A5027397565- HIV/AIDS Research and Interventions
- Sex work and related issues
- HIV, Drug Use, Sexual Risk
- Sexuality, Behavior, and Technology
- Syphilis Diagnosis and Treatment
- HIV-related health complications and treatments
- HIV Research and Treatment
- LGBTQ Health, Identity, and Policy
- Science and Education Research
- HIV/AIDS drug development and treatment
- Health, Nursing, Elderly Care
- Adolescent Sexual and Reproductive Health
- Food Security and Health in Diverse Populations
- Health disparities and outcomes
- Maternal and Neonatal Healthcare
- HIV/AIDS oral health manifestations
- Youth, Drugs, and Violence
- Child Nutrition and Feeding Issues
- Healthcare Systems and Reforms
- Health Education and Validation
- Rural Development and Agriculture
- Breastfeeding Practices and Influences
- Indigenous Health and Education
- Gender Roles and Identity Studies
- Public Health in Brazil
Faculdade de Ciências Médicas da Santa Casa de São Paulo
2021-2024
Secretaria da Saúde
2024
Secretaria Municipal de Saúde
2004-2018
Prefeitura do Município de São Paulo
2012
Universidade de São Paulo
2009
Centro Latino-Americano e do Caribe de Informação em Ciências da Saúde
2009
Universidade Brasil
2009
Prefeitura da Cidade do Rio de Janeiro
2009
Public Health Department
2004
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.
Background: Many clinical studies have suggested a beneficial effect of GB virus type C (GBV-C) on the course HIV-1 infection, but mechanisms involved in such amelioration are not clear. As recent evidence has implicated cellular activation pathogenesis, we investigated GBV-C viremia T-cell early infection. Methods: Forty-eight recently infected patients (23 viremic) were evaluated for counts, expanded immunophenotyping RNA detection, and viral load. Nonparametric univariate multivariate...
Trans women living with HIV (TWH) have suboptimal care engagement. We pilot tested Amigas, a theory-based, trans-specific peer navigation (PN) intervention to address barriers in São Paulo, Brazil. TWH were randomized the PN (n = 75) or control 38) condition. Control participants referred trans-friendly care. Intervention assigned navigator who conducted nine in-person one-on-one sessions and bi-weekly phone text check-ins help overcome work towards gender affirmation healthcare goals....
The study aimed to estimate the prevalence of acquired syphilis and associated factors in a national survey.
FUNDAMENTO: Desde o advento da AIDS, a terapia antiretroviral desenvolveu-se significantemente, incluindo altamente ativa (HAART) e doença adquiriu uma característica crônica. Entretanto, após introdução HAART, várias alterações metabólicas foram observadas, principalmente relacionadas ao perfil lipídico. OBJETIVO: Avaliar comparar os perfis lipídicos, analisar risco cardiovascular, descrever prevalência síndrome metabólica em pacientes com AIDS tratados ou não HAART. MÉTODOS: Durante um...
INTRODUÇÃO: Atualmente, a abordagem nutricional desempenha papel essencial no tratamento de pessoas que vivem com HIV/aids, particularmente caso alterações metabólicas pelo uso da terapia antirretroviral (TARV) podem estar associadas ao maior risco doenças cardiovasculares (DCV). OBJETIVO: Caracterizar o estado nutricional, clínico e qualidade dieta HIV/aids. METODOLOGIA: Trata-se um estudo transversal envolvendo HIV/aids em atendimento na rede serviços especializados município São Paulo. Os...
Background Genetic variability is a major feature of human immunodeficiency virus type 1 (HIV-1) and considered the key factor frustrating efforts to halt HIV epidemic. A proper understanding HIV-1 genomic diversity fundamental prerequisite for epidemiology, genetic diagnosis, successful drugs vaccines design. Here, we report on partial near full-length (NFLG) isolates from well-characterized cohort recently infected patients in São Paul, Brazil. Methodology proviral DNA was extracted...
ABSTRACT Objective: To analyze the experiences of transgender women and travestis regarding use hormones for body changes without a medical prescription. Methods: This is cross-sectional, quantitative qualitative study, using data from “TransOdara”, which estimated prevalence Sexually Transmitted Infections in recruited through Respondent-Driven Sampling, between December 2019 July 2021, São Paulo, Campo Grande, Manaus, Porto Alegre, Salvador, Brazil. The main outcome was: prescription...
Since the advent of AIDS, anti-HIV therapy has developed significantly, including highly active antiretroviral (HAART) and disease acquired a chronic characteristic. However, after introduction HAART, several metabolic alterations were observed, mainly related to lipid profile.to evaluate compare profiles, analyze cardiovascular risk, describe prevalence syndrome in AIDS patients with or without HAART.Over an 18-month period, 319 treated at outpatient clinics city São Paulo, Brazil...
Several strategies aim at characterizing the AIDS epidemic in different parts of world. Among these, identification recent HIV-1 infections using recently described serologic testing algorithm for human immunodeficiency virus (HIV) seroconversion (STARHS) strategy was employed four sites City São Paulo Public Health Department (CSPPHD). Those identified as infected were invited to participate a prospective clinical and laboratory evaluation study. We describe establishment patient network...
HIV-1 is often acquired in the presence of pre-existing co-infections, such as Herpes Simplex Virus 2 (HSV-2). We examined impact HSV-2 status at time acquisition for its on subsequent clinical course, and total CD4+ T cell phenotypes.We assessed relationship HSV-1/HSV-2 co-infection counts RNA levels over prior a cohort 186 treatment naïve adults identified during early infection. activation differentiation state cells study entry by status.Of recently infected persons, 101 (54%) were...
Abstract Background Transgender women are disproportionately affected by both HIV and gender-based violence (GBV), defined as physical, sexual, or emotional perpetrated against an individual based on their gender identity/expression. While a growing body of evidence demonstrates that GBV leads to poor care treatment outcomes among cisgender women, less research has examined this association transgender women. We assessed the impact lifetime experiences subsequent retention in laboratory...
To estimate the prevalence and factors associated with detection of Chlamydia trachomatis (CT) Neisseria gonorrhoeae (NG) in transgender women travestis five Brazilian capitals.
To estimate the prevalence and factors associated with hepatitis A, B, C in transgender women travestis's networks, 5 regions of Brazil.
OBJETIVO: Avaliar a efetividade do Curso Integrado de Aconselhamento em Alimentação Infantil na transformação conhecimentos, atitudes e práticas pediatras nutricionistas da rede municipal saúde São Paulo. MÉTODOS: Estudo intervenção randomizado com 29 profissionais no grupo 27 controle. Entrevistadores previamente capacitados coletaram dados dos nas unidades antes 2 meses após. Utilizaram-se três instrumentos para avaliar o perfil profissional, seus conhecimentos um roteiro observação...
Abstract Background Because various HIV vaccination studies are in progress, it is important to understand how often inter- and intra-subtype co/superinfection occurs different HIV-infected high-risk groups. This knowledge would aid the development of future prevention programs. In this cross-sectional study, we report frequency subtype B F1 co-infection a clinical group 41 recently HIV-1 infected men who have sex with (MSM) São Paulo, Brazil. Methodology Proviral DNA was isolated from...
Background The effective testing of sexually transmitted infections (STIs) requires sampling from potential infection sites. This study aimed to assess the choice, satisfaction, and performance self-collected samples (SCS) sites for STI among transgender women in Brazil. Methods TransOdara was a multicentric, cross-sectional prevalence conducted 5 Brazilian cities. Using respondent-driven sampling, 1317 18 years or older were recruited. Participants completed interviewer-led questionnaires...
Globally, transgender ('trans') women experience extreme social and economic marginalisation due to intersectional stigma, defined as the confluence of stigma that results from intersection identities positions among those who are oppressed multiple times. Among trans women, gender-based intersects with such engagement in sex work substance use, well race-based generate a context vulnerability increased risk HIV acquisition. In Brazil, 'most at-risk' group for HIV, 55 times higher estimated...
RESUMO Objetivo: Estimar as prevalências e os fatores associados à detecção de Chlamydia trachomatis (CT) Neisseria gonorrhoeae (NG) em mulheres trans travestis cinco capitais brasileiras. Métodos: Os dados vieram um estudo transversal, realizado entre 2019 2021, com pessoas recrutadas por RDS (respondent driven sampling) São Paulo, Campo Grande, Manaus, Porto Alegre Salvador. Analisou-se a CT NG, três sítios coleta (anorretal, orofaríngeo uretral). Para identificação dos empregaram-se...
To assess the previous history of syphilis in transgender women and travestis (TWTs) identify factors associated with treatment incompleteness.
ABSTRACT Objective To assess adherence to and completeness of vaccination schedules against human papillomavirus (HPV) hepatitis A B among transgender women travestis in São Paulo, capital city Paulo state. Methods This was a secondary data analysis the multicenter TransOdara study. Data were collected from 403 aged 18 years or older, recruited through respondent-driven sampling between December 2019 October 2020. Results High vaccines observed (88.8%), but analyzed low: 12% (95%CI 8.0;...
Centros de Testagem e Aconselhamento em DST/HIV (CTA) oferecem, entre outras atividades, a realização testes sorológicos anti-HIV VDRL. Estes serviços dispõem coleta sistemática dados permitindo conhecer o perfil epidemiológico dos indivíduos infectados. O presente estudo descreve das pessoas com sorologia positiva que utilizaram um maiores CTA do país, durante os anos 2001 2002. Foram utilizados entrevistas (pré pós teste) realizadas rotina. Obsevou-se 470 (4%) resultados positivos 10657...
BackgroundRecent studies have sought to describe HIV infection and transmission characteristics around the world. Identification of early HIV-1 is essential proper surveillance description regional trends. In this study we compare people recently infected (RI) with HIV-1, as defined by Serologic Testing Algorithm for Recent Seroconversion (STARHS), those chronic infection.Methodology/Principal FindingsSubjects were identified from 2002–2004 at four testing sites in São Paulo. Of 485...