Evaluation of the Care of Women Living with HIV/AIDS in São Paulo, Brazil

Abstract Objectives: we investigated the lifetime prevalence of abortion and life contexts and reasons reported for first abortion among women living (WLHA) and not living with HIV/AIDS(WNLHA). Methods: representative samples of 975 users of public health care reference network for HIV/AIDS and of 1,003 users of the primary care public services in São Paulo municipality were selected by cluster-stratified sampling and answered an electronic socio-behavioral questionnaire. Results: the prevalence of abortion was 11.9% (CI95%9.8-13.9) among WLHA and 3.0% (CI95%2.4-5.7) for WNLHA.Most abortions (128) among WLHA occurred before diagnosis and 28 after diagnosis or during pregnancy when diagnosis was given. The majority of women did not use any contraception at the time of the first abortion. The use of misoprostol was the most reported method. Having HIV was very important in deciding to abort for half of the WLHA. Absence of marital life and the lack of desire to have children were the most reported reasons by both groups. Conclusions: the similarity in contexts and reasons to abort among WLHA and WNLHA suggests that they share experiences molded by gender and social inequalities that affect their ability to access sexual and reproductive health resources and services.

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Factors associated with time free of oral candidiasis in children living with HIV/AIDS, São Paulo, Brazil

Cadernos de Saúde Pública ◽

10.1590/0102-311x00069213 ◽

2013 ◽

Vol 29 (11) ◽

pp. 2197-2207 ◽

Cited By ~ 1

Author(s):

Thais Claudia Roma de Oliveira Konstantyner ◽

Aline Medeiros da Silva ◽

Luana Fiengo Tanaka ◽

Heloísa Helena de Sousa Marques ◽

Maria do Rosário Dias de Oliveira Latorre

Keyword(s):

Highly Active Antiretroviral Therapy ◽

Recurrent Events ◽

Oral Candidiasis ◽

Dual Therapy ◽

Sao Paulo ◽

São Paulo ◽

Factors Associated ◽

Highly Active ◽

Living With Hiv ◽

Hiv Aids

In clinical practice, recurrence of thrush is common in children living with HIV/AIDS. The aim of this study was to determine the factors associated with time spent free of oral candidiasis using survival analysis for recurrent events. A retrospective cohort study was carried out with 287 children treated between 1985 and 2009 at a reference center in the city of São Paulo, Brazil. The Prentice, Williams and Peterson model for recurrent events was used for the investigation of factors associated with the time free of oral candidiasis. The following factors were associated with the time patients were free of oral candidiasis: moderate immunodepression (HR = 2.5; p = 0.005), severe immunodepression (HR = 3.5; p < 0.001), anemia (HR = 3.3; p < 0.001), malnutrition (HR = 2.6; p = 0.004), hospitalization (HR = 2.2; p < 0.001), monotherapy (HR = 0.5; p = 0.006), dual therapy (HR = 0.3; p < 0.001) and triple therapy/highly active antiretroviral therapy (HR = 0.1; p < 0.001). The method analyzed in the present study proved useful for the investigation of recurrent events in patients living with HIV/AIDS.

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Efficacy of vitamin D supplementation among persons living with HIV/AIDS in São Paulo city, Brazil

The Brazilian Journal of Infectious Diseases ◽

10.1016/j.bjid.2021.101598 ◽

2021 ◽

pp. 101598

Author(s):

Rosa Almeida-Afonso ◽

Danilo Finamor ◽

Luiz Augusto M. Fonseca ◽

Ana P. Rocha Veiga ◽

Mariana A. Monteiro ◽

...

Keyword(s):

Vitamin D ◽

Vitamin D Supplementation ◽

Sao Paulo ◽

São Paulo ◽

Persons Living With Hiv ◽

Living With Hiv ◽

Hiv Aids

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Sexual abuse victimisation and perpetration in a cohort of men living with HIV/AIDS who have sex with women from São Paulo, Brazil

AIDS Care ◽

10.1080/09540120701459657 ◽

2008 ◽

Vol 20 (1) ◽

pp. 15-20 ◽

Cited By ~ 3

Author(s):

A. C. Segurado ◽

É. Batistella ◽

V. Nascimento ◽

P. E. Braga ◽

E. Filipe ◽

...

Keyword(s):

Sexual Abuse ◽

Sao Paulo ◽

São Paulo ◽

Living With Hiv ◽

Hiv Aids

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Knowledge of PEP and PrEP among people living with HIV/AIDS in Ribeirão Preto, São Paulo, Brazil

10.21203/rs.3.rs-52570/v2 ◽

2020 ◽

Author(s):

Laelson Rochelle Milanês Sousa ◽

Henrique Ciabotti Elias ◽

Nilo Martinez Fernandes ◽

Elucir Gir ◽

Renata Karina Reis

Keyword(s):

Viral Load ◽

Secondary Prevention ◽

Sao Paulo ◽

Sexual Partners ◽

People Living With Hiv ◽

São Paulo ◽

Factors Associated ◽

Exposure Prophylaxis ◽

Living With Hiv ◽

Hiv Aids

Abstract Background: Pre-Exposure Prophylaxis (PrEP) and Post-Exposure Prophylaxis (PEP) are key to preventing sexual transmission of HIV, whose sexual partners are at high risk of acquiring HIV.We aimed to determine the factors associated with PrEP and PEP's knowledge as secondary prevention among people living with HIV/AIDS.Method: Cross-sectional analytical study carried out among people living with HIV/AIDS treated at five specialized services in the city of Ribeirão Preto, São Paulo, Brazil. Data were collected from July 2016 to July 2017. Individual interviews were conducted. We used multivariable logistic regression to determine factors associated with knowing PrEP and PEP.Results: Of the 397 participants, 140 (35.26%) were heterosexual women aged 40 to 49 years (36.2%).Participants with less than 11 years of study (adjusted odds: 0.29; 95% CI: 0.13-0.60); who did not have a low viral load or did not know their viral load (adjusted odds: 0.29; 95% CI: 0.09-0.83) and those with casual partners (adjusted odds: 0.29; 95% CI: 0.09- 0.83) were less likely to know about the PrEP. MSM (adjusted odds: 2.88; 95% CI: 1.59-5.3) and those who used alcohol during sexual intercourse (adjusted odds: 1.7; 95% CI: 1.0-2.8) were more likely to know about the PEP.Conclusions: The knowledge about PEP and PrEP is low in Brazil. This may undermine secondary prevention efforts. Educational interventions to raise awareness of these prevention methods are needed among people living with HIV and who have HIV-negative sexual partners.

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