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51. Interdisciplinarity in HIV prevention research: the experience of the PrEP1519 study protocol among adolescent MSM and TGW in Brazil.

Author

Dourado, Ines, Magno, Laio, Bartolomeu Greco, Dirceu, Zucchi, Eliana Miura, Ferraz, Dulce, Westin, Mateus Rodrigues, and Grangeiro, Alexandre

Abstract

Copyright of Cadernos de Saude Publica is the property of Escola Nacional de Saude Publica Sergio Arouca and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Published
2023
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52. Conhecimentos, percepções e itinerários terapêuticos de travestis e mulheres trans no cuidado a infecções sexualmente transmissíveis em Salvador, Brasil

Author

Rossi, Thais Aranha, primary, Brasil, Sandra Assis, additional, Magno, Laio, additional, Veras, Maria Amelia, additional, Pinheiro, Thiago Félix, additional, Pereira, Marcos, additional, Gonzales Junior, José Luis Gomez, additional, Carvalho, Paula Galdino Cardin de, additional, and Dourado, Ines, additional

Published
2022
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54. Perception of discrimination due to sexual orientation and associated factors among men who have sex with men in 12 Brazilian cities

Author

Magno, Laio, primary, Guimarães, Mark Drew Crosland, additional, Leal, Andréa Fachel, additional, Dourado, Ines, additional, Knauth, Daniela Riva, additional, Bermúdez, Ximena Pamela Díaz, additional, Rocha, Gustavo Machado, additional, Veras, Maria Amelia de Sousa Mascena, additional, Kendall, Carl, additional, Brito, Ana Maria de, additional, and Kerr, Ligia Regina Sansigolo, additional

Published
2022
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57. Desire for a child among women living with HIV/AIDS in northeast Brazil

Author

Nobrega, Aglaer A., Oliveira, Fabiola A.S., Galvao, Marli T.G., Mota, Rosa S., Barbosa, Regina M., Dourado, Ines, Kendall, Carl, and Kerr-Pontes, Ligia R.S.

Subjects
Women -- Psychological aspects, HIV patients -- Psychological aspects, Motherhood -- Research, Health
Abstract

In Brazil, an increasing proportion of new HIV infections and AIDS cases involve women of reproductive age. To describe the reproductive desire of women with HIV/AIDS and to identify factors associated with the desire for motherhood, a cross-sectional study was carried out in the referral hospital for infectious diseases in Ceara State, northeast Brazil. In total, 229 women were included in data analysis. Median age was 32 years (interquartile range, 26-37), and 63% had a monthly family income of less than 210 USD. Forty-nine percent were using a contraceptive method, and 37% wished to undergo tubal ligation. Sixty-four percent of the latter women were motivated by the fear of having an HIV-positive child. Forty percent of the participants wanted to have a child. In the multivariate regression analysis, variables independently associated with women's desire to have a child were: younger age (in years, odds ration [OR] = 0.94; 95% confidence interval [CI]: 0.90-0.98), number of children (OR = 0.73; 95% CI: 0.57-0.96), and partner's desire for a child (OR = 3.35; 95% CI: 1.75-6.39). Having a partner who did not know about the woman's positive serostatus was negatively associated with the woman's desire for a child (OR = 0.17; 95% CI: 0.04-0.69). No variable related to clinical status was significantly associated with the outcome variable. Our data showed that many unsterilized HIV-positive women in northeast Brazil, at whatever stage of illness, have a desire for children. We recommend that nondirective counseling, consisting of helping women evaluate their own feelings, goals and needs with respect to reproductive options be provided.

Published
2007

58. Effect of BCG revaccination on incidence of tuberculosis in school-aged children in Brazil: the BCG-REVAC cluster-randomised trial

Author

Rodrigues, Laura C., Pereira, Susan M., Cunha, Sergio S., Genser, Bernd, Ichihara, Maria Yury, de Brito, Silvana C., Hijjar, Miguel A., Dourado, Ines, Cruz, Alvaro A., Sant'Anna, Clemax, Bierrenbach, Ana Luiza, and Barreto, Mauricio L.

Subjects
BCG vaccination -- Evaluation, BCG vaccination -- Dosage and administration, Tuberculosis -- Prevention
Published
2005

61. Globin haplotypes of human T-cell lymphotropic virus type I-infected individuals in Salvador, Bahia, Brazil, suggest a post-columbian african origin of this virus

Author

Alcantara, Luiz Carlos Jr., Dooren, Sonia van, Goncalves, Marilda Souza, Kashima, Simone, Costa, Maria Cristina Ramos, Santos, Fred Luciano Neves, Bitterncourt, Achilea Lisboa, Dourado, Ines, Filho, Antonio Andrade, Covas, Dimas Tadeu, Vandamme, Anne-Mieke, and Galvao-Castro, Bernardo

Subjects
Haplotypes -- Research, Beta globulins -- Research, HTLV-I (Virus) -- Research, Health
Published
2003

64. Envolvimento em organizações não governamentais e a participação em ações de prevenção ao HIV/aids por homens que fazem sexo com homens no Brasil

Author

Almeida, Luiz Fernando de, primary, Guimarães, Mark Drew Crosland, additional, Dourado, Ines, additional, Veras, Maria Amelia de Sousa Mascena, additional, Magno, Laio, additional, Leal, Andréa Fachel, additional, Kerr, Ligia Regina Sansigolo, additional, Kendall, Carl, additional, Pontes, Alexandre Kerr, additional, and Rocha, Gustavo Machado, additional

Published
2021
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65. Human T-cell lymphotropic virus type 1 infection among pregnant women in northeastern Brazil

Author

Bittencourt, Achilea L., Dourado, Ines, Bastros Filho, Pedro, Santos, Magnolia, Valadao, Eliane, Alcantara, Luis Carlos Junior, and Galvao-Castro, Bernardo

Subjects
HTLV-I infections -- Brazil, Pregnant women -- Diseases, Health
Abstract

HTLV-1 infection does not have an adverse effect on pregnancy, according to a study of 6,754 pregnant women in Salvador, Bahia, Brazil. Fifty-seven of the women tested positive for HTLV-1, which is a retrovirus that is related to HIV.

Published
2001

66. Acceptability of HIV self-testing is low among men who have sex with men who have not tested for HIV: a study with respondent-driven sampling in Brazil

Author

Magno, Laio, primary, Leal, Andrea Fachel, additional, Knauth, Daniela, additional, Dourado, Ines, additional, Guimarães, Mark Guimarães Drew Crosland, additional, Santana, Elis Passos, additional, Jordão, Tiago, additional, Rocha, Gustavo Machado, additional, Veras, Maria Amélia, additional, Kendall, Carl, additional, Pontes, Alexandre Kerr, additional, Brito, Ana Maria, additional, Kerr, Ligia, additional, and Group, The Brazilian HIV/MSM Surveillance, additional

Published
2020
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67. Acceptability of HIV self-testing is low among MSM who have not tested: a study with respondent-driven sampling in Brazil

Author

Magno, Laio, primary, Leal, Andrea Fachel, additional, Knauth, Daniela, additional, Dourado, Ines, additional, Guimarães, Mark Guimarães Drew Crosland, additional, Santana, Elis Santana Passos, additional, Jordão, Tiago Jordão, additional, Rocha, Gustavo Rocha Machado, additional, Veras, Maria Amélia Amélia, additional, Kendall, Carl Kendall, additional, Pontes, Alexandre Pontes Kerr, additional, Brito, Ana Maria, additional, and Kerr, Ligia Kerr, additional

Published
2020
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68. High Rates of Unprotected Receptive Anal Intercourse and Their Correlates Among Young and Older MSM in Brazil

Author

Rocha, Gustavo Machado, Guimar?es, Mark Drew Crosland, Brito, Ana Maria de, Dourado, Ines, Veras, Maria Am?lia, Magno, Laio, Kendall, Carl, Kerr, Ligia Regina Franco Sansigolo, Pontes, Alexandre Kerr, Camillo, Ana Claudia, Magalh?es, Ageu, Motta-Castro, Ana Rita Coimbra, Knauth, Daniela Riva, Leal, Andrea Fachel, Merchan-Hermann, Edgar, Diaz, Ximena Pamela, Lima, Luana Nepomuceno Costa, Dourado, Maria Ines, Oliveira, Lisangela Cristina de, Macena, Raimunda Hermelinda Maia, Mota, Rosa Salani, Cavalcante, Maria do Socorro, Rutherford, George, McFarland, Will, Pimenta, Cristina, Benzaken, Adele Schwartz, and Pereira, Gerson

Subjects
Adult, Male, medicine.medical_specialty, Health Knowledge, Attitudes, Practice, Multivariate analysis, Social Psychology, Adolescent, Preval?ncia, Sexual Behavior, Comportamento Sexual / classifica??o, HIV Infections, Condoms, Sexual and Gender Minorities, Young Adult, Risk-Taking, Acquired immunodeficiency syndrome (AIDS), Risk Factors, Surveys and Questionnaires, medicine, Prevalence, Estudos Transversais, Humans, Homosexuality, Male, Heterosexuality, Sexual identity, Sexual violence, Marital Status, Unsafe Sex, business.industry, S?ndrome de Imunodefici?ncia Adquirida, Public health, Sex Offenses, Public Health, Environmental and Occupational Health, Age Factors, HIV, Middle Aged, medicine.disease, Sex Work, Doen?as Virais Sexualmente Transmiss?veis / transmiss?o, Risk perception, Health psychology, Infectious Diseases, Sexual Partners, Marital status, Bisexuality, business, Brazil, Demography
Abstract

Department of Surveillance, Prevention and Control of Sexually Transmitted Infections, HIV/AIDS and Viral Hepatitis, of the Secretariat for Health Surveillance of the Brazilian Ministry of Health Universidade Federal de S?o Jo?o del-Rei. Divinopolis, MG, Brazil. Universidade Federal de Minas Gerais. Departamento de Medicina Preventiva e Social. Belo Horizonte, MG, Brazil. Fundacao Oswaldo Cruz. Instituto Aggeu Magalhaes. Recife, PE, Brazil. Universidade Federal da Bahia. Instituto de Sa?de Coletiva. Salvador, BA, Brasil. Faculdade de Ci?ncias Medicas Santa Casa de S?o Paulo. S?o Paulo, SP, Brazil. Tulane University. School of Public Health and Tropical Medicine. New Orleans, LA, USA / Universidade Federal do Ceara. Dept Community Hlth. Fortaleza, CE, Brazil. Universidade Federal do Ceara. Dept Community Hlth. Fortaleza, CE, Brazil. Universidade Federal do Rio de Janeiro. Rio de Janeiro, RJ, Brasil. Funda??o Alfredo Mata. Manaus, AM, Brazil. Funda??o Oswaldo Cruz. Recife, PE, Brazil. Funda??o Oswaldo Cruz. Recife, PE, Brazil. Funda??o Oswaldo Cruz. Campo Grande, MS, Brazil / Universidade Federal de Mato Grosso do Sul. Campo Grande, MS, Brazil. Universidade Federal do Rio Grande do Sul. Porto Alegre, RS, Brazil. Universidade Federal do Rio Grande do Sul. Porto Alegre, RS, Brazil. Universidade de Brasilia. Brasilia, DF, Brazil. Universidade de Brasilia. Brasilia, DF, Brazil. Faculdade de Ci?ncias Medicas Santa Casa de S?o Paulo. S?o Paulo, SP, Brazil. Universidade Federal da Bahia. Salvador, BA, Brasil. Universidade Federal do Ceara. Project PI. Fortaleza, CE, Brazil. Centro Universit?rio Aut?nomo do Brasil. Curitiba, PR, Brazil. Universidade Federal de Minas Gerais. Belo Horizonte, MG, Brazil. Universidade Federal do Ceara. Fortaleza, CE, Brazil. Universidade Federal do Ceara. Fortaleza, CE, Brazil. Secretaria Sa?de Cear?. Fortaleza, CE, Brazil. Tulane University. New Orleans, LA, USA / Universidade Federal do Ceara. Fortaleza, CE, Brazil. University of California San Francisco. San Francisco, CA, USA. University of California San Francisco. San Francisco, CA, USA. Minist?rio da Sa?de. Departamento de Vigil?ncia, Preven??o e Controle das IST, do HIV/Aids e das Hepatites Virais. Brasilia, DF, Brazil. Minist?rio da Sa?de. Departamento de Vigil?ncia, Preven??o e Controle das IST, do HIV/Aids e das Hepatites Virais. Brasilia, DF, Brazil. Minist?rio da Sa?de. Departamento de Vigil?ncia, Preven??o e Controle das IST, do HIV/Aids e das Hepatites Virais. Brasilia, DF, Brazil. Universidade do Estado Bahia. Departamento de Ci?ncias da Vida. Salvador, BA, Brazil. 16IEC The aim of this study was to estimate the prevalence and factors associated with unprotected receptive anal intercourse (URAI), stratified by age (18-24 or 25 + years old), in a sample of 4,129 MSM recruited by respondent driven sampling in 12 Brazilian cities in 2016. The prevalence of URAI was higher among younger MSM (41.9% vs 29.7%) (p < 0.01). Multivariate analysis indicated that perception of risk, sexual identity, self-rated health status, and having commercial sex were associated with URAI among younger MSM. History of sexual violence, sex with younger partners, having 6 + partners and unprotected sexual debut were associated with URAI among older MSM. Marital status, having stable partner, and reporting sex with men only were associated with URAI in both groups. Despite access to condoms and lubricants, preventive efforts may not be reaching MSM effectively. Age specific intervention approaches, including stigma, discrimination, and perception of risk must be considered.

Published
2019

69. Health equity and COVID-19 : global perspectives

Author

Shadmi, Efrat, Chen, Yingyao, Dourado, Ines, Faran-Perach, Inbal, Furler, John, Hangoma, Peter, Hanvoravongchai, Piya, Obando Medina, Claudia, Petrosyan, Varduhi, Rao, Krishna D., Ruano, Ana Lorena, Shi, Leiyu, de Souza, Luis Eugenio, Spitzer-Shohat, Sivan, Sturgiss, Elizabeth, Suphanchaimat, Rapeepong, Uribe, Manuela Villar, Willems, Sara, Shadmi, Efrat, Chen, Yingyao, Dourado, Ines, Faran-Perach, Inbal, Furler, John, Hangoma, Peter, Hanvoravongchai, Piya, Obando Medina, Claudia, Petrosyan, Varduhi, Rao, Krishna D., Ruano, Ana Lorena, Shi, Leiyu, de Souza, Luis Eugenio, Spitzer-Shohat, Sivan, Sturgiss, Elizabeth, Suphanchaimat, Rapeepong, Uribe, Manuela Villar, and Willems, Sara

Abstract

The COVID-19 is disproportionally affecting the poor, minorities and a broad range of vulnerable populations, due to its inequitable spread in areas of dense population and limited mitigation capacity due to high prevalence of chronic conditions or poor access to high quality public health and medical care. Moreover, the collateral effects of the pandemic due to the global economic downturn, and social isolation and movement restriction measures, are unequally affecting those in the lowest power strata of societies. To address the challenges to health equity and describe some of the approaches taken by governments and local organizations, we have compiled 13 country case studies from various regions around the world: China, Brazil, Thailand, Sub Saharan Africa, Nicaragua, Armenia, India, Guatemala, United States of America (USA), Israel, Australia, Colombia, and Belgium. This compilation is by no-means representative or all inclusive, and we encourage researchers to continue advancing global knowledge on COVID-19 health equity related issues, through rigorous research and generation of a strong evidence base of new empirical studies in this field.

Published
2020
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72. Conhecimentos, percepções e itinerários terapêuticos de travestis e mulheres trans no cuidado a infecções sexualmente transmissíveis em Salvador, Brasil.

Author

Aranha Rossi, Thais, Assis Brasil, Sandra, Magno, Laio, Amelia Veras, Maria, Félix Pinheiro, Thiago, Pereira, Marcos, Gomez Gonzales Junior, José Luis, Cardin de Carvalho, Paula Galdino, and Dourado, Ines

Subjects
SEXUALLY transmitted diseases, TRANS women, BUILDING design & construction, SYPHILIS, MEDICAL care
Abstract

Copyright of Sexualidad, Salud y Sociedad: Revista Latinoamericana is the property of Editora da Universidade do Estado do Rio de Janeiro (EdUERJ) and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Published
2022
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74. HTLV-I in Northeast Brazil: differences for male and female injecting drug users

Author

Dourado, Ines, Andrade, Tarcisio, and Galvao-Castro, Bernardo

Subjects
HTLV-I infections -- Statistics, Brazilians -- Diseases, Drug addicts -- Diseases, Health
Abstract

Many intravenous drug addicts in Brazil are infected with HTLV-I. A survey of 216 intravenous drug addicts in Salvador, Brazil revealed that 22% of men were infected with HTLV-I, 11% with HTLV-II and 44% with HIV. Among women, the percentages were 46% infected with HTLV-I, 10% with HTLV-II and 74% with HIV. Long-term drug use, sharing of needles and a history of syphilis were the most common risk factors for HTLV-I infection.

Published
1998

75. The HIV care cascade: models, measures and moving forward

Author

MacCarthy, Sarah, Hoffmann, Michael, Ferguson, Laura, Nunn, Amy, Irvin, Risha, Bangsberg, David, Gruskin, Sofia, and Dourado, Ines

Subjects
HIV infections -- Research -- Care and treatment -- Complications and side effects, Disease transmission -- Risk factors -- Care and treatment, Antiretroviral agents -- Research -- Health aspects, Health, World Health Organization -- Standards
Abstract

Introduction: This article seeks to identify where delays occur along the adult HIV care cascade ('the cascade'), to improve understanding of what constitutes 'delay' at each stage of the cascade and how this can be measured across a range of settings and to inform service delivery efforts. Current metrics are reviewed, measures informed by global guidelines are suggested and areas for further clarification are underscored. Discussion: Questions remain on how best to evaluate late entry into each stage of the cascade. The delayed uptake of HIV testing may be more consistently measured once rapid CD4 testing is administered at the time of HIV testing. For late enrolment, preliminary research has begun to determine how different time intervals for linking to HIV care affect individual health. Regarding treatment, since 2013, the World Health Organization (WHO) and UNAIDS recommend treatment initiation when CD4 Conclusions: There is no 'one size fits all' model as the provision of services may differ based on a range of factors. Nonetheless, measures informed by global guidelines are needed to more consistently evaluate the scope of and factors associated with delays to each stage of the cascade. Doing so will help identify how practitioners can best deliver services and facilitate access to and continued engagement in care. Keywords: HIV/AIDS; care cascade; treatment cascade; continuum of care; testing; linkage to care; viral suppression; measures., Introduction The advent of antiretroviral therapy (ART) was meant to change the course of the AIDS epidemic. In many ways it did: there was a dramatic reduction in AIDS-related morbidity [...]

Published
2015
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76. Rev. Panam. Salud Publica

Author

MacCarthy, Sarah, Hoffmann, Michael, Nunn, Amy, Silva, Luís Augusto Vasconcelos da, and Dourado, Ines

Subjects
AIDS, Diagnosis, HIV, Patient Compliance, Continuity of Patient Care, Brazil
Abstract

Submitted by Maria Creuza Silva (mariakreuza@yahoo.com.br) on 2017-05-23T18:33:18Z No. of bitstreams: 1 Ines Dourado. 2016.pdf: 2289657 bytes, checksum: d449727ca805d55a0965cf73a351995b (MD5) Made available in DSpace on 2017-05-23T18:33:18Z (GMT). No. of bitstreams: 1 Ines Dourado. 2016.pdf: 2289657 bytes, checksum: d449727ca805d55a0965cf73a351995b (MD5) Objective: Early, continued engagement with the HIV treatment continuum can help achieve viral suppression, though few studies have explored how risk factors for delays differ across the continuum. The objective of this study was to identify predictors of delayed diagnosis, delayed linkage to care, and nonadherence to treatment in the city of Salvador, Bahia, Brazil. Methods: Data were collected during 2010 in a cross-sectional study with a sample (n = 1 970) of HIV-infected individuals enrolled in care. Multiple logistic regression analyses identified sociodemographic variables, behaviors, and measures of health service quality that were associated with delayed diagnosis, delayed linkage to care, and treatment nonadherence. Results: For delayed diagnosis, male gender (adjusted odds ratio (AOR), 3.02; 95% confidence interval (CI), 2.0–4.6); age 45 years and older (AOR, 1.67; 95% CI, 1.1–2.5); and provider-initiated testing (AOR, 3.00; 95% CI, 2.1–4.4) increased odds, while drug use (AOR, 0.29; 95% CI, 0.2–0.5) and receiving results in a private space (AOR, 0.37; 95% CI, 0.2–0.8) decreased odds. For delayed linkage to care, unemployment (AOR, 1.42; 95% CI, 1.07–1.9) and difficulty understanding or speaking with a health care worker (AOR, 1.61; 95% CI, 1.2–2.1) increased odds, while posttest counseling (AOR, 0.49; 95% CI, 0.3–0.7) decreased odds. For nonadherence, experiencing verbal or physical discrimination related to HIV (AOR, 1.94; 95% CI, 1.3–3.0) and feeling mistreated or not properly attended to at HIV care (AOR, 1.60; 95% CI, 1.0–2.5) increased odds, while posttest counseling (AOR, 0.34; 95% CI, 0.2–0.6) decreased odds. Conclusions: More attention is needed on how policies, programs, and research can provide tailored support across the treatment continuum. Washington -DC

Published
2017

77. Cad. Saúde Pública

Author

Dourado, Ines, Silva, Luís Augusto Vasconcelos da, and Magno, Laio, et al.

Subjects
Transexuais, HIV, Síndrome de Imunodeficiência Adquirida, Pesquisa Interdisciplinar
Abstract

Submitted by Maria Creuza Silva (mariakreuza@yahoo.com.br) on 2017-05-23T18:50:52Z No. of bitstreams: 1 Ines Dourado 2. 2016.pdf: 91101 bytes, checksum: 6cb73e1720e6643855ef3793462b4f3a (MD5) Made available in DSpace on 2017-05-23T18:50:52Z (GMT). No. of bitstreams: 1 Ines Dourado 2. 2016.pdf: 91101 bytes, checksum: 6cb73e1720e6643855ef3793462b4f3a (MD5) Pessoas trans, incluindo travestis, mulheres transexuais, apresentam taxas desproporcionalmente elevadas de HIV/AIDS em comparação com o restante da população. Entretanto, são poucos os estudos quantitativos/qualitativos com pessoas trans no Brasil. Assim, uma equipe de pesquisadores de diferentes áreas desenvolve um projeto de pesquisa interdisciplinar com o objetivo de conhecer as condições e os modos de vida, e ao mesmo tempo investigar fatores determinantes da infecção pelo HIV, síilis e hepatites B e C entre travestis e mulheres transexuais. Neste artigo, pretende-se descrever a experiência de implantação e desenvolvimento do estudo com uma abordagem etnoepidemiológica em Salvador, Bahia, Bra- sil. O mapeamento da população começou com uma pesquisa formativa que foi crucial para orientar o inquérito epidemiológico. A produção de dados etnoepidemiológicos é um desafio cotidiano para os pesquisadores, produzindo uma série de reflexões sobre os limites de nossos conceitos e categorias para traduzir a diversidade de práticas e experiências das participantes da pesquisa. Rio de Janeiro

Published
2017

79. High Rates of Unprotected Receptive Anal Intercourse and Their Correlates Among Young and Older MSM in Brazil.

Author

Rocha, Gustavo Machado, Guimarães, Mark Drew Crosland, de Brito, Ana Maria, Dourado, Ines, Veras, Maria Amélia, Magno, Laio, Kendall, Carl, and Kerr, Ligia Regina Franco Sansigolo

Subjects
AGE distribution, ATTITUDE (Psychology), DISCRIMINATION (Sociology), HEALTH status indicators, MARITAL status, MULTIVARIATE analysis, SEX work, RISK perception, RISK-taking behavior, HUMAN sexuality, SEX crimes, SOCIAL stigma, ANAL sex, UNSAFE sex, MEN who have sex with men, SEXUAL orientation identity, SEXUAL partners
Abstract

Copyright of AIDS & Behavior is the property of Springer Nature and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Published
2020
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81. Stigma and discrimination related to gender identity and vulnerability to HIV/AIDS among transgender women: a systematic review.

Author

Magno, Laio, da Silva, Luis Augusto Vasconcelos, Veras, Maria Amélia, Pereira-Santos, Marcos, and Dourado, Ines

Abstract

Copyright of Cadernos de Saude Publica is the property of Escola Nacional de Saude Publica Sergio Arouca and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Published
2019
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89. Antiretroviral Drug Resistance in a Respondent-Driven Sample of HIV-Infected Men Who Have Sex With Men in Brazil

Author

Bermúdez-Aza, Elkin Hernan, primary, Kerr, Ligia Regina Franco Sansigolo, additional, Kendall, Carl, additional, Pinho, Adriana Araujo, additional, de Mello, Maeve Brito, additional, Mota, Rosa Salani, additional, Guimarães, Mark Drew Crosland, additional, Alencar, Cecilia Salete, additional, de Brito, Ana Maria, additional, Dourado, Ines Costa, additional, da Batista, Sonia Maria Batista, additional, Abreu, Fabiano, additional, de Oliveira, Lisangela Cristina, additional, de Souza Moraes, Adão, additional, Benzaken, Adele Schwartz, additional, Merchan-Hamann, Edgar, additional, de Freitas, Gisele Maria Brandão, additional, McFarland, Willi, additional, Albuquerque, Elizabeth, additional, Rutherford, George W, additional, and Sabino, Ester, additional

Published
2011
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91. Barriers along the care cascade of HIV-infected men in a large urban center of Brazil.

Author

Hoffmann, Michael, MacCarthy, Sarah, Batson, Ashley, Crawford-Roberts, Ann, Rasanathan, Jennifer, Nunn, Amy, Silva, Luis Augusto, and Dourado, Ines

Subjects
THERAPEUTICS, HIV infections, CONTINUUM of care, HEALTH services accessibility, HIV-positive persons, INTERVIEWING, RESEARCH methodology, MEDICAL quality control, MEN'S health, METROPOLITAN areas, RESEARCH funding, TIME, ANTIRETROVIRAL agents, DATA analysis software
Abstract

Global and national HIV/AIDS policies utilize the care cascade to emphasize the importance of continued engagement in HIV services from diagnosis to viral suppression. Several studies have documented barriers that men experience in accessing services at specific stages of care, but few have analyzed how these barriers operate along the care cascade. Brazil offers a unique setting for analyzing barriers to HIV care because it is a middle-income country with a large HIV epidemic and free, universal access to HIV/AIDS services. Semi-structured interviews were conducted in 2011 with HIV-infected men (n = 25) receiving care at the only HIV/AIDS state reference center in Salvador, Brazil, the third largest city in the country. Interviews were transcribed and coded for analysis. Researchers identified barriers to services along the care cascade: health service-related obstacles (poor-quality care, lengthy wait times, and drug supply problems); psychosocial and emotional challenges (fear of disclosure and difficulty accepting HIV diagnosis); indirect costs (transportation and absenteeism at work or school); low perceived risk of HIV; and toxicity and complexity of antiretroviral drug (ARV) regimens. The stages of the care cascade interrupted by each barrier were also identified. Most barriers affected multiple, and often all, stages of care, while toxicity and complexity of ARV regimens was only present at a single care stage. Efforts to eliminate more prevalent barriers have the potential to improve care continuity at multiple stages. Going forward, assessing the relative impact of barriers along one's entire care trajectory can help tailor improvements in service provision, facilitate achievement of viral suppression, and improve access to life-saving testing, treatment, and care. [ABSTRACT FROM AUTHOR]

Published
2016
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93. Underreporting of the tuberculosis and AIDS comorbidity: an application of the linkage method.

Author

Carvalho, Carolina Novaes, Dourado, Ines, and Bierrenbach, Ana Luiza

Abstract

OBJECTIVE: To analyze the underreporting of the tuberculosis (TB) and AIDS comorbidity. METHODS: Surveillance study using records from the Notifiable Diseases Information System -- Tuberculosis and AIDS in Brazil from 2000 to 2005. Records of TB without information on the presence of Aids were considered to be underreporting of the comorbidity when paired off with AIDS records in which the year of diagnosis of AIDS was the same or previous to the year of reporting of TB, as well as records from the same patient whose previous records had this information. An indicator was created: recognized TB-AIDS comorbidity, based on the TB records that had information on the presence of AIDS. RESULTS: The underreporting of TB-AIDS was 17.7%. This percentage varied between states. The incorporation of the underreported records into the previously recognized ones increased the proportion of TB-AIDS in Brazil from 6.9% to 8.4%. The highest proportions of underreporting were noted in Acre (Northern), Alagoas, Maranhão and Piauí (Northeastern) (more than 35% each) and the lowest in São Paulo (Southeastern) and Goiás (Central-western) (around 10% each). CONCLUSIONS: The underreporting of the TB-AIDS comorbidity found in Brazil will probably trigger modifications in the surveillance system in order to provide information for the national programs. [ABSTRACT FROM AUTHOR]

Published
2011

95. Subnotificação da comorbidade tuberculose e aids: uma aplicação do método de linkage

Author

Carvalho,Carolina Novaes, Dourado,Ines, and Bierrenbach,Ana Luiza

Subjects
Matched-Pair Analysis, Comorbidade, HIV Infections, Comorbidity, matched-pair analysis, registries disease notification, Sistema de Registros, Síndrome de Inmunodeficiencia Adquirida, hiv infections, Registries Disease Notification, Omisiones de Registro, Análisis por Apareamiento, Tuberculose, Tuberculosis, Síndrome de Imunodeficiência Adquirida, Notificação de Doenças, Underregistration, Acquired Immunodeficiency Syndrome, Sub-Registro, lcsh:Public aspects of medicine, Notificación de Enfermedad, acquired immunodeficiency syndrome, lcsh:RA1-1270, Comorbilidad, Infecciones por VIH, comorbidity, tuberculosis, underregistration, Análise por Pareamento, Infecções por HIV
Abstract

OBJETIVO: Analisar a subnotificação da comorbidade tuberculose (TB) e aids. MÉTODOS: Estudo de vigilância utilizando os registros do Sistema de Informação de Agravos de Notificação de Tuberculose e de aids no Brasil de 2000 a 2005. Registros de TB sem informação da presença de aids foram considerados subnotificações da comorbidade quando pareados a registros de aids que apresentassem ano de diagnóstico de aids igual ou anterior ao ano de notificação da TB, assim como os registros de um mesmo paciente cujos registros anteriores apresentavam essa informação. Criou-se um indicador: comorbidade TB-aids reconhecida, a partir dos registros de TB com a informação de presença de aids. RESULTADOS: A subnotificação de TB-aids foi de 17,7%. Esse percentual variou entre estados. A incorporação dos registros subnotificados aos previamente reconhecidos elevou a proporção de TB-aids no Brasil de 6,9% para 8,4%. As maiores proporções de subnotificação foram observadas no Acre, Alagoas, Maranhão e Piauí (mais de 35% cada) e as menores em São Paulo e Goiás (cerca de 10% cada). CONCLUSÕES: A subnotificação da comorbidade TB-aids encontrada no Brasil deve deflagrar modificações no sistema de vigilância para prover informações aos programas nacionais. OBJECTIVE: To analyze the underreporting of the tuberculosis (TB) and AIDS comorbidity. METHODS: Surveillance study using records from the Notifiable Diseases Information System - Tuberculosis and AIDS in Brazil from 2000 to 2005. Records of TB without information on the presence of Aids were considered to be underreporting of the comorbidity when paired off with AIDS records in which the year of diagnosis of AIDS was the same or previous to the year of reporting of TB, as well as records from the same patient whose previous records had this information. An indicator was created: recognized TB-AIDS comorbidity, based on the TB records that had information on the presence of AIDS. RESULTS: The underreporting of TB-AIDS was 17.7%. This percentage varied between states. The incorporation of the underreported records into the previously recognized ones increased the proportion of TB-AIDS in Brazil from 6.9% to 8.4%. The highest proportions of underreporting were noted in Acre (Northern), Alagoas, Maranhão and Piauí (Northeastern) (more than 35% each) and the lowest in São Paulo (Southeastern) and Goiás (Central-western) (around 10% each). CONCLUSIONS: The underreporting of the TB-AIDS comorbidity found in Brazil will probably trigger modifications in the surveillance system in order to provide information for the national programs. OBJETIVO: Analizar la subnotificación de la comorbilidad tuberculosis (TB) y sida. MÉTODOS: Estudio de vigilancia utilizando los registros del Sistema de Información de Agravios de Notificación de Tuberculosis y de sida en Brasil de 2000 a 2005. Registros de TB sin información de la presencia de sida fueron consideradas subnotificaciones de la comorbilidad cuando se parearon a registros de sida que presentaron año de diagnóstico de sida igual o anterior al año de notificación de la TB, así como los registros de un mismo paciente cuyos registros anteriores presentaban esa información. Se creó un indicador: comorbilidad TB-sida reconocida, a partir de los registros de TB con la información de presencia de sida. RESULTADOS: La subnotificación de TB-sida fue de 17,7%. Este porcentaje varió entre estados. La incorporación de los registros subnotificados a los previamente reconocidos elevó la proporción de TB-sida en Brasil de 6,9% a 8,4%. Las mayores proporciones de subnotificación fueron observadas en Acre, Alagoas, Maranhao y Piauí (más de 35% en cada uno) y las menores en Sao Paulo y Goiás (cerca de 10% en cada uno). CONCLUSIONES: La subnotificación de la comorbilidad TB-sida encontrada en Brasil debe deflagrar modificaciones en el sistema de vigilancia para proveer informaciones a los programas nacionales.

96. Barriers to HIV testing, linkage to care, and treatment adherence: a cross-sectional study from a large urban center of Brazil

Author

MacCarthy, Sarah, Hoffmann, Michael, Nunn, Amy, Silva, Luís Augusto Vasconcelos da, and Dourado, Ines

Subjects
Male, Delayed Diagnosis, lcsh:Arctic medicine. Tropical medicine, diagnosis, lcsh:RC955-962, lcsh:Medicine, HIV Infections, patient compliance, Article, Diagnosis, Humans, Mass Screening, Cities, lcsh:Public aspects of medicine, lcsh:R, HIV, lcsh:RA1-1270, Continuity of Patient Care, Middle Aged, Treatment Adherence and Compliance, AIDS, Cross-Sectional Studies, Patient Compliance, Female, continuity of patient care, Brazil
Abstract

Submitted by Maria Creuza Silva (mariakreuza@yahoo.com.br) on 2017-05-23T18:33:18Z No. of bitstreams: 1 Ines Dourado. 2016.pdf: 2289657 bytes, checksum: d449727ca805d55a0965cf73a351995b (MD5) Made available in DSpace on 2017-05-23T18:33:18Z (GMT). No. of bitstreams: 1 Ines Dourado. 2016.pdf: 2289657 bytes, checksum: d449727ca805d55a0965cf73a351995b (MD5) Objective: Early, continued engagement with the HIV treatment continuum can help achieve viral suppression, though few studies have explored how risk factors for delays differ across the continuum. The objective of this study was to identify predictors of delayed diagnosis, delayed linkage to care, and nonadherence to treatment in the city of Salvador, Bahia, Brazil. Methods: Data were collected during 2010 in a cross-sectional study with a sample (n = 1 970) of HIV-infected individuals enrolled in care. Multiple logistic regression analyses identified sociodemographic variables, behaviors, and measures of health service quality that were associated with delayed diagnosis, delayed linkage to care, and treatment nonadherence. Results: For delayed diagnosis, male gender (adjusted odds ratio (AOR), 3.02; 95% confidence interval (CI), 2.0–4.6); age 45 years and older (AOR, 1.67; 95% CI, 1.1–2.5); and provider-initiated testing (AOR, 3.00; 95% CI, 2.1–4.4) increased odds, while drug use (AOR, 0.29; 95% CI, 0.2–0.5) and receiving results in a private space (AOR, 0.37; 95% CI, 0.2–0.8) decreased odds. For delayed linkage to care, unemployment (AOR, 1.42; 95% CI, 1.07–1.9) and difficulty understanding or speaking with a health care worker (AOR, 1.61; 95% CI, 1.2–2.1) increased odds, while posttest counseling (AOR, 0.49; 95% CI, 0.3–0.7) decreased odds. For nonadherence, experiencing verbal or physical discrimination related to HIV (AOR, 1.94; 95% CI, 1.3–3.0) and feeling mistreated or not properly attended to at HIV care (AOR, 1.60; 95% CI, 1.0–2.5) increased odds, while posttest counseling (AOR, 0.34; 95% CI, 0.2–0.6) decreased odds. Conclusions: More attention is needed on how policies, programs, and research can provide tailored support across the treatment continuum. Washington -DC

99. Tuberculin reactivity in a population of schoolchildren with high BCG vaccination coverage.

Author

Bierrenbach, Ana L., Cunha, Sergio S., Barreto, Mauricio L., Pereira, Susan M., Dourado, Ines, Ichihara, Maria Y., Brito, Silvana C., and Rodrigues, Laura C.

Subjects
*BCG vaccines, *TUBERCULOSIS vaccines, *VACCINATION, *TUBERCULIN test, *SKIN tests
Abstract

Investigates the influence of baccile Calmette-Guérin (BCG) or antituberculosis vaccination on tuberculin skin test reactivity, in order to guide the correct interpretation of the test in a setting of high neonatal BCG vaccination coverage. Motive for conducting tuberculin skin tests (TST); Use of TST surveys; Difficulties associated with performing the TST; Severity of tuberculosis worldwide.

Published
2003
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100. Características clínicas e laboratoriais da meningite asseéptica associada à vacina tríplice viral.

Author

Lucena, Rita, Gomes, Irenio, Nunes, Luciana, Cunha, Sergio, Dourado, Ines, da Gloria Teixeira, Maria, Goes, Julieta, Cardoso, Eduardo, Rodrigues, Bernardo, Cardoso, Adriana, Barreto, Mauricio L., and Melo, Ailton

Subjects
*CEREBROSPINAL fluid, *MENINGITIS, *VACCINATION, *MEASLES vaccines, *MUMPS vaccines, *RUBELLA vaccines
Abstract

Describes the epidemiological, clinical and cerebrospinal fluid findings in cases of aseptic meningitis associated with measles-mumps-rubella vaccination following a mass immunization in the Brazilian state of Bahia in August 1997. Comparison of the cases to cases of aseptic meningitis not associated with the vaccine that occurred in the same year.

Published
2002

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