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      Percepção dos profissionais de saúde e dos usuários sobre o aconselhamento no teste rápido para HIV Translated title: Perception of health professionals and users about counseling in the context of rapid HIV testing Translated title: Percepción de los profesionales de salud y usuarios acerca del conseñado en el contexto de la prueba rápida para VIH

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          Abstract

          RESUMO Objetivo Analisar a percepção acerca do aconselhamento no contexto do teste rápido para o HIV. Método Pesquisa com abordagem qualitativa realizada no Centro de Testagem e Aconselhamento com profissionais de saúde e com usuários do Centro de Testagem e Aconselhamento. A análise seguiu os passos propostos na fenomenologia empírica de Giorgi articulando-a com a literatura. Resultados Identificaram-se cinco categorias: a experiência anterior à realização do Teste Rápido; Intencionalidade de sentimentos; Percepção do aconselhamento pelo usuário; Percepção do aconselhamento individual no pós-teste e; Percepção de profissionais sobre o aconselhamento. O aconselhamento coletivo é percebido pelos usuários como palestra sobre HIV/Aids com ênfase em consequências negativas; e o aconselhamento individual, como mais confortável e como possibilidade para exposição de dúvidas. Discussão Considera-se que, mesmo sabendo da importância do aconselhamento, este é realizado de forma empírica, reduzindo o ato ao repasse de informações com teor educativo, visando apenas à aprendizagem cognitiva como meio de disseminar o conhecimento, tentando, assim, reduzir a cadeia de transmissão da HIV/Aids.

          Translated abstract

          ABSTRACT Objective To recognize the perception of counseling by professionals and users of the Testing and Counseling Center to perform the Rapid Test for the diagnosis of HIV. Method Qualitative research conducted at the Testing and Counseling Center. We interviewed users and professionals who performed the rapid test. The analysis followed the steps proposed in the empirical phenomenology of Giorgi, articulating with the literature. Results Five categories were identified: Prepredicative experience when performing The rapid test; Intent of feelings; Perception of user advice; Perception of individual counseling in the post-test and; Perception of professionals about counseling. Collective counseling is perceived by the users as a talk about STI / Aids with an emphasis on negative consequences and individual counseling as more comfortable and possibility for exposing doubts. Discussion It is considered that even knowing the importance of counseling, this is done in an empirical way, reducing the act to the transfer of information with educational content, aiming at only cognitive learning and as a means of disseminating knowledge, thus trying to reduce the HIV/ Aids transmission chain.

          Translated abstract

          RESUMEN Objetivo Analizar la percepción acerca del asesoramiento en el contexto de la prueba rápida para el VIH. Método Investigación con enfoque cualitativo realizada en el Centro de Pruebas y Asesoramiento con profesionales de salud y de los usuarios del Centro de Pruebas y Asesoramiento. El análisis siguió los pasos propuestos en la fenomenología empírica de Giorgi, articulando con la literatura. Resultados Se identificaron cinco categorías: la experiencia anterior a la realización de la prueba rápida; Intencionalidad de sentimientos; Percepción del asesoramiento por el usuario; Percepción del asesoramiento individual en el post-test y; Percepción de profesionales sobre el asesoramiento. El asesoramiento colectivo es percibido por los usuarios como conferencia sobre HIV / SIDA con énfasis en consecuencias negativas y el asesoramiento individual como más cómodo y posibilidad para la exposición de dudas. Discusión: Se considera que, aunque se sabe de la importancia del asesoramiento, éste se realiza de forma empírica, reduciendo el acto al traspaso de informaciones con contenido educativo, visando que el sólo el aprendizaje cognoscitivo y como medio de diseminar el conocimiento, intentando así reducir la cadena de transmisión de la HIV / SIDA.

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          HIV treatment in pregnancy

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            Measuring HIV-related stigma among healthcare providers: a systematic review.

            In the United States, HIV-related stigma in the healthcare setting is known to affect the utilization of prevention and treatment services. Multiple HIV/AIDS stigma scales have been developed to assess the attitudes and behaviors of the general population in the U.S. towards people living with HIV/AIDS, but fewer scales have been developed to assess HIV-related stigma among healthcare providers. This systematic review aimed to identify and evaluate the measurement tools used to assess HIV stigma among healthcare providers in the U.S. The five studies selected quantitatively assessed the perceived HIV stigma among healthcare providers from the patient or provider perspective, included HIV stigma as a primary outcome, and were conducted in the U.S. These five studies used adapted forms of four HIV stigma scales. No standardized measure was identified. Assessment of HIV stigma among providers is valuable to better understand how this phenomenon may impact health outcomes and to inform interventions aiming to improve healthcare delivery and utilization.
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              Gendered relationship between HIV stigma and HIV testing among men and women in Mozambique: a cross-sectional study to inform a stigma reduction and male-targeted HIV testing intervention

              Objectives Increasing and sustaining engagement in HIV care for people living with HIV are critical to both individual therapeutic benefit and epidemic control. Men are less likely to test for HIV compared with women in sub-Saharan African countries, and ultimately have delayed entry to HIV care. Stigma is known to impede such engagement, placing an importance on understanding and addressing stigma to improve HIV testing and care outcomes. This study aimed to assess the gendered differences in the relationship between stigma and HIV testing. Design and setting A cross-sectional, household probability survey was implemented between November and December 2016 in the Sofala province of Mozambique. Participants Data were restricted to men and women participants who reported no prior diagnosis of HIV infection (N=2731). Measures Measures of sociodemographic characteristics, stigma and past exposure to HIV interventions were included in gender-stratified logistic regression models to estimate the relationship between stigma and recent testing for HIV, as well as to identify other relevant correlates. Results Significantly fewer men (38.3%) than women (47.6%; p<0.001) had recently tested for HIV. Men who reported previous engagement in community group discussions about HIV had an increased odds of testing in the past 12 months compared to those who had not participated (adjusted OR (aOR)=1.92; 95% CI 1.51 to 2.44). Concerns about stigma were not a commonly reported barrier to HIV testing; however, men who expressed anticipated individual HIV stigma had a 35% lower odds of recent HIV testing (aOR=0.65; 95% CI 0.44 to 0.96). This association was not observed among women. Conclusions Men have lower uptake of HIV testing in Mozambique when compared to women. Even amidst the beneficial effects of HIV messaging, individual stigma is negatively associated with recent HIV testing among men. Intervention efforts that target the unique challenges and needs of men are essential in promoting men’s engagement into the HIV care continuum in sub-Saharan Africa.
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                Author and article information

                Contributors
                Role: ND
                Role: ND
                Role: ND
                Role: ND
                Journal
                ean
                Escola Anna Nery
                Esc. Anna Nery
                Universidade Federal do Rio de Janeiro (, RJ, Brazil )
                1414-8145
                2177-9465
                2020
                : 24
                : 2
                : e20190171
                Affiliations
                [01] Fortaleza Ceará orgnameUniversidade de Fortaleza orgdiv1Pós-Graduação em Saúde Coletiva Brazil
                [02] Fortaleza Ceará orgnameUniversidade de Fortaleza orgdiv1Curso de graduação em Psicologia Brazil
                Article
                S1414-81452020000200218 S1414-8145(20)02400200218
                10.1590/2177-9465-ean-2019-0171
                61e44310-9280-4c99-8d26-3f2d70f11b94

                This work is licensed under a Creative Commons Attribution 4.0 International License.

                History
                : 05 December 2019
                : 23 July 2019
                Page count
                Figures: 0, Tables: 0, Equations: 0, References: 31, Pages: 0
                Product

                SciELO Brazil

                Categories
                Pesquisa

                Counseling,Sorodiagnóstico da Aids,Aconselhamento,Doenças Sexualmente Transmissíveis,Testes Sorológicos,Sexually Transmitted Diseases,Serological tests,Aids serodiagnosis,Sorodiagnóstico del sida,Asesoramiento,Enfermedades sexualmente transmisibles,Pruebas serológicas

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