Base de dados : MEDLINE
Pesquisa : N01.400.663 [Categoria DeCS]
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[PMID]:29191154
[Au] Autor:Boettiger DC; Law MG; Dore GJ; Guy R; Callander D; Donovan B; O'Connor CC; Fairley CK; Hellard M; Matthews G
[Ad] Endereço:The Kirby Institute, UNSW Sydney, Sydney, NSW, Australia. dboettiger@kirby.unsw.edu.au.
[Ti] Título:Hepatitis C testing and re-testing among people attending sexual health services in Australia, and hepatitis C incidence among people with human immunodeficiency virus: analysis of national sentinel surveillance data.
[So] Source:BMC Infect Dis;17(1):740, 2017 Dec 01.
[Is] ISSN:1471-2334
[Cp] País de publicação:England
[La] Idioma:eng
[Ab] Resumo:BACKGROUND: Direct acting antivirals are expected to drastically reduce the burden of hepatitis C virus (HCV) in people living with Human Immunodeficiency Virus (HIV). However, rates of HCV testing, re-testing and incident infection in this group remain uncertain in Australia. We assessed trends in HCV testing, re-testing and incident infection among HIV-positive individuals, and evaluated factors associated with HCV re-testing and incident infection. METHODS: The study population consisted of HIV-positive individuals who visited a sexual health service involved in the Australian Collaboration for Coordinated Enhanced Sentinel Surveillance (ACCESS) between 2007 and 2015. Poisson regression was used to assess trends and to evaluate factors associated with HCV re-testing and incident HCV infection. RESULTS: There were 9227 HIV-positive individuals included in our testing rate analysis. Of 3799 HIV-positive/HCV-negative people that attended an ACCESS sexual health service more than once, 2079 (54.7%) were re-tested for HCV and were therefore eligible for our incidence analysis. The rate of HCV testing increased from 17.1 to 51.4 tests per 100 patient years between 2007 and 2015 (p for trend <0.01). Over the same period, HCV re-testing rates increased from 23.9 to 79.7 tests per 100 person years (p for trend <0.01). A clear increase in testing and re-testing began after 2011. Patients who identified as men who have sex with men and those with a history of injecting drug use experienced high rates of HCV re-testing over the course of the study period. Among those who re-tested, 157 incident HCV infections occurred at a rate of 2.5 events per 100 person years. Between 2007 and 2009, 2010-2011, 2012-2013 and 2014-2015, rates of incident HCV were 0.8, 1.5, 3.9 and 2.7 events per 100 person years, respectively (p for trend <0.01). Incident HCV was strongly associated with a history of injecting drug use. CONCLUSIONS: High rates of HCV testing and re-testing among HIV-positive individuals in Australia will assist strategies to achieve HCV elimination through rapid treatment scale up. Continued monitoring of HCV incidence in this population is essential for guiding both HCV prevention and treatment strategies.
[Mh] Termos MeSH primário: Infecções por HIV/diagnóstico
Hepatite C/diagnóstico
[Mh] Termos MeSH secundário: Adulto
Austrália/epidemiologia
Usuários de Drogas
Feminino
Infecções por HIV/complicações
Serviços de Saúde
Hepacivirus/genética
Hepacivirus/imunologia
Hepacivirus/isolamento & purificação
Hepatite C/complicações
Hepatite C/epidemiologia
Anticorpos Anti-Hepatite C/sangue
Homossexualidade
Seres Humanos
Incidência
Masculino
Meia-Idade
RNA Viral/sangue
Vigilância de Evento Sentinela
Saúde Sexual
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Nm] Nome de substância:
0 (Hepatitis C Antibodies); 0 (RNA, Viral)
[Em] Mês de entrada:1803
[Cu] Atualização por classe:180306
[Lr] Data última revisão:
180306
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:171202
[St] Status:MEDLINE
[do] DOI:10.1186/s12879-017-2848-0


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[PMID]:28453149
[Au] Autor:Silberman P; Buedo PE; Burgos LM
[Ad] Endereço:Departamento Ciencias de la Salud, Universidad Nacional del Sur, Bahía Blanca, Argentina, psilberman@uns.edu.ar.
[Ti] Título:[Barriers to sexual health care in Argentina: perception of women who have sex with women].
[Ti] Título:Barreras en la atención de la salud sexual en Argentina: percepción de las mujeres que tienen sexo con mujeres..
[So] Source:Rev Salud Publica (Bogota);18(1):1-12, 2016 Feb.
[Is] ISSN:0124-0064
[Cp] País de publicação:Colombia
[La] Idioma:spa
[Ab] Resumo:Objective The objective is to describe the barriers to sexual health care of Women Who Have Sex with Women (WSW) in Argentina during 2013. Methods A cross-sectional, descriptive and quantitative study. An online survey was conducted using the Internet, in the period of April-July 2013, with homosexual and bisexual women over 18 living in Argentina, making use of the snowball methodology. Results A total of 161 women were surveyed. The results showed that 97.5 % had previously visited a doctor. The doctor did not ask about their sexual orientation in 82.8 % of cases. 93.6 % of the surveyed did not receive information about STDs; 83.8 % perceive little/no risk regarding STDs. 48.4 % are unaware of the methods of protection of STDs among women and 51.6 % obtained this information from websites and friends. 77.5 % reported not using protection methods. The main reasons were: stable partner, discomfort and the inability to acquire them. Discussion The results of this research allow for identifying the low perception among WSW regarding STDs, and the difficulty of approaching health professionals about this subject.
[Mh] Termos MeSH primário: Acesso aos Serviços de Saúde/estatística & dados numéricos
Homossexualidade Feminina/estatística & dados numéricos
Minorias Sexuais e de Gênero/estatística & dados numéricos
Doenças Sexualmente Transmissíveis/prevenção & controle
Serviços de Saúde da Mulher/estatística & dados numéricos
[Mh] Termos MeSH secundário: Adulto
Argentina
Estudos Transversais
Feminino
Seres Humanos
Saúde Sexual
Parceiros Sexuais
Inquéritos e Questionários
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1802
[Cu] Atualização por classe:180215
[Lr] Data última revisão:
180215
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170429
[St] Status:MEDLINE


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[PMID]:29406067
[Au] Autor:Miner MM; Heidelbaugh J; Paulos M; Seftel AD; Jameson J; Kaplan SA
[Ad] Endereço:Department of Family Medicine and Urology, The Men's Health Center, The Miriam Hospital, The Warren Alpert Medical School of Brown University, 164 Summitt Avenue, Providence, RI 02906, USA. Electronic address: Martin_Miner@Brown.edu.
[Ti] Título:The Intersection of Medicine and Urology: An Emerging Paradigm of Sexual Function, Cardiometabolic Risk, Bone Health, and Men's Health Centers.
[So] Source:Med Clin North Am;102(2):399-415, 2018 Mar.
[Is] ISSN:1557-9859
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:Men's mental health and how they think about their health are critical to the future of men's health. Poor health choice patterns are established under age 50, when men are twice as likely to die than women. As the future of medicine focuses on quality and value, a better understanding of the social determinants of men's health will identify areas for improvement. The presentation of a man to a clinician's office with a sexual health complaint presents an opportunity for more complete evaluation. The future of men's health will be well served by integrated men's health centers that focus on the entire man.
[Mh] Termos MeSH primário: Medicina Interna
Saúde do Homem
Urologia
[Mh] Termos MeSH secundário: Instituições de Assistência Ambulatorial
Doenças Ósseas
Doenças Cardiovasculares
Seres Humanos
Masculino
Saúde Mental
Educação de Pacientes como Assunto
Medição de Risco
Disfunções Sexuais Fisiológicas
Disfunções Sexuais Psicogênicas
Saúde Sexual
[Pt] Tipo de publicação:JOURNAL ARTICLE; REVIEW
[Em] Mês de entrada:1802
[Cu] Atualização por classe:180208
[Lr] Data última revisão:
180208
[Sb] Subgrupo de revista:AIM; IM
[Da] Data de entrada para processamento:180207
[St] Status:MEDLINE


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[PMID]:29280797
[Au] Autor:Wilmont S
[Ti] Título:A Missed Opportunity in HIV Prevention?
[So] Source:Am J Nurs;118(1):18-19, 2018 Jan.
[Is] ISSN:1538-7488
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:PrEP is effective in at-risk individuals, but barriers to widespread use remain.
[Mh] Termos MeSH primário: Fármacos Anti-HIV/uso terapêutico
Infecções por HIV/prevenção & controle
Profilaxia Pré-Exposição
[Mh] Termos MeSH secundário: Docentes de Enfermagem/educação
Acesso aos Serviços de Saúde
Seres Humanos
Relações Enfermeiro-Paciente
Saúde Sexual
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Nm] Nome de substância:
0 (Anti-HIV Agents)
[Em] Mês de entrada:1802
[Cu] Atualização por classe:180208
[Lr] Data última revisão:
180208
[Sb] Subgrupo de revista:AIM; IM; N
[Da] Data de entrada para processamento:171228
[St] Status:MEDLINE
[do] DOI:10.1097/01.NAJ.0000529706.32354.91


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[PMID]:28449598
[Au] Autor:Siegfried N; Narasimhan M; Kennedy CE; Welbourn A; Yuvraj A
[Ad] Endereço:a Independent Clinical Epidemiologist , Cape Town , South Africa.
[Ti] Título:Using GRADE as a framework to guide research on the sexual and reproductive health and rights (SRHR) of women living with HIV - methodological opportunities and challenges.
[So] Source:AIDS Care;29(9):1088-1093, 2017 Sep.
[Is] ISSN:1360-0451
[Cp] País de publicação:England
[La] Idioma:eng
[Ab] Resumo:In March 2016, WHO reviewed evidence to develop global recommendations on the sexual and reproductive health and rights (SRHR) of women living with HIV. Systematic reviews and a global survey of women living with HIV informed the guideline development decision-making process. New recommendations covered abortion, Caesarean section, safe disclosure, and empowerment and self-efficacy interventions. Identification of key research gaps is part of the WHO guidelines development process, but consistent methods to do so are lacking. Our method aimed to ensure consistency and comprised the systematic application of a framework based on GRADE (Grading of Recommendations, Assessment, Development and Evaluation) to the process. The framework incorporates the strength and quality rating of recommendations and the priorities reported by women in the survey to inform research prioritisation. For each gap, we also articulated: (1) the most appropriate and robust study design to answer the question; (2) alternative pragmatic designs if the ideal design is not feasible; and (3) the methodological challenges facing researchers through identifying potential biases. We found 12 research gaps and identified five appropriate study designs to address the related questions: (1) Cross-sectional surveys; (2) Qualitative interview-driven studies; (3) Registries; (4) Randomised controlled trials; and (5) Medical record audit. Methodological challenges included selection, recruitment, misclassification, measurement and contextual biases, and confounding. In conclusion, a framework based on GRADE can provide a systematic approach to identifying research gaps from a WHO guideline. Incorporation of the priorities of women living with HIV into the framework systematically ensures that women living with HIV can shape future policy decisions affecting their lives. Implementation science and participatory research are appropriate over-arching approaches to enhance uptake of interventions and to ensure inclusion of women living with HIV at all stages of the research process.
[Mh] Termos MeSH primário: Infecções por HIV/psicologia
Direitos Sexuais e Reprodutivos
Direitos da Mulher
[Mh] Termos MeSH secundário: Pesquisa Biomédica
Estudos Transversais
Feminino
Guias como Assunto
Infecções por HIV/diagnóstico
Seres Humanos
Saúde Reprodutiva
Pesquisa
Comportamento Sexual
Saúde Sexual
Adulto Jovem
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1712
[Cu] Atualização por classe:171229
[Lr] Data última revisão:
171229
[Sb] Subgrupo de revista:IM; X
[Da] Data de entrada para processamento:170429
[St] Status:MEDLINE
[do] DOI:10.1080/09540121.2017.1317711



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