0405/2018 - Prevenção combinada do HIV? Revisão sistemática de intervenções com mulheres de países de média e baixa renda. Combined HIV prevention? Systematic review of interventions with womenlow- and middle-income countries.
A revisão sistemática objetivou caracterizar as intervenções para prevenção do HIV que incluíam mulheres adultas e desenvolvidas em países de baixa e média renda após 1996, identificando como abarcavam as vulnerabilidades individuais, sociais e programáticas. Foram acessadas bases de dados de 1997 a julho de 2016 e selecionados estudos que incluíam mulheres adultas, com estratégias combinadas ou não, excluindo-se intervenções apenas biomédicas ou de mídia em massa. Foram selecionadas 72 intervenções desenvolvidas em 32 países, sendo a maioria africanos e/ou de renda média-alta e 26 só com mulheres. Entre 64 intervenções que avaliaram aspectos comportamentais, psicossociais, biomédicos, de conhecimentos sobre HIV/IST e uso de serviços de saúde, 62 tiveram resultados positivos, mas também de não efeito (n = 52). Poucas relataram diminuição na incidência de HIV/IST (n = 9), no número de parceiros (n = 12), dos relatos de estigma e de violências (n = 7). A análise de conteúdo das intervenções mostrou que a maioria (n = 51) contemplava apenas vulnerabilidades individuais. Discute-se a necessidade de fortalecer abordagens preventivas que atuem nos determinantes estruturais da epidemia, abarcando os contextos sociais das mulheres numa perspectiva relacional e interseccional das vulnerabilidades.
The systematic review aimed to characterize HIV prevention interventions that included adult women and developed in low and middle-income countries after 1996, identifying how they covered individual, social and programmatic vulnerabilities. The databases were accessed1997 to July 2016 and ed studies that included adult women, with combined strategies or not, excluding biomedical or mass media interventions. Thus, were ed 72 interventions developed in 32 countries most of in African countries and in upper-middle income, with 26 focusing on women only. Among 64 interventions that evaluated results in behavioral, psychosocial, biomedical, knowledge on HIV/STI and use of health services areas 62 reported positive but also non-effect results. Few of them reported reduction in HIV/STI incidence (n = 9), in partner numbers (n = 12), stigma and violence reports (n = 7). The content analysis of the interventions showed that the majority (n = 51) contemplated only individual vulnerabilities. It discusses the need to strengthen preventive approaches targeting structural determinants of the epidemic, encompassing the social contexts of women in a relational and intersectional perspective of vulnerabilities.
Keywords:
HIV. Primary Prevention. Human Rights. Women. Review
Combined HIV prevention? Systematic review of interventions with womenlow- and middle-income countries.
Resumo (abstract):
The systematic review aimed to characterize HIV prevention interventions that included adult women and developed in low and middle-income countries after 1996, identifying how they covered individual, social and programmatic vulnerabilities. The databases were accessed1997 to July 2016 and ed studies that included adult women, with combined strategies or not, excluding biomedical or mass media interventions. Thus, were ed 72 interventions developed in 32 countries most of in African countries and in upper-middle income, with 26 focusing on women only. Among 64 interventions that evaluated results in behavioral, psychosocial, biomedical, knowledge on HIV/STI and use of health services areas 62 reported positive but also non-effect results. Few of them reported reduction in HIV/STI incidence (n = 9), in partner numbers (n = 12), stigma and violence reports (n = 7). The content analysis of the interventions showed that the majority (n = 51) contemplated only individual vulnerabilities. It discusses the need to strengthen preventive approaches targeting structural determinants of the epidemic, encompassing the social contexts of women in a relational and intersectional perspective of vulnerabilities.
Palavras-chave (keywords):
HIV. Primary Prevention. Human Rights. Women. Review
Gonçalves, T.R., Costa, A.H.C, Sales, M.S, Leite, H.M. Prevenção combinada do HIV? Revisão sistemática de intervenções com mulheres de países de média e baixa renda.. Cien Saude Colet [periódico na internet] (2018/Set). [Citado em 07/11/2024].
Está disponível em: http://cienciaesaudecoletiva.com.br/artigos/prevencao-combinada-do-hiv-revisao-sistematica-de-intervencoes-com-mulheres-de-paises-de-media-e-baixa-renda/16938?id=16938&id=16938
