Evaluation of strategies by the Brazilian Ministry of Health to stimulate the municipal response to AIDS

Grangeiro, Alexandre; Escuder, Maria Mercedes Loureiro; Castilho, Euclides Ayres de

doi:10.1590/s0102-311x2011001300012

Cited by 9 publications

(15 citation statements)

References 23 publications

(31 reference statements)

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“…In addition, evidence indicate late HIV diagnosis and initiation of antiretroviral treatment (ARVT)among PLHA-59.0% between 2003 and 2006. 6 To this scenario we should add worrying rates of non-adherence to ARVT, which can affect mortality, the incidence of opportunistic infections and the circulation of HIV resistant viral strains. Stigma, discrimination, violence, unprotected sexual practices, and higher prevalence of licit or illicit drugs are among the contextual factors that potentially explain the higher vulnerability of these populations to HIV.…”

mentioning

confidence: 99%

Vulnerability and factors associated with HIV and syphilis among men who have sex with men, Belo Horizonte, MG

Guimarães¹,

Ceccato²,

Gomes³

et al. 2013

Revista Médica De Minas Gerais

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Introduction: The HIV epidemic in Brazil is characterized as concentrated on key populations, incluiding men Who have sex with men (MSM). However, monitoring and evaluation indicators are not well known at Municipal or State levels. Objective: To describe risk behaviors and HIV and syphilis prevalences among MSM in Belo Horizonte, MG. Methods: Cross-sectional study part of a national multicenter study among adult MSM in Brazil. The sample was recruited using Respondent Driven Sampling (RDS) technique. Semistructure interviews and serological exams for HIV and syphilis were conducted. Resultads: A total of 274 MSM were recruited in Belo Horizonte. Participants were mostly young, with high education, social classes A/B, self-reported as gay or homosexual and with high proportion of irregular use of condoms. Weighted prevalence of HIV infection and syphilis were, respectively, 10.3% and 13.9%. Age, color, sharing with their mother or father their sexual orientation, prior HIV and syphilis testing, and previous diagnosis of syphilis or other STDs were statistically associated with both infections (p<0.05). Marital status, family disapproval or indifference of their sexual orientation, better HIV/Aids knowledge, not knowing their chances of acquiring HIV were statistically associated only with HIV and social class only with syphilis. Conclusion: These results indicate the severity of the HIV epidemic amongthe MSM population in Belo Horizonte. Public policies at the municipal and state levels must be implemented and/or revised urgently. RESUMO Introdução: a epidemia do HIV no Brasil caracteriza-se como concentrada em populações-chave, incluindo homens que fazem sexo com homens (HSH). No entanto, são pouco conhecidos os indicadores de monitoramento e avaliação da epidemia em nível estadual ou municipal destas populações. Objetivo: descrever comportamentos de risco e prevalências de HIV e sífilis em população de HSH em Belo Horizonte, MG. Métodos: estudo de corte transversal parte de estudo multicêntrico nacional entre HSH adultos. A amostra foi recrutada pela técnica Respondent Driven Sampling (RDS). Foram realizadas entrevistas semiestruturadas e exames para HIV e sífilis. Resultados: foram recrutados 274 HSH em Belo Horizonte. Os participantes eram principalmente indivíduos jovens, com alta escolaridade, de classes sociais A/B, que se autorreferiram gay ou homossexual e tinham alta proporção do uso irregular de preservativos. As prevalências ponderadas da infecção pelo HIV e de sífilis foram, respectivamente, 10,3 e 13,9%. Idade, cor, contar para a mãe ou pai sobre a orientação sexual, testagem prévia para o HIV ou sífilis, diagnóstico prévio de sífilis ou de outras DSTs foram estatisticamente associados a ambas as infecções (p<0,05). Estado civil, família ser indiferente ou desaprovar a opção sexual, Vulnerabilidade e fatores associados a HIV e sífilis em homens que fazem sexo com homens, Belo Horizonte, MG Vulnerability and factors associated with HIV and syphilis among men who have sex with men, Belo Horizonte, MG

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confidence: 99%

Vulnerability and factors associated with HIV and syphilis among men who have sex with men, Belo Horizonte, MG

Guimarães¹,

Ceccato²,

Gomes³

et al. 2013

Revista Médica De Minas Gerais

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“…The increase in the number of individuals enrolled in the Santarém CTA/SAE in the study period confirms national epidemiological data related to the growth of the epidemic in the Northern region. 15 , 17 Grangeiro et al 10 (2011) stated that programmatic interventions such as the opening of CTA, development of the rapid HIV test, and changes in program management involving the decentralization of health care activities contributed to the increased reporting of cases in Northern Brazil. The mean incidence of AIDS was 25 cases/100,000 inhabitants in cities with CTA, compared with 17.5 cases/100,000 in other cities.…”

Section: Discussionmentioning

confidence: 99%

“…O aumento dos indivíduos matriculados no CTA/SAE de Santarém, ocorrido no período estudado, confirma dados epidemiológicos nacionais com o crescimento da epidemia na região Norte. 15 , 17 Grangeiro et al 10 (2011) afirmam que intervenções de ordem programática, como abertura de CTA, implantação do teste rápido para o diagnóstico da infecção pelo HIV e descentralização da gestão programática, caracterizada pela municipalização das ações do âmbito da atenção à saúde, contribuem para o aumento do registro de casos no Norte do País. A incidência média de aids é de 25 casos/100 mil habitantes em municípios com CTA, em comparação a de 17,5 casos/100 mil nos demais.…”

Section: Discussionunclassified

HIV testing and clinical status upon admission to a specialized health care unit in Pará, Brazil

Abati

Segurado

2015

Rev. Saúde Pública

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OBJECTIVE To analyze the clinical and laboratory characteristics of HIV-infected individuals upon admission to a reference health care center.METHODS This cross-sectional study was conducted between 1999 and 2010 on 527 individuals with confirmed serological diagnosis of HIV infection who were enrolled in an outpatient health care service in Santarém, PA, Northern Brazil. Data were collected from medical records and included the reason for HIV testing, clinical status, and count of peripheral CD4+ T lymphocytes upon enrollment. The data were divided into three groups, according to the patient’s year of admission – P1 (1999-2002), P2 (2003-2006), and P3 (2007-2010) – for comparative analysis of the variables of interest.RESULTS In the study group, 62.0% of the patients were assigned to the P3 group. The reason for undergoing HIV testing differed between genders. In the male population, most tests were conducted because of the presence of symptoms suggesting infection. Among women, tests were the result of knowledge of the partner’s seropositive status in groups P1 and P2. Higher proportion of women undergoing testing because of symptoms of HIV/AIDS infection abolished the difference between genders in the most recent period. A higher percentage of patients enrolling at a more advanced stage of the disease was observed in P3.CONCLUSIONS Despite the increased awareness of the number of HIV/AIDS cases, these patients have identified their serological status late and were admitted to health care units with active disease. The HIV/AIDS epidemic in Pará presents specificities in its progression that indicate the complex characteristics of the epidemic in the Northern region of Brazil and across the country.

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“…Grangeiro et al (2011) avaliam que tal negligência nesses anos iniciais afetou de forma diferenciada o curso da epidemia ao longo do território brasileiro. Sobre a descentralização da resposta à Aids no Brasil, concluem que nos municípios onde a responsabilidade pelo Programa de controle e assistência foi assumida integralmente desde 1994, os programas "apresentaram uma maior chance de ofertar diagnóstico do HIV, possuir serviços de AIDS e reduzir casos por transmissão sexual e por uso de drogas injetáveis" (idem, p.S126) do que os estados que assumiram o programa tardiamente a partir de 2003, reiterando a ideia de que decisões políticas efetivamente contribuem para a vulnerabilidade da população.…”

Section: Referências Bibliográficasunclassified

Divulgação e jornalismo científico em saúde e meio ambiente na Amazônia

Guimarães¹,

Schweickardt²,

Silva³

2017

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Evaluation of strategies by the Brazilian Ministry of Health to stimulate the municipal response to AIDS

Cited by 9 publications

References 23 publications

Vulnerability and factors associated with HIV and syphilis among men who have sex with men, Belo Horizonte, MG

Vulnerability and factors associated with HIV and syphilis among men who have sex with men, Belo Horizonte, MG

HIV testing and clinical status upon admission to a specialized health care unit in Pará, Brazil

Divulgação e jornalismo científico em saúde e meio ambiente na Amazônia

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