Asociación sexual entre personas que viven con el VIH: manejo de las diferencias serológicas

Palabras clave: VIH, Síndrome de Inmunodeficiencia Adquirida, Asistencia al paciente, comportamiento sexual

Resumen

Objetivo: Analizar si existen diferencias entre las características sociodemográficas, clínicas y afectivas sexuales en las diferentes asociaciones sexuales entre personas viviendo con VIH / sida. Métodos: Se trata de un estudio transversal realizado en un servicio de asistencia especializada en el tratamiento de personas con el Virus de la Inmunodeficiencia Humana, con 173 participantes. Los datos fueron recolectados por medio de entrevistas con cuestionarios construidos para el estudio. Resultados: Se verificaron evidencias estadísticas entre la serología del compañero y el sexo, estado civil, hijo, número de hijos. La serología del compañero sexual también presentó evidencias científicas entre las variables tipo de asociación, uso del preservativo masculino, práctica sexual vaginal insertiva, divulgación del diagnóstico del VIH para la asociación sexual y considera importante la divulgación del VIH para el socio.
Conclusión: La serología del compañero fue influenciada por las variables sociodemográficas y afectivo-sexuales.

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Biografía del autor/a

Layze Braz de Oliveira, Universidade de São Paulo, Escola de Enfermagem de Ribeirão Preto.
Enfermeira,mestre em enfermagem pela Escola de enfermagem de Ribeirão Preto.

Citas

Hancuch K, Baeten J, Ngure K, Celum C, Mugo N, Tindimwebwa E, et al. Safer conception among HIV-1 serodiscordant couples in East Africa: understanding knowledge, attitudes, and experiences, AIDS Care, 2018; 30(8): 973-981. doi: 10.1080/09540121.2018.1437251

Brown, J., Njoroge, B., Akama, E., Breitnauer, B., Leddy, A., Darbes, L., Mmeje, O. A novel safer conception counseling toolkit for the prevention of HIV: A mixed-methods evaluation in Kisumu, Kenya. AIDS Education and Prevention, 2016; 28 (6): 524–538. doi: 10.1521/aeap.2016.28.6.524

Oliveira LB, Matos MCB, Jesus GJ, Reis RK, Gir E, Araújo TME. Sexual partnerships of people living with the Human Immunodeficiency Virus. Rev Rene. 2017; 18 (6): 825-31. doi: 10.15253/2175-6783.2017000600017

Oliveira LB, Matos MCB, Costa CRB, Jesus GJ, Argolo JGM, Reis R K. Establishment of partnerships in people living with hiv/aids attended in a specialized center: experience report. Sylwan. 2017; 161(7):106-212. http://www.sylwan.ibles.org/syl/index.php/pdf/stream/884Tf/1497309728

Mwakalapuka A, Mwampagatwa I, Bali T, Mwashambwa M, Kibusi S. Emotional and Relationship Dynamics between HIV SeroDiscordance and Concordance Couples: A Narrative Literature Review and Theoretical Framework. ARC J Public Health Community Med. 2017; 2(2): 1-14. https://ecommons.aku.edu/eastafrica_fhs_sonam/146

Atujuna M, Newman PA, Wallace M, Eluhu M, Rubincam C, Brown B, et al. Contexts of vulnerability and the acceptability of new biomedical HIV prevention technologies among key populations in South Africa: A qualitative study. PLoS ONE. 2018; 13(2): e0191251. doi: https://doi.org/10.1371/journal.pone.0191251

Dourado I, MacCarthy S, Reddy M, Calazans G, Gruskin S. Revisitando o uso do preservativo no Brasil. Rev. bras. epidemiol. 2015 Sep; 18 (Suppl 1): 63-88.

doi: http://dx.doi.org/10.1590/1809-4503201500050006.

Brasil. Departamento de DST, Aids e Hepatites Virais, Secretaria de Vigilância em Saúde, Ministério da Saúde. Boletim Epidemiológico HIV-AIDS. 2016.

Tam VV, Cuong DD, Alfven T, Phuc HD, Chuc NTK, Hoa NP., et al. HIV serodiscordance among married HIV patients initiating antiretroviral therapy in northern Vietnam. AIDS Research and Therapy. 2016; 13(12): 39.

doi: https://doi.org/10.1186/s12981-016-0124-9

Rodger AJ, Cambiano V, Bruun T, et al. Sexual Activity Without Condoms and Risk of HIV Transmission in Serodifferent Couples When the HIV-Positive Partner Is Using Suppressive Antiretroviral Therapy. JAMA. 2016; 316(2): 171–181. doi: 10.1001/jama.2016.5148

Dube BNR, Marshall TP, Ryan RP. Predictors of human immunodeficiency virus (HIV) infection in primary care: a systematic review protocol. Systematic Reviews. 2016; 5(3): 158-64. doi: 10.1186/s13643-016-0333-2

Lam CR, Holtz TH, Leelawiwat, W, Mock PA, Chonwattana W, Wimonsate W.

et al. Subtypes and Risk Behaviors Among Incident HIV Cases in the Bangkok Men Who Have Sex with Men Cohort Study Thailand, 2006-2014. AIDS Research and Human Retroviruses. 2017; 33(10): 1004-1012. doi: https://doi.org/10.1089/aid.2016.0119

Perry, N.S., Wade Taylor, S., Elsesser, S. et al. AIDS Behav. 2016; 20(6): 1228-35. doi: https://doi.org/10.1007/s10461-015-1202-z

Cremin I, Hallett T. Estimating the range of potential epidemiological impact of pre-exposure prophylaxis: run-away success or run-away failure? AIDS, 2015; 29(6): 733–739. doi: 10.1097/QAD.0000000000000591.

Taylor SW. Psaros C, Pantalone DW, Tinsley J, Elsesser AS, Mayer KH. “Life-Steps” for PrEP adherence: demonstration of a CBT-Based Intervention to Increase Adherence to Preexposure Prophylaxis (PrEP) Medication Among Sexual-Minority Men at High Risk for HIV Acquisition. Cognitive and Behavioral Practice. 2017; 24(1): 38-49. doi: 10.1016/j.cbpra.2016.02.004

Bernier A, Lazar F, Matamba G, Loukid M, Bonifaz C, Diop S., et al. ‘‘Was it a mistake to tell others that you are infected with HIV?": factors associated with regret following HIV disclosure among people living with HIV in five countries (Mali, Morocco, Democratic Republic of the Congo, Ecuador and Romania). Results from a Community-Based Research. AIDS and Behavior. 2015; 19(2): 311-3.

doi: 10.1007/s10461-014-0976-8

Afe AJ, Fadero T, Oluokun O. HIV Sero-Discordant Couples in Southwest Nigeria: Prevalence and Associated Risk Factors. Journal of Clinical Research In HIV AIDS And Prevention - 3(2):24-31. doi: 10.14302/issn.2324-7339.jcrhap-18-2236

Suzan-Monti M, Lorente N, Demoulin B, Marcellin F, Pre´au M, Dray-Spira R., et al. Sexual risk behaviour among people living with HIV according to the biomedical risk of transmission: results from the ANRS-VESPA2 survey. Journal of the International AIDS Society. 2016; 19:1: 20095. doi: http://dx.doi.org/10.7448/IAS.19.1.20095

Engedashet E, Alemayehu W, Gezahegn, T. Unprotected sexual practice and associated factors among People Living with HIV at Ante Retroviral Therapy clinics in Debrezeit Town, Ethiopia: a cross sectional study. Reproductive Health 2014, 11:56. doi: https://doi.org/10.1186/1742-4755-11-56

Kilembe W, Wall KM, Mokgoro M, Mwaanga A, Dissen E, Kamusoko M, et al. (2015) Knowledge of HIV Serodiscordance, Transmission, and Prevention among Couples in Durban, South Africa. PLoS ONE 10(4): e0124548. doi: https://doi.org/10.1371/journal.pone.0124548

Reis RK, Melo ES, Gir E. Fatores associados ao uso inconsistente do preservativo entre pessoas vivendo com HIV/Aids. Rev Bras Enferm. 2016; 69(1): 47-53. doi: http://dx.doi.org/10.1590/0034-7167.2016690106i.

Kalichman SC, Cherry C, Kalichaman MO, Washington C, Grebler T, Hoyt G., et al., Sexual Behaviors and Transmission Risks Among People Living with HIV: Beliefs, Perceptions, and Challenges to Using Treatments as Prevention. Achives of Sexual Behavior. 2016; 45(6): 1421–14. doi: 10.1007/s10508-015-0559-4

Queiroz Artur Acelino Francisco Luz Nunes, Sousa Álvaro Francisco Lopes de, Matos Matheus Costa Brandão, Araújo Telma Maria Evangelista, Reis Renata Karina, Moura Maria Eliete Batista. Knowledge about HIV/AIDS and implications of establishing partnerships among Hornet® users. Rev. Bras. Enferm. 2018; 71( 4 ): 1949-1955. doi: http://dx.doi.org/10.1590/0034-7167-2017-0409.

Zwolińska K, Fleischer-Stępniewska K, Knysz B, Błachowicz O, Piasecki E. Genetic diagnosis of seronegative (HIV−) partner of female patient with AIDS in the context of HIV transmission. HIV & AIDS Review. International Journal of HIV-Related Problems. 2016;15(2):97-100.

https://www.termedia.pl/Genetic-diagnosis-of-seronegative-HIV-partner-of-female-patient-with-AIDS-in-the-context-of-HIV-transmission,106,27843,0,1.html

Marcellin, F., Suzan-Monti, M., Vilotitch, A. et al. AIDS Behav. Disclosure of HIV Status Beyond Sexual Partners by People Living with HIV in France: A Call for Help? Results from the National Cross-Sectional Survey ANRSVESPA2. AIDS behavior. 2017; 21(1): 196-206. doi: https://doi.org/10.1007/s10461-016-1549-9.

Conroy AA, Wong L. H. How reliable are self-reports of HIV status disclosure? Evidence from couples in Malawi. Social Science & Medicine. 2015; 144: 28–37. doi: 10.1016/j.socscimed.2015.09.007.

Cissé M, Diop S, ABADIE A, Henry E, Bernier A, Fugon L., et al. Factors associated with HIV voluntary disclosure to one's steady sexual partner in mali: results from a community-based study. Journal of Biosocial Science. 2016; 48(1): 51-65. doi: https://doi.org/10.1017/S0021932014000546

Obiri-Yeboah D, Amoako-Sakyi D, Baidoo L, Adu-Oppong A, Rheinlander T. The ‘Fears’ of disclosing HIV status to sexual partners: a mixed methods study in a counseling setting in Ghana. AIDS Behavior. 2016 Jan;20(1):126-36. doi: 10.1007/s10461-015-1022-1.

Cherayi S, Jose JP. The determinants of distress among HIV discordant couples. HIV & AIDS Review. 2015; 14(4): 119-125. doi: 10.1016/j.hivar.2015.05.006

Publicado
15-03-2020
Cómo citar
[1]
Braz de Oliveira, L., Braz Costa, C.R., Pontes, P.S., Brito Magalhães, R. de L., Gir, E. y Reis, R.K. 2020. Asociación sexual entre personas que viven con el VIH: manejo de las diferencias serológicas. Enfermería Global. 19, 2 (mar. 2020), 494-530. DOI:https://doi.org/10.6018/eglobal.384261.
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