Preventive practices in the elderly and vulnerability to HIV

Abstract

Objective: To know the vulnerability of the elderly to the HIV infection in the context of preventive practices. Method: Exploratory qualitative study, lead from December 2012 to May 2013, with 37 nursing Coexistence Groups in João Pessoa - Paraiba. The Focus Group was elected as the research technique, and the empirical material obtained was subjected to a Content Analysis Technique, thematic modality. Results: The elderly recognize the importance of preventive practices, but they face difficulties in its use when their emotional relationships with their partners do not favor preventive behavior, resulting in vulnerability. The elderly showed the population groups most vulnerable to HIV and do not recognize themselves as such. Conclusion: The complexity of the various contexts experienced by the elderlies of this study indicate the need for more research that allows advances in the understanding of subjectivity imposed in relations that underlie the aging process and the experience of sexuality in this age group.

Validation of educational booklet for HIV/Aids prevention in older adults

“…", by older adults, is a consequence of the fact that health education campaigns and Aids prevention are more aimed at the young population, thus resulting in older adults becoming less informed about HIV and less aware of how to protect themselves from the infection (10) .…”

“…They show resistance to condom use, for considering it to be a contraceptive method only. In addition, some existing campaigns are targeted primarily towards the younger population (9)(10)(11) . Certain health professionals do not feel qualified in allocating assistance in relation to the sexual health of older people, in addition to there being shortcomings with regard to the use of light technologies, with careful implementation for establishing personal relationships based on general structured knowledge, such as educational booklets (12) .…”

Nursing diagnoses for elderly women vulnerable to HIV/AIDS

“…The diagnosis of impaired decision making classified in individual vulnerability is related to the sexuality of the elderly women with influence of determinants associated with gender issues, such as the difficulty in negotiating the use of condoms (4,18) ; to the association of the condom with the context of contraception and not with STD prevention; confidence in the fixed partner (19) ; and to the relation of men power to the women one (18) . Access to impaired information can increase this individual vulnerability of older women to HIV/AIDS.…”

“…The incidence rate in women aged 60 years and older increased from 4.4 to 6.7 cases per 100,000 inhabitants (2) . The taboos that involve the sexuality of the elderly, as well as the specific prevention work failure for this population segment, technological advances to improve sexual performance (3) , gender inequalities, low financial conditions, violence, prejudice, the difficulty of women in negotiating safe sex (4) , the low level of schooling and the incipient approach to this issue in the health services (1) are factors that contribute to increasing the vulnerability of older women to HIV/AIDS.…”

Infecções sexualmente transmissíveis rastreados pelo pré-natal masculino

“…Informa-se que esta investigação se interessou por um grupo de infecções sexualmente transmissíveis (IST) com transmissão vertical, aquelas que podem ser transmitidas durante a gestação, especialmente o HIV∕Aids, a sífilis e as hepatites B e C. 1 Destaca-se, em princípio, o crescimento da infecção pelo Vírus da Imunodeficiência Humana (HIV) e a Síndrome da Imunodeficiência Adquirida (Aids), que permanece com difícil controle na população, e que há décadas é considerada um problema de saúde pública, atingindo indivíduos de diversas estratos sociais, culturais ou raciais. [2][3] Acredita-se que cerca 40 milhões de pessoas estão vivendo com HIV no mundo, enquanto que, no Brasil, cerca de 660 mil casos de indivíduos de várias faixas etárias acometidos pelo vírus foram notificados. 4 Trata-se, no que se refere à sífilis, de uma doença epidemiológica de grande impacto na saúde mundial, no entanto, a sua transmissão vertical (TV) pode ser controlada, com sucesso, por meio de um tratamento efetivo e de baixo custo, promovido por políticas de saúde junto ao Sistema Único de Saúde (SUS).…”