Rosa de Alencar Souza

ORCID: 0000-0002-7930-0203
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About
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Research Areas
  • HIV/AIDS Research and Interventions
  • HIV, Drug Use, Sexual Risk
  • HIV-related health complications and treatments
  • HIV/AIDS drug development and treatment
  • Syphilis Diagnosis and Treatment
  • Sex work and related issues
  • HIV Research and Treatment
  • Health, Nursing, Elderly Care
  • Adolescent Sexual and Reproductive Health
  • LGBTQ Health, Identity, and Policy
  • Pneumocystis jirovecii pneumonia detection and treatment
  • Public Health in Brazil
  • Palliative Care and End-of-Life Issues
  • Gender, Sexuality, and Education
  • Viral-associated cancers and disorders
  • HIV/AIDS oral health manifestations
  • Telemedicine and Telehealth Implementation
  • Palliative and Oncologic Care
  • Science and Education Research
  • Global Maternal and Child Health
  • Mobile Health and mHealth Applications
  • Poxvirus research and outbreaks
  • Histiocytic Disorders and Treatments
  • Lymphoma Diagnosis and Treatment
  • Migration, Aging, and Tourism Studies

Secretaria da Saúde
2009-2024

Background The HIV-Brazil Cohort Study was established to analyze the effectiveness of combination antiretroviral therapy (cART) and impact this treatment on morbidity, quality life (QOL) mortality. study design, patients’ profiles characteristics cART initiation between 2003 2010 were described. Methodology/Principal Findings Since 2003, has been following HIV-infected adults receiving at 26 public health care facilities, using routine clinical data self-reported QOL questionnaires. When...

10.1371/journal.pone.0095673 article EN cc-by PLoS ONE 2014-05-01

Abstract Introduction People living with HIV (PLHIV) on antiretroviral therapy (ART) experience high rates of non‐communicable diseases (NCDs). These co‐morbidities often accumulate and older adults may suffer from multimorbidity. Multimorbidity has been associated loss quality life, polypharmacy, increased risk frailty mortality. Little is known the trends or predictors NCD multimorbidity in PLHIV low‐ middle‐income countries. Methods We examined adult initiating ART between 2003 2014 using...

10.1002/jia2.25233 article EN cc-by Journal of the International AIDS Society 2019-01-01

There is a paucity of data on cardiovascular disease (CVD) among people living with HIV (PLHIV) in resource-limited countries. We assessed factors associated CVD and the impact prevalent all-cause mortality PLHIV antiretroviral therapy Brazil.

10.1111/tmi.13405 article EN Tropical Medicine & International Health 2020-04-19

O monitoramento clínico de pessoas vivendo com HIV/aids (PVHA) contribui para a identificação e gestão caso das sem início tratamento (gap), em falha terapêutica abandono tratamento. objetivo deste artigo é apresentar discutir o desenvolvimento uma metodologia implementação do PVHA serviços Sistema Único Saúde (SUS). A utilizada desde 2014 pelo Centro Referência Treinamento DST/AIDS-SP-Coordenação Programa Estadual IST/AIDS Estado São Paulo, Brasil, foi reestruturada três reuniões, no...

10.1590/0102-311x00136219 article PT cc-by Cadernos de Saúde Pública 2020-01-01

Abstract Introduction Kaposi’s sarcoma (KS) remains the most frequent malignancy in persons living with HIV (PWH) Latin America. We examined KS trends and outcomes from American clinical sites era of increased access to antiretroviral therapy (ART). Methods Cohorts Brazil, Peru, Mexico, Honduras, Argentina Chile contributed data PWH ≥16 years old 2000 2017, excluding patients diagnosed before clinic enrolment. compared incidence over time using multivariable rate ratios. Predictors before/at...

10.1002/jia2.25658 article EN cc-by Journal of the International AIDS Society 2021-01-01

Objective To evaluate the impact of an intervention improving continuum care monitoring (CCM) within HIV public healthcare services in São Paulo, Brazil, and implementing a clinical system. This system identified three patient groups prioritized for additional engagement: (1) individuals diagnosed with HIV, but not receiving treatment (the gap group); (2) >6 months detectable viral load virologic failure (3) patients lost to follow-up (LTFU). Methods The implementation strategies included...

10.1371/journal.pone.0250060 article EN cc-by PLoS ONE 2021-05-10

Treatment with indinavir has been shown to result in marked decreases viral load and increases CD4 cell counts HIV-infected individuals. A randomized double-blind study evaluate the efficacy of alone (800 mg q8h), zidovidine (200 q8h) or combination was performed progression AIDS. 996 antiretroviral therapy-naive patients 50-250/mm3 were allocated treatment. During trial protocol amended add lamivudine zidovudine-containing arms. The primary endpoint time development an AIDS-defining illness...

10.1590/s0036-46652000000100005 article EN Revista do Instituto de Medicina Tropical de São Paulo 2000-02-01

Care continuum models have supported recent strategies against sexually transmitted diseases, such as HIV and Hepatitis C (HCV).HIV, HCV, congenital syphilis care were developed, including all stages of care, from promotion/prevention to clinical control/cure. The the intervention QualiRede, developed by a University-Brazilian National Health System (SUS) partnership focused on managers other professionals six priority health regions in São Paulo Santa Catarina. Indicators selected for each...

10.1590/1980-549720190010.supl.1 article EN cc-by Revista Brasileira de Epidemiologia 2019-01-01

Introdução: O Programa de Boas Práticas em HIV/AIDS, implementado no Estado São Paulo, visa eliminar a AIDS como problema saúde pública até 2030. Frente às desigualdades acesso aos serviços e desafios locais, o programa busca qualificar gestão as práticas assistenciais 169 municípios com Serviços Atenção Especializada (SAE), promovendo maior equidade eficiência cuidado. Objetivo: objetivo principal é fortalecer melhorar prevenção, diagnóstico, tratamento adesão ao cuidado assegurando que os...

10.57148/bepa.2024.v.21.41426 article PT cc-by BEPA Boletim Epidemiológico Paulista 2024-12-13

Este estudo analisa o impacto da disponibilidade de serviços urgência 24 horas e das práticas gestão medicamentos na administração profilaxia pós-exposição (PEP) em vítimas violência sexual no estado São Paulo. Dados 645 municípios 13.011 casos registrados 2023 foram examinados. A metodologia incluiu regressão logística multivariada para identificar preditores principais PEP, ajustando fatores confusão. Os resultados mostram que 50,6% chegaram ao serviço saúde dentro 72 recomendadas a PEP....

10.57148/bepa.2024.v.21.41416 article PT BEPA Boletim Epidemiológico Paulista 2024-12-30

ABSTRACT Objective To describe the socioeconomic and demographic characteristics of trans population in Baixada Santista region, São Paulo state. Methods This was a descriptive study involving adult people, selected through convenience sampling 2023. A quantitative questionnaire administered in-depth interviews were conducted, which analyzed using thematic grouping. Results total 237 people recruited. Of these, 42.2% identified as women/travestis 36.3% men/ transmasculine; 65.4% aged up to...

10.1590/s2237-96222024v33e2024409.especial.en article EN cc-by Epidemiologia e Serviços de Saúde 2024-01-01

RESUMO Objetivo Descrever as características socioeconômicas e demográficas da população trans Baixada Santista. Métodos Trata-se de estudo descritivo, com pessoas adultas, selecionadas por amostra conveniência em 2023. Foi aplicado questionário quantitativo realizadas entrevistas profundidade, analisadas agrupamento temático. Resultados Foram recrutadas 237 pessoas. Dessas, 42,2% se identificaram como mulher trans/travesti 36,3% homem trans/transmasculino; 65,4% tinham até 29 anos idade;...

10.1590/s2237-96222024v33e2024409.especial.pt article PT cc-by Epidemiologia e Serviços de Saúde 2024-01-01

Abstract Background The effects of the COVID-19 pandemic on people living with HIV (PWH) are unknown. Beyond SARS-CoV-2 co-infection, may have devastating consequences for care delivery. Understanding these is crucial as reduced antiretroviral therapy (ART) availability alone could lead to ≥500,000 AIDS-related deaths in 2020–2021. With Latin America now a focal point pandemic, we sought describe impact at American clinical sites. Methods Caribbean, Central and South network epidemiology...

10.1093/ofid/ofaa439.668 article EN cc-by-nc-nd Open Forum Infectious Diseases 2020-10-01

Este texto tem por finalidade apresentar a Linha de Cuidado planejada e articulada com implementação novos serviços integrada um conjunto práticas mais abrangente assistência em saúde aos demais setores responsáveis políticas públicas que tenham como objetivo atender travestis transexuais outras variabilidades gênero. 
 Consideramos atenção integral à população travesti transexual envolve ações procedimentos ofertadas para melhor qualificação proposta demandas experiências integrais...

10.57148/bepa.2023.v.20.38883 article PT cc-by-nc BEPA Boletim Epidemiológico Paulista 2023-06-26

O Centro de Referência e Treinamento DST/Aids-SP, da Secretaria Saúde São Paulo, inaugurou em junho 2009, suas dependências, o primeiro ambulatório voltado exclusivamente à Integral Travestis Transexuais do país, com ênfase no processo transexualizador Sistema Único (SUS), às necessidades desta população. Este texto tem por objetivo apresentar as modalidades assistenciais ofertadas serviço, demandas população atendida ambulatório, vulnerabilidades, fatores risco resiliência, assim como...

10.57148/bepa.2023.v.20.38775 article PT cc-by-nc BEPA Boletim Epidemiológico Paulista 2023-06-20

Introduction: Telemedicine was leveraged for its contribution to mitigate the impact of COVID-19 in Brazil and worldwide. Objective: We aim evaluate acceptability incorporating teleconsultation through synchronized videoconference by users professionals a service specialized prevention treatment human immunodeficiency virus other sexually transmitted infections, identify associated factors. Methods:This is cross-sectional study with 410 57 who answered category-standardized questionnaire....

10.5327/dst-2177-8264-20231286 article EN cc-by Jornal Brasileiro de Doenças Sexualmente Transmissíveis 2023-01-01
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