Avaliação do uso da Profilaxia Pré-Exposição ao HIV: coorte retrospectiva

Pereira, Carolina Hultmann Gonçalves; Dias, Frederico Alves; Miranda, Gabriela Santos de; Höfelmann, Dorotéia Aparecida; Rattmann, Yanna Dantas

doi:10.5020/18061230.2021.11550

Cited by 4 publications

(6 citation statements)

References 21 publications

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“…Ademais, a homossexualidade como orientação sexual é outra característica predominante dos pacientes que fazem o tratamento preventivo. Os dados supracitados corroboram com diversos estudos realizados, nos âmbitos nacional e internacional, com usuários da PrEP (França, 2021;Greenwald et al, 2019;Pereira et al, 2021) Segundo Barp (2020), a prevalência de homens homossexuais em busca da PrEP se deve a um extenso contexto histórico-social inverídico, o qual disseminava uma forte correlação entre a homossexualidade e a infecção pelo vírus do HIV . Contudo, com a implementação de novas estratégias de prevenção, percebe-se nos dias atuais, uma mudança de comportamento entre indivíduos homossexuais -os quais, apesar de hoje saberem que sua orientação sexual não implica num risco maior de contração da doença, temem se expor ao risco da infecção e, portanto, tendem a buscar mais a PrEP do que os demais grupos de população (Barp, 2020).…”

Section: Discussionunclassified

“…A população nordestina é formada, majoritariamente, por pessoas que se autodeclaram pardas (IBGE, 2022), dado que pode explicar a predominância de pardos neste trabalho, seguido de pessoas brancas e, em terceiro lugar, pessoas pretas. Estes dados divergem das informações apresentadas em pesquisas realizadas em outros locais, como na região Sul e Sudeste, onde a quantidade de pessoas brancas foi mais prevalente (Pereira et al, 2021;Santana et al,. 2021).…”

Section: Discussionunclassified

“…Essa discrepância pode ser explicada pela falta de divulgação da profilaxia nos centros de saúde para pessoas mais vulneráveis e marginalizadas, que não possuem amplo acesso a essas informações, como, por exemplo, pessoas em situação de rua, visto que nessa pesquisa, apenas 3 pessoas em situação de rua procuraram o serviço para realizar acompanhamento para a PrEP. Os dados também foram encontrados em outros estudos, onde mostraram resultados semelhantes (Pereira et al, 2021;Barbosa et al, 2022).…”

Section: Discussionunclassified

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Pre-exposure prophylaxis for HIV: clinical and social profile of users assisted in specialized service in Alagoas

Chianca,

Canuto,

Silva

et al. 2023

CLIUM

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bjective: To identify the clinical and social profile of pre-exposure prophylaxis (PrEP) users assisted in Alagoas. Materials and Methods: Quantitative, descriptive, retrospective and documentary study, carried out in a specialized assistance service for PrEP in Alagoas. Results: Of the 296 medical records that were eligible for the survey, it was found that most pre-exposure prophylaxis users are aged between 18 and 24 (24.66%), self-identified as cisgender men (84.46%), homosexuals (60.14%), brown-skinned (47.63%), with schooling above 12 years (71.62%) and residents of the capital of Alagoas, Maceió (84.80%). Conclusion: It was identified that the majority of the public who looked for PrEP were cis brown-skinned men, homosexuals, aged between 18 and 24 years. It was also noted that most of the people attending had 12 or more years of study and were residents of the capital of the state of Alagoas.

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Section: Discussionunclassified

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Pre-exposure prophylaxis for HIV: clinical and social profile of users assisted in specialized service in Alagoas

Chianca,

Canuto,

Silva

et al. 2023

CLIUM

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show abstract

“…A study carried out in the first six months of PrEP provision in the statf of Paraná, Brazil, found a predominance of males (91.4%), identified as cis men (88.6%), homosexuals (78.0%), between 20 and 39 years old (83.5%), White skin color (71.8%) and with 12 years or more of education (74.9%) among individuals assisted in the state’s specialized HIV/AIDS care services [ 27 ].…”

Section: Discussionmentioning

confidence: 99%

Substance Use and Risky Sexual Behavior in the PrEP Outpatient Clinic at the University Hospital of Brasília

et al. 2023

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(1) Background: To evaluate the epidemiological profile of people who use drugs at the PrEP outpatient clinic of the University Hospital of Brasília; (2) Methods: Cross-sectional study with a review of data from medical records referring to the first medical consultation. The prevalence ratio was calculated using a Poisson regression model with robust variance; (3) Results: A total of 53% of subjects reported drug use in the last 3 months. The unadjusted prevalence ratio of drug use in trans women was PR: 9.0 (95%CI: 1.4–57.5). people who use drugs have a 1.9 times higher prevalence of STI diagnosis, and a 2.4 times higher prevalence of partners compared to non-users; (4) Conclusions: Substance use was associated with a higher STI prevalence ratio and number of sexual partners.

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“…Despite the limited time for a more comprehensive analysis of the new measures, the findings from other studies have demonstrated the feasibility of PEP and PrEP as effective public strategies, with good acceptance among the population (19,20) . Furthermore, PrEP is classified as having a good safety profile and is not correlated with an increase in the diagnosis of sexually transmitted infections (STIs) during the analyzed period (21) .…”

Section: Dst -J Bras Doenças Sex Transm 2023;35:e23351389mentioning

confidence: 99%

Analysis of combined prevention measures on HIV/AIDS incidence in Brazil (1980-2020)

Amaral,

Silva,

Lessa

2023

J Bras Doenças Sex Transm

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Introduction: The Human Immunodeficiency Virus (HIV) attacks the immune system, with acquired immunodeficiency syndrome (AIDS) being the most advanced clinical manifestation. Prevention strategies have evolved over time in response to scientific advancements. From an institutional perspective, the Unified Health System (SUS) provides tools for Combined Prevention to the entire Brazilian population, universally and free of charge. However, despite therapeutic advances, HIV/AIDS remains a significant public health problem. Objective: To analyze the impact of Combined Prevention measures on the incidence of HIV/AIDS in Brazil from 1980 to 2020. Methods: Quantitative, observational, longitudinal, and retrospective study. Descriptive and multivariate analyses were conducted, specifically employing linear regression techniques. The variables of interest included case incidence and the distribution of: tests for sexually transmitted infections (STIs), condoms, post-exposure prophylaxis for HIV (PEP), and pre-exposure prophylaxis for HIV (PrEP). Publicly available data were sourced from governmental repositories. Results: The country has accumulated 1,037,878 infection cases, with an average of 25,947 new cases per year. Regarding prophylaxis inputs, five out of six variables demonstrated a negative correlation with the incidence rate, with only the distribution of male condoms showing a positive correlation. The analysis of the effect of PrEP was not statistically significant. Conclusion: Brazil has reduced the incidence of the disease as Combined Prevention measures have advanced. More time is needed to assess the impact of PrEP on the incidence of new cases.

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Avaliação do uso da Profilaxia Pré-Exposição ao HIV: coorte retrospectiva

Cited by 4 publications

References 21 publications

Pre-exposure prophylaxis for HIV: clinical and social profile of users assisted in specialized service in Alagoas

Pre-exposure prophylaxis for HIV: clinical and social profile of users assisted in specialized service in Alagoas

Substance Use and Risky Sexual Behavior in the PrEP Outpatient Clinic at the University Hospital of Brasília

Analysis of combined prevention measures on HIV/AIDS incidence in Brazil (1980-2020)

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