Ines Dourado
Datos Biográficos
| ID | 322535 |
|---|---|
| NOMBRE | Ines Dourado |
| NOMBRES | Ines |
| APELLIDO | Dourado |
| FIRMA | DOURADO I |
| AFILIACIONES | Universidade Federal da Bahia |
| ORCID | 0000-0003-1675-2146 |
| VERIFICADO | Sí |
| TOTAL DE OBRAS | 109 |
| TOTAL DE CITAS | 220 |
| TOTAL COMO AUTOR | 109 |
| TOTAL COMO EDITOR | 0 |
| PRIMER AÑO DE PUBLICACIÓN | 2001 |
| AÑO MÁS RECIENTE DE PUBLICACIÓN | 2026 |
| ÍNDICE H | 8 |
Increase in syphilis among men who have sex with men in Brazil
This article aims to report the prevalence of syphilis and its associated factors among men who have sex with men (MSM) in Brazil. Respondent-driven sampling was conducted in 12 cities in Brazil between June and December 2016. The target sample size was 350 MSM in each city. Five to six seeds were selected to initiate recruitment and coupons and interviews were conducted online. MSM were considered syphilis-positive if the RST+ and Venereal Disea…
Sexualized Drug Use Among Sexually and Gender Diverse Adolescents in Brazil
Sexualized drug use (SDU) is a known phenomenon with significant implications for HIV vulnerability. Chemsex, a specific subset of SDU, involves the use of substances such as GHB/GBL, mephedrone, or methamphetamine to facilitate sexual activity. This study investigated factors associated with SDU among sexual and gender diverse adolescents (SGDa) in Brazil. This study used data from the PrEP15-19 project, a cohort investigating the implementation…
Prevalência e fatores associados a sífilis entre adolescentes homens que fazem sexo com homens em duas capitais brasileiras
Objetivou-se estimar a prevalência e identificar fatores associados à sífilis entre adolescentes homens que fazem sexo com homens (AHSH). Estudo transversal, multicêntrico que recrutou 199 AHSH entre 15 e 19 anos por meio do método respondent-driven sampling (RDS) entre dezembro de 2020 e agosto de 2022, com aplicação de questionário e utilização de testes rápidos em Fortaleza e São Paulo. As estimativas foram calculadas por meio do software STAT…
Evaluating the effect of social mobility on the incidence of HIV/Aids in low-income populations
The control of the HIV/AIDS epidemic remains a significant challenge for public health in Brazil, a country marked by profound social inequalities. In this study, we aimed to use the integration of large data analyses with microsimulation models to evaluate the effect of alternative income-based social mobility policies on AIDS incidence, both in the overall population and in specific vulnerability groups. We created a dynamic microsimulation mod…
Acceptability and usability of Covid-19 antigen self-test in populations under socioeconomic vulnerability in Brazil
Rapid diagnostic self-tests have emerged as effective tools for identifying and controlling the spread of SARS-CoV-2. However, little is known about their acceptability and usability among populations under socioeconomic vulnerability globally. We aimed to evaluate the acceptability and usability of a COVID-19 antigen self-test among persons living in Salvador and Rio de Janeiro, Brazil. In this cross-sectional study (January–May 2023), participa…
Family-Based Discrimination, Non-disclosure of Sexual Orientation or Gender identity, and Initiation of Oral Pre-exposure Prophylaxis Among Adolescents
This study analyzed the association between family-based discrimination and non-disclosure of sexual orientation or gender identity (SOGI) and the initiation of oral pre-exposure prophylaxis (PrEP) for HIV prevention among adolescent men who have sex with men (AMSM) and transgender women (ATGW). This analysis used baseline data from the PrEP1519 project. Latent class analysis (LCA) was applied to identify patterns of family-based discrimination a…
Violência, sofrimento e (re)existências
Pessoas trans são expostas a diferentes formas de violência que geram sofrimento. Trata-se de um fenômeno coletivo e dialético de subjugação/resistência. Entrevistamos 15 mulheres trans residentes na área metropolitana de Salvador-BA. Suas narrativas foram analisadas a partir da perspectiva de que a realidade não é algo dado a priori, mas um efeito de práticas performativas cotidianas que envolvem diferentes atores/actantes. Identificamos que o s…
Sexual abuse and substance use before or during sex among transgender women in Brazil
Transgender women and travestis (TWT) experience high rates of sexual violence and substance use, but few studies explore drug use specifically before or during sex. As such, this study investigated the association between lifetime sexual abuse and drug use before or during sex among TWT in Brazil. TransOdara was a cross-sectional study conducted in five Brazilian cities using respondent-driven sampling from 2019 to 2021. A total of 1,317 TWT com…
Evaluation of the Covid-19 testing strategy in PHC of a high-vulnerability health district in Brazil, 2020-2022
The FE identified barriers to testing and supported the design of the TQT, including the adaptations needed to implement actions. The concentration of testing in a few units is an important barrier to access; it is suggested that testing actions should be deconcentrated in as many health units as possible
I Am the Minority of the Minority of the Minority, I Can't Help Thinking About My Brothers
We aimed to understand how COVID-19 impacted LGBTQIA+ adolescents' and young people's well-being and to explore self-care strategies developed by them to address such effects. A qualitative investigation was conducted with adolescents and young people including 39 men who have sex with men and transgender women aged 15-22 years in Brazil. Data collection comprised digital-based diaries and semi-structured interviews and occurred during physical d…
Intersectional impact of cash transfers on Aids among 12.3 million Brazilian women
Fatores associados ao sexo anal sem preservativo entre adolescentes homens que fazem sexo com homens e mulheres trans em três capitais brasileiras
OBJECTIVE: To analyze the factors that increase the practice of condomless anal sex (CAS) among adolescent men who have sex with men (AMSM) and adolescent travestis and transgender women (ATGW) in three Brazilian state capitals. METHODS: PrEP1519 is a prospective, multicenter cohort study demonstrating the effectiveness of human immunodeficiency virus (HIV) pre-exposure prophylaxis (PrEP) among AMSM and ATGW aged from 15 to 19 years in three Braz…
Novos horizontes na saúde sexual
Conciliando vantagens e dificuldades
OBJECTIVE: This study aims to analyze the knowledge about the HIV event-driven preexposure prophylaxis (event-driven PrEP) scheme and the perception of its potential use among young men who have sex with men (MSM), travestis, and transgender women (TrTW) who were followed up in the cohort. METHODS: This qualitative study included 50 interviews with participants from the municipalities of Salvador and São Paulo, aged 15 to 19 years, who made daily…
Oferta de PrEP em organizações comunitárias
OBJETIVO: Avaliar se adolescentes de minorias sexuais que iniciaram a profilaxia pré-exposição sexual (PrEP) em organizações comunitárias (OC) apresentam maior vulnerabilidade social e ao HIV em comparação com adolescentes em PrEP de um serviço de saúde convencional. Além disso, avaliar se esses adolescentes tiveram um acesso mais oportuno à profilaxia. MÉTODO: Estudo demonstrativo da efetividade de PrEP, realizado na cidade de São Paulo, em duas…
Recent HIV infections and estimated HIV incidence among adolescents from key populations
OBJETIVE: To identify recent HIV-1 infection and estimate HIV incidence among adolescent men who have sex with men (AMSM) and transgender women (ATGW) in Brazil. METHODS: From January to December 2020, a cross-sectional analysis was conducted with baseline data from the PrEP1519 study, an HIV pre-exposure prophylaxis (PrEP) demonstration cohort in Brazil among sexually active AMSM/ATGW aged 15–19. For enrollment, participants were screened with a…
Prevalence of hepatitis among young men who have sex with men and transgender women in Brazil
OBJECTIVE: Viral hepatitis and sexually transmitted infections disproportionally affect men who have sex with men (MSM) and transgender women (TGW). However, only a few studies have evaluated the prevalence of hepatitis in these populations, especially in youths and adolescents. This study aimed to estimate the prevalence of biomarkers for hepatitis A, B, and C among young and adolescent MSM and TGW in three Brazilian municipalities. METHODS: Bas…
Risco e prazer em tempos de sexo farmacologicamente seguro
OBJECTIVE: This article discusses how Pre-Exposure Prophylaxis (PrEP) and the undetectable viral load=untransmissible (UVL=U) have produced reconfigurations in the contexts of affective-sexual encounters of young gay men/men who have sex with men (MSM) living with HIV (YLHIV). METHODS: In-depth interviews were conducted with nine YLHIV, aged 18 to 29, from two studies conducted in Salvador, Bahia, in 2019 and 2021. The narratives focused on unpre…
Dynamics of HIV self-testing uptake among sexual and gender minorities
OBJECTIVE: To identify the factors associated with HIV self-testing (HIVST) uptake among adolescent men who have sex with men (AMSM) and adolescent transgender women (ATGW) before and during the COVID-19 pandemic. METHODS: A cross-sectional HIVST uptake study was conducted among AMSM and ATGW. Peer educators and health professionals began providing HIVST in February 2019. The outcome was the HIVST uptake before and during the COVID-19 pandemic. T…
Association between in-country migration and HIV infection among transgender women from northeastern Brazil
These data reinforce the pressing need for public health policies that provide comprehensive access and strategies for demand creation for HIV/AIDS prevention and care for TGW who are already highly vulnerable to infection
Impact of emergency financial support program on testing demand, Sars-CoV-2 prevalence, and social isolation during Covid-19 outbreak in Brazil
Despite the severe COVID-19 situation in Brazil owing to the lack of effective public health policies and government resistance to scientific guidance, being an EA beneficiary was associated with increased testing demand and better adherence to mild social isolation measures
Racial HIV Testing Inequalities in Adolescent Men who have Sex with Men and Transgender Women in Three Brazilian Cities
It was unusual but amazing
This study aimed to analyze the challenges in demand creation for participation in an HIV pre-exposure prophylaxis (PrEP) project in two Brazilian capitals. This qualitative study was conducted with men who have sex with men and transgender women aged 15 to 19 years who lived in two Brazilian state capitals. For this analysis, 27 semi-structured interviews carried out from 2019 to 2020 were evaluated by reflexive thematic content analysis. For pa…
Cooperação Academia-Ativismo na Pesquisa Científica
O artigo examina des/arranjos entre acadêmicos e ativistas com base em uma pesquisa com pessoas trans, discutindo desafios para o trabalho comum voltado à produção científica. Da perspectiva de uma ecologia das práticas, a análise ilumina como a negociação entre os atores, ao invés de uma etapa (preliminar) da investigação, configura-se em instância que gera continuamente as condições de possibilidade de conhecimento baseado em colaborações dessa…
Perceived Risk of HIV Infection and Acceptability of PrEP among Men Who Have Sex with Men in Brazil
Internações por condições sensíveis à atenção primária
As internações por condições sensíveis à atenção primária representam condições de saúde que podem ter o risco de hospitalização desnecessária diminuído, por meio de ações efetivas da atenção primária. Essas internações vêm sendo usadas como indicador do acesso e qualidade da atenção básica, mas não existe consenso quanto às doenças que devem fazer parte desse indicador. Apresenta-se uma descrição das etapas seguidas para a construção da lista br…
Tendências da epidemia de Aids no Brasil após a terapia anti-retroviral
OBJETIVO: A terapia anti-retroviral disponível no Brasil a partir de 1996, modificou o curso da epidemia de Aids, alterando sua evolução e tendências. Nesse sentido, o estudo teve por objetivo avaliar a epidemia da Aids no Brasil, nos seus aspectos epidemiológicos. MÉTODOS: Estudo realizado a partir de bases de dados do Ministério da Saúde que caracterizavam a evolução temporal da Aids nas macrorregiões brasileiras, de 1990 a 2003. Foram utilizad…
Estigma e resistência entre travestis e mulheres transexuais em Salvador, Bahia, Brasil
Trata-se de um estudo qualitativo, com base na análise de narrativas produzidas por travestis e mulheres transexuais em Salvador, Bahia, Brasil, com o objetivo de analisar suas experiências de estigmatização, descrevendo acontecimentos, atores e contextos que marcam as suas trajetórias de vida, e também compreender a relação entre o estigma e suas performances femininas. As narrativas são provenientes de 19 entrevistas em profundidade realizadas …
Interdisciplinarity in HIV prevention research
At the end of 2017, Brazil adopted HIV pre-exposure prophylaxis (PrEP) as part of a combination prevention strategy for the most at-risk populations. However, Brazil does not have specific guidelines for PrEP use among adolescents aged < 18 years. Therefore, researchers from different health disciplines conducted PrEP1519, the first PrEP demonstration cohort study, ongoing in three Brazilian cities - Salvador, Belo Horizonte, and São Paulo - amon…
Estigma e discriminação relacionados à identidade de gênero e à vulnerabilidade ao HIV/aids entre mulheres transgênero
A prevalência de HIV entre mulheres transgênero é desproporcional quando comparamos com a população geral em vários países. O estigma e a discriminação, por conta da identidade de gênero, têm sido comumente associados à vulnerabilidade ao HIV/aids. O objetivo foi realizar uma revisão sistemática da literatura para analisar a relação entre o estigma e a discriminação relacionados à identidade de gênero de mulheres transgênero e à vulnerabilidade a…
Hospitalizations of children due to primary health care sensitive conditions in Pernambuco State, Northeast Brazil
Admissions due to primary health care sensitive conditions from 1999 to 2009 among children < 5 years old were analyzed for municipalities in Pernambuco State, Brazil. Using data from the Brazilian Unified National Health System's Hospital Information System, a negative binomial regression was applied to estimate rate ratio (RR) and 95%CI for the effect on primary health care sensitive condition rates (admissions/10,000 inhabitants) of the Family…
Tendência da transmissão vertical de Aids após terapia anti-retroviral no Brasil
OBJETIVO: O crescimento de casos de Aids entre mulheres teve como conseqüência o aumento da transmissão vertical da infecção pelo vírus da imunodeficiência adquirida. Medidas de controle dessa modalidade de transmissão foram implementadas a partir de 1996. O objetivo do estudo foi analisar a tendência temporal da transmissão vertical de Aids em crianças brasileiras. MÉTODOS: Foram incluídas no estudo crianças nascidas entre 1990 e 2001 no Brasil.…
Avaliação de indicador sócio-ambiental utilizado no rastreamento de áreas de transmissão de filariose linfática em espaços urbanos
O conceito de espaço socialmente organizado, subsidiado por novas técnicas de análise, mapeamento e espacialização da ocorrência de eventos, tem orientado desenvolvimentos metodológicos inovadores no campo das intervenções de saúde pública. Este estudo teve por objetivo avaliar a utilização de um indicador sócio-ambiental, construído através da metodologia de aplicação de escores, na estratificação do Município de Olinda, Pernambuco, em áreas com…
Factors associated to HIV prevalence among adolescent men who have sex with men in Salvador, Bahia State, Brazil
Adolescent men who have sex with men (AMSM) are at a heightened vulnerability for human immunodeficiency virus (HIV). This study aimed to estimate the prevalence of HIV and associated individual, social, and programmatic factors among AMSM in Salvador, Bahia State, Brazil. This is a cross-sectional study which analyzed baseline data from the PrEP1519 cohort in Salvador. Descriptive, bivariate, and multivariate analyses were conducted using the di…
HIV epidemic, prevention technologies, and the new generations
The United Nations has underscored the possibility of ending the HIV epidemic as a public health problem. However, an increase in the incidence among adolescents and youth has indicated a greater distance between HIV responses and the specificities of the new generations, which can maintain the epidemic for an extended period. Regards this matter, it is debated that the provision of a range of preventive methods, even if highly effective, and a c…
Unwillingness to prescribe PrEP by health care professionals of specialized HIV/Aids services in Northeastern Brazil
This study aimed to analyze factors associated with the unwillingness to prescribe pre-exposure prophylaxis (PrEP) by health care professionals of specialized HIV/AIDS services. This is a cross-sectional study with 252 health care professionals in 29 specialized care services (SCSs) in HIV/AIDS in 21 municipalities in the state of Bahia, Brazil. The inclusion criterion was that the professional had worked for at least six months in the service. S…
Moral barriers to HIV prevention and care for gay and bisexual men
This article examines narratives about promiscuity that are emphasized by some gay and bisexual men who are themselves living with HIV. We used semi-structured interviews to assess the processes, outcomes, and meanings of HIV diagnosis among 10 young gay and bisexual men aged between 18 and 30 years old. Interviews were conducted in health service settings for the diagnosis and treatment of HIV and AIDS in Salvador, Brazil. Based on a sociocultur…
Vulnerability in the context of HIV and syphilis infection in a population of men who have sex with men (MSM) in Salvador, Bahia State, Brazil
Social, individual, and programmatic vulnerability of men who have sex with men (MSM) in the context of the HIV epidemic and other sexually transmitted infections (STI) is a reality in many countries. The survey Behavior, Attitudes, Practices, and Prevalence of HIV and Syphilis in Men Who Have Sex with Men in 10 Brazilian Cities selected 383 MSM in the city of Salvador, Bahia State, Brazil, using the respondent driven sampling (RDS) technique. In…
Construindo pontes
Pessoas trans, incluindo travestis, mulheres transexuais, apresentam taxas desproporcionalmente elevadas de HIV/AIDS em comparação com o restante da população. Entretanto, são poucos os estudos quantitativos/qualitativos com pessoas trans no Brasil. Assim, uma equipe de pesquisadores de diferentes áreas desenvolve um projeto de pesquisa interdisciplinar com o objetivo de conhecer as condições e os modos de vida, e ao mesmo tempo investigar fatore…
Fatores associados à não adesão aos antirretrovirais em adultos com Aids nos seis primeiros meses da terapia em Salvador, Bahia, Brasil
O controle da replicação viral é essencial na terapia antirretroviral altamente potente (TARV) e a adesão ao tratamento é o fundamento para esse controle. Fatores individuais e externos influenciam a adesão aos antirretrovirais (ARV). Estudo transversal para investigar fatores associados à não adesão à TARV, em indivíduos com AIDS em Salvador, Bahia, Brasil, com idade ≥ 13 anos e primeira prescrição em 2009. Dados coletados em prontuários e regis…
Entre idas e vindas
A partir de um estudo epidemiológico sobre apresentação tardia ao serviço de saúde para diagnóstico e tratamento de HIV/Aids, este artigo busca aprofundar a discussão sobre alguns aspectos envolvidos nesse processo. Buscou-se registrar narrativas de homens sobre suas trajetórias ou itinerários no processo de diagnóstico e tratamento de HIV/Aids, descrevendo os acontecimentos e atores presentes nas práticas cotidianas em que ocorrem os deslocament…
Epidemia de HIV, tecnologias de prevenção e as novas gerações
A Organização das Nações Unidas tem destacado a possibilidade de eliminar a epidemia de HIV como um problema de saúde pública. Porém, um aumento da incidência em adolescentes e jovens tem indicado um maior distanciamento entre a resposta ao HIV e as especificidades próprias das novas gerações, que pode estender a epidemia por um longo período. Frente a isso, é discutido que a oferta de uma cesta universal de métodos preventivos, mesmo que altamen…
Prevenção combinada do HIV para homens adolescentes que fazem sexo com homens e mulheres adolescentes transexuais no Brasil
trans 6,7 , tendência observada entre adolescentes HSH 8 e mulheres adolescentes trans 9,10 .Esse aumento da epidemia de HIV/aids entre adolescentes HSH e mulheres adolescentes trans pode ser explicado por uma combinação de fatores associados a essa fase da vida, como a experimentação de práticas sexuais, o estigma relacionado à orientação sexual e identidade de gênero desses indivíduos 11,12,13,14,15 e sua maior vulnerabilidade frente a desigual…
Late presentation to HIV/Aids care in Brazil among men who self-identify as heterosexual
OBJECTIVE: To analyze the factors associated with late presentation to HIV/AIDS services among heterosexual men. METHODS: Men infected by HIV who self-identified as heterosexual (n = 543) were included in the study. Descriptive, biivariate and logistic regression analyses were performed to evaluate the factors associated with late presentation (defined as individuals whose first CD4 count was <350 cells/mm3) in the study population. RESULTS: The …
HIV-1 seroprevalence in the general population of Salvador, Bahia State, Northeast Brazil
To estimate HIV-1 seroprevalence in the general population of Salvador, Bahia, Brazil, we conducted a cross-sectional survey of 3,437 residents from 1998 to 2000. Subjects were drawn from 30 sentinel areas representing a wide range of living conditions. Plasma samples were screened for HIV-1 antibodies by ELISA and confirmed by immunofluorescent assay. Subtype determination by HMA was performed after proviral DNA amplification. Phylogenetic analy…
Influenza vaccination in Brazil
Mass vaccination campaigns against influenza in the elderly have been conducted in Brazil since 1999. A search of the literature on influenza in Brazil indicated that data on disease burden are still scarce and inaccurate. Published data seem to indicate that vaccination has produced some impact in the southern and southeastern regions but not in other regions of Brazil. A discussion of the technical and scientific rationale for mass immunization…
Aceitabilidade ao autoteste de HIV entre adolescentes Homens que fazem Sexo com Homens, travestis e mulheres transexuais em três capitais brasileiras
Introdução: O objetivo deste estudo é analisar a aceitabilidade do autoteste de HIV entre adolescentes Homens que fazem Sexo com Homens e mulheres travestis e transexuais em três capitais brasileiras. Método: estudo qualitativo, com 6 Grupos Focais e 37 Entrevistas em profundidade, envolvendo 58 participantes, nas cidades de Belo Horizonte, Salvador e São Paulo, cuja análise temática de conteúdo orientou-se pelo Theoretical Framework of Acceptabi…
Violence, discrimination, and sexual health practices among adolescent men who have sex with men, transgender women and travestis in three cities in Brazil
The HIV epidemic has a disproportionate impact on adolescent and young men who have sex with men (AMSM) and transgender women and travestis (ATGW), with an increased HIV prevalence over the last 10 years. Violence affects the lives of these populations, undermining their ability to self-care and making them more vulnerable to HIV infection. In this study, we aimed to examine the association between different types of victimization by violence and…
Conhecimentos, percepções e itinerários terapêuticos de travestis e mulheres trans no cuidado a infecções sexualmente transmissíveis em Salvador, Brasil
O artigo objetivou analisar conhecimentos, percepções, práticas de cuidado e Itinerrários Terapêuticos (IT) para o diagnóstico e tratamento das Infecções Sexualmente Transmissíveis (IST), com destaque para sífilis, entre Travestis e Mulheres Trans (TrMT) em Salvador, Brasil. Foram realizados 05 grupos focais e 06 entrevistas semiestruturadas com 30 TrMT. Os achados apontam amplo desconhecimento e percepções contraditórias sobre as IST, especialme…
Envolvimento em organizações não governamentais e a participação em ações de prevenção ao HIV/aids por homens que fazem sexo com homens no Brasil
A epidemia do HIV no Brasil é concentrada em populações-chave. Organizações não governamentais (ONGs) que atuam em defesa dos direitos da população LGBT e de pessoas vivendo com HIV/aids podem contribuir para o desenvolvimento de políticas de prevenção. O objetivo deste estudo é avaliar o envolvimento em ONGs e analisar sua associação com a participação individual em ações de educação em saúde, testagem e prevenção às infecções sexualmente transm…
The Opening of South America's First Needle Exchange Program and an Epidemic of Crack Use in Salvador, Bahia-Brazil
Avaliação de indicador sócio-ambiental utilizado no rastreamento de áreas de transmissão de filariose linfática em espaços urbanos
O conceito de espaço socialmente organizado, subsidiado por novas técnicas de análise, mapeamento e espacialização da ocorrência de eventos, tem orientado desenvolvimentos metodológicos inovadores no campo das intervenções de saúde pública. Este estudo teve por objetivo avaliar a utilização de um indicador sócio-ambiental, construído através da metodologia de aplicação de escores, na estratificação do Município de Olinda, Pernambuco, em áreas com…
Clinical and laboratory features of aseptic meningitis associated with measles-mumps-rubella vaccine
Although the course of post-vaccinal meningitis is more benign than that of other forms of the disease, its treatment generates costs related to ancillary exams and hospitalizations. Mass vaccination campaigns should employ less reactogenic vaccine strains
Tuberculin reactivity in a population of schoolchildren with high BCG vaccination coverage
In Brazilian schoolchildren, BCG-induced tuberculin reactivity is indistinguishable, for results under 15 mm, from reactivity induced by Mycobacterium tuberculosis infection. BCG revaccination at school age increases the degree of BCG-induced tuberculin reactivity found among schoolchildren. This information should be taken into account in tuberculin skin test surveys intended to estimate M. tuberculosis prevalence or to assess transmission patte…
Sensibilidade e especificidade da leitura da cicatriz vacinal do BCG
OBJETIVO: Validar a utilização da cicatriz vacinal de BCG como um indicador de vacinação. MÉTODOS: Foi realizado um estudo transversal em 52.348 escolares, entre 6 e 14 anos de idade, que possuíam exame de cicatriz vacinal do BCG e que participaram de um ensaio clínico randomizado e controlado na cidade de Manaus, Brasil. Os dados da leitura da cicatriz vacinal foram comparados com a informação sobre a vacinação passada fornecida pelos cartões va…
Influenza vaccination in Brazil
Mass vaccination campaigns against influenza in the elderly have been conducted in Brazil since 1999. A search of the literature on influenza in Brazil indicated that data on disease burden are still scarce and inaccurate. Published data seem to indicate that vaccination has produced some impact in the southern and southeastern regions but not in other regions of Brazil. A discussion of the technical and scientific rationale for mass immunization…
Tendências da epidemia de Aids no Brasil após a terapia anti-retroviral
OBJETIVO: A terapia anti-retroviral disponível no Brasil a partir de 1996, modificou o curso da epidemia de Aids, alterando sua evolução e tendências. Nesse sentido, o estudo teve por objetivo avaliar a epidemia da Aids no Brasil, nos seus aspectos epidemiológicos. MÉTODOS: Estudo realizado a partir de bases de dados do Ministério da Saúde que caracterizavam a evolução temporal da Aids nas macrorregiões brasileiras, de 1990 a 2003. Foram utilizad…
Tendência da transmissão vertical de Aids após terapia anti-retroviral no Brasil
OBJETIVO: O crescimento de casos de Aids entre mulheres teve como conseqüência o aumento da transmissão vertical da infecção pelo vírus da imunodeficiência adquirida. Medidas de controle dessa modalidade de transmissão foram implementadas a partir de 1996. O objetivo do estudo foi analisar a tendência temporal da transmissão vertical de Aids em crianças brasileiras. MÉTODOS: Foram incluídas no estudo crianças nascidas entre 1990 e 2001 no Brasil.…
HIV-1 seroprevalence in the general population of Salvador, Bahia State, Northeast Brazil
To estimate HIV-1 seroprevalence in the general population of Salvador, Bahia, Brazil, we conducted a cross-sectional survey of 3,437 residents from 1998 to 2000. Subjects were drawn from 30 sentinel areas representing a wide range of living conditions. Plasma samples were screened for HIV-1 antibodies by ELISA and confirmed by immunofluorescent assay. Subtype determination by HMA was performed after proviral DNA amplification. Phylogenetic analy…
Military rank and Aids proportionate mortality in the Brazilian Navy
This study describes AIDS mortality and occupational factors among servicemen in the Brazilian Navy. This is a proportional mortality study of 2,586 servicemen's death certificates (20-72 years of age) recorded from 1991 to 1995. Death certificates and occupational histories came from the Brazilian Navy Insurance System archives. Association was measured using proportionate mortality odds ratios obtained with unconditional logistic regression. AI…
Oral Manifestations of HIV Infection in Patients Receiving Highly Active Antiretroviral Therapy (Haart) in Bahia, Brazil
Our study shows that lesions are more common in patients with advanced immune suppression and low level of schooling. Oral candidiasis and angular chelitis were the most common lesions seen
Internações por condições sensíveis à atenção primária
As internações por condições sensíveis à atenção primária representam condições de saúde que podem ter o risco de hospitalização desnecessária diminuído, por meio de ações efetivas da atenção primária. Essas internações vêm sendo usadas como indicador do acesso e qualidade da atenção básica, mas não existe consenso quanto às doenças que devem fazer parte desse indicador. Apresenta-se uma descrição das etapas seguidas para a construção da lista br…
Major Expansion Of Primary Care In Brazil Linked To Decline In Unnecessary Hospitalization
In 1994 Brazil launched what has since become the world's largest community-based primary health care program. Under the Family Health Program, teams consisting of at least one physician, one nurse, a medical assistant, and four to six trained community health agents deliver most of their services at community-based clinics. They also make regular home visits and conduct neighborhood health promotion activities. This study finds that during 1999-…
Principais causas de internação por condições sensíveis à atenção primária no Brasil
OBJETIVOS: analisar as tendências das principais causas de internações hospitalares entre aquelas sensíveis à atenção primária (ICSAP) no Brasil, por faixa etária e região, no período de 1999 a 2006. MÉTODOS: trata-se de um estudo ecológico misto das tendências das três principais causas de ICSAP em menores de vinte anos. Os dados secundários foram provenientes do Sistema de Informação Hospitalar (SIH-SUS) e do censo demográfico do ano de 2001 e …
P2-389 Use of healthcare in a social network of men who have sex with men in Brazil
Introduction It is known that men access health services less frequently than women. According to WHO it is even less frequent among men who have sex with men (MSM) which increases the vulnerability of this group to HIV/AIDS and other STD. Methods To describe the use of healthcare on HIV/STD among MSM, data were collected using respondent driven sampling as part of the baseline of the Brazilian behavioural and serologic surveillance survey of 385…
P1-134 Delays in accessing HIV/Aids health services persist in Salvador, Brazil
Introduction Even though Brazil was the first country to provide universal and free access to ARVs, substantial regional differences exist in the timing that services and care are accessed. Studies among people living with HIV have documented delays in accessing services, with the largest proportion of delayed access reported in the Northeastern Region. Further investigation is needed to understand the factors contributing to this delay despite t…
Subnotificação da comorbidade tuberculose e aids
OBJETIVO: Analisar a subnotificação da comorbidade tuberculose (TB) e aids. MÉTODOS: Estudo de vigilância utilizando os registros do Sistema de Informação de Agravos de Notificação de Tuberculose e de aids no Brasil de 2000 a 2005. Registros de TB sem informação da presença de aids foram considerados subnotificações da comorbidade quando pareados a registros de aids que apresentassem ano de diagnóstico de aids igual ou anterior ao ano de notifica…
Trends in Primary Health Care-sensitive Conditions in Brazil
BACKGROUND: This study describes trends in hospital admission rates for primary healthcare-sensitive conditions (PHCSC) in Brazil. OBJECTIVES: To evaluate the impact of increased primary healthcare availability through the implementation of the Family Health Program (FHP) on PHCSC admissions rates at the national, regional, and state-levels between 1999 and 2007. RESEARCH DESIGN: An ecologic panel data study was used and a fixed effects multivari…
“I did not feel like a mother”
Exclusive and safe formula feeding can eliminate the risk of vertical HIV transmission due to breastfeeding. Therefore, many countries advise all HIV-positive women to avoid breastfeeding their infants. However, little research explores the experiences of women attempting to exclusively formula feed in countries with free and universal access to highly active antiretroviral therapy (HAART). This article examines the success of Brazil in supportin…
Sociodemographic factors and health in a population of children living in families infected with HIV in Fortaleza and Salvador, Brazil
This study explores the relationships between demographic, socioeconomic and health statuses of children whose parents were HIV positive in two cities in Northeast Brazil. We conducted a multisite exploratory study in HIV/AIDS referral services for HIV/AIDS in Fortaleza, the capital of Ceará State, and Salvador, the capital of Bahia State, between June 2008 and March 2009. The study population consisted of 562 HIV+ adults - or caretakers of child…
Unprotected Receptive Anal Intercourse Among Men Who have Sex with Men in Brazil
What's pregnancy got to do with it? Late presentation to HIV/Aids services in Northeastern Brazil
Despite the known benefits of early treatment initiation for individual morbidity and mortality, as well as for reducing the risk of transmission, late presentation (LP) to HIV/AIDS services remains a major concern in many countries. There is little information on LP from middle- and low-income countries and studies that do evaluate LP commonly disaggregate data by sex. It is rare, however, for researchers to further disaggregate the data by preg…
Quality, not just quantity
Studies have demonstrated that an early HIV diagnosis is a critical first step towards continued engagement in care. We examined HIV testing experiences in Salvador, Brazil, to understand how a focus on quality services can inform service provision more generally in the post-2015 global health agenda. Seventeen semi-structured interviews were conducted with HIV-positive pregnant women in Salvador, a large urban centre of north-east Brazil. Interv…
Making the invisible, visible
The prevalence of LP in this population was higher than noted in the global literature on LP among MSM. Heterosexual men and older age individuals experienced substantial barriers to HIV care. The stigma around same-sex behaviors and the current focus of HIV prevention and treatment campaigns on younger age individuals may limit patients' and providers' awareness of the risk for HIV and access to available services. In addition to addressing HIV-…
Contemplating abortion
Research on pregnancy termination largely assumes HIV status is the only reason why HIV-positive women contemplate abortion. As antiretroviral treatment (ART) becomes increasingly available and women are living longer, healthier lives, the time has come to consider the influence of other factors on HIV-positive women's reproductive decision-making. Because ART has been free and universally available to Brazilians for more than two decades, Brazil…
Medicine (88 obras) · HIV/AIDS Research and Interventions (74 obras) · Demography (46 obras) · Family medicine (45 obras) · Sex work and related issues (45 obras) · Environmental health (43 obras) · Population (39 obras) · Human immunodeficiency virus (HIV) (38 obras) · Psychology (38 obras) · Adolescent Sexual and Reproductive Health (34 obras)