Andréa Fachel Leal

ORCID: 0000-0003-1947-9579
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About
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Research Areas
  • HIV/AIDS Research and Interventions
  • HIV, Drug Use, Sexual Risk
  • Sex work and related issues
  • Adolescent Sexual and Reproductive Health
  • LGBTQ Health, Identity, and Policy
  • Health, Nursing, Elderly Care
  • HIV Research and Treatment
  • Youth, Drugs, and Violence
  • Vaccine Coverage and Hesitancy
  • Influenza Virus Research Studies
  • Gender, Sexuality, and Education
  • Male Reproductive Health Studies
  • Maternal and Neonatal Healthcare
  • Physical Education and Sports Studies
  • African Sexualities and LGBTQ+ Issues
  • Viral Infections and Outbreaks Research
  • Child Nutrition and Water Access
  • Intimate Partner and Family Violence
  • Sexuality, Behavior, and Technology
  • Food Security and Health in Diverse Populations
  • Breastfeeding Practices and Influences
  • Science and Education Research
  • Child Nutrition and Feeding Issues
  • Global Maternal and Child Health
  • Urban and sociocultural dynamics

Universidade Federal do Rio Grande do Sul
2013-2024

University of Buenos Aires
2024

Xochicalco University
2024

Universidad Nacional Autónoma de México
2024

Benemérita Universidad Autónoma de Puebla
2024

University of the Andes
2024

Justo Sierra University
2024

Instituto de Filosofía
2018-2022

Humana (United States)
2018

Universidade Luterana do Brasil
2012

This paper reports human immuno-deficiency virus (HIV) prevalence in the 2nd National Biological and Behavioral Surveillance Survey (BBSS) among men who have sex with (MSM) 12 cities Brazil using respondent-driven sampling (RDS). Following formative research, RDS was applied 5 macroregions of between June December 2016 to recruit MSM for BBSS. The target sample size 350 per city. Five 6 seeds were initially selected initiate recruitment coupons interviews managed online. On-site rapid...

10.1097/md.0000000000010573 article EN cc-by-nc Medicine 2018-05-01

Sexually transmitted infections (STIs) disproportionately affect transgender women and travestis (TGW), who often lack access to healthcare due stigma discrimination. We describe the approach methodology of a study investigating prevalence syphilis, HIV, hepatitis A, B, C, Neisseria gonorrhoeae (NG), Chlamydia trachomatis (CT), human papillomavirus (HPV) among TGW, as well their knowledge perceptions regarding better inform policies curb STIs this vulnerable population.

10.1590/1980-549720240002.supl.1 article EN cc-by Revista Brasileira de Epidemiologia 2024-01-01

Introduction: Periodic monitoring of sociobehavior characteristics at a national level is an essential component understanding the dynamics human immunodeficiency virus (HIV) epidemic worldwide, including Brazil. Methods: This paper compares descriptive in 2 cross-sectional HIV biological behavioral surveillance surveys (BBSS) conducted 2009 and 2016 among men who have sex with (MSM) Respondent driven sampling (RDS) was used for recruitment both years. Overall proportions were weighted...

10.1097/md.0000000000009079 article EN cc-by-nc Medicine 2018-05-01

Resumo: Os homens são o principal grupo afetado pela infecção do HIV no Brasil, com tendência de crescimento nos últimos dez anos. Nos dados oficiais, os heterossexuais representam 49% dos casos, homossexuais 38% e bissexuais 9,1%. ficaram subsumidos na categoria “população geral”, não recebendo destaque em políticas ou ações prevenção. O presente artigo se propõe a analisar as circunstâncias estratégias por meio das quais descobrem diagnóstico HIV. Busca-se, assim, compreender caminhos...

10.1590/0102-311x00170118 article PT cc-by Cadernos de Saúde Pública 2020-01-01

Condom use has increased among Brazilian youth, although condoms are not used in all sexual relations; addition, their varies over the course of an individual's affective and history. This study focused on prevalence factors associated with condom during initiation most recent relations young men women (18-24 years age). The data from GRAVAD Research Project, a cross-sectional stratified probabilistic sample using household interviews three State capitals. analysis multinomial logistic...

10.1590/s0102-311x2006000700004 article EN cc-by Cadernos de Saúde Pública 2006-07-01

High level of HIV/AIDS knowledge is required for an effective adoption preventive strategies.To assess among men who have sex with (MSM) in 12 Brazilian cities.Respondent-Driven Sampling method was used recruitment. assessed by Item Response Theory. Difficulty and discrimination parameters were estimated, the score categorized three levels: high, medium, low. Logistic regression analysis.Among 4,176 MSM, proportion high 23.7%. The following variables positively associated (p < 0.05): age 25+...

10.1590/1980-549720190005.supl.1 article EN cc-by Revista Brasileira de Epidemiologia 2019-01-01

Introduction Influenza morbidity and mortality are significant in the countries of South America, yet influenza vaccination is as low 56.7% among pregnant women, reaching 76.7% adults with chronic diseases. This article measures relative values for hesitancy indicators confidence, complacency convenience by risk-groups urban areas five America contrasting rates, analyzing their association sociodemographic variables self-reported immunization status. Methods An exit survey was applied to 640...

10.1371/journal.pone.0243833 article EN cc-by PLoS ONE 2020-12-11

ABSTRACT Objective To identify groups of transgender women and travestis (TGW) with specific patterns gender-based discrimination (GBD) analyze the factors associated GBD. Methods A cross-sectional study was conducted TGW recruited through respondent-driven sampling in five Brazilian cities (2019-2021). Latent class analysis used to characterize GBD (low, medium, high) using 14 observable variables. Descriptive performed, associations between predictor variables were estimated by adjusted...

10.1590/1980-549720240012.supl.1 article EN cc-by Revista Brasileira de Epidemiologia 2024-01-01

OBJETIVO: Analisar os fatores associados ao uso de substâncias estimulantes por caminhoneiros para se manterem acordados. MÉTODOS: Survey com 854 motoristas em oito locais concentração (sete postos gasolina e um posto aduaneiro região fronteira) cinco municípios do Rio Grande Sul, 2006. O desfecho "uso rebite" foi categorizado "sim" ou "não". Foi realizada análise regressão Poisson variância robusta a seleção variáveis modelo, que composto níveis socioeconômicos, demográficos, informações...

10.1590/s0034-89102012000500016 article PT cc-by Revista de Saúde Pública 2012-10-01

O artigo tem como objetivo compreender a Política Nacional de Atenção Integral à Saúde dos Homens (PNAISH) chega aos serviços da Básica do Sistema Único Saúde, partir ponto vista seus profissionais. Acompanhamos o caminho trilhado pela PNAISH com um estudo, etnográfico, cinco casos (de cada Macro Região país). A análise está ancorada no referencial Antropologia e emprega ideia street-level bureaucreacy, Lipsky. formulação é contextualizada em termos históricos produção documentos...

10.1590/s1413-81232012001000010 article PT Ciência & Saúde Coletiva 2012-10-01

Influenza vaccination coverage in countries of Latin America is low among priority risk groups, ranging from 5 to 75% older people. This paper aims describe and analyze the determinants influenza hesitancy through lens 3C model confidence, complacency convenience middle-class, urban group populations Brazil, Chile, Paraguay, Peru, Uruguay, South with contrasting coverage. Focus groups were conducted four groups: pregnant women, mothers children aged &lt;6 years, adults factors, ≥60 years...

10.1371/journal.pone.0256040 article EN cc-by PLoS ONE 2021-08-12

Discrimination based on sexual orientation can influence vulnerability to HIV, increasing exposure risky behavior among men who have sex with (MSM).To analyze data using latent class analysis (LCA) identify groups of individuals specific patterns discrimination (DSO).Cross-sectional study respondent-driven sampling in 12 Brazilian cities 2016. LCA was used characterize MSM 13 variables the survey questionnaire. The proportions reporting DSO and other interest were estimated Gile's Successive...

10.1590/1980-549720190003.supl.1 article EN cc-by Revista Brasileira de Epidemiologia 2019-01-01

ABSTRACT: Introduction: This paper details the methods used in second national Biological and Behavioral Surveillance Survey (BBSS) of HIV, syphilis, hepatitis B C among men who have sex with Brazil. Methods: Respondent-driven sampling (RDS) was 12 cities 2016. The targeted sample size initiated five to six seeds each city. Hepatitis rapid tests were offered participants. RDS Analyst Gile’s successive (SS) estimator adjust results as recommended a weight for individual generated further...

10.1590/1980-549720190004 article EN cc-by Revista Brasileira de Epidemiologia 2019-01-01

Analisou-se os sentidos atribuídos à Política Nacional de Atenção Integral Saúde do Homem (PNAISH) pelos envolvidos na sua implementação, buscando identificar como uma política formulada em nível nacional é significada nos contextos locais. Em cinco municípios, cada macrorregião país, realizaram-se 6 narrativas e 21 entrevistas semiestruturadas, com gestores profissionais saúde; as informações sobre a foram trabalhadas partir Método Interpretação Sentidos. A percebida geral positividade....

10.1590/s1413-81232012001000008 article PT Ciência & Saúde Coletiva 2012-10-01

Heterosexual men have been a forgotten group for HIV/AIDS interventions and research. Our goal was to identify the different elements that interfere in prevention of among heterosexual men, covering both traditional methods (especially safe sex practices testing) new strategies (pre- post-sexual exposure prophylaxis, treatment, circumcision) this population. This exploratory article consists nonsystematic review literature. We discuss invisibility policies, programs, health services. The...

10.1590/1809-4503201500050011 article EN cc-by-nc Revista Brasileira de Epidemiologia 2015-09-01

Pre-exposure prophylaxis (PrEP) delivery based on user needs can enhance PrEP access and impact. We examined whether telehealth for daily oral could change the indicators of care related to prophylactic use in five Brazilian public HIV clinics (testing centres, outpatient infectious disease hospitals).Between July 2019 December 2020, clients at least 6 months transition or stay with in-person follow-up. Clients were clinically monitored until June 2021. A desktop mobile application was...

10.1002/jia2.26173 article EN cc-by Journal of the International AIDS Society 2023-09-01

The objective of the present study is to describe sociodemographic and behavioral characteristics a group transgender women travestis (TGW) with history incarceration institutional social context this experience in Brazil.

10.1590/1980-549720240014.supl.1 article EN cc-by Revista Brasileira de Epidemiologia 2024-01-01

ABSTRACT Objective To describe the prevalence, characteristics, and factors associated with sexual violence in transgender women travestis (TGW) Brazil. Methods This cross-sectional study was conducted five Brazilian cities (Campo Grande, Manaus, Porto Alegre, Salvador, São Paulo) between 2019 2021. Participants were recruited using respondent-driven sampling (RDS) technique. The outcome of interest is self-reported experience throughout respondents’ lifetime. We evaluated actions taken by...

10.1590/1980-549720240013.supl.1 article EN cc-by Revista Brasileira de Epidemiologia 2024-01-01

This study aimed to evaluate factors associated with inconsistent condom use casual partners in a population of men who have sex (MSM) Brazil.In 2016, 4,176 MSM >18 years were enrolled 12 capitals Brazil using Respondent Driven Sampling (RDS) method. For the construction outcome, we evaluated questions about all anal intercourse (receptive and insertive) previous six months last sexual intercourse. Estimates calculated weighted complex sample design. We performed logistic regression analysis...

10.1590/1980-549720230019 article EN cc-by Revista Brasileira de Epidemiologia 2023-01-01

Analisamos a iniciação sexual masculina como um momento de aquisição conhecimento, com base em 62 entrevistas cunho etnográfico homens jovens (18-24 anos) residentes Porto Alegre, Rio Janeiro e Salvador, Brasil, numa etapa da Pesquisa GRAVAD. Adotando uma perspectiva antropológica comparativa, o exame dos relatos primeira experiência amorosa revela que é aprendizado corporal social, através do qual os adquirem conhecimento técnico sobre uso seus corpos habilidade para se relacionar outros,...

10.1590/s0102-311x2006000700003 article PT Cadernos de Saúde Pública 2006-07-01

This is a cross-sectional study to verify the prevalence and associated factors related exclusive breastfeeding in adolescent mothers between 14 16 years of age with 6-month-old or younger babies, born Porto Alegre State Rio Grande do Sul, Brazil, 2009. The sample was based on 50% newborn babies from population surveyed. A total 341 were interviewed their homes. variables considered as potential determinants social demographic, pre- post-natal assistance, emotional aspects mother, birth...

10.1590/s1413-81232013001100025 article EN Ciência & Saúde Coletiva 2013-05-13
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