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2029-01-01
Sustainable Development Goals
1 Erradicação da pobreza
3 Saúde e Bem-Estar
5 Igualdade de gênero
10 Redução das desigualdades
 
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THE INTERSECTION OF HIV, SOCIAL VULNERABILITY, AND REPRODUCTIVE HEALTH: ANALYSIS OF WOMEN LIVING WITH HIV IN RIO DE JANEIRO, BRAZIL FROM 1996 TO 2016
Zachek, Christine M. et al. | Date Issued: 2019
Author
Zachek, Christine M.
Coelho, Lara E.
Domingues, Rosa M. S. M.
Clark, Jesse L.
De Boni, Raquel B.
Luz, Paula M.
Friedman, Ruth K.
Andrade, Ângela C. Vasconcelos de
Veloso, Valdiléa G.
Lake, Jordan E.
Grinsztejn, Beatriz
Affilliation
University of California San Francisco. School of Medicine. San Francisco, CA, USA./ South American Program in HIV Prevention Research (SAPHIR). University of California Los Angeles. David Gefen School of Medicine. Department of Medicine. Los Angeles, CA, USA.
Fundação Oswaldo Cruz. Instituto Nacional de Infectologia Evandro Chagas. Laboratório de Pesquisa Clínica em DST/AIDS. Rio de Janeiro, RJ, Brasil.
Fundação Oswaldo Cruz. Instituto Nacional de Infectologia Evandro Chagas. Laboratório de Pesquisa Clínica em DST/AIDS. Rio de Janeiro, RJ, Brasil.
South American Program in HIV Prevention Research (SAPHIR). University of California Los Angeles. David Gefen School of Medicine. Department of Medicine. Los Angeles, CA, USA.
Fundação Oswaldo Cruz. Instituto Nacional de Infectologia Evandro Chagas. Laboratório de Pesquisa Clínica em DST/AIDS. Rio de Janeiro, RJ, Brasil.
Fundação Oswaldo Cruz. Instituto Nacional de Infectologia Evandro Chagas. Laboratório de Pesquisa Clínica em DST/AIDS. Rio de Janeiro, RJ, Brasil.
Fundação Oswaldo Cruz. Instituto Nacional de Infectologia Evandro Chagas. Laboratório de Pesquisa Clínica em DST/AIDS. Rio de Janeiro, RJ, Brasil.
Fundação Oswaldo Cruz. Instituto Nacional de Infectologia Evandro Chagas. Rio de Janeiro, RJ, Brasil.
Fundação Oswaldo Cruz. Instituto Nacional de Infectologia Evandro Chagas. Laboratório de Pesquisa Clínica em DST/AIDS. Rio de Janeiro, RJ, Brasil.
South American Program in HIV Prevention Research (SAPHIR). University of California Los Angeles. David Gefen School of Medicine. Department of Medicine. Los Angeles, CA, USA./ The University of Texas Health Science Center at Houston (UTHealth). Department of Medicine. Houston, TX, USA.
Fundação Oswaldo Cruz. Instituto Nacional de Infectologia Evandro Chagas. Laboratório de Pesquisa Clínica em DST/AIDS. Rio de Janeiro, RJ, Brasil.
Abstract
Comprehensive care for sexual and reproductive health (SRH) and social needs for women living with HIV remains limited globally. We aimed to assess trends in baseline sociodemographic, clinical, sexual, and reproductive characteristics among a cohort of HIV-infected women in Rio de Janeiro from 1996 to 2016. Participants were stratified into four time periods based on year of enrollment; we compared cross-sectional data from each period. Of 1361 participants (median age 36), most were black or mixed race (60.1%), unemployed (52.1%), and without secondary education (54%). Adolescent pregnancy was common (51.5%), and 18.3% reported sexual debut at < 15 years old. Nearly half (45.2%) had < 5 lifetime sexual partners, yet prior syphilis and oncogenic human papillomavirus prevalence were 10.9% and 43.1%, respectively. Lifetime prevalence of induced abortion was 30.3%, and 16% used no contraceptive method. Future research should explore interactions between social vulnerability, HIV, and poor SRH outcomes and healthcare models to alleviate these disparities.
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La atención integral de la salud sexual y reproductiva (SSR) y necesidades sociales para las mujeres que viven con VIH ha estado limitada al nivel global. Nuestro objetivo fue evaluar las tendencias de características sociodemográfcas, clínicas, sexuales y reproductivas en una cohorte de mujeres infectadas por VIH en Río de Janeiro entre 1996 y 2016. Los participantes se estratifcaron en cuatro períodos de tiempo según el año de enrolamiento; comparamos datos transversales de cada período. De 1361 participantes (mediana de edad 36), la mayoría eran negras o de raza mixta (60,1%), desempleadas (52,1%) y no tenían educación secundaria (54%). El embarazo en la adolescencia fue común (51,5%) y el 18,3% reportaron iniciación sexual antes de los 15 años de edad. Casi la mitad (45,2%) tenían menos de 5 parejas sexuales durante sus vidas, sin embargo, la prevalencia de la síflis previa y del virus del papiloma humano oncogénico fue del 10,9% y 43,1%, respectivamente. La prevalencia de vida de aborto inducido fue 30,3% y el 16% no utilizaron ningún método anticonceptivo. Futuras investigaciones deberían explorar las interacciones entre la vulnerabilidad social, el VIH y los resultados adversos de SSR y los modelos de cuidado de la salud para aliviar estas disparidades.
Keywords
HIV
Sexual and reproductive health
Women
Disparities
Brazil
 
Keywords in Spanish
VIH
Salud sexual y reproductiva
Mujeres
Disparidades
Brasil
 
Publisher
Springer
Citation
ZACHEK, Christine M. et al. The Intersection of HIV, Social Vulnerability, and Reproductive Health: Analysis of Women Living with HIV in Rio de Janeiro, Brazil from 1996 to 2016. AIDS and Behavior, p. 1-11, 16 Jan. 2019.
DOI
10.1007/s10461-019-02395-x
ISSN
1090-7165