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"We live on the tightrope": the experience of health professionals working with HIV/AIDS in a remote area of Northeast Brazil.
Abstract This ethnographic study aimed to understand the experience of health professionals working in a Specialized Service for HIV/AIDS Care in a remote area of Northeast Brazil. Data collection used participant observation and a semi-structured interview with seven professionals in the health care team. The thematic coding technique yielded three categories: "I didn't even know what it was": aspects of becoming a specialist in HIV/AIDS; "They're all out there, kind of hidden": strategies for dealing with the (in)visibility of serological status; and "We live on the tightrope": experiences in the work process. T...
Source: Cadernos de Saude Publica - November 8, 2018 Category: International Medicine & Public Health Authors: Tavares TRP, Melo LP Tags: Cad Saude Publica Source Type: research

Mortality from AIDS and tuberculosis-HIV coinfection in the Chilean AIDS Cohort of 2000-2017
This article aims to assess the sociodemographic and epidemiological factors associated with AIDS and tuberculosis-HIV coinfection mortality in the Chilean adult population between 2000 and 2017. This is a retrospective observational study, evaluating the incidence density of TB-HIV coinfection mortality in the population over 14 years of age. We used data from the Chilean AIDS Cohort database, 17,512 people enrolled in highly active antiretroviral therapy in the public health system in Chile. The Kaplan-Meier survival function and Cox regression were applied. Incidence density of 0.05 for 39,283 person-years for mortality...
Source: Cadernos de Saude Publica - June 30, 2021 Category: International Medicine & Public Health Authors: Carlos Sanhueza-Sanzana Ligia Kerr Carl Kendall Source Type: research

Factors associated with non-adherence to antiretroviral therapy in adults with AIDS in the first six months of treatment in Salvador, Bahia State, Brazil.
Abstract The control of viral replication is essential in the highly active antiretroviral therapy (HAART), and adherence to therapy is instrumental for such control. Individual and external factors influence adhesion to the use of antiretroviral (ARV) drugs. This is a cross-sectional study to investigate factors associated with non-adherence to HAART in AIDS patients in Salvador, Bahia State, Brazil, with age ≥ 13 years and first prescription in 2009. Data was collected from patient charts and pharmacy records. From a total of 216 patients, 65.3% were males; mean age 37.8 ± 9.5 years; single, 67.9%; heterosexu...
Source: Cadernos de Saude Publica - June 1, 2015 Category: Global & Universal Authors: Silva JA, Dourado I, Brito AM, Silva CA Tags: Cad Saude Publica Source Type: research

Experiences of transgender women/transvestites with access to health services: progress, limits, and tensions.
Abstract Given both the changes in sexual customs, norms and policies and the persistent patterns in Brazil, the article analyzes the experiences of transgender women/transvestites with access to health services and discusses sexual/gender discrimination and their demands for gender transition and AIDS prevention services. The study involved interviews with nine transgender women/transvestites 23-45 years of age from low-income strata in the Baixada Fluminense region of Greater Metropolitan Rio de Janeiro, Brazil, in 2016 and observation of contexts of prostitution and sociability. Compared to the violence experie...
Source: Cadernos de Saude Publica - April 18, 2019 Category: International Medicine & Public Health Authors: Monteiro S, Brigeiro M Tags: Cad Saude Publica Source Type: research

HIV/AIDS diagnosis in heterosexual men: still a surprise after more than 30 years of the epidemic.
Abstract Men are the main group affected by HIV infection in Brazil, with an upward trend in the last 10 years. According to official data, heterosexual men represent 49% of cases, followed by homosexuals with 38% and bisexuals with 9.1%. Heterosexual men have been subsumed in the category "overall population" and have failed to receive specific attention in preventive policies or activities. The article proposes to analyze the circumstances and strategies by which heterosexual men learn of their HIV diagnosis. The study thus seeks to understand the paths and social actors involved in their HIV/AIDS diagnosis. The...
Source: Cadernos de Saude Publica - June 12, 2020 Category: International Medicine & Public Health Authors: Knauth DR, Hentges B, Macedo JL, Pilecco FB, Teixeira LB, Leal AF Tags: Cad Saude Publica Source Type: research

Adherence to antiretroviral therapy by people living with HIV/AIDS in Florian ópolis, Santa Catarina State, Brazil
This study aimed to estimate the prevalence of adherence to treatment in the Municipality of Florianópolis, Santa Catarina State, Brazil, examining its association with demographic, health access, and clinical characteristics. A cross-sectional study was conducted using secondary national data from electronic medical records and Medication Logistic Control System (SICLOM) and Laboratory Test Control System (SISCEL) regarding people living with HIV/AIDS in the municipality from April 2020 to March 2021. We found an about 85% prevalence of adherence to ART. White men with follow-ups both in primary and secondary care showed...
Source: Cadernos de Saude Publica - February 15, 2023 Category: International Medicine & Public Health Authors: Marcos Paulo Marzollo Maria Mait ê Peres de Carvalho Anaclaudia Gastal Fassa Source Type: research

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