0113/2021 - Estigma relacionado ao HIV entre jovens em transição para a clínica de adultos num hospital público no Rio de Janeiro HIV-related stigma among youths living with HIV transitioning to adult care, in a public hospital in Rio de Janeiro
A despeito dos avanços na prevenção e controle da aids, o estigma do HIV persiste e afeta o acesso aos recursos disponíveis e a qualidade de vida das pessoas com HIV. Neste estudo investigamos como vivencias de estigma do HIV se expressam entre jovens soropositivos, em transição para a clínica de adultos, no serviço de saúde, na família e nas interações afetivos-sexuais e sua relação com as desigualdades e hierarquias sociais. O estudo envolveu 31 jovens (idade mediana 21) em transição para a clínica de adultos (G1) e 12 jovens (idade mediana 30) que já fizeram essa transição (G2), ambos atendidos num serviço de saúde do Rio de Janeiro. Dentre os 43 jovens, 70% eram mulheres e 65% foi infectado por transmissão vertical. Os jovens responderam a questionários e participaram de grupos focais sobre estigma da aids e passagem para a vida adulta. A maioria relatou situações de discriminação associadas ao estigma do HIV na vida cotidiana e no cuidado em saúde. Os jovens do G1 revelaram maior preocupação com as consequências da revelação do HIV e dificuldades com o tratamento. Os relatos do G2 sugerem que a constituição de relações conjugais, incluindo parceiro/a e filhos soronegativos eo acesso ao tratamento, possibilitaram resignificar o receio da estigmatização. Os achados visam orientar a formação e ação de profissionais envolvidos na prevenção e cuidado de jovens vivendo com HIV.
Palavras-chave:
estigma, Aids, jovens vivendo com HIV; transição para clínica de adultos
Abstract:
Despite advances in AIDS prevention and control, HIV stigma persists and affects access to available resources and the quality of life of people with HIV. In this study we analyze how experiences of HIV-related stigma are expressed among HIV positive young people, in transition to the adult clinic, in the health service, in the family, in the affective-sexual interactions and their relationship with inequalities and social hierarchies. The study involved 31 young people (median age 21) in transition to the adult clinic (G1) and 12 young people (median age 30) who had already made this transition (G2), both followed at a health service in Rio de Janeiro. Among the 43 youths, 70% were women and 65% were infected by vertical transmission. Youths answered questionnaires and participated in focus groups on AIDS stigma and transition to adulthood. Most reported situations of discrimination associated with HIV stigma in daily life and health care. G1 youths showed greater concern about the consequences of HIV disclosure, as well as difficulties with treatment. The G2 reports suggest that the constitution of marital relationships, including HIV-negative partners and children, linked to access to treatment, made it possible to reframe the fear of stigmatization. The findings aim to guide the training and action of professionals involved in the prevention and care of young people living with HIV.
Keywords:
stigma; AIDS, youth living with HIV; transition to adult care; HIV infection
HIV-related stigma among youths living with HIV transitioning to adult care, in a public hospital in Rio de Janeiro
Resumo (abstract):
Despite advances in AIDS prevention and control, HIV stigma persists and affects access to available resources and the quality of life of people with HIV. In this study we analyze how experiences of HIV-related stigma are expressed among HIV positive young people, in transition to the adult clinic, in the health service, in the family, in the affective-sexual interactions and their relationship with inequalities and social hierarchies. The study involved 31 young people (median age 21) in transition to the adult clinic (G1) and 12 young people (median age 30) who had already made this transition (G2), both followed at a health service in Rio de Janeiro. Among the 43 youths, 70% were women and 65% were infected by vertical transmission. Youths answered questionnaires and participated in focus groups on AIDS stigma and transition to adulthood. Most reported situations of discrimination associated with HIV stigma in daily life and health care. G1 youths showed greater concern about the consequences of HIV disclosure, as well as difficulties with treatment. The G2 reports suggest that the constitution of marital relationships, including HIV-negative partners and children, linked to access to treatment, made it possible to reframe the fear of stigmatization. The findings aim to guide the training and action of professionals involved in the prevention and care of young people living with HIV.
Palavras-chave (keywords):
stigma; AIDS, youth living with HIV; transition to adult care; HIV infection
Cruz, M. L. S., Darmont, M. de Q. R., Monteiro, S. S.. Estigma relacionado ao HIV entre jovens em transição para a clínica de adultos num hospital público no Rio de Janeiro. Cien Saude Colet [periódico na internet] (2021/abr). [Citado em 02/01/2025].
Está disponível em: http://cienciaesaudecoletiva.com.br/artigos/estigma-relacionado-ao-hiv-entre-jovens-em-transicao-para-a-clinica-de-adultos-num-hospital-publico-no-rio-de-janeiro/18012?id=18012
