV (WNLHIV) aged 18 to 49. Sexual and reproductive data was collected retrospectively in order to reconstruct women's reproductive trajectories. Given the objectives of this study, the analysis was restricted to women with parity one or more and, in case of WLHIV, to those sterilized after HIV diagnosis and not infected through vertical transmission. The final sample analysis included 683 WNLHIV and 690 WLHIV. A series of multivariable-adjusted Cox models estimated the probability of being sterilized after HIV diagnosis, compared with WNLHIV. Models were adjusted for schooling, race/color, and stratified by parity at last delivery (1–2, 3+). Hazard ratios were calculated for female sterilization, and separately for interval and postpartum procedures (performed in conjunction with caesarean section or immediately after vaginal delivery). Additionally, information regarding unmet demand for female sterilization was also explored.FindingsNo statistical difference in the overall risk of sterilization between WLHIV and WNLHIV in the two parity-related groups is observed: HR = 0.88 (0.54–1.43) and 0.94 (0.69–1.29), respectively, among women with 1–2 children and those with three and more. However, significant differences regarding the impact of HIV infection at sterilization are observed depending on the timing and the type of sterilization procedure. The probability of obtaining an interval sterilization is significantly lower for WLHIV compared to those not living with HIV. The reverse occurs regarding postpartum sterilization. Although sterilization is mainly performed in conjunction with caesarean section in Brazil, it is evident that caesarean sections are not the sole factor increasing the risk of sterilization among WLHIV.ConclusionThe results indicate barriers in the access to services offering interval sterilization for WLHIV and certain facilitation in obtaining the procedure in conjunction with caesarean section. Health policy makers at local and national levels should promote institutional changes in order to facilitate access to interval sterilization and to confront the sensitive discussion of WLHIV’s eligibility for postpartum sterilization. It is also urgent to increase access to a wider range of contraceptive methods for WLHIV and promote dual method protection stra...

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“…Essas questões relacionam-se, sobretudo, a: demandas desses sujeitos, ausência de cuidado adequado e persistência de preconceito/discriminação na sociedade e nos serviços de saúde [2][3][4][5][6] . A partir dessas considerações, permanece uma questão-síntese: Quais as contribuições da produção do conhecimento sociocultural acerca da homossexualidade masculina para o campo da saúde?…”

Section: Introductionunclassified

Os jovens homossexuais masculinos e sua saúde: uma revisão sistemática

Cunha

Gomes

2014

Interface (Botucatu)

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Com o objetivo de analisar a literatura acadêmica de abordagem sociocultural acerca da relação entre os temas homossexualidade masculina, homem jovem e saúde, realizou-se uma revisão baseada na análise de conteúdo temática de 37 artigos selecionados, nas bases de dados Medline e Lilacs, entre 2004 e 2013. A escassez de literatura na perspectiva sociocultural apontou para obstáculos e desafios, relacionados à promoção de saúde, que vão desde a qualidade da informação, passando por valores simbólicos inconscientes, até a efetivação de propostas de gestores de saúde. Concluiu-se que a hegemonia heterossexual encontra-se presente nas estruturas inconscientes da construção da homossexualidade, contribuindo para a perpetuação do habitus heteronormativo. Estudos que valorizam o encontro do saber técnico com o conhecimento que cada um produz, referido a seus valores pessoais e culturais, podem servir de subsídio para o maior aprofundamento dessa discussão. This review aimed to analyze the academic literature with a sociocultural approach regarding the relationship between topics of male homosexuality, young men and health. It was based on thematic content analysis on 37 articles published between 2004 and 2013 that were selected from the Medline and Lilacs databases. The scarcity of literature on the sociocultural perspective showed that there were obstacles and challenges relating to health promotion, ranging from the quality of information to unconscious symbolic values and how proposals from healthcare managers are put into effect. It was concluded that heterosexual hegemony is present in the unconscious structures of the construct of homosexuality, thereby contributing towards perpetuation of the heteronormative habitus. Studies valuing the meeting point of technical knowledge with the knowledge that each individual produces, relating to personal and cultural values , may serve as a basis for deepening this discussion.

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Direitos sexuais e reprodutivos: desafios para as políticas de saúde

Abstract: This article discusses sexual and reproductive rights in the sense of a stance that assumes a perspective of transformations in social relations

Cited by 59 publications

References 0 publications

Re-significando a dor e superando a solidão: experiências do parto entre adolescentes de classes populares atendidas em uma maternidade pública de Salvador, Bahia, Brasil

Re-significando a dor e superando a solidão: experiências do parto entre adolescentes de classes populares atendidas em uma maternidade pública de Salvador, Bahia, Brasil

Differences in the Access to Sterilization between Women Living and Not Living with HIV: Results from the GENIH Study, Brazil

Os jovens homossexuais masculinos e sua saúde: uma revisão sistemática

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