Challenges facing HIV treatment as prevention in Brazil: an analysis drawing on literature on testing
| Autor(a) principal: | |
|---|---|
| Data de Publicação: | 2019 |
| Outros Autores: | , , , |
| Tipo de documento: | Artigo |
| Idioma: | eng |
| Título da fonte: | Repositório Institucional da FIOCRUZ (ARCA) |
| DOI: | 10.1590/1413-81232018245.16512017 |
| Texto Completo: | https://arca.fiocruz.br/handle/icict/35200 |
Resumo: | Fundação Oswaldo Cruz. Instituto Oswaldo Cruz. Laboratório de Educação em Ambiente e Saúde. Rio de Janeiro, RJ, Brasil. |
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Monteiro, SimoneBrigeiro, MauroVilella, Wilza MariaMora, ClaudiaParker, Richard2019-08-29T15:17:12Z2019-08-29T15:17:12Z2019MONTEIRO, Simone et al. Challenges facing HIV treatment as prevention in Brazil: an analysis drawing on literature on testing. Ciência & Saúde Coletiva, v. 24, n. 5, p. 1793-1807, 2019.1413-8123https://arca.fiocruz.br/handle/icict/3520010.1590/1413-81232018245.165120171678-4561engAssociação Brasileira de Pós-Graduação em Saúde ColetivaRevisão sistemáticaHIVAIDSPrevençãoTesteHomens que fazem sexo com homensSystematic reviewTestingHIV/ AIDSPreventionMSM05 Igualdade de gêneroChallenges facing HIV treatment as prevention in Brazil: an analysis drawing on literature on testinginfo:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/articleFundação Oswaldo Cruz. Instituto Oswaldo Cruz. Laboratório de Educação em Ambiente e Saúde. Rio de Janeiro, RJ, Brasil.Fundação Oswaldo Cruz. Instituto Oswaldo Cruz. Laboratório de Educação em Ambiente e Saúde. Rio de Janeiro, RJ, Brasil.Universidade Federal de São Paulo. Programa de Pós-Graduação em Saúde Coletiva. São Paulo, SP, Brasil.Universidade do Estado do Rio de Janeiro. Instituto de Medicina Social. Departamento de Políticas e Instituições de Saúde. Rio de Janeiro, RJ, Brasil.Universidade Federal do Rio de Janeiro. Instituto de Estudos de Saúde Coletiva. Rio de Janeiro, RJ, Brasil.According to current global AIDS guidelines, HIV testing is key to the success of the 'treatment as prevention' (TasP) strategy and the control of AIDS. In view of Brazil's commitment to these guidelines, this article characterizes the principles and justifications underpinning TasP and discusses implementation challenges. The analysis draws on a systematic review of the literature (2005 to 2015) on recruitment and testing strategies for men who have sex with men. This approach was adopted based on the assumption that current knowledge on HIV testing can offer valuable insights into the foundations of global AIDS policies and their uptake in local contexts. Based on the analysis of the 65 articles selected, we suggest that TasP represents a shift in the AIDS prevention paradigm. There is an overlap between prevention and care and the new approach places major emphasis on biomedical and psychological knowledge. The TasP approach fails to address the factors associated with HIV vulnerability and the stigma surrounding AIDS and undermines the participation of activists and PLWHA as autonomous producers of preventive of preventive practices. We argue that, to ensure the effective implementation of TasP in Brazil, it is necessary to discuss issues such as the protection of human rights and the structural problems facing Brazil's public health system.info:eu-repo/semantics/openAccessreponame:Repositório Institucional da FIOCRUZ (ARCA)instname:Fundação Oswaldo Cruz (FIOCRUZ)instacron:FIOCRUZLICENSElicense.txtlicense.txttext/plain; charset=utf-82991https://arca.fiocruz.br/bitstreams/d54434ac-0566-4219-aa50-5918d257cb27/download5a560609d32a3863062d77ff32785d58MD51falseAnonymousREADORIGINALMauroBrigueiro_SimoneMonteiro_etal_IOC_ing_2019.pdfMauroBrigueiro_SimoneMonteiro_etal_IOC_ing_2019.pdfapplication/pdf162113https://arca.fiocruz.br/bitstreams/bcc30f95-fe71-480c-9cb8-4d97aa0e1a46/downloadceca91172ee005c4d59f48e0fb5a6200MD52trueAnonymousREADTEXTMauroBrigueiro_SimoneMonteiro_etal_IOC_ing_2019.pdf.txtMauroBrigueiro_SimoneMonteiro_etal_IOC_ing_2019.pdf.txtExtracted texttext/plain67239https://arca.fiocruz.br/bitstreams/421f151f-b468-44d7-9ff5-668ef7360afc/download58bdccbc138f4d0e4c14dd3d9fa9e2e8MD55falseAnonymousREADTHUMBNAILMauroBrigueiro_SimoneMonteiro_etal_IOC_ing_2019.pdf.jpgMauroBrigueiro_SimoneMonteiro_etal_IOC_ing_2019.pdf.jpgGenerated Thumbnailimage/jpeg3762https://arca.fiocruz.br/bitstreams/62fccdff-8ebc-4f85-8ca8-91615a2c254e/download20d4b5068323a717cc4a22587fce5750MD56falseAnonymousREADicict/352002025-07-29 21:15:27.586open.accessoai:arca.fiocruz.br:icict/35200https://arca.fiocruz.brRepositório InstitucionalPUBhttps://www.arca.fiocruz.br/oai/requestrepositorio.arca@fiocruz.bropendoar:21352025-07-30T00:15:27Repositório Institucional da FIOCRUZ (ARCA) - 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| dc.title.none.fl_str_mv |
Challenges facing HIV treatment as prevention in Brazil: an analysis drawing on literature on testing |
| title |
Challenges facing HIV treatment as prevention in Brazil: an analysis drawing on literature on testing |
| spellingShingle |
Challenges facing HIV treatment as prevention in Brazil: an analysis drawing on literature on testing Monteiro, Simone Revisão sistemática HIV AIDS Prevenção Teste Homens que fazem sexo com homens Systematic review Testing HIV/ AIDS Prevention MSM 05 Igualdade de gênero |
| title_short |
Challenges facing HIV treatment as prevention in Brazil: an analysis drawing on literature on testing |
| title_full |
Challenges facing HIV treatment as prevention in Brazil: an analysis drawing on literature on testing |
| title_fullStr |
Challenges facing HIV treatment as prevention in Brazil: an analysis drawing on literature on testing |
| title_full_unstemmed |
Challenges facing HIV treatment as prevention in Brazil: an analysis drawing on literature on testing |
| title_sort |
Challenges facing HIV treatment as prevention in Brazil: an analysis drawing on literature on testing |
| author |
Monteiro, Simone |
| author_facet |
Monteiro, Simone Brigeiro, Mauro Vilella, Wilza Maria Mora, Claudia Parker, Richard |
| author_role |
author |
| author2 |
Brigeiro, Mauro Vilella, Wilza Maria Mora, Claudia Parker, Richard |
| author2_role |
author author author author |
| dc.contributor.author.fl_str_mv |
Monteiro, Simone Brigeiro, Mauro Vilella, Wilza Maria Mora, Claudia Parker, Richard |
| dc.subject.other.none.fl_str_mv |
Revisão sistemática HIV AIDS Prevenção Teste Homens que fazem sexo com homens |
| topic |
Revisão sistemática HIV AIDS Prevenção Teste Homens que fazem sexo com homens Systematic review Testing HIV/ AIDS Prevention MSM 05 Igualdade de gênero |
| dc.subject.en.none.fl_str_mv |
Systematic review Testing HIV/ AIDS Prevention MSM |
| dc.subject.ods.none.fl_str_mv |
05 Igualdade de gênero |
| description |
Fundação Oswaldo Cruz. Instituto Oswaldo Cruz. Laboratório de Educação em Ambiente e Saúde. Rio de Janeiro, RJ, Brasil. |
| publishDate |
2019 |
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2019-08-29T15:17:12Z |
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2019-08-29T15:17:12Z |
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2019 |
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info:eu-repo/semantics/publishedVersion |
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info:eu-repo/semantics/article |
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MONTEIRO, Simone et al. Challenges facing HIV treatment as prevention in Brazil: an analysis drawing on literature on testing. Ciência & Saúde Coletiva, v. 24, n. 5, p. 1793-1807, 2019. |
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https://arca.fiocruz.br/handle/icict/35200 |
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1413-8123 |
| dc.identifier.doi.none.fl_str_mv |
10.1590/1413-81232018245.16512017 |
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1678-4561 |
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MONTEIRO, Simone et al. Challenges facing HIV treatment as prevention in Brazil: an analysis drawing on literature on testing. Ciência & Saúde Coletiva, v. 24, n. 5, p. 1793-1807, 2019. 1413-8123 10.1590/1413-81232018245.16512017 1678-4561 |
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Associação Brasileira de Pós-Graduação em Saúde Coletiva |
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Associação Brasileira de Pós-Graduação em Saúde Coletiva |
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