Supporting Adherence to Highly Active Antiretroviral Therapy and Protected Sex Among People Living with HIV/AIDS: The Role of Patient–Provider Communication in Rio De Janeiro, Brazil

Fehringer, Jessica A.; Bastos, Francisco I.; Massard, Elize; Maia, Leonardo Caixeta de Castro; Pilotto, José H.; Kerrigan, Deanna

doi:10.1089/apc.2006.20.637

Cited by 25 publications

(22 citation statements)

References 28 publications

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“…While data on actual communication in Brazil is not available for comparison, 33% of women in highly urban São Paulo [2] and 88% of women in Fortaleza [1] anticipated a negative response from their provider regarding childbearing desires. Although no direct questions regarding childbearing were asked, a 2006 study in Rio de Janeiro observing provider communication in the context of ART adherence noted communication regarding safe sexual practices was rare and occurred only in cases when patients presented with STI symptoms or were thought to be pregnant [45].…”

Section: Discussionmentioning

confidence: 99%

Discussing Childbearing with HIV-infected Women of Reproductive Age in Clinical Care: A Comparison of Brazil and the US

et al. 2011

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Despite long term access to highly active antiretroviral therapy in Brazil and the US, little is known about women's communication with their HIV provider regarding childbearing or the unmet need for reproductive counseling. We utilized identical survey questions to collect data from HIV-infected women of reproductive age in Rio de Janeiro (n = 180) and Baltimore (n = 181). We conducted univariate analyses to compare findings between samples of women and multivariate logistic regression to determine factors associated with childbearing desires, childbearing intentions, and provider communication among the combined sample of women (n = 361). Over one-third of women in Rio de Janeiro and nearly one-half of women in Baltimore reported the desire for future childbearing. Nevertheless, the majority of women in clinical care had not discussed future childbearing with their HIV provider. Even in countries with an advanced approach to HIV care, we found low and inadequate communication between providers and female patients about childbearing.

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Section: Discussionmentioning

confidence: 99%

Discussing Childbearing with HIV-infected Women of Reproductive Age in Clinical Care: A Comparison of Brazil and the US

et al. 2011

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“…Outro aspecto destacado na literatura é a importância de uma postura empática e apoiadora dos profissionais de saúde para o ajustamento psicológico dos pacientes vivendo com HIV (Fehringer et al, 2006;Sanders, 2008). Nesse sentido, os relatos das mães do presente estudo revelaram tanto aspectos positivos quanto negativos.…”

Section: Discussionunclassified

Contribuições de uma Intervenção Psicoeducativa para o Enfrentamento do HIV durante a Gestação

Gonçalves

Piccinini

2015

Psic.: Teor. e Pesq.

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RESUMO -O estudo investigou as contribuições de uma intervenção psicoeducativa para o enfrentamento da doença entre gestantes vivendo com HIV. Participaram quatro mães com idades entre 29 e 37 anos, sendo que duas souberam da infecção na gestação. Trata-se de estudos de casos longitudinal envolvendo avaliações antes, durante, depois da intervenção e aos três meses de vida do filho/a. Os achados revelaram que a notícia do HIV durante a gestação se associou a grande risco psicológico, pois envolvia imenso esforço de adaptação e sobrecarga emocional potencializadas pelo risco de transmissão do vírus ao filho. A intervenção apresentou contribuições positivas para o enfrentamento da doença e o bem-estar emocional das mães. Discutese a necessidade de ampliar o apoio psicológico dos serviços de saúde a essas mulheres. Palavras-chave: gestação, HIV/aids, intervenção, enfrentamento Contributions of a Psychoeducational Intervention to Cope with HIV during PregnancyABSTRACT -The study investigated the contributions of a brief psychoeducational intervention during pregnancy to cope with HIV among women living with HIV. Participants were four mothers, 29 to 37 years old, two of them diagnosed during their current antenatal exams. A collective study-case design was used to examine mother's accounts before, after and during intervention sessions, as well as an assessment in the third month of the baby. Results revealed HIV diagnosis during pregnancy represented a situation of psychological risk, since it required a huge adaptation effort and an emotional burden caused by the possibility to transmit the disease to the child. In this context, the psychoeducational intervention showed positive contributions confronting HIV and to the emotional well being of the mothers. The need for appropriate psychological support to all pregnant women living with HIV is discussed.

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“…These are not new problems, as they have been indicated by other authors in their previous studies who concluded that being understaffed is a challenge, but it does not justify the lack of provision of services [57,58]. Of late, changes in the health care system have put more responsibility on patients to be active participants in decision making, self-care, and disease management.…”

Section: Information Flowmentioning

confidence: 99%

A Social Ecological Approach to Exploring Barriers to Accessing Sexual and Reproductive Health Services among Couples Living with HIV in Southern Malawi

et al. 2012

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With wide access to antiretroviral therapy, people living with HIV are living longer. The reduction in the mother-to-child transmission of HIV has encouraged some people living with HIV to have children and remarry. However, some continue to have limited access to sexual and reproductive health services. The study explores barriers encountered by couples living with HIV in accessing sexual and reproductive health services using the social ecological model. Data were collected using in-depth interviews with twenty couples purposively sampled in matrilineal Chiradzulu and patrilineal Chikhwawa communities in Malawi from July to December 2010. Data were analyzed using framework analysis method. The study findings identify barriers across the five levels of the social ecological model indicating that the use of sexual and reproductive health services is influenced by diverse factors. We suggest three main areas for primary intervention: services must be located closer to their communities and integrated with existing antiretroviral services. In addition, information gatekeepers, both formal and informal, should be empowered with knowledge about sexual and reproductive health, including HIV and AIDS. Finally, there is a need to coordinate the flow of reproductive health, HIV, and AIDS information between Malawi Ministry of Health and formal and informal organizations.

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Supporting Adherence to Highly Active Antiretroviral Therapy and Protected Sex Among People Living with HIV/AIDS: The Role of Patient–Provider Communication in Rio De Janeiro, Brazil

Cited by 25 publications

References 28 publications

Discussing Childbearing with HIV-infected Women of Reproductive Age in Clinical Care: A Comparison of Brazil and the US

Discussing Childbearing with HIV-infected Women of Reproductive Age in Clinical Care: A Comparison of Brazil and the US

Contribuições de uma Intervenção Psicoeducativa para o Enfrentamento do HIV durante a Gestação

A Social Ecological Approach to Exploring Barriers to Accessing Sexual and Reproductive Health Services among Couples Living with HIV in Southern Malawi

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