scholarly journals Mulheres negras vivendo com hiv: políticas públicas

2019 ◽  
Vol 13 ◽  
Author(s):  
Mônica Alice Santos da Silva ◽  
Francisco Stélio De Souza ◽  
Rosilene Santos Baptista ◽  
Evelyn Maria Braga Quirino ◽  
César De Andrade De Lima ◽  
...  

Objetivo: identificar os avanços e desafios das políticas públicas destinadas às mulheres negras vivendo com HIV. Método: trata-se de um estudo bibliográfico, tipo revisão integrativa. Realizaram-se as buscas nas bases de dados LILACS, BDENF, IBECS, MEDLINE e na Biblioteca Virtual SciELO. Compôs-se a amostra por 18 artigos avaliados pelo instrumento CASP e classificados de acordo com os níveis de evidência. Apresentaram-se os resultados em forma de figuras e tabela. Resultados: informa-se que, na análise das 18 publicações encontradas, 11 (61,1%) estavam na base de dados LILACS; 6 (33,3%), na Biblioteca Virtual SciELO e 1 (5,55%), na BDENF. Emergiram-se, da análise temática dos artigos, duas categorias: vulnerabilidade e o racismo institucional como fatores que dificultam o acesso aos serviços de saúde e comprometem a assistência às mulheres que vivem com HIV, sendo os fatores de preservação da epidemia nesta população. Conclusão: evidenciaram-se fragilidades no aspecto das contribuições das políticas públicas na mudança de paradigmas sociais antigos atrelados ao HIV, fato confirmado pelo papel de destaque da vulnerabilidade como protagonista da realidade vivenciada pelas mulheres negras. Descritores: Grupos Étnicos; Políticas Públicas; Mulheres; HIV; Vulnerabilidade em Saúde; Racismo; Saúde da Mulher.ABSTRACTObjective: to identify the advances and challenges of public policies aimed at black women living with HIV. Method: this is a bibliographical study, type integrative review. We searched the databases LILACS, BDENF, IBECS, MEDLINE and the SciELO Virtual Library. The sample was composed by 18 articles evaluated by the CASP instrument and classified according to the levels of evidence. Results were presented in the form of figures and tables. Results: it is reported that, in the analysis of the 18 publications found, 11 (61.1%) were in the LILACS database; 6 (33.3%), in the SciELO Virtual Library and 1 (5.55%), in the BDENF. Two categories emerged from the thematic analysis of the article: vulnerability and institutional racism as factors that hinder access to health services and compromise the care of women living with HIV, being the factors that preserve the epidemic in this population. Conclusion: weaknesses in the aspect of the contributions of public policies in the change of old social paradigms linked to HIV have been evidenced, a fact confirmed by the prominent role of vulnerability as protagonist of the reality experienced by black women. Descriptors: Ethnic Groups; Public Policy; Women; HIV; Population Vulnerable; Racism; Women´s Health.RESUMENObjetivo: identificar los avances y desafíos de las políticas públicas dirigidas a las mujeres negras que viven con el VIH. Método: se trata de un estudio bibliográfico, tipo revisión integrativa. Se realizaron busquedas en las bases de datos LILACS, BDENF, IBECS, MEDLINE y la Biblioteca Virtual SciELO. La muestra estuvo compuesta por 18 artículos evaluados por el instrumento CASP y clasificados según los niveles de evidencia. Los resultados se presentaron en forma de figuras y tablas. Resultados: se informa que, en el análisis de las 18 publicaciones encontradas, 11 (61.1%) se encontraban en la base de datos LILACS; 6 (33.3%), en la Biblioteca Virtual SciELO y 1 (5.55%), en la BDENF. Del análisis temático del artículo surgieron dos categorías: la vulnerabilidad y el racismo institucional como factores que dificultan el acceso a los servicios de salud y comprometen la atención de las mujeres que viven con el VIH, siendo los factores que preservan la epidemia en esta población. Conclusión: Se evidenciaron debilidades en el aspecto de las contribuciones de las políticas públicas, a cambio de paradigmas sociales antigos, vinculados al VIH, un hecho confirmado por el papel de destaque de la vulnerabilidad como protagonista de la realidad experimentada por las mujeres negras. Descriptores: Grupo Étnico; Políticas Públicas; Mujeres; VIH; Vulnerabilidad em Salud; Racismo; Salud de la Mujer.

2021 ◽  
Vol 29 (1) ◽  
pp. 1932702
Author(s):  
Lashanda Skerritt ◽  
Alexandra de Pokomandy ◽  
Nadia O’Brien ◽  
Nadia Sourial ◽  
Ann N Burchell ◽  
...  

2021 ◽  
Vol 43 ◽  
pp. e54789
Author(s):  
Maria Maiely Bezerra Gomes ◽  
Silvana Cavalcanti dos Santos ◽  
Jefferson Nunes dos Santos ◽  
Valdirene Pereira da Silva Carvalho ◽  
Ana Karine Laranjeira de Sá ◽  
...  

The Brazilian nation has rich population diversity, and this makes it responsible for guaranteeing the social rights of all. In this perspective, this research seeks to categorize which are the main challenges in access to health that the rural populations face and to understand how the execution of this health care is carried out by professionals from the perspective of rural people. This is a cross-sectional study with a qualitative approach, carried out at the Nossa Senhora Aparecida Settlement, located in the municipality of Pesqueira (Pernambuco state) in 2018. The results demonstrate that the challenges faced by settled families are due to the difficulty of access to health services. In view of this, the rural population chooses to keep their cultural practices focused on their health alive. Therefore, it is common to use herbal medicines and mystics related to religious beliefs in self-care practices. It was concluded that the current public policies have gaps in their implementation, especially in terms of accessibility, security, health education, equity and respect for cultural differences. In addition, there is precariousness at the national level of studies focused on the health determinants and determinants of the rural population, which makes it necessary that more research be carried out so that new public policies can emerge.


2019 ◽  
Vol 3 (s1) ◽  
pp. 74-74
Author(s):  
Crystal Chapman Lambert ◽  
Chastity McDavid ◽  
Tammi F. Thomas ◽  
Kiko King ◽  
Andres Azuero ◽  
...  

OBJECTIVES/SPECIFIC AIMS: Our primary objective was to understand the relationship between incident or recent stressful events and adherence to HIV care in the context of other person, environment, and HIV-specific stressors in a sample of Black women living with HIV (WLWH). METHODS/STUDY POPULATION: Thirty in-depth interviews were conducted with Black women living with HIV who receive care at an academic HIV primary care clinic in the Southern region of the United States to elicit stressful events influencing adherence to HIV care. Semi-structured interview guides were used to facilitate discussion regarding stressful events and adherence to HIV care. Interviews were audiotaped and transcribed verbatim. Transcripts were independently coded using a theme-based approach by two experienced coders, findings were compared, and discrepancies were resolved by discussion. RESULTS/ANTICIPATED RESULTS: Participants described frequently experiencing incident stressful events including death or serious illness of a close friend or family member, and relationship, financial, and employment difficulties. Furthermore, participants reported experiencing traumatic events such as sexual and physical abuse during childhood and adolescents. While experiencing traumatic events such as sexual and physical abuse during childhood and adolescence may be distressing, these events did not influence adherence to HIV care. However, incident stressful events as defined above did influence adherence to HIV care for some participants, but not for others. For participants who reported that stressful events did not influence adherence to HIV care, factors such as personal motivation, access to social support, and adaptive coping strategies facilitated their engagement in care. DISCUSSION/SIGNIFICANCE OF IMPACT: Experiencing stressful events, incident or traumatic, is common among Black WLWH and have the potential to negatively influence adherence to HIV care. Thus, Interventions aimed at identifying and addressing stress, social support, and coping are essential to improve adherence to HIV care behaviors.


2016 ◽  
Vol 29 (68) ◽  
Author(s):  
Jesús Rubio Campos

Resumen: en esta investigación se analiza la relación entre la sindicalización y la precariedad laboral en México, con una metodología cuantitativa, a partir de microdatos de la Encuesta nacional de ocupación y empleo del Instituto Nacional de Estadística y Geografía, así como con información de las juntas federales de conciliación y arbitraje de la Secretaría del Trabajo y Previsión Social. A pesar de que los sindicatos han perdido fuerza y representación en México desde los años ochenta, los trabajadores afiliados tienen menor grado de precariedad que quienes no forman parte de ellos; cuentan con contratos más estables, sus condiciones salariales son mejores, tienen acceso a servicios de salud por motivos de su relación laboral, y otras prestaciones. Además, la precariedad laboral de las mujeres sindicalizadas es menor que la de los hombres.Palabras clave: sindicatos en México; precariedad laboral en México; mercado de trabajo en México; trabajo decente en México; huelgas. Unionization and labor precariousness in MexicoAbstract: this study analyzes the relationship between unionization and labor precariousness in Mexico by using a quantitative methodology based on micro data from the National Institute of Statistics and Geography’s National Survey of Occupation and Employment, as well as information from the Secretariat of Labor and Social Welfare’s federal conciliation and arbitration boards. In spite of the fact the unions have lost strength and representation in Mexico since the eighties, union members have a lesser degree of precariousness than those who are not union members. Their contracts are more stable, their wage conditions are better, they have access to health services thanks to their labor relationships, as well as other benefits. Moreover, women union members’ labor precariousness is lesser than that of men’s.Key words: unions in Mexico; labor precariousness in Mexico; labor markets in Mexico; decent work in Mexico; strikes.


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