Gravidade Percebida e Vulnerabilidade ao HIV: Revisão Sistemática da Literatura

Rafael Nogueira Furtado, Fabiane Rossi dos Santos Grincenkov, Leonardo Fernandes Martins

Resumo


O trabalho consiste em uma revisão sistemática da literatura, com vistas a avaliar a hipótese de que haveria uma associação negativa (inversamente proporcional) entre gravidade percebida do HIV e exposição ao HIV. Foram selecionados estudos observacionais publicados entre os anos de 1998 e 2018. Identificaram-se 151 referências potencialmente relevantes, 50 artigos foram eleitos para leitura na íntegra e, desses, 26 artigos foram selecionados para a síntese desta pesquisa. Em 17 estudos não se confirmou a hipótese avaliada, contra 9 trabalhos nos quais se constatou a associação entre as variáveis. Na discussão dos achados, problematizam-se a operacionalização dos construtos analisados, os limites e o alcance dos desenhos de pesquisa adotados, assim como as implicações éticas de ações em saúde baseadas nos construtos gravidade percebida e comportamentos de risco. Como conclusão, são propostas recomendações para estratégias de prevenção ao HIV.

Palavras-chave


HIV/aids; gravidade percebida; comportamento em saúde; estigma; vulnerabilidade

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Referências


Abdissa, H. G., Lemu, Y. K., & Nigussie, D. T. (2014). HIV preventive behavior and associated factors among mining workers in Sali traditional gold mining site Bench Maji zone, Southwest Ethiopia: a cross sectional study. BMC Public Health, 14, 1003.

Abraham, C., & Sheeran, P. (2009). The health belief model. In S. Ayers, A. Baum, C. McManus, S. Newman, K. Wallston, J. Weinman & R. West (Eds.), Cambridge handbook of psychology, health and medicine (pp. 97-102). Cambridge: Cambridge University Press.

Agha, S. (2003). The impact of a mass media campaign on personal risk perception, perceived self-efficacy and on other behavioural predictors. AIDS Care, 15(6), 749-762.

Ayres, J., Calazans, G. J., Saletti, H. C., Filho, & França, I. Jr (2006). Risco, vulnerabilidade e práticas de prevenção e promoção da saúde. In G. Campos, M. C. Minayo, M. Akerman, M. Drumond Jr & Y. M. Carvalho (Eds.), Tratado de saúde coletiva (pp.375-417). Rio de Janeiro: Fiocruz.

Baiden, P., & Rajulton, F. (2011). Factors influencing condom use among women in Ghana: An HIV/AIDS perspective. Sahara Journal, 8(2), 46-54.

Balán, I. C., Carballo-Diéguez, A., Ventuneac, A., Remien, R. H., Dolezal, C., & Ford J. (2013). Are HIV-negative men who have sex with men and who bareback concerned about HIV infection? Implications for HIV risk reduction interventions. Archives of Sexual Behavior, 42(2), 279-289.

Bandura, A. (1990). Perceived self-efficacy in the exercise of control over AIDS infection. Evaluation and Program Planning, 13(1), 9-7.

Becker, M. H., Drachman, R. H., & Kirscht, J. P. (1974). A new approach to explaining sick-role behavior in low-income populations. American Journal of Public Health, 64(3), 205-216.

Benotsch, E. G., Pinkerton, S. D., Dyatlov, R. V., DiFranceisco, W., Smirnova, T. S., Dudko, V. Y., & Kozlov, A. (2006). HIV/AIDS knowledge and attitudes of STD clinic attendees in St. Petersburg, Russia. International Journal of Behavioral Medicine, 13(1), 26-33.

Brasil. Ministério da Saúde. (2019). Campanha de IST: sem camisinha, você assume esse risco. http://www.aids.gov.br/pt-br/campanha/2019-campanha-de-ist-sem-camisinha-voce-assume-esse-risco

Braun, V., & Clarke, V. (2006). Using thematic analysis in psychology. Qualitative Research in Psychology, 3(2), 77-101.

Brown, E. J. (1998). Female injecting drug users: Human immunodeficiency virus risk behavior and intervention needs. Journal of Professional Nursing, 14(6), 361-369.

Chard, A. N., Metheny, N., & Stephenson, R. (2017). Perceptions of HIV seriousness, risk, and threat among online samples of HIV-negative men who have sex with men in seven countries. JMIR Public Health and Surveillance, 3(2), 37.

Dela Coleta, M. F. (2003). Escalas para medida das crenças em saúde: Construção e validação. Avaliação Psicológica, 2(2), 111-122.

Fairchild, A. L., Bayer, R., Green, S. H., Colgrove, J., Kilgore, E., Sweeney, M., & Varma, J. K. (2018). The two faces of fear: a history of hard-hitting public health campaigns against tobacco and AIDS. American Journal of Public Health, 108(9), 1180-1186.

Goffman, E. (1980). Estigma: Notas sobre a manipulação da identidade deteriorada. Rio de Janeiro: Zahar.

Goodwin, C. J., & Goodwin, K. A. (2012). Research in psychology: Methods and design. Hoboken: Wiley.

Hounton, S. H., Carabin, H., & Henderson, N. J. (2005). Towards an understanding of barriers to condom use in rural Benin using the Health Belief Model: A cross sectional survey. BMC Public Health, 5, 8.

Iriyama, S., Nakahara, S., Jimba, M., Ichikawa, M., & Wakai, S. (2007). AIDS health beliefs and intention for sexual abstinence among male adolescent students in Kathmandu, Nepal: a test of perceived severity and susceptibility. Public Health, 121(1), 64-72.

Kelly, J. A., Hoffman, R. G., Rompa, D., & Gray, M. (1998). Protease inhibitor combination therapies and perceptions of gay men regarding AIDS severity and the need to maintain safer sex. AIDS, 12(10), 91.

Kerr, L. R., Mota, R. S., Kendall, C., Pinho, A., Mello, M. B., & Guimarães, M. D. (2013). HIV among MSM in a large middle-income country. AIDS, 27(3), 427-435.

Kerr, L., Kendall, C., Guimarães, M. D. C., Salani Mota, R., Veras, M. A., Dourado, I., & Johnston, L. G. (2018). HIV prevalence among men who have sex with men in Brazil: Results of the 2nd national survey using respondent-driven sampling. Medicine (Baltimore), 97(1), 9-15.

Khumsaen, N., & Stephenson, R. (2017). Beliefs and perception about HIV/AIDS, self-efficacy, and HIV sexual risk behaviors among young thai men who have sex with men. AIDS Education and Prevention, 29(2), 175-190.

Li, X., Fang, X., Lin, D., Mao, R., Wang, J., Cottrell, L., Harris, C. (2004). HIV/STD risk behaviors and perceptions among rural-to-urban migrants in China. AIDS Education and Prevention, 16(6), 538-556.

Li, X., Lei, Y., Wang, H., He, G., & Williams, A. B. (2016). The health belief model: A qualitative study to understand high-risk sexual behavior in Chinese men who have sex with men. Journal of the Association of Nurses in AIDS Care, 27(1), 66-76.

Lin, P., Simoni, J. M., & Zemon, V. (2005). The health belief model, sexual behaviors, and HIV risk among Taiwanese immigrants. AIDS Education and Prevention, 17(5), 469-483.

Maes, C. A., & Louis, M. (2003). Knowledge of AIDS, perceived risk of AIDS, and at-risk sexual behaviors among older adults. Journal of the American Academy of Nurse Practitioners, 15(11), 509-516.

Monteiro, S., Villela, W., Pereira, C., & Soares, P. (2013). A produção acadêmica recente sobre estigma, discriminação, saúde e aids no Brasil. In S. Monteiro & W. Villela (Eds.), Estigma e saúde (p. 60-76). Rio de Janeiro: Fiocruz.

Muñoz-Silva, A., Sánchez-García, M., Nunes, C., & Martins, A. (2007). AIDS prevention in late adolescent college students from Spain and Portugal. Public Health, 121(9), 673-681.

Najem, G. R., & Okuzu, E. I. (1998). International comparison of medical students’ perceptions of HIV infection and AIDS. Journal of the National Medical Association, 90(12), 765-774.

Neff, J. A., & Crawford, S. L. (1998). The health belief model and HIV risk behaviours: A causal model analysis among Anglos, African-Americans and Mexican-Americans. Ethnicity & Health, 3(4), 283-299.

Peltzer, K. (2012). Factors affecting behaviours that address HIV risk among black and white South Africans. Curationis, 25(3), 19-22.

Peltzer, K., & Oladimeji, Y. (2004). Some factors in condom use amongst first-year Nigerian University students and black and white South Africans. Psychological Reports, 94(2), 583-586.

Peterson, J. L., Miner, M. H., Brennan, D. J., & Rosser, B. R. (2012). HIV treatment optimism and sexual risk behaviors among HIV positive African-American men who have sex with men. AIDS Education and Prevention, 24(2), 91-101.

Rosenstock, I., Strecher, V. J., & Becker, M. H. (1994). The health belief model and HIV risk behavior change. In R. J. DiClemente, J. Ralph & J. L. Peterson (Eds.). Preventing AIDS: Theories and Methods of Behavioral Interventions (pp. 5-25). New York: Springer Science.

Rossem, R. V., & Meekers, D. (2011). Perceived social approval and condom use with casual partners among youth in urban Cameroon. BMC Public Health, 11, 632.

UNAIDS. (2017). Report on the global AIDS epidemic 2017. Geneva: UNAIDS.

Wang, Z., Wu, X., Lau, J., Mo, P., Mak, W., Wang, X., & Jiang, H. (2017). Prevalence and factors associated with unprotected anal intercourse with regular and nonregular male sexual partners among newly diagnosed HIV-positive men who have sex with men in China. HIV Medicine, 18(9), 635-646.

Wiggers, L. C., de Wit, J. B., Gras, M. J., Coutinho, R. A., & van de Hoek, A. (2003). Risk behavior and social-cognitive determinants of condom use among ethnic minority communities in Amsterdam. AIDS Education and Prevention, 14(5), 430-447.

Wutoh, A. K., Brown, C. M., Dutta, A. P., Kumoji, E. K., Clarke-Tasker, V., & Xue, Z. (2005). Treatment perceptions and attitudes of older human immunodeficiency virus-infected adults. Research in Social & Administrative Pharmacy, 1(1), 60-76.

Zak-Place, J., & Stern, M. (2004). Health belief factors and dispositional optimism as predictors of STD and HIV preventive behavior. Journal of American College Health, 52(5), 229-236.




DOI: https://doi.org/10.5020/23590777.rs.v20i2.e10166

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Revista Subjetividades, Fortaleza - Ceará- Brasil – E-ISSN: 2359-0777

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