Highly active antiretroviral therapy in Brazil: the challenge of universal access in a context of social inequality

Hacker, Mariana A.; Petersen, Maya; Enriquez, Melissa; Bastos, Francisco Inácio

doi:10.1590/s1020-49892004000800002

Cited by 42 publications

(38 citation statements)

References 11 publications

(12 reference statements)

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“…Free and universal access to HAART in Brazil have led to an increase in quality of life and survival 28 and minimization of economic losses, due to the decrease in AIDS-related deaths, hospitalizations, and high-cost, high-complexity clinical and laboratory procedures 29,30 .…”

Section: Discussionmentioning

confidence: 99%

Social geography of AIDS in Brazil: identifying patterns of regional inequalities

et al. 2014

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The trend towards decline and stabilization of the AIDS epidemic in Brazil should be analyzed carefully, since aggregate data can mask regional or local inequalities in such a large and diverse country. The current study reevaluates the epidemic’s spatial dissemination and the AIDS-related mortality pattern in Brazil. The study considered all AIDS cases diagnosed in individuals over 18 years of age and living in Brazil, as well as AIDS deaths recorded in 1998-2008. Three-year moving average rates were estimated, and a spatial analysis was conducted using a local empirical Bayesian method. The epidemic was only found to be expanding in the North and Northeast regions, while declining in the rest of the country, especially in the Southeast. According to the findings, the apparent stabilization of AIDS mortality tends to mask regional disparities. Social determinants of health and regional disparities should be taken into account in program development and policymaking.

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Section: Discussionmentioning

confidence: 99%

Social geography of AIDS in Brazil: identifying patterns of regional inequalities

et al. 2014

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“…47 sexual function approach Addressing sexuality, during medical consultations, is still difficult for most physicians. The Global Study of Sexual Attitudes and Behaviors has shown that globally 9% of men and women researched reported having been questioned on their sexual health during routine consultation in the last three years.…”

Section: Hiv/aids Mortalitymentioning

confidence: 99%

HIV em mulheres de meia-idade: fatores associados

Valadares

Pinto‐Neto

Abdo

et al. 2010

Rev. Assoc. Med. Bras.

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Human immunodeficiency virus (HIV) infection has increased considerably among middle-aged women. In this work we reviewed recent studies aimed at identifying possible factors related to HIV infection in climacteric women. Several associated factors are addressed, such as: climacteric symptoms, partner's change in sexual behavior in face of new drugs, negotiation over the use of preservatives in sexual intercourse, risk behavior for HIV, global self-esteem and sexual self-esteem, history of sexual abuse, drug use, stereotypes of sex life in maturity, use of antiretroviral therapy and approach to sexual function.

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“…Principalmente em função dos resultados obtidos com a distribuição universal de ARV (HACKER ET AL., 2004;OLIVEIRA-CRUZ;KOWALSKI;MCPAKE, 2004), a política brasileira de controle da epidemia de Aids tem sido citada como modelo para outros países em desenvolvimento como Costa Rica, El Salvador, Panamá (PIOT;SECK, 2001) e China (WU ET AL., 2007), assim como para os EUA (GOMEZ, 2010;NUNN, 2009). O President's Emergency Plan for Aids Relief (PEPFAR), projeto do governo norte-americano, iniciado em 2003 para reduzir o sofrimento das pessoas vivendo com HIV/Aids no mundo, por meio do qual os EUA fornecem medicamentos para Aids para países africanos e caribenhos, e a iniciativa 3 by 5 da Organização Mundial da Saúde (OMS), que previa um incremento de 3 milhões de pessoas fazendo uso de ARV no final de 2005, são citados como exemplos de iniciativas que sofreram influência da estratégia brasileira (OKIE, 2006).…”

Section: Introductionunclassified

A terapia antirretroviral combinada, a política de controle da Aids e as transformações do Espaço Aids no Brasil dos anos 1990

Barros

Vieira-da-Silva

2017

Saúde debate

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RESUMO Estudo sócio-histórico, utilizando o referencial teórico de Bourdieu, que analisou as condições de possibilidade para a construção da estratégia de distribuição universal de Antirretrovirais (ARV) no Brasil e as transformações do Espaço Aids. A oferta de ARV não era uma proposta inicial e resultou da pressão dos movimentos sociais, mas também do campo médico e da mídia. Mais tarde, a partir da articulação entre militantes da Reforma Sanitária, foi elaborado o projeto de lei que proporcionou uma situação diferenciada de acesso a ARV, impôs importantes transformações no Espaço Aids e sepultou a possibilidade de uma política de controle da Aids sem acesso ou com acesso restrito a ARV. PALAVRAS-CHAVE

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Highly active antiretroviral therapy in Brazil: the challenge of universal access in a context of social inequality

Cited by 42 publications

References 11 publications

Social geography of AIDS in Brazil: identifying patterns of regional inequalities

Social geography of AIDS in Brazil: identifying patterns of regional inequalities

HIV em mulheres de meia-idade: fatores associados

A terapia antirretroviral combinada, a política de controle da Aids e as transformações do Espaço Aids no Brasil dos anos 1990

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