Abortion among women living with or not living with HIV/AIDS users of public health services in São Paulo municipality: prevalence, contexts and reasons

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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Abortion among women living and not living with HIV \ AIDS, users of the public health services in the city of São Paulo: prevalence, contexts and reasons

Revista Brasileira de Saúde Materno Infantil ◽

10.1590/1806-93042020000200019 ◽

2020 ◽

Vol 20 (2) ◽

pp. 653-654

Author(s):

Maria Clara Silvestri ◽

João Pedro Espíndola Gomes ◽

Elonir Gomes ◽

Eliane Mazzuco

Keyword(s):

Public Health ◽

Health Services ◽

Sao Paulo ◽

São Paulo ◽

Public Health Services ◽

The Public ◽

Living With Hiv ◽

The City ◽

Hiv Aids

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Vasectomy within the public health services in Campinas, São Paulo, Brazil

International Nursing Review ◽

10.1111/j.1466-7657.2009.00761.x ◽

2010 ◽

Vol 57 (2) ◽

pp. 254-259 ◽

Cited By ~ 1

Author(s):

N.M. Marchi ◽

A.T. De Alvarenga ◽

M.J.D. Osis ◽

H.M. De Aguiar Godoy ◽

M.F. Simões e Silva Domeni ◽

...

Keyword(s):

Public Health ◽

Health Services ◽

Sao Paulo ◽

São Paulo ◽

Public Health Services ◽

The Public

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Traditional and Integrative Medical Practices in Public Health Services in the Downtown-West Region of the City of São Paulo, Brazil, and Their Relation to Health Promotion

The Journal of Alternative and Complementary Medicine ◽

10.1089/acm.2008.0395 ◽

2008 ◽

Vol 14 (9) ◽

pp. 1071-1072 ◽

Cited By ~ 2

Author(s):

Sheila Busato ◽

Emília C. Mansoldo Tanaka ◽

Álvaro da Silva Santos ◽

Thais Eiko Higuchi ◽

José Roberto Leite ◽

...

Keyword(s):

Public Health ◽

Health Promotion ◽

Health Services ◽

Sao Paulo ◽

São Paulo ◽

Public Health Services ◽

Medical Practices ◽

West Region ◽

The City

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The Impact of Antipsychotic Polytherapy Costs in the Public Health Care in Sao Paulo, Brazil

PLoS ONE ◽

10.1371/journal.pone.0124791 ◽

2015 ◽

Vol 10 (4) ◽

pp. e0124791 ◽

Cited By ~ 13

Author(s):

Denise Razzouk ◽

Monica Kayo ◽

Aglaé Sousa ◽

Guilherme Gregorio ◽

Hugo Cogo-Moreira ◽

...

Keyword(s):

Public Health ◽

Health Care ◽

Sao Paulo ◽

Public Health Care ◽

São Paulo ◽

The Public ◽

The Impact

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Oral health management of 97 patients living with HIV/AIDS in Ribeirão Preto, São Paulo, Brazil

Brazilian Oral Research ◽

10.1590/1807-3107bor-2015.vol29.0101 ◽

2015 ◽

Vol 29 (1) ◽

Author(s):

Danieli Cristina da SILVA ◽

Alan Grupioni LOURENÇO ◽

Ana Elisa Rodrigues Alves RIBEIRO ◽

Alcyone Artioli MACHADO ◽

Marilena Chinali KOMESU ◽

...

Keyword(s):

Oral Health ◽

Health Management ◽

Sao Paulo ◽

São Paulo ◽

Living With Hiv ◽

Hiv Aids

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Regional variation in toxoplasmosis seronegativity in the São Paulo metropolitan region

Revista do Instituto de Medicina Tropical de São Paulo ◽

10.1590/s0036-46651993000600001 ◽

1993 ◽

Vol 35 (6) ◽

pp. 479-483 ◽

Cited By ~ 21

Author(s):

A.C.S. Guimarães ◽

M. Kawarabayashi ◽

M.M. Borges ◽

J.E. Tolezano ◽

H.F. Andrade Jr.

Keyword(s):

Public Health ◽

Prenatal Care ◽

Pregnant Women ◽

Age Groups ◽

Sao Paulo ◽

Human Infection ◽

Metropolitan Region ◽

Socioeconomic Background ◽

São Paulo ◽

Public Health Services

Toxoplasmosis is a highly prevalent zoonotic human infection caused by the Apicomplexa protozoon Toxoplasma gondii. The acute disease is usually mild or asymptomatic, except for foetal infection transmitted by acutely infected pregnant women, which courses as a devastating disease. In order to determine possible regional variations in risk factors, we studied the frequency of seronegativity in areas of the São Paulo Metropolitan Region, comparing liters and age groups. The prevalence of seronegativity was determined retrospectively in 1286 pregnant women receiving prenatal care at public health services in four selected areas of the São Paulo Metropolitan Region of similar socioeconomic background. The São Paulo City area had the higher frequency of seronegativity (41.1%), followed by the Northwest (31.5%) and Southwest (29.9%) areas, with similar intermediate levels, and by the Northeast (22.5%) area with the lowest frequency (p<0.001). A rough estimate disclosed about 280 infected infants/year in the São Paulo Metropolitan Region. Serological titers analyzed by age group suggested a decline in antibody levels with age, as shown by a lower frequency of higher titers in older groups. Our study emphasizes the importance of determining the regional prevalence of toxoplasmosis for proper planning of public health prenatal care.

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Adherence to antiretroviral treatment and quality of life among transgender women living with HIV/AIDS in São Paulo, Brazil

AIDS Care ◽

10.1080/09540121.2019.1710449 ◽

2020 ◽

Vol 33 (1) ◽

pp. 31-38 ◽

Cited By ~ 1

Author(s):

Thiago E. Sabino ◽

Vivian I. Avelino-Silva ◽

Clara Cavalcantte ◽

Silvia P. Goulart ◽

Olinda C. Luiz ◽

...

Keyword(s):

Quality Of Life ◽

Antiretroviral Treatment ◽

Sao Paulo ◽

Transgender Women ◽

São Paulo ◽

Women Living With Hiv ◽

Living With Hiv ◽

Hiv Aids

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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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