Ciencia & saude coletiva最新文献

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Young migrants in care work: working conditions, health and mobility in Latin America. 从事护理工作的青年移徙者:拉丁美洲的工作条件、健康和流动性。
IF 1.6 4区 医学
Ciencia & saude coletiva Pub Date : 2026-08-01 Epub Date: 2025-05-10 DOI: 10.1590/1413-81232026318.20162024
Cristiane Batista Andrade, Edith França de Carvalho, Thuane Rosa do Carmo, Júlia de Almeida Roffé Borges, Emília Miranda Senapeschi
{"title":"Young migrants in care work: working conditions, health and mobility in Latin America.","authors":"Cristiane Batista Andrade, Edith França de Carvalho, Thuane Rosa do Carmo, Júlia de Almeida Roffé Borges, Emília Miranda Senapeschi","doi":"10.1590/1413-81232026318.20162024","DOIUrl":"https://doi.org/10.1590/1413-81232026318.20162024","url":null,"abstract":"<p><p>Care work is performed, especially, by poor, black, indigenous women and young migrants who move internally to other countries in Latin America, or to the Global North. The objective of the article is to analyze and discuss the care work of young migrants from and in the Latin American context, asking whether and how scientific productions dialogue with intersectionality, working conditions and health, and the challenges facing mobilities, social, emotional and sexual interactions. A narrative literature review was carried out with descriptors in the following databases: SciELO, Web of Science, Virtual Health Library, Scopus and Scilit, totaling 19 articles. The results of this review point to the scarce theoretical depth of intersectionality; low pay, long working hours, lack of labor rights that affect the health of these young women; situations of undocumented migration; difficulties in reconciling family care and motherhood, and interruptions in studies. It is essential to discuss the topic from an intersectional perspective to complexify and understand the particularities and diversities of care work for young migrants with a view to producing public care policies for them.</p>","PeriodicalId":10195,"journal":{"name":"Ciencia & saude coletiva","volume":"31 8","pages":"e20162024"},"PeriodicalIF":1.6,"publicationDate":"2026-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148788942","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Impact of the COVID-19 pandemic on indigenous women's access to healthcare in Chile. 2019冠状病毒病大流行对智利土著妇女获得医疗保健的影响。
IF 1.6 4区 医学
Ciencia & saude coletiva Pub Date : 2026-08-01 Epub Date: 2025-05-16 DOI: 10.1590/1413-81232026318.14202024
Carolina Acevedo De La Harpe, Sebastian Carrasco Soto, Rodrigo Pérez
{"title":"Impact of the COVID-19 pandemic on indigenous women's access to healthcare in Chile.","authors":"Carolina Acevedo De La Harpe, Sebastian Carrasco Soto, Rodrigo Pérez","doi":"10.1590/1413-81232026318.14202024","DOIUrl":"https://doi.org/10.1590/1413-81232026318.14202024","url":null,"abstract":"<p><p>The overarching aim of this study was to determine the extent to which the COVID-19 pandemic has affected the healthcare accessibility of indigenous women in Chile compared to other demographic groups. For this, we use regression models with fixed effects at the municipality level and simulating a differences-in-differences strategy. Data for this study were sourced from the Socioeconomic Characterization Surveys (CASEN) spanning the years 2013, 2015, 2017, and 2020. The initial three-year period serves as the baseline for establishing healthcare disparities between indigenous and non-indigenous populations and between men and women in the pre-COVID era. Our findings affirm our initial hypothesis regarding the heterogeneous and concentrated effects of the COVID-19 pandemic on indigenous women's medical attention in Chile. We observed a decline of over 4.5% in the level of healthcare utilization for indigenous women during the pandemic. This exceeds the effect found for women in the aggregate by more than 3 percentage points, indicating that the impact is indeed concentrated on indigenous women. Our results encourage political decisions; access to health must consider the particularities of historically segregated groups. The needs of indigenous women in crisis contexts seem to exacerbate inequality in access to health.</p>","PeriodicalId":10195,"journal":{"name":"Ciencia & saude coletiva","volume":"31 8","pages":"e14202024"},"PeriodicalIF":1.6,"publicationDate":"2026-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148788947","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Social support networks and health conditions of elderly female family members of military police officers in the state of Rio de Janeiro, Brazil. 巴西里约热内卢州军事警察老年女性家属的社会支持网络和健康状况。
IF 1.6 4区 医学
Ciencia & saude coletiva Pub Date : 2026-08-01 Epub Date: 2026-04-18 DOI: 10.1590/1413-81232026318.04342026
Alessandra Gonçalves Carvalho, Edinilsa Ramos de Souza, Bruno Costa Poltronieri, Adalgisa Peixoto Ribeiro
{"title":"Social support networks and health conditions of elderly female family members of military police officers in the state of Rio de Janeiro, Brazil.","authors":"Alessandra Gonçalves Carvalho, Edinilsa Ramos de Souza, Bruno Costa Poltronieri, Adalgisa Peixoto Ribeiro","doi":"10.1590/1413-81232026318.04342026","DOIUrl":"https://doi.org/10.1590/1413-81232026318.04342026","url":null,"abstract":"<p><p>This article investigates the health conditions and social support networks of elderly female family members of Military Police Officers in the State of Rio de Janeiro. This is a qualitative, exploratory study that involved nine semi-structured interviews with elderly women aged 60 or older, family members (four mothers), and dependents (three widows and two wives) of active-duty, veteran, or deceased military police officers-seven enlisted men and four officers. The data were subjected to thematic content analysis. They suffer impacts on their physical and mental health: due to premature loss resulting from homicide (two), other causes (two) of police officer deaths, and changes (two) in their place of residence due to violence (threats and risk to life). Support from informal networks, especially family, was found to predominate. Improvements in the corporation's health services and in the working conditions of military police officers were suggested. It is concluded that access to a formal support network combined with an informal support network can reduce harm to physical and mental health and improve the living conditions of older women.</p>","PeriodicalId":10195,"journal":{"name":"Ciencia & saude coletiva","volume":"31 8","pages":"e04342026"},"PeriodicalIF":1.6,"publicationDate":"2026-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148788950","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Temporal and spatial analysis of the incidence of syphilis acquired in Minas Gerais, Brazil, from 2011 to 2021. 2011 - 2021年巴西米纳斯吉拉斯州获得性梅毒发病率时空分析
IF 1.6 4区 医学
Ciencia & saude coletiva Pub Date : 2026-08-01 Epub Date: 2025-06-08 DOI: 10.1590/1413-81232026318.05292024
Claudio Luiz Ferreira Júnior, Taynãna César Simões, Cleya da Silva Santana Cruz, Mariângela Carneiro
{"title":"Temporal and spatial analysis of the incidence of syphilis acquired in Minas Gerais, Brazil, from 2011 to 2021.","authors":"Claudio Luiz Ferreira Júnior, Taynãna César Simões, Cleya da Silva Santana Cruz, Mariângela Carneiro","doi":"10.1590/1413-81232026318.05292024","DOIUrl":"https://doi.org/10.1590/1413-81232026318.05292024","url":null,"abstract":"<p><p>Acquired syphilis is a sexually transmitted infection. This ecological study analyzed the spatiotemporal heterogeneity of incidence and associated factors of acquired syphilis in Minas Gerais, Brazil, from 2011 to 2021, based on data from the Minas Gerais Health Surveillance Portal, distributed by Planning Regions according to João Pinheiro Foundation. Generalized additive models investigated the relationship between incidence rates and year, while spatiotemporal analyses were conducted using the Satscan software. Correlations between incidence and social inequality indicators (Gini Index, Human Development Index) as well as Family Health Strategy coverage were assessed using Spearman and bivariate Moran analyses for the period 2017-2019. A conditional autoregressive model estimated risks in municipalities. A total of 83,432 cases of acquired syphilis were reported, predominantly among men, pardos individuals, those with a high school education, and aged 20-29 years. Municipalities with risks greater than 1 were concentrated in the Central region. Higher coverage was associated with lower disease incidence. Expanding access to primary care is essential to reduce the impact of regional disparities on the incidence of diseases like syphilis.</p>","PeriodicalId":10195,"journal":{"name":"Ciencia & saude coletiva","volume":"31 8","pages":"e05292024"},"PeriodicalIF":1.6,"publicationDate":"2026-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148788989","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Effect of satisfaction with social support, food literacy, and empowerment concerning the consumption of ultra-processed foods. 对超加工食品消费的社会支持、食品素养和授权的满意度的影响。
IF 1.6 4区 医学
Ciencia & saude coletiva Pub Date : 2026-08-01 Epub Date: 2025-05-24 DOI: 10.1590/1413-81232026318.17052024
Andressa Tavares Gomes, Paula Karoline Soares Farias, Tatiane Palmeira Eleutério, Pedro Eleutério Dos Santos Neto, Ana Monique Gomes Brito, Árlen Almeida Duarte de Sousa, Andréa Maria Eleutério de Barros Lima Martins
{"title":"Effect of satisfaction with social support, food literacy, and empowerment concerning the consumption of ultra-processed foods.","authors":"Andressa Tavares Gomes, Paula Karoline Soares Farias, Tatiane Palmeira Eleutério, Pedro Eleutério Dos Santos Neto, Ana Monique Gomes Brito, Árlen Almeida Duarte de Sousa, Andréa Maria Eleutério de Barros Lima Martins","doi":"10.1590/1413-81232026318.17052024","DOIUrl":"https://doi.org/10.1590/1413-81232026318.17052024","url":null,"abstract":"<p><p>The present study aimed to evaluate the effect of satisfaction with social support (SSS), food literacy (FL), and empowerment (E) concerning the consumption of ultra-processed foods (UPFs) among adults and elderly individuals with diabetes mellitus (DM). This is a subset of a larger cross-sectional study conducted between 2016 and 2018. Two out of 73 clusters were randomly selected. Socioeconomic conditions were assessed, and the scales used to evaluate SSS, FL, and E have been previously validated in Brazil. UPF consumption was estimated using a semi-structured food frequency questionnaire. A hypothetical theoretical model was developed. The SPSS and JASP programs were used for data analysis. Structural Equation Modeling estimated the effects of the latent variables SSS, FL, and E on UPF consumption. Bartlett's test, the Kaiser-Meyer-Olkin (KMO) measure, and the following fit indices were calculated: chi-square (X²), chi-square per degrees of freedom ratio (X²/df), Comparative Fit Index (CFI), Tucker-Lewis Index (TLI), Goodness-of-Fit Index (GFI), and Root-Mean-Square Error of Approximation (RMSEA). The average age was 62.25 ± 12.11 years, with the majority being women (68.10%). The fit indices indicated that the hypothetical model is plausible. Thus, SSS does have an effect on UPF consumption mediated by FL and E.</p>","PeriodicalId":10195,"journal":{"name":"Ciencia & saude coletiva","volume":"31 8","pages":"e17052024"},"PeriodicalIF":1.6,"publicationDate":"2026-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148789014","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
[Prevalence and associated factors of syphilis among adolescents men who have sex with men in two Brazilian capitals]. [巴西两个首都男男性行为青少年中梅毒的流行及相关因素]。
IF 1.6 4区 医学
Ciencia & saude coletiva Pub Date : 2026-08-01 Epub Date: 2025-05-24 DOI: 10.1590/1413-81232026318.13382024
Antonio José Lima de Araujo Junior, Marto Leal, Rosa Livia Freitas de Almeida, Carlos Sanhueza-Sanzana, Tatiana Monteiro Fiuza, Telma Alves Martins, Alexandre Grangeiro, Laio Magno, Inês Dourado, Italo Aguiar, Henrique Barros, George Rutherford, Artur O Kalichman, Ivana Cristina de Holanda Cunha Barreto, Maria Clara Gianna Garcia Ribeiro, Maria Mercedes Escuder, Maria Cristina Abbate, Mirleide de Brito Figueiredo, Orlando da Costa Ferreira Junior, Patricia Neyva da Costa Pinheiro, William McFarland, Marcos Cavalcante Paiva, Aline Rodrigues Feitoza, Jennifer L Glick, Carl Kendall, Ligia Kerr
{"title":"[Prevalence and associated factors of syphilis among adolescents men who have sex with men in two Brazilian capitals].","authors":"Antonio José Lima de Araujo Junior, Marto Leal, Rosa Livia Freitas de Almeida, Carlos Sanhueza-Sanzana, Tatiana Monteiro Fiuza, Telma Alves Martins, Alexandre Grangeiro, Laio Magno, Inês Dourado, Italo Aguiar, Henrique Barros, George Rutherford, Artur O Kalichman, Ivana Cristina de Holanda Cunha Barreto, Maria Clara Gianna Garcia Ribeiro, Maria Mercedes Escuder, Maria Cristina Abbate, Mirleide de Brito Figueiredo, Orlando da Costa Ferreira Junior, Patricia Neyva da Costa Pinheiro, William McFarland, Marcos Cavalcante Paiva, Aline Rodrigues Feitoza, Jennifer L Glick, Carl Kendall, Ligia Kerr","doi":"10.1590/1413-81232026318.13382024","DOIUrl":"10.1590/1413-81232026318.13382024","url":null,"abstract":"<p><p>The objective was to estimate the prevalence and identify factors associated with syphilis among adolescent men who have sex with men (AMSM). This cross-sectional, multicentric study recruited 199 AMSM aged 15 to 19 through the respondent-driven sampling (RDS) method between December 2020 and August 2022, using questionnaires and rapid tests in Fortaleza and São Paulo. Estimates were calculated using STATA 17, considering a 95% confidence interval after weighting the data in each city and combining adolescents from both capitals into a single database. A multivariate model was constructed based on bivariate analyses with p < 0.20. The prevalence of syphilis was 10.9% (95%CI: 6.7-17.3). In the final model, higher odds of syphilis infection were associated with AMSM having received money for sex (PR 2.9; 95%CI: 1.1-7.3), having taken a rapid HIV test before the study (PR 2.6; 95%CI: 1.0-6.7), and having used illicit drugs in the past three months (PR 4.4; 95% CI: 1.2-15.4). The results show a high prevalence of syphilis among AMSM, highlighting the high vulnerability of these to HIV and other STIs. They reinforce the importance of developing and implementing public policies aimed at AMSM to reduce their vulnerability.</p>","PeriodicalId":10195,"journal":{"name":"Ciencia & saude coletiva","volume":"31 8","pages":"e13382024"},"PeriodicalIF":1.6,"publicationDate":"2026-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148788902","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Caregivers during prolonged hospital stays in pediatrics: care strategies and public policies. 儿科长期住院期间的护理人员:护理策略和公共政策。
IF 1.6 4区 医学
Ciencia & saude coletiva Pub Date : 2026-08-01 Epub Date: 2026-04-29 DOI: 10.1590/1413-81232026318.07182026
Elizabeth Artmann, Lilian Miranda, Thaís Cavalcanti Marques
{"title":"Caregivers during prolonged hospital stays in pediatrics: care strategies and public policies.","authors":"Elizabeth Artmann, Lilian Miranda, Thaís Cavalcanti Marques","doi":"10.1590/1413-81232026318.07182026","DOIUrl":"https://doi.org/10.1590/1413-81232026318.07182026","url":null,"abstract":"<p><p>This research analyzed the effects of the care process on caregivers during long-term hospitalizations in a pediatric unit of an university hospital in Rio de Janeiro, Brazil. Thematic oral history interviews were used, supported by the theoretical concept of life narratives. The results were evaluated university using a hermeneutic-dialectical approach, synthesized into the following analytical categories: Child and Adolescent Illness and Changes in the Life Dynamics of Caregivers and Family; Impacts of Prolonged Hospitalizations on Family Income; The Relational Dimension of Care; Leisure and Self-Care for Living and Caring. The theoretical-analytical categories were multiple family arrangements; racial and sexual division of labor; decolonial feminism; care as a social right; and health care from a broader perspective. Women are the primary caregivers of patients with prolonged hospital stays in pediatrics, and they often abandon their own plans to live for the sake of their dependents. They seek survival strategies and institutional responses. The current National Care Policy (Brazil, 2024), along with other policies and interlinked with the struggle for a more just society, can be considered a way to seek recognition of the dignity of these caregivers.</p>","PeriodicalId":10195,"journal":{"name":"Ciencia & saude coletiva","volume":"31 8","pages":"e07182026"},"PeriodicalIF":1.6,"publicationDate":"2026-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148788936","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Social disparities in impairment prevalence, a population-based study. 残障患病率的社会差异,一项基于人群的研究。
IF 1.6 4区 医学
Ciencia & saude coletiva Pub Date : 2026-08-01 Epub Date: 2025-05-02 DOI: 10.1590/1413-81232026318.14442024
Donatila Barbieri de Oliveira Souza, Shamyr Sulyvan de Castro, Marilisa Berti de Azevedo Barros, Margareth Guimarães Lima
{"title":"Social disparities in impairment prevalence, a population-based study.","authors":"Donatila Barbieri de Oliveira Souza, Shamyr Sulyvan de Castro, Marilisa Berti de Azevedo Barros, Margareth Guimarães Lima","doi":"10.1590/1413-81232026318.14442024","DOIUrl":"https://doi.org/10.1590/1413-81232026318.14442024","url":null,"abstract":"<p><p>There are still contradictions and ambiguities in knowledge about the association of visual, hearing, and physical problems with sex, race, income, and education level. This study estimated the prevalence and trace social, racial and sex inequalities according to the type of impairment: visual, hearing and physical. A cross-sectional, population-based study was conducted with data from 3,021 individuals from ISACamp 2014/15. We estimated the prevalence of the three impairments according to age group, sex, race, income, education and health insurance and the prevalence ratios adjusted, using multiple Poisson regression. It was observed that 15.2% of individuals reported visual impairment, 8.1% hearing and 2.1% physical. Inequality was detected according to education level in persons with visual and physical impairments, gender inequality was observed in cases of physical impairment and racial inequality only in visual impairment. It was possible to understand the profile of persons with impairment considering the underlying social inequalities and providing opportunities for a more adequate design of public policies and health care.</p>","PeriodicalId":10195,"journal":{"name":"Ciencia & saude coletiva","volume":"31 8","pages":"e14442024"},"PeriodicalIF":1.6,"publicationDate":"2026-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148788959","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Digital activism groups in the fight against femicides and other gender-based violence against women. 数字激进组织反对杀害女性和其他基于性别的暴力侵害妇女行为。
IF 1.6 4区 医学
Ciencia & saude coletiva Pub Date : 2026-08-01 Epub Date: 2026-05-01 DOI: 10.1590/1413-81232026318.07272026
Suely Ferreira Deslandes, Tiago Coutinho, Claudia Valéria Cardim da Silva
{"title":"Digital activism groups in the fight against femicides and other gender-based violence against women.","authors":"Suely Ferreira Deslandes, Tiago Coutinho, Claudia Valéria Cardim da Silva","doi":"10.1590/1413-81232026318.07272026","DOIUrl":"https://doi.org/10.1590/1413-81232026318.07272026","url":null,"abstract":"<p><p>This article analyzes the strategies of Brazilian digital activism collectives in combating femicides and other forms of gender-based violence. Based on a theoretical-methodological approach that combines Critical Discourse Analysis, the \"politics of everyday life,\" and connective action, the study examined the posts with the highest engagement from six collectives on Instagram. The results identify algorithmic engagement strategies, discursive forces of denunciation, support, information, and memory preservation, articulated through a visual aesthetic and plural bodily expressions. It is concluded that these collectives transform vulnerabilities into collective resistance and develop political action aimed at gender justice, although they face challenges such as the ephemerality of online attention and algorithmic mediation. The connection between these experiences and the field of health still needs to be developed for mutual benefit in their actions.</p>","PeriodicalId":10195,"journal":{"name":"Ciencia & saude coletiva","volume":"31 8","pages":"e07272026"},"PeriodicalIF":1.6,"publicationDate":"2026-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148788983","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Paradox of the success of antiretroviral therapy (HAART): experiences of treatment interruption for HIV/AIDS in Porto Alegre, Rio de Janeiro, and Manaus - Brazil. 抗逆转录病毒治疗(HAART)成功的悖论:阿雷格里港、里约热内卢和巴西马瑙斯的艾滋病毒/艾滋病治疗中断的经验。
IF 1.6 4区 医学
Ciencia & saude coletiva Pub Date : 2026-08-01 Epub Date: 2026-04-22 DOI: 10.1590/1413-81232026318.06612026
Andréa Fachel Leal, Daniela Knauth, Pamela Ximena Bermudez, Ivia Maksud
{"title":"Paradox of the success of antiretroviral therapy (HAART): experiences of treatment interruption for HIV/AIDS in Porto Alegre, Rio de Janeiro, and Manaus - Brazil.","authors":"Andréa Fachel Leal, Daniela Knauth, Pamela Ximena Bermudez, Ivia Maksud","doi":"10.1590/1413-81232026318.06612026","DOIUrl":"https://doi.org/10.1590/1413-81232026318.06612026","url":null,"abstract":"<p><p>The purpose of this article is to analyze factors contributing to treatment discontinuation among people living with HIV (PLHIV). The study draws on qualitative data from 30 in-depth interviews conducted in three Brazilian cities: Porto Alegre (9), Rio de Janeiro (10), and Manaus (11). In Manaus, respondents emphasized inadequate healthcare experiences and changes in primary providers as key triggers for discontinuity. In Rio de Janeiro, organizational dynamics within health services-such as failure to honor scheduled appointments-were identified as significant, often compelling individuals to miss work or arrive late, creating tensions between health and livelihood. In Porto Alegre, life-course disruptions were particularly salient, as they sever ties with providers and require effort to reestablish care. A paradox emerges wherein improved health and quality of life from antiretroviral therapy (ART) leads individuals to suspend treatment when they feel well. Despite these challenges, participants acknowledged the benefits of ART and expressed willingness to resume treatment, framing the interview process as an opportunity for reflection on adherence.</p>","PeriodicalId":10195,"journal":{"name":"Ciencia & saude coletiva","volume":"31 8","pages":"e06612026"},"PeriodicalIF":1.6,"publicationDate":"2026-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148788991","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
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