[Contexts of HIV vulnerability among Brazilian women].

This article aims to identify contexts of vulnerability related to HIV among Brazilian women. From November 2003 to December 2004, a cross-sectional study was conducted in 13 municipalities in the five Brazilian regions. The study included 1,777 women with a positive HIV diagnosis and 2,045 women attending public health care services. There were no significant differences between the two groups concerning number of sexual partners. However, HIV-positive women had a history of earlier sexual initiation and lower frequency of condom use. Higher proportions of HIV-positive women had used drugs, had a history of previous STDs, and had been victims of sexual violence some time in their life. The findings suggest the importance of considering strategies for HIV prevention focused on women's empowerment as a whole, and not focused only on their individual behaviors.

[1]  Regina Maria Barbosa,et al.  Comportamento e práticas sexuais de homens e mulheres, Brasil 1998 e 2005 , 2008 .

[2]  M. Silveira,et al.  Poverty, skin colour and HIV infection: A case-control study from southern Brazil , 2008, AIDS care.

[3]  M. Cardoso,et al.  [Gender differences among persons with HIV admitted to a university reference center in São Paulo, Brazil]. , 2007, Cadernos de saude publica.

[4]  M. Kaminski,et al.  Contraception at the time of abortion: high-risk time or high-risk women? , 2006, Human reproduction.

[5]  P. Macaskill,et al.  Risk factors for HIV infection in a gynaeco-obstetric population in Vietnam--a case-control study. , 2005, Sexual health.

[6]  C. S. Barbosa,et al.  Mulheres de Camaragibe: representação social sobre a vulnerabilidade feminina em tempos de AIDS , 2005 .

[7]  N. Hearst,et al.  Sexual orientation, use of drugs and risk perception among HIV-positive men in São Paulo, Brazil , 2005, International journal of STD & AIDS.

[8]  R. Thomson,et al.  Vulnerability to malaria, tuberculosis, and HIV/AIDS infection and disease. Part 1: determinants operating at individual and household level. , 2004, The Lancet. Infectious diseases.

[9]  Ruy Laurenti,et al.  A aids no Estado de São Paulo: as mudanças no perfil da epidemia e perspectivas da vigilância epidemiológica , 2002 .

[10]  Cássia Maria Buchalla,et al.  Mulheres HIV positivas, reprodução e sexualidade , 2002 .

[11]  H. Myers,et al.  Does a history of trauma contribute to HIV risk for women of color? Implications for prevention and policy. , 2002, American journal of public health.

[12]  Ignez Salas Martins,et al.  Escores de consumo alimentar e níveis lipêmicos em população de São Paulo, Brasil Food consumption scores and serum lipids levels in the population of São Paulo, Brazil , 2002 .

[13]  N. Hearst,et al.  Risk Perception and Counselling among HIV-Positive Women in São Paulo, Brazil , 2000 .

[14]  K. Giffin.  Beyond empowerment: heterosexualities and the prevention of AIDS. , 1998, Social science & medicine.

[15]  S. Kippax,et al.  Sexual negotiation in the AIDS era: negotiated safety revisited , 1997, AIDS.

[16]  I. de Vincenzi,et al.  Probability of heterosexual transmission of HIV: relationship to the number of unprotected sexual contacts. European Study Group in Heterosexual Transmission of HIV. , 1996, Journal of acquired immune deficiency syndromes and human retrovirology : official publication of the International Retrovirology Association.

[17]  Ronald Ar.  Slowing heterosexual HIV transmission. , 1995 .

[18]  S. Moses,et al.  Factors Affecting Female-to-Male Transmission of HIV-1: Implications of Transmission Dynamics for Prevention , 1991 .