Social representations about HIV/aids and management of the risks in time of chronical disease
DOI:
https://doi.org/10.33448/rsd-v10i10.18357Keywords:
HIV; Acquired immunodeficiency syndrome; Disease prevention.Abstract
The aim of the study is to know the social representations about HIV-aids, as well as the management of risk management in the context of the disease's chronicity. Method qualitative based on the Theory of Social Representations. Seven life story interviews were conducted with people who self-reported Lesbians, Gays, Bisexuals and Transgender, residents of the Federal District, in the period from September 2018 to September 2019, which were analyzed with the Iramuteq software: Descending Hierarchical Classification and Similitude Analysis. Results: Three thematic axes were obtained: the first axis composed of class five showed that everyone is exposed to different types of risks. The second axis demonstrated the confrontation of stigma and difficulties in managing risks in the context of the chronicity of the disease, constituted by the classes three that addressed social exclusion and violence, and class two showed the difficulties and limits of risk management. The third axis composed of classes four and class one portrayed the painful experience of submission to violence and the possibility of death from HIV/AIDS. The negotiation of measures to prevent Sexually Transmitted Infections is the main barrier, together with stigma and exclusion. Conclusions: It is necessary to continue investing in innovative strategies that reinforce the importance of self-care for responsible sexuality, integrated and interrelated to the different stages of the trajectory of life.
References
Abreu, P. D., Araújo, C. E., Vasconcelos, C. M. R., Ramos, V. P., Moura, J. W. S. & Santos, Z. C, et al.(2020). Social representations of transsexual women living with HIV/AIDS. Rev. Bras. Enferm, 73, (3), e20180390.
Agostini, R, Maksud, I & Franco, T. (2017). Essa doença para mim é a mesma coisa que nada: reflexões socioantropológicas sobre o descobrir-se soropositivo. Saude soc., 26, (2), 496-509.
Barbará, A, Sachetti, V.A. R & Crepaldi M. A.(2005). Contribuições das Representações Sociais ao estudo da AIDS. Interação em Psicologia, 2005, 9(2), p. 331-339.
Calazans, G. J. (2018). Vulnerabilidade programática e cuidado público: Panorama das políticas de prevenção do HIV e da Aids voltadas para gays e outros HSH no Brasil. Sexualidad, Salud y Sociedad, 29, 263-293.
Camargo, B. V., & Justo, A. M. (2013). IRAMUTEQ: Um software gratuito para análise de dados textuais. Temas em Psicologia, 21 (2), 513-518.
Camargo, B. V., & Justo, A. M. (2015). Tutorial para uso do software IRAMUTEQ. http://www.laccos.com.br/index.php?option=com_content&view=article &id=208%3Atutorial-do-software-iramuteq-em-portugues&catid=40%3Aoutros&Itemid=9&lang=br.
Cardoso, G. P. & Arruda, A. (2004). As representações sociais da soropositividade e sua relação com a observância terapêutica. Ciênc. saúde coletiva, 10, (1), 151-162.
Cecilio, H. P. M., Oliveira, D. S., Apostolidis, T., Dany, L., & Oliveira, D. C. de. (2020). Time perspective, socioeconomical status and quality of life of people living with HIV. Research, Society and Development, 9(8), e148985451.
Couto, P. L. S., Porcino, C., Pereira, S. S. da C., Neri, F. G., Azevedo, C. N., Vilela, A. B. A., Gomes, A. M. T., & Flores, T. da S. (2020). “Money as a synonym for pleasure?” procedural analysis of the representational meanings of sex workers on sexual satisfaction. Research, Society and Development, 9(8), e854986233.
Cunha, C.C. (2018). Configurações e reconfigurações do movimento de jovens vivendo com Hiv/Aids no Brasil: Identidades e prevenções em jogo. Sex, Salud y Soc, 29, 294-312.
Ferraz, D. & Paiva, V. (2015). Sexo, direitos humanos e AIDS: uma análise das novas tecnologias de prevenção do HIV no contexto brasileiro. Rev. bras. epidemiol. 18 (Suppl 1), 89-103.
Flores, Y., Yolanda R. (2016). Sexual violence as a limiting factor on the perception and management of the risk of HIV in women married to migrants. Rev. Latino-Am. Enfermagem, 2016, 24.
França, L. C. M., Gomes, A. M. T., Nogueira, V. P. F., Mercês, M. C. das, & Couto, P. L. S. (2020). Spirituality for people living with HIV/AIDS: an analysis of the procedural approach of social representations. Research, Society and Development, 9(8), e443985903.
Hipólito, R. L., Oliveira, D. C. de, Cecilio, H. P. M., Marques, S. C., Flores, P. V. P., Costa, T. L. da, & Lima, F. O. de. (2020). Quality of life of people living with HIV and their multifactorial relationships. Research, Society and Development, 9(7), e82973749.
Hoyos-Hernández, P.A., Mazo, J.P.S, Pineda, L.T.O., Gallego, A. L.V., Ceballos, M.G. Muñoz T.O. et al. (2019). Representaciones sociales asociadas al VIH/Sida en universitarios colombianos. Saude soc., 28 (2), 227-238.
Jodelet, D. (2001). Representações sociais: um domínio em ex-pansão. Em D. Jodelet (Org.), As representações Sociais (pp. 17-29). Eduerj.
Jodelet D. (2014). A propos des jeux et enjeux de savoir dans l'Education Thérapeutique des Patients. https://www.academia.edu/37785446/A_ propos_des_jeux_et_enjeux_de_savoir_dans_lEducation_Th%C3%A9rapeutique_des_Patients
Kerr, L. R., Mota, R. S., Kendall C., Pinho A. A, Mello M. B., Guimarães M. D., Dourado, I. et al. (2013). HIV among MSM in a large middle-income country. AIDS, 27(3), 427-35.
Kerr L, Kendall C, Guimarães M. D. C., Mota, R. S, Veras, M. A, Dourado, I., Brito, A. M. et al. (2018). HIV prevalence among men who have sex with men in Brazil: results of the 2nd national survey using respondent-driven sampling. Medicine, 97(1S Suppl 1), S9-S15.
Leal, N. S. B., Coêlho, A. E. L. (2016). Representações sociais da AIDS para estudantes de Psicologia. Fractal: Revista de Psicologia, 28(1), 9-16.
Massignam, F, M. Bastos, J. L. D. & Nedel, F. B. (2015). Discriminação e saúde: um problema de acesso. Epidemiol. Serv. Saúde 24 (3), 541-44.
Ministério da Saúde (BR). (2020). Secretaria de Vigilância em Saúde. Departamento de DST, Aids e Hepatites Virais. HIV/AIDS. Bol Epidemiológico. http://www.aids.gov.br/pt-br/pub/2020/boletim-epidemiologico-hivaids-2020.
Parker, R. & Aggleton, P. (2003). HIV and Aids-related stigma and discrimination: a conceptual framework and implications for action. Social Science & Medicine, 57(1), 13-24.
Pereira, G. F.M, Shimizu, H. E., Bermudez, X. P. & Merchan-Hamann, E. (2018). Epidemiologia do HIV e aids no estado do Rio Grande do Sul, 1980-2015. Epidemiol. Serv. Saúde, 27 (4), 1-11.
Rios, L. F., Albuquerque, A. P., Santana, W., Pereira, A. F., Oliveira Junior, C. J. (2019). O drama do sexo desprotegido: estilizações corporais e emoções na gestão de risco para HIV entre homens que fazem sexo com homens. Sex., Salud y Soc.,32, 65-89.
Silva, A. M. B. da & Enumo, S. R. F. (2017). Descrição e Análise de uma Intervenção Psicológica com Bailarinos pelo Software IRAMUTEQ. Temas em Psicologia, 25 (2), 577-593.
Silva, L. A. V & Iriart, J. A. B. (2010). Práticas e sentidos do barebacking entre homens que vivem com HIV e fazem sexo com homens. Interface, 14, (35), 739-52.
Simões, J.A. (2018). Gerações, mudanças e continuidades na experiência social da homossexualidade masculina e da epidemia de Hiv-Aids. Sex, Salud y Soc, 29,313-339.
United Nations. (2016) Global report: UNAIDS report on the global AIDS epidemic: Geneve: United Nations.
World Health Organization. (2000). United Nations Programme on HIV/AIDS. Guidelines for second-generation HIV surveillance. UNAIDS/World Health Organization. 40 p. http://www.who.int/hiv/pub/surveillance/en/cds_edc_2000_5.pdf.
Teixeira, F. B., Paulino, D. B., Raimond, G. A., Crovato, C. A. S., Prado, M. A. M. (2018). Entre o segredo e as possibilidades do cuidado: (re) pensando os silêncios em torno das narrativas das travestis sobre HIV/AIDS. Sex., Salud Soc. 2018, 29: 373-388.
Grangeiro, A., Ferraz, D, Pinheiro, T. F., Alencar, T. Ferguson, L, Estevam, D. L., Munhoz, R. (2018). Da evidência à ação: desafios do Sistema Único de Saúde para ofertar a profilaxia pré-exposição sexual (PrEP) ao HIV às pessoas em maior vulnerabilidade. Cadernos de Saúde Pública, 34(7), e00206617.
Downloads
Published
How to Cite
Issue
Section
License
Copyright (c) 2021 Helena Eri Shimizu
This work is licensed under a Creative Commons Attribution 4.0 International License.
Authors who publish with this journal agree to the following terms:
1) Authors retain copyright and grant the journal right of first publication with the work simultaneously licensed under a Creative Commons Attribution License that allows others to share the work with an acknowledgement of the work's authorship and initial publication in this journal.
2) Authors are able to enter into separate, additional contractual arrangements for the non-exclusive distribution of the journal's published version of the work (e.g., post it to an institutional repository or publish it in a book), with an acknowledgement of its initial publication in this journal.
3) Authors are permitted and encouraged to post their work online (e.g., in institutional repositories or on their website) prior to and during the submission process, as it can lead to productive exchanges, as well as earlier and greater citation of published work.
