Paula M Luz
Dados Biográficos
| ID | 1776253 |
|---|---|
| NOME | Paula M Luz |
| PRENOMES | Paula M |
| SOBRENOME | Luz |
| ASSINATURA | LUZ P M |
| AFILIAÇÕES | Fundação Oswaldo Cruz |
| ORCID | 0000-0001-9746-719X |
| VERIFICADO | Sim |
| TOTAL DE OBRAS | 30 |
| TOTAL DE CITAÇÕES | 15 |
| TOTAL COMO AUTOR | 30 |
| TOTAL COMO EDITOR | 0 |
| PRIMEIRO ANO DE PUBLICAÇÃO | 2001 |
| ANO MAIS RECENTE DE PUBLICAÇÃO | 2026 |
| ÍNDICE H | 2 |
Association of Social Determinants of Health, Age, Sex and Sexual Exposure with HIV, Acquired Syphilis, and Mpox Detection Rates in Rio de Janeiro, Brazil
This study employs a neighborhood-level Social Protection Index (SPI) to analyze how socioeconomic factors relate to the detection of HIV, acquired syphilis, and mpox. We conducted a retrospective analysis of 2022 surveillance data from Rio de Janeiro, Brazil, using case notifications geolocated to neighborhoods. Population data were obtained from the 2022 census. Neighborhoods were stratified by SPI into quintiles, and detection rates per 100,00…
Food Insecurity Among Sexual and Gender Diverse Persons in Brazil
Food insecurity has re-emerged as a critical issue in Brazil, significantly worsened by the COVID-19 pandemic. We recruited Brazilian sexual and gender diverse (SGD) persons aged 18 + years on apps and social media across three periods: early (2020), late (2021), and post-COVID-19 (2024) pandemic. We explored two outcomes: food insecurity (all participants) and antiretroviral (ART) nonadherence (only persons living with HIV). Food insecurity was …
Food insecurity and associated factors during the Covid-19 pandemic in a vulnerable population in Rio de Janeiro
Despite documented increases in food insecurity (FI) during the COVID-19 pandemic, the specific impact on highly vulnerable households within distinct urban contexts, as well as the interplay of various household-level factors in exacerbating this vulnerability, remain understudied. This study investigated FI prevalence and household-level factors associated with moderate/severe FI in Complexo de Manguinhos , a complex of slums in Rio de Janeiro,…
Prevalence of chronic non-communicable diseases and multimorbidity among adults living in slums in Rio de Janeiro, Brazil
Our findings showed a high burden of CNCD and multimorbidity among people living in slums in a large metropolitan area in Latin America, highlighting an ongoing "neglected epidemic" that affect a substantial part of the urban population exposed to precarious living conditions and socioeconomic vulnerability
HIV Treatment Optimism Moderates the Relationship between Sexual Risk Behavior and HIV Risk Perception among Urban HIV-negative Gay, Bisexual, and Other Men who have Sex With Men
Real-world effectiveness of WHO recommended first-line antiretroviral therapies
We estimate the effectiveness of antiretroviral therapy (ART) among individuals receiving HIV care in Rio de Janeiro, Brazil. Adults (18y+) initiating ART between Jan/2008 and Dec/2018 (follow-up through Dec/2020) were included. First-line ART (two nucleoside reverse transcriptase inhibitors plus one antiretroviral from another class) was categorized into four categories: non-nucleoside reverse transcriptase inhibitor/NNRTI-based, protease inhibi…
Impact of pre-exposure prophylaxis uptake among gay, bisexual, and other men who have sex with men in urban centers in Brazil
Targeting PrEP to young MSM and minimizing discontinuation could substantially increase PrEP's impact
Pathways to Poor Adherence to Antiretroviral Therapy Among People Living with HIV
The Impact of Covid-19 on HIV Care in Rio de Janeiro, Brazil 2019–2021
HIV knowledge and its correlation with the Undetectable = Untransmittable slogan in Brazil
Knowledge about HIV transmission and prevention is a necessary step for adopting preventive behaviors. We assessed HIV knowledge and its correlation with the perceived accuracy of the “Undetectable = Untransmittable” (U=U) slogan in an online sample with 401 adult Brazilians. Overall, 28% of participants showed high HIV knowledge level. The perceived accuracy of the U=U slogan significantly correlated with HIV knowledge. Younger participants, tho…
Late initiation of antiretroviral therapy
Despite universal access to HIV care and antiretroviral treatment, late treatment initiation and social inequalities persist. Lower educational level significantly increased the odds of both outcomes, reinforcing the existence of barriers to "universal" antiretroviral treatment
Multilevel Analysis of Individual and Neighborhood Characteristics Associated with Viral Suppression Among Adults with HIV in Rio de Janeiro, Brazil
High-Risk Sexual Behavior, Binge Drinking and Use of Stimulants are Key Experiences on the Pathway to High Perceived HIV Risk Among Men Who Have Sex with Men in Brazil
Preditores de aceitação da vacina contra influenza
A dificuldade de alcançar coberturas ideais para a vacina contra influenza no Brasil e a crescente onda do movimento antivacina no mundo apontam a necessidade de aprofundar a compreensão dos determinantes individuais de adesão a essa vacina. O Modelo de Crenças em Saúde, um modelo teórico que objetiva explicar e predizer o comportamento em relação à saúde, sugere que crenças individuais influenciam a adoção de comportamentos relacionados a essa á…
How heuristics and cognitive biases affect vaccination decisions
Immunization, the most successful public health intervention to date, can only be effective if eligible individuals or their legal representatives have access to vaccines and subsequently comply with their use. Under-vaccination stems from multiple causes: access, affordability, awareness, acceptance and activation. In this paper, we focus on acceptance and, specifically, on factors pertaining to individual or parental compliance, specifically th…
Prevalência e fatores associados ao aborto induzido no ingresso em uma coorte de mulheres vivendo com HIV/aids, Rio de Janeiro, Brasil, 1996-2016
O objetivo deste estudo é verificar a prevalência e os fatores associados ao aborto induzido no ingresso em uma coorte de mulheres vivendo com HIV/aids, no Município do Rio de Janeiro, Brasil, no período 1996-2016. O critério de elegibilidade para o ingresso na coorte era ser do sexo feminino ao nascimento, ter mais de 18 anos de idade e ter infecção comprovada pelo HIV. Na visita inicial, dados sobre aspectos sexuais, reprodutivos, comportamenta…
Factors associated with PrEP awareness according to age and willingness to use HIV prevention technologies
Brazil has the largest population of individuals living with HIV/AIDS in Latin America with a disproportional prevalence of infection among men who have sex with men (MSM). This study evaluated PrEP awareness by age (18-24, 25-35, ≥36 years), its associated factors and the willingness to use HIV prevention technologies among MSM using a GSN app in Brazil. Inclusion criteria were ≥18 years-old, cisgender men and HIV-negative serostatus. Of 7242 in…
The impact of data quality and source data verification on epidemiologic inference
Though some changes may have occurred independently, our findings suggest that improved data quality following the audit may impact epidemiological inferences
The Intersection of HIV, Social Vulnerability, and Reproductive Health
Health-related quality of life assessment among people living with HIV in Rio de Janeiro, Brazil
Poor retention in early care increases risk of mortality in a Brazilian HIV-infected clinical cohort
Retention in early HIV care has been associated with decreased mortality and improved viral suppression, however the consequences of poor retention in early care in Brazil remain unknown. We assessed the effect of poor retention on mortality in a Brazilian HIV-infected clinical cohort. The analysis included ART-naïve, HIV-infected adults linked to care at the Instituto Nacional de Infectologia Evandro Chagas, Fundação Oswaldo Cruz between 2000 an…
Awareness and Willingness to Use Pre-exposure Prophylaxis (PrEP) Among Men Who Have Sex with Men and Transgender Women in Brazil
Temporal Trends in Age at HIV Diagnosis in Cohorts in the United States, the Caribbean, and Central and South America
Retention in Early Care at an HIV Outpatient Clinic in Rio de Janeiro, Brazil, 2000–2013
The epidemic wave of influenza A (H1N1) in Brazil, 2009
This study describes the main features of pandemic influenza A (H1N1) in Brazil during 2009. Brazil is a large country that extends roughly from latitudes 5oN to 34oS. Brazil has tropical and sub-tropical climates, a heterogeneous population distribution, and intense urbanization in the southern portions of the country and along its Atlantic coast. Our analysis points to a wide variation in infection rates throughout the country, and includes bot…
Avaliação econômica em saúde
O crescimento dos gastos em saúde, impulsionado pela incorporação de novas tecnologias diagnósticas e terapêuticas e pelo aumento da expectativa de vida da população, tem causado grande preocupação especialmente em países em desenvolvimento. A avaliação econômica em saúde visa a otimizar benefícios utilizando os recursos de maneira eficiente. O objetivo deste artigo é capacitar os leitores a identificar as características básicas, diferenciar os …
How heuristics and cognitive biases affect vaccination decisions
Immunization, the most successful public health intervention to date, can only be effective if eligible individuals or their legal representatives have access to vaccines and subsequently comply with their use. Under-vaccination stems from multiple causes: access, affordability, awareness, acceptance and activation. In this paper, we focus on acceptance and, specifically, on factors pertaining to individual or parental compliance, specifically th…
Preditores de aceitação da vacina contra influenza
A dificuldade de alcançar coberturas ideais para a vacina contra influenza no Brasil e a crescente onda do movimento antivacina no mundo apontam a necessidade de aprofundar a compreensão dos determinantes individuais de adesão a essa vacina. O Modelo de Crenças em Saúde, um modelo teórico que objetiva explicar e predizer o comportamento em relação à saúde, sugere que crenças individuais influenciam a adoção de comportamentos relacionados a essa á…
The epidemic wave of influenza A (H1N1) in Brazil, 2009
This study describes the main features of pandemic influenza A (H1N1) in Brazil during 2009. Brazil is a large country that extends roughly from latitudes 5oN to 34oS. Brazil has tropical and sub-tropical climates, a heterogeneous population distribution, and intense urbanization in the southern portions of the country and along its Atlantic coast. Our analysis points to a wide variation in infection rates throughout the country, and includes bot…
A reemergência da coqueluche em países desenvolvidos
Atualmente, a coqueluche representa um crescente problema de saúde pública em países desenvolvidos. Nesses países, a imunização em massa de crianças, iniciada na década de 50, foi seguida por uma brusca diminuição da incidência da doença. Assim, nos anos 70, a coqueluche não representava uma importante ameaça à saúde destas populações. Porém, nas décadas de 80 e 90, ocorreu um aumento do número de casos em todas as faixas etárias, incluindo adole…
Is pertussis actually reemerging? Insights from an individual-based model
In this paper, we introduce a spatially explicit, individual-based model developed to simulate the dynamics of pertussis in a small population. With this simulation approach, complex epidemic systems can be built using information on parasite population structure (strain diversity, virulence diversity, etc.), human population structure (individual risk, age structure, interaction matrices, immune response, etc.), as well as mechanisms of evolutio…
A reemergência da coqueluche em países desenvolvidos
Atualmente, a coqueluche representa um crescente problema de saúde pública em países desenvolvidos. Nesses países, a imunização em massa de crianças, iniciada na década de 50, foi seguida por uma brusca diminuição da incidência da doença. Assim, nos anos 70, a coqueluche não representava uma importante ameaça à saúde destas populações. Porém, nas décadas de 80 e 90, ocorreu um aumento do número de casos em todas as faixas etárias, incluindo adole…
The many faces of epidemiology
We review important issues revealed by the application of the evolutionary theory to epidemiological problems. The scope is restricted to infectious diseases and the evolution of virulence as a consequence of public health strategies to control transmission. We focus on the discussion about the possibility of virulence management and explore current scenarios in which recent advances in molecular biology and genetics offer new tools to monitor an…
Avaliação econômica em saúde
O crescimento dos gastos em saúde, impulsionado pela incorporação de novas tecnologias diagnósticas e terapêuticas e pelo aumento da expectativa de vida da população, tem causado grande preocupação especialmente em países em desenvolvimento. A avaliação econômica em saúde visa a otimizar benefícios utilizando os recursos de maneira eficiente. O objetivo deste artigo é capacitar os leitores a identificar as características básicas, diferenciar os …
Desempenho do exame citológico e da captura híbrida II no rastreamento de lesões intraepiteliais escamosas de alto grau em mulheres HIV
As lesões intraepiteliais escamosas de alto grau (HSIL) são precursoras do câncer do colo do útero, com maior risco de ocorrência e desenvolvimento em mulheres HIV+. Neste trabalho, estimamos e comparamos o desempenho do exame citológico e da captura híbrida II no rastreamento das lesões precursoras em mulheres HIV+. A população de estudo compreendeu mulheres acompanhadas na coorte prospectiva aberta do Instituto de Pesquisa Clínica Evandro Chaga…
The epidemic wave of influenza A (H1N1) in Brazil, 2009
This study describes the main features of pandemic influenza A (H1N1) in Brazil during 2009. Brazil is a large country that extends roughly from latitudes 5oN to 34oS. Brazil has tropical and sub-tropical climates, a heterogeneous population distribution, and intense urbanization in the southern portions of the country and along its Atlantic coast. Our analysis points to a wide variation in infection rates throughout the country, and includes bot…
Temporal Trends in Age at HIV Diagnosis in Cohorts in the United States, the Caribbean, and Central and South America
Retention in Early Care at an HIV Outpatient Clinic in Rio de Janeiro, Brazil, 2000–2013
Awareness and Willingness to Use Pre-exposure Prophylaxis (PrEP) Among Men Who Have Sex with Men and Transgender Women in Brazil
Poor retention in early care increases risk of mortality in a Brazilian HIV-infected clinical cohort
Retention in early HIV care has been associated with decreased mortality and improved viral suppression, however the consequences of poor retention in early care in Brazil remain unknown. We assessed the effect of poor retention on mortality in a Brazilian HIV-infected clinical cohort. The analysis included ART-naïve, HIV-infected adults linked to care at the Instituto Nacional de Infectologia Evandro Chagas, Fundação Oswaldo Cruz between 2000 an…
Health-related quality of life assessment among people living with HIV in Rio de Janeiro, Brazil
Factors associated with PrEP awareness according to age and willingness to use HIV prevention technologies
Brazil has the largest population of individuals living with HIV/AIDS in Latin America with a disproportional prevalence of infection among men who have sex with men (MSM). This study evaluated PrEP awareness by age (18-24, 25-35, ≥36 years), its associated factors and the willingness to use HIV prevention technologies among MSM using a GSN app in Brazil. Inclusion criteria were ≥18 years-old, cisgender men and HIV-negative serostatus. Of 7242 in…
The impact of data quality and source data verification on epidemiologic inference
Though some changes may have occurred independently, our findings suggest that improved data quality following the audit may impact epidemiological inferences
The Intersection of HIV, Social Vulnerability, and Reproductive Health
High-Risk Sexual Behavior, Binge Drinking and Use of Stimulants are Key Experiences on the Pathway to High Perceived HIV Risk Among Men Who Have Sex with Men in Brazil
Preditores de aceitação da vacina contra influenza
A dificuldade de alcançar coberturas ideais para a vacina contra influenza no Brasil e a crescente onda do movimento antivacina no mundo apontam a necessidade de aprofundar a compreensão dos determinantes individuais de adesão a essa vacina. O Modelo de Crenças em Saúde, um modelo teórico que objetiva explicar e predizer o comportamento em relação à saúde, sugere que crenças individuais influenciam a adoção de comportamentos relacionados a essa á…
How heuristics and cognitive biases affect vaccination decisions
Immunization, the most successful public health intervention to date, can only be effective if eligible individuals or their legal representatives have access to vaccines and subsequently comply with their use. Under-vaccination stems from multiple causes: access, affordability, awareness, acceptance and activation. In this paper, we focus on acceptance and, specifically, on factors pertaining to individual or parental compliance, specifically th…
Prevalência e fatores associados ao aborto induzido no ingresso em uma coorte de mulheres vivendo com HIV/aids, Rio de Janeiro, Brasil, 1996-2016
O objetivo deste estudo é verificar a prevalência e os fatores associados ao aborto induzido no ingresso em uma coorte de mulheres vivendo com HIV/aids, no Município do Rio de Janeiro, Brasil, no período 1996-2016. O critério de elegibilidade para o ingresso na coorte era ser do sexo feminino ao nascimento, ter mais de 18 anos de idade e ter infecção comprovada pelo HIV. Na visita inicial, dados sobre aspectos sexuais, reprodutivos, comportamenta…
Late initiation of antiretroviral therapy
Despite universal access to HIV care and antiretroviral treatment, late treatment initiation and social inequalities persist. Lower educational level significantly increased the odds of both outcomes, reinforcing the existence of barriers to "universal" antiretroviral treatment
Multilevel Analysis of Individual and Neighborhood Characteristics Associated with Viral Suppression Among Adults with HIV in Rio de Janeiro, Brazil
HIV knowledge and its correlation with the Undetectable = Untransmittable slogan in Brazil
Knowledge about HIV transmission and prevention is a necessary step for adopting preventive behaviors. We assessed HIV knowledge and its correlation with the perceived accuracy of the “Undetectable = Untransmittable” (U=U) slogan in an online sample with 401 adult Brazilians. Overall, 28% of participants showed high HIV knowledge level. The perceived accuracy of the U=U slogan significantly correlated with HIV knowledge. Younger participants, tho…
Real-world effectiveness of WHO recommended first-line antiretroviral therapies
We estimate the effectiveness of antiretroviral therapy (ART) among individuals receiving HIV care in Rio de Janeiro, Brazil. Adults (18y+) initiating ART between Jan/2008 and Dec/2018 (follow-up through Dec/2020) were included. First-line ART (two nucleoside reverse transcriptase inhibitors plus one antiretroviral from another class) was categorized into four categories: non-nucleoside reverse transcriptase inhibitor/NNRTI-based, protease inhibi…
Impact of pre-exposure prophylaxis uptake among gay, bisexual, and other men who have sex with men in urban centers in Brazil
Targeting PrEP to young MSM and minimizing discontinuation could substantially increase PrEP's impact
Pathways to Poor Adherence to Antiretroviral Therapy Among People Living with HIV
The Impact of Covid-19 on HIV Care in Rio de Janeiro, Brazil 2019–2021
Medicine (24 obras) · HIV/AIDS Research and Interventions (20 obras) · Demography (15 obras) · Environmental health (14 obras) · HIV, Drug Use, Sexual Risk (14 obras) · Public health (14 obras) · Population (13 obras) · Internal Medicine (12 obras) · Demography (11 obras) · Family medicine (11 obras)