Bibliometric analysis about hiv vulnerability / Análise bibliométrica acerca da vulnerabilidade ao HIV

Objetivo: analisar a frequência de palavras correlacionando com o título e resumo da produção científica sobre a vulnerabilidade das pessoas ao HIV à luz da Lei de Zipf. Métodos: estudo descritivo, de análise bibliométrica. A busca ocorreu na base de dados SCOPUS (Elsivier) utilizando os descritores HIV e vulnerability. Foi utilizado o operador booleano and. Critérios de inclusão: artigos disponíveis na íntegra, de forma gratuita, sem restrição de idioma e no espaço temporal entre 1983 e 2020. Resultados: as nuvens de tags possibilitaram identificar claramente a correlação existente entre todos os segmentos de texto através da frequência das palavras ‘HIV’, ‘vulnerabilidade’ com o sexo feminino. Conclusão: a teoria de Zipf possibilitou uma visão mais moderna, para a enfermagem, corroborando na análise de estruturas de linguagem escrita advindas de textos. Neste sentido, pode-se inferir que, de uma forma geral, os resumos revelaram aspectos fundamentais para a compreensão ampla acerca do tema.

U.S. transgender women’s preferences for microeconomic interventions to address structural determinants of HIV vulnerability: a qualitative assessment

Background Transgender women in the United States (U.S.) experience a disproportionate burden of HIV infection and challenges to engagement in HIV prevention and care. This excess burden is driven by structural and economic inequities. Microeconomic interventions may be effective strategies for reducing HIV inequities for this population. However, few studies have explored transgender women’s preferences for microeconomic interventions to address structural determinants of HIV vulnerability. Methods We conducted individual interviews with 19 adult transgender women in 2 U.S. cities (Richmond, VA and St. Louis, MO) who reported one or more sexual risk behaviors and recent economic hardship related to employment/income, housing, or food security. Interviews were recorded, transcribed, and analyzed using thematic content analysis. Results The majority (74%) of transgender women were racial/ethnic minorities with mean age of 26.3 years. 89% were currently economically vulnerable; and 23% were employed full-time. 37% reported living with HIV. Participants expressed strong support for unrestricted vouchers, with many expressing the need for funds to support gender-affirming interventions. Assistance with how to budget and save and support for job acquisition, career planning, and employment sustainment were also preferred, including access to non-stigmatizing employment. Visible transgender leadership, group empowerment, and small (rather than large) numbers of participants were considered important aspects of intervention design for transgender women, including outreach through existing transgender networks to facilitate inclusion. Incorporating HIV counseling and testing to reduce vulnerability to HIV was acceptable. However, transgender women enrolled in the study preferred that HIV not be the focus of an intervention. Conclusions Flexible microeconomic interventions that support gender affirming interventions, improve financial literacy, and provide living-wage non-stigmatizing employment are desired by economically vulnerable transgender women. While not focused on HIV, such interventions have the potential to reduce the structural drivers of HIV vulnerability among transgender women.

Advancing Integrated Family Planning (FP)/HIV Counseling with Evidence (ADVICE): Review of FP decision support tools and HIV vulnerability assessment tools

This review identified innovative approaches to broadening both the platforms through which FP decision support is offered (digital or otherwise), as well as the timing of lending that support (i.e., during pre-consultation time). In addition, by focusing on the HIV vulnerability domains that are particularly relevant to FP clients, developers of future FP decision support tools can incorporate questions and lines of inquiry that explore whether and how clients’ behaviors and characteristics may place them at increased risk of HIV acquisition and inform their contraceptive choices to optimize dual protection.