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1.
HIV Res Clin Pract ; 25(1): 2361179, 2024 12.
Artigo em Inglês | MEDLINE | ID: mdl-38884378

RESUMO

BACKGROUND: HIV-related stigma is associated with worse health outcomes and lower adherence to antiretroviral therapy. There is limited data on the stigma faced by Latin American cisgender women, although they are among the populations most affected by HIV. This study aims to provide insight into the Stigma Index Brazil, with the objective of estimating the prevalence of HIV-related stigma among cisgender women in Brazil and to investigate the role of low socioeconomic status in stigma experience. METHODS: This is a cross-sectional community-based study. A total of 30 people with HIV were trained to recruit participants from their peer networks; 1,768 people with HIV from all regions of Brazil participated in the study, of which 566 participants were cisgender women. We used the Stigma Index, an instrument that assesses global trends in HIV-related stigma from the perspective of people with HIV. RESULTS: Approximately 70% of participants reported some form of HIV-related stigma. The most prevalent forms were discriminatory comments or gossiping (51.26%) and verbal harassment (30.99%). More than 20% experienced any health care related HIV-stigma in the last 12 months, the most frequent being the avoidance of physical contact (10.02%). Women in social vulnerability faced more stigma compared to the group without social vulnerability, both in general contexts (75.79% vs 64.32%; χ2 = 8.67, p < 0.05) and in healthcare contexts (24.12% vs 16.02%; χ2 = 4.06, p < 0.05). CONCLUSION: We found a high prevalence of stigma associated with HIV faced by Brazilian women from all regions of the country, both in everyday life and in healthcare contexts. Evidence-based interventions to reduce stigma in the general population, and specific mental health care aimed at women with HIV in Brazil, especially among those with greater socioeconomic vulnerability, are urgent.


Assuntos
Infecções por HIV , Estigma Social , Humanos , Feminino , Brasil/epidemiologia , Adulto , Infecções por HIV/psicologia , Infecções por HIV/epidemiologia , Estudos Transversais , Pessoa de Meia-Idade , Adulto Jovem , Fatores Socioeconômicos , Prevalência , Adolescente
2.
Neurol Sci ; 45(9): 4621-4623, 2024 Sep.
Artigo em Inglês | MEDLINE | ID: mdl-38691276

RESUMO

Akinetopsia is a rare neurological syndrome characterized by an impaired perception of movement, often resulting from brain damage due to ischemia, epilepsy, or medication. It is also known as visual motion blindness, and patients with this condition are unable to perceive motion normally even with perfect visual acuity. This report aims to present a case of a patient in their late 40 s who developed akinetopsia and also an impairment in movement perception of objects without emitting sounds, after experiencing a late relapse of breast cancer with the occurrence of multiple brain metastases. The patient also experienced visual hallucinations, night terrors, and difficulty forming anterograde memory. Neuroimaging with MRI revealed severe brain damage, especially in the middle temporal area of the visual cortex. Akinetopsia is a rare phenomenon, and this is the first known case of its association with brain metastases.


Assuntos
Neoplasias Encefálicas , Neoplasias da Mama , Feminino , Humanos , Pessoa de Meia-Idade , Neoplasias Encefálicas/secundário , Neoplasias Encefálicas/complicações , Neoplasias da Mama/patologia , Neoplasias da Mama/complicações , Imageamento por Ressonância Magnética , Percepção de Movimento/fisiologia
3.
Physis (Rio J.) ; 34: e34037, 2024. tab, graf
Artigo em Português | LILACS-Express | LILACS | ID: biblio-1564888

RESUMO

Resumo Objetivo: Identificar a prevalência e os fatores associados à violência contra mulheres durante a pandemia de Covid-19 no mundo. Método: O levantamento foi realizado em outubro de 2021, nos bancos de dados Embase, Scopus e Web of Science, publicados em 2020 e 2021, apenas no idioma inglês. Foram incluídos estudos empíricos, com população feminina, no período da Covid-19, e foram excluídos artigos que incluíam homens ou crianças em sua amostra. Para avaliar a qualidade dos estudos, foi usado o instrumento MMAT, e o resultado final foi organizado e sintetizado a partir de tabelas. Resultados: Foram selecionados 35 artigos, predominaram estudos quantitativos, on-line e investigando violência por parceiro íntimo. A prevalência foi significativa, com aumento e agravamento da violência; os principais fatores associados foram o estresse econômico, a pandemia e relações de gênero. Discussão: O viés de publicação foi estudos publicados apenas em inglês e os resultados envolvem o viés dos estudos primários referente a subnotificação e não generalização das amostras. É possível concluir que a pandemia e as medidas para conter a Covid-19 aumentaram a vulnerabilidade das mulheres coabitadas em ambiente violento.


Abstract Objective: To identify the prevalence and factors associated with violence against women during the Covid-19 pandemic in the world. Method: The survey was carried out in October 2021, in the Embase, Scopus and Web of Science databases, published in 2020 and 2021, only in the English language. Empirical studies were included, with a female population, during the Covid-19 period and articles that included men or children in their sample were excluded. To evaluate the quality of the studies, the MMAT instrument was used and the final result was organized and summarized using tables. Results: Thirty-five articles were selected, predominantly quantitative, on-line studies investigating intimate partner violence. The prevalence was significant, with an increase and worsening of violence and the main associated factors were economic stress, the pandemic and gender relations. Discussion: The publication bias was studies published only in English and the results involve the bias of primary studies regarding underreporting and non-generalization of the samples. It is possible to conclude that the pandemic and measures to contain Covid-19 increased the vulnerability of women cohabiting in a violent environment.

4.
Ciênc. Saúde Colet. (Impr.) ; Ciênc. Saúde Colet. (Impr.);29(9): e00352023, 2024. tab
Artigo em Inglês | LILACS-Express | LILACS | ID: biblio-1569068

RESUMO

Abstract In this study, we analyzed associations between vaccination knowledge, vaccination intention, political ideology, and belief in conspiracy theories before and during the 2020 Sars-Cov-2 pandemic in the Brazilian population. It was conducted a longitudinal study into three data collections. Participants responded to the Flexible Inventory of Conspiracy Suspicions (FICS), questionnaires measuring their knowledge, and opinion about vaccines, and sociodemographic data. The results were: the greater the belief in conspiracy theories about vaccines, the lesser the intention to get vaccinated, the vaccine knowledge, and the attitudes towards vaccine investment. Religious, prone to right-wing politics, parents, and older people scored more for FICS than atheists/agnostics, and younger people. From 2019 to 2020 the vaccination intention and vaccination investment did not differ, showing that people did not change their opinion about vaccines regardless of personal experience or the pandemic scenario. The research strengthened the relevance of health education as a milestone for public health and protection from dangerous conspiracy theories.


Resumo Neste estudo, analisamos associações entre conhecimento sobre vacinação, intenção de vacinação, ideologia política e crença em teorias da conspiração antes e durante a pandemia da Sars-Cov-2 de 2020 na população brasileira. Foi realizado um estudo longitudinal em três coletas de dados. Os participantes responderam ao Inventário Flexível de Suspeitas de Conspiração (FICS), a questionários medindo seu conhecimento e opinião sobre vacinas e dados sociodemográficos. Os resultados obtidos foram: quanto maior a crença em teorias da conspiração sobre vacinas, menor a intenção de se vacinar, o conhecimento da vacina e as atitudes em relação ao investimento em vacinas. Religiosos, propensos à política de direita, pais e idosos pontuaram mais para FICS do que ateus/agnósticos e pessoas mais jovens. De 2019 a 2020, a intenção de vacinação e o investimento em vacinação não diferiram, mostrando que as pessoas não mudaram de opinião sobre as vacinas, independentemente da experiência pessoal ou de um cenário de pandemia. Nossa pesquisa sugere fortalecer a educação em saúde como um marco para a saúde pública e proteção de perigosas teorias da conspiração.

5.
Interaçao psicol ; 27(2): 178-188, mai.-jul. 2023.
Artigo em Português | LILACS-Express | LILACS | ID: biblio-1531202

RESUMO

O modelo do Estresse de Minoria (EM) propõe uma explicação de como estressores relacionados ao preconceito levam pessoas lésbicas, gays e bissexuais (LGB) a terem piores desfechos negativos de saúde mental do que pessoas heterossexuais. Os componentes básicos do EM são o preconceito internalizado, preconceito antecipado e preconceito experienciado. O modelo do EM foi desenvolvido primeiramente no campo da sexualidade e hoje tem sido também aplicado no contexto da diversidade de gênero. Ainda não há instrumentos adaptados para sua avaliação no contexto da diversidade de gênero no Brasil. Para esse fim, este estudo objetiva a adaptação transcultural e a investigação de evidências de validade para o contexto brasileiro do "Protocolo para Avaliação do EM em pessoas trans e diversidade de gênero" (PEM-TD-BR). Participaram 455 indivíduos cuja identidade de gênero discordava daquela designada ao nascimento. As análises fatoriais exploratórias e confirmatórias sugerem a estrutura de três fatores do PEM-TD-BR como a mais adequada, fornecendo evidências de validade e fidedignidade para o protocolo no contexto brasileiro.


The Minority Stress (MS) model explains how prejudice-related stressors lead lesbian, gay, and bisexual people (LGB) to have worse negative mental health outcomes compared to heterosexuals. The basic components of MS are internalized prejudice, anticipated prejudice, and experienced prejudice. MS model was first developed in the field of sexuality and is now also applied in the context of gender diversity. There are still no adapted tools for its assessment in the context of gender diversity in Brazil. To this end, this study aims at the cross-cultural adaptation and production of validity evidence for the Brazilian context of a protocol for the "assessment of MS in transgender and gender diverse people" (PEM-TD-BR). It included 455 participants whose current gender identity disagreed with that assigned at birth. Exploratory and confirmatory factor analyzes suggest the three-factor structure of the PEM-TD-BR as the most appropriate and provide evidence for the validity and reliability for the protocol in the Brazilian context.

6.
Syst Rev ; 12(1): 128, 2023 07 23.
Artigo em Inglês | MEDLINE | ID: mdl-37481572

RESUMO

BACKGROUND: We systematically reviewed the literature and performed a meta-analysis on the effects of speech therapy and phonosurgery, for transgender women, in relation to the fundamental frequency gain of the voice, regarding the type of vocal sample collected, and we compared the effectiveness of the treatments. In addition, the study design, year, country, types of techniques used, total therapy time, and vocal assessment protocols were analyzed. METHODS: We searched the PubMed, Lilacs, and SciELO databases for observational studies and clinical trials, published in English, Portuguese, or Spanish, between January 2010 and January 2023. The selection of studies was carried out according to Prisma 2020. The quality of selected studies was assessed using the Newcastle-Ottawa scale. RESULTS: Of 493 studies, 31 were deemed potentially eligible and retrieved for full-text review and 16 were included in the systematic review and meta-analysis. Six studies performed speech therapy and ten studies phonosurgery. The speech therapy time did not influence the post-treatment gain in voice fundamental frequency (p = 0.6254). The type of sample collected significantly influenced the post-treatment voice frequency gain (p < 0.01). When the vocal sample was collected through vowel (p < 0.01) and reading (p < 0.01), the gain was significantly more heterogeneous between the different types of treatment. Phonosurgery is significantly more effective in terms of fundamental frequency gain compared to speech therapy alone, regardless of the type of sample collected (p < 0.01). The average gain of fundamental frequency after speech therapy, in the /a/ vowel sample, was 27 Hz, 39.05 Hz in reading, and 25.42 Hz in spontaneous speech. In phonosurgery, there was a gain of 71.68 Hz for the vowel /a/, 41.07 Hz in reading, and 39.09 Hz in spontaneous speech. The study with the highest gain (110 Hz) collected vowels, and the study with the lowest gain (15 Hz), spontaneous speech. The major of the included studies received a score between 4 and 8 on the Newcastle-Ottawa Scale. CONCLUSION: The type of vocal sample collected influences the gain result of the fundamental frequency after treatment. Speech therapy and phonosurgery increased the fundamental frequency and improved female voice perception and vocal satisfaction. However, phonosurgery yielded a greater fundamental frequency gain in the different samples collected. The study protocol was registered at Prospero (CRD42017078446).


Assuntos
Pessoas Transgênero , Voz , Feminino , Humanos , Fonoterapia , Fala , Bases de Dados Factuais
7.
Psicol Reflex Crit ; 36(1): 17, 2023 Jul 20.
Artigo em Inglês | MEDLINE | ID: mdl-37470848

RESUMO

Right-Wing Authoritarianism (RWA) is a central predictor of distinct phenomena such as prejudice, voting behavior, corruption, conspiratory beliefs and dietary habits. Given its theoretical and practical relevance, researchers have incorporated RWA measures in large-scale surveys but their length can be an impediment. Although short RWA scales exist, none consider the cultural variability of the RWA structure in non-WEIRD contexts such as Brazil. Here, we report data from five cross-sectional and longitudinal Brazilian samples (Ntotal = 2,493) used to develop a short RWA version that considers cross-cultural specificities of the Brazilian context, where an alternative four-factor model was observed. Exploratory and confirmatory factor analyses confirmed a four-factor structure comprising Authoritarianism, Traditionalism, Submission to Authority and Contestation to Authority dimensions. Six-month longitudinal results indicated that Authoritarianism and Traditionalism are more stable than both Submission and Contestation to Authority. Correlations between these dimensions and right-wing political self-categorization were statistically equivalent for the full 34-item RWA scale version and the new 12-item version. Results confirm the psychometric properties of the four-factor, 12-item RWA scale in this cultural context.

9.
Actual. psicol. (Impr.) ; 37(134): 117-133, Jan.-Jun. 2023. tab, graf
Artigo em Inglês | LILACS, SaludCR | ID: biblio-1556772

RESUMO

Abstract. Objetive. Attributional theory has been widely studied to understand the overall perceptions regarding people suffering from negative events such as an HIV infection. The aim of the present study is to test the overall attribution model and its influence on the willingness to help, considering emotional reactions related to an HIV-infected individual. Method. We used a Bayesian network to analyze the association between attributions of causality (blame, responsibility, and control), willingness to help, and emotional reactions (anger and sympathy) toward an HIV-infected patient. Three hundred and fifty-eight individuals participated in the study. Results. Using the overall model, we found two different results: Anger contributed to the cognitive processes of attribution, and sympathy contributed to the behavioral willingness to help the patient.


Resumo. Objetivo. A teoria de atribuição de causalidade tem sido amplamente estudada para compreender percepções a respeito de pessoas que sofrem o impacto de eventos negativos em saúde como uma infecção por HIV. O objetivo deste estudo é testar o modelo de atribuição e seu impacto em intenção de ajudar, considerando as reações emocionais direcionadas à um indivíduo que vive com HIV. Método. Utilizamos um panorama bayesiano para analisar a associação entre atribuições de causalidade (culpa, responsabilidade e controle), intenção de ajudar e reações emocionais (raiva e simpatia) no que diz respeito a um paciente com HIV. Trezentos e cinquenta e oito indivíduos participaram deste estudo. Resultados. A partir do modelo utilizado, encontramos dois resultados diferentes: raiva contribuiu ao processo cognitivo de atribuição e a emoção simpatia contribuiu ao processo comportamental de intenção de ajudar.


Assuntos
Humanos , Masculino , Feminino , Adulto , Preconceito , Autoimagem , HIV , Psicologia Social , Teorema de Bayes
10.
LGBT Health ; 10(4): 287-295, 2023 05.
Artigo em Inglês | MEDLINE | ID: mdl-37022728

RESUMO

Purpose: This study aimed to describe the gynecological care provided to Brazilian women who have sex with women (WSW). Methods: Respondent-driven sampling was used to recruit Brazilian WSW. The survey questions, concerning gynecological care, were designed in Portuguese by medical professionals, medical students, and LGBTQIA+ community members, including the authors. The statistical analyses were weighted to account for the likelihood of recruitment. Results: From January to August of 2018, 299 participants were recruited in 14 recruitment waves. The mean age of the WSW was 25.3 years. Most (54.9%) identified as lesbian and had been involved in past-year sexual intercourse mainly with cisgender women (86.1%). The WSW also reported having sex with cisgender men (22.2%), transgender men (5.3%), nonbinary people (2.3%), and transgender women (5.3%) in the last year. More than a quarter of the WSW did not have regular appointments with a gynecologist: 8.0% (95% confidence interval [CI] = 4.2-11.6) and 19% (95% CI = 12.8-25.2) stated that they had never gone to the gynecologist or they had only gone for emergencies, respectively. Almost one-third had never had cervical cancer screening (cervical cytology, Pap test or Pap smear). Most women justified avoiding the test because they felt healthy, thought it would hurt, or feared a health professional might mistreat them. Conclusion: Gynecologists should avoid heteronormative assumptions, inquire about sexual practices, orientation, and identity separately, and provide Pap tests as advised to WSW.


Assuntos
Minorias Sexuais e de Gênero , Neoplasias do Colo do Útero , Masculino , Feminino , Humanos , Adulto , Coito , Brasil/epidemiologia , Estudos de Amostragem , Detecção Precoce de Câncer , Comportamento Sexual , Inquéritos e Questionários
12.
Artigo em Inglês | MEDLINE | ID: mdl-36833910

RESUMO

The rates of suicidal ideation and suicide attempts among transgender youths are high. However, in Brazil, there are no studies about these outcomes in this population. The present study aims to investigate the prevalence of suicidal ideation and suicide attempts in Brazilian transgender youths (binary and non-binary), in association with predictor variables, following the Minority Stress Theory. The predictor variables analyzed were depressive symptoms, discrimination, gender distress, deprivation, social support, and gender identity support from parents and friends. Participants were recruited through an online survey. The final sample consisted of 213 participants, aged 13 to 25 years old. Two equal regression analyses were performed, one for each outcome. Out of the total, 103 (48.6%) identified as transgender boys, 44 (20.8%) as transgender girls, and 65 (30.7%) as non-binary. The mean age was 18.53 years (SD 2.50). The study found that 57.6% of the sample had depressive symptoms, 72.3% experienced suicidal ideation, and 42.7% had attempted suicide. In the final model, the variables that were associated with suicidal ideation were deprivation, gender distress, and depressive symptoms. As for suicide attempts, the variables deprivation and depressive symptoms were correlated. Further studies on this population should be conducted to analyze protective factors for these outcomes.


Assuntos
Tentativa de Suicídio , Pessoas Transgênero , Humanos , Masculino , Feminino , Adolescente , Adulto Jovem , Adulto , Ideação Suicida , Brasil , Identidade de Gênero , Fatores de Risco
13.
Parasit Vectors ; 16(1): 17, 2023 Jan 17.
Artigo em Inglês | MEDLINE | ID: mdl-36650591

RESUMO

BACKGROUND: Mosquito-borne diseases affect millions of people. Chemical insecticides are currently employed against mosquitoes. However, many cases of insecticide resistance have been reported. Entomopathogenic fungi (EPF) have demonstrated potential as a bioinsecticide. Here, we assessed the invasion of the EPF Beauveria bassiana into Aedes aegypti larvae and changes in the activity of phenoloxidase (PO) as a proxy for the general activation of the insect innate immune system. In addition, other cellular and humoral responses were evaluated. METHODS: Larvae were exposed to blastospores or conidia of B. bassiana CG 206. After 24 and 48 h, scanning electron microscopy (SEM) was conducted on the larvae. The hemolymph was collected to determine changes in total hemocyte concentration (THC), the dynamics of hemocytes, and to observe hemocyte-fungus interactions. In addition, the larvae were macerated to assess the activity of PO using L-DOPA conversion, and the expression of antimicrobial peptides (AMPs) was measured using quantitative Real-Time PCR. RESULTS: Propagules invaded mosquitoes through the midgut, and blastopores were detected inside the hemocoel. Both propagules decreased the THC regardless of the time. By 24 h after exposure to conidia the percentage of granulocytes and oenocytoids increased while the prohemocytes decreased. By 48 h, the oenocytoid percentage increased significantly (P < 0.05) in larvae exposed to blastospores; however, the other hemocyte types did not change significantly. Regardless of the time, SEM revealed hemocytes adhering to, and nodulating, blastospores. For the larvae exposed to conidia, these interactions were observed only at 48 h. Irrespective of the propagule, the PO activity increased only at 48 h. At 24 h, cathepsin B was upregulated by infection with conidia, whereas both propagules resulted in a downregulation of cecropin and defensin A. At 48 h, blastospores and conidia increased the expression of defensin A suggesting this may be an essential AMP against EPF. CONCLUSION: By 24 h, B. bassiana CG 206 occluded the midgut, reduced THC, did not stimulate PO activity, and downregulated AMP expression in larvae, all of which allowed the fungus to impair the larvae to facilitate infection. Our data reports a complex interplay between Ae. aegypti larvae and B. bassiana CG 206 demonstrating how this fungus can infect, affect, and kill Ae. aegypti larvae.


Assuntos
Aedes , Beauveria , Humanos , Animais , Controle Biológico de Vetores/métodos , Aedes/microbiologia , Hemócitos , Microscopia Eletrônica de Varredura , Esporos Fúngicos , Larva/microbiologia
14.
Psicol. reflex. crit ; 36: 17, 2023. tab
Artigo em Inglês | LILACS, Index Psicologia - Periódicos | ID: biblio-1507183

RESUMO

Abstract Right-Wing Authoritarianism (RWA) is a central predictor of distinct phenomena such as prejudice, voting behavior, corruption, conspiratory beliefs and dietary habits. Given its theoretical and practical relevance, researchers have incorporated RWA measures in large-scale surveys but their length can be an impediment. Although short RWA scales exist, none consider the cultural variability of the RWA structure in non-WEIRD contexts such as Brazil. Here, we report data from five cross-sectional and longitudinal Brazilian samples ( N total = 2,493) used to develop a short RWA version that considers cross-cultural specificities of the Brazilian context, where an alternative four-factor model was observed. Exploratory and confirmatory factor analyses confirmed a four-factor structure comprising Authoritarianism, Traditionalism, Submission to Authority and Contestation to Authority dimensions. Six-month longitudinal results indicated that Authoritarianism and Traditionalism are more stable than both Submission and Contestation to Authority. Correlations between these dimensions and right-wing political self-categorization were statistically equivalent for the full 34-item RWA scale version and the new 12-item version. Results confirm the psychometric properties of the four-factor, 12-item RWA scale in this cultural context.


Assuntos
Humanos , Masculino , Feminino , Adolescente , Adulto , Pessoa de Meia-Idade , Idoso , Autoritarismo , Comparação Transcultural , Inquéritos e Questionários , Reprodutibilidade dos Testes , Política , Brasil
15.
Psicol. (Univ. Brasília, Online) ; 39: e39412, 2023. tab, graf
Artigo em Inglês | LILACS-Express | LILACS, Index Psicologia - Periódicos | ID: biblio-1448914

RESUMO

Abstract The applicability of objectification theory on undergraduate female students from Rio Grande do Sul was analyzed, examining if the constructs of self-objectification, self-surveillance, appearance anxiety and body shame worked to predict disordered eating and depressive symptomatology. Participants were female undergraduate students from Rio Grande do Sul. Two quantitative, cross-sectional studies were conducted. On the first one (n = 622), the psychometric characteristics of the adapted instruments (English-Portuguese) were evaluated. On the second one, only data provided by Psychology students (n = 371) was used to test the framework using the innovative method of Bayesian Networks. Results indicate that the tested variables predict outcomes related to depression and eating disorders, partially explaining the gender disparity in the development of these pathologies. Objectification theory is useful to understand how the phenomenon can affect the mental health of Brazilian women.


Resumo Analisou-se a aplicabilidade da teoria da objetificação em universitárias do Rio Grande do Sul, examinando as variáveis objetificação do self, automonitoramento corporal, ansiedade de aparência e vergonha corporal como possíveis preditoras de sintomatologia associada à transtornos alimentares e depressivos. Trata-se de dois estudos quantitativos, de corte transversal. No primeiro (n = 622), avaliou-se as características psicométricas dos instrumentos adaptados (Inglês-Português). No segundo, usou-se apenas dados de estudantes de Psicologia (n = 371) para testar a estrutura através do método inovador de Redes Bayesianas. Os resultados indicam que as variáveis testadas predizem desfechos ligados a depressão e transtornos alimentares, explicando parcialmente a disparidade de gênero no acometimento destas patologias. A teoria mostra-se útil para entender como o fenômeno pode afetar a saúde mental de brasileiras.

16.
Artigo em Inglês | MEDLINE | ID: mdl-36497848

RESUMO

This cross-sectional and descriptive study aimed to evaluate the sexual function, urinary function, and quality of life of 26 Brazilian trans women who have undergone gender-affirming surgery (GAS) using the gold standard technique (penile inversion vaginoplasty) in the Gender Identity Transdisciplinary Program at Hospital de Clínicas de Porto Alegre, Brazil, between March 2016 and July 2017. The Female Sexual Function Index, the SF-36 Health Survey, and the International Consultation on Incontinence Questionnaire-Short Form were used. Regarding their surgical results, 84.6% of the women said they were satisfied, 73.1% were sexually functional, and 15.4% reported urinary incontinence not associated with surgery. Participants also reported a good quality of life, despite low scores of pain and physical vitality. Transgender women in our sample reported a good quality of life and sexual function after GAS. Further studies are required to improve the psychosexual wellbeing of this specific population.


Assuntos
Cirurgia de Readequação Sexual , Pessoas Transgênero , Feminino , Humanos , Masculino , Cirurgia de Readequação Sexual/métodos , Estudos Transversais , Qualidade de Vida , Identidade de Gênero
17.
Sci Rep ; 12(1): 13496, 2022 08 05.
Artigo em Inglês | MEDLINE | ID: mdl-35931728

RESUMO

Avian pox is a highly contagious poultry disease that causes significant economic losses. Mosquitoes belonging to the genus Culex (Diptera: Culicidae) have a fundamental role in disseminating Avipoxvirus (Poxviridae). This study proposes investigating the presence of Avipoxvirus (APV) DNA in Culex spp. from Rio de Janeiro to determine its frequency and perform a phylogenetic analysis based on the core like the 4b protein (p4b) gene. The detection of APVs was conducted individually on four hundred Culex spp. mosquitoes. A total of 12.23% (47/384) of the Culex spp. were positive in the PCR. Sequencing the p4b gene revealed that this study's sequences displayed 98.8-99% identity with Fowlpoxvirus (FWPW) sequences available in GenBank. In the phylogenetic analysis, these APVs were clustered in the A1 subclade together with FWPW sequences from several countries. The evolutionary distance of the p4b gene was 0.61 ± 0.21% in rural areas and 0.38 ± 0.16% in peri-urban areas. The current investigation is the first study to report the detection of APVs in field-caught mosquitoes. Moreover, a high frequency of APV DNA was observed in Culex spp. captured in domestic areas, where backyard poultry is present. This data demonstrates the importance of implementing control measures for Culex spp. to mitigate the transmission of APVs in backyard poultry in Rio de Janeiro.


Assuntos
Avipoxvirus , Culex , Culicidae , Vírus da Varíola das Aves Domésticas , Animais , Avipoxvirus/genética , Brasil , Filogenia , Aves Domésticas
18.
EClinicalMedicine ; 52: 101612, 2022 Oct.
Artigo em Inglês | MEDLINE | ID: mdl-36034408

RESUMO

Background: HIV disproportionately affects people who inject drugs, transgender people, sex workers, men who have sex with men, and incarcerated people. Recognized as key populations (KP), these groups face increased impact of HIV infection and reduced access to health assistance. In 1990, the Center for Disease Control and Prevention organized technical guidance on HIV Voluntary Counseling and Testing (VCT-HIV), with subsequent trials comparing intervention methodologies, no longer recommending this strategy. However, KP needs have not been explicitly considered. Methods: We assessed VCT-HIV effectiveness for sexual risk-reduction among KP (PROSPERO 2020 CRD42020088816). We searched Pubmed, EMBASE, Global Health, Scopus, PsycINFO, and Web of Science for peer-reviewed, controlled trials from February, 2020, to April, 2022. We screened the references list and contacted the main authors, extracted data through Covidence, applied the Cochrane Risk-of-Bias tool, and performed the meta-analysis using Review Manager. Findings: We identified 17 eligible trials, including 10,916 participants and evaluated HIV risk behaviors. When compared to baseline, VCT-HIV reduced unsafe sex frequency (Z=5.40; p<0.00001, I²=0%). Interpretation: While our meta-analysis identified VCT-HIV as protective for sexual risk behaviors for among KP, the results are limited to MSM and PWID, demonstrating the paucity of data on the other KP. Also, it highlights the importance of applying a clear VCT-HIV guideline as well as properly training the counselors. Funding: Research funded by Conselho Nacional de Desenvolvimento Científico e Tecnológico (CNPQ/MS-DIAHV N° 24/2019), and Coordenação de Aperfeiçoamento de Pessoal de Nível Superior.

19.
Psico USF ; 27(3): 437-449, July-Sept. 2022. tab
Artigo em Português | LILACS, Index Psicologia - Periódicos | ID: biblio-1422334

RESUMO

O presente estudo buscou adaptar a Escala de Orientação à Dominância Social (SDO7) para o contexto brasileiro, propor uma versão reduzida do instrumento, avaliar sua estrutura fatorial e evidências de validade entre grupos. Para tanto, realizou-se coleta de dados on-line em que participaram 1.056 indivíduos de quatro diferentes amostras. Análises fatoriais confirmatórias indicaram os melhores índices de ajuste para a estrutura original de quatro fatores, sendo dois substanciais (Dominância e Anti-Igualitarismo) e dois de método (pró-traço e contra-traço). Os fatores substanciais, denominados "Dominância Social" e "Anti-Igualitarismo", apresentaram alfa de Cronbach superior a 0,70 em todas as amostras. As versões longa e reduzida da escala apresentaram bons índices de validade de critério entre grupos com correlações altas entre os escores dos fatores substanciais e a autocategorização política. Portanto, o instrumento apresentou evidências de validade e fidedignidade e podem ser utilizados em estudos futuros. (AU)


This study aims to cross-culturally adapt the Social Dominance Orientation Scale (SDO7) for the Brazilian context, propose a reduced version of the instrument, and assess its factor structure and validity evidences. Participants included 1,056 individuals across four different samples collected online. Confirmatory factor analyses indicated the best fit indices for the original four-factor structure, two substantial (Dominance x Anti-Egalitarianism) and two methodological (pro-trait x counter-trait). The substantial factors had Cronbach's alpha values above 0.70 in all samples. Furthermore, both the long and reduced versions of the scale were highly correlated with political self-categorization. Hence, the instrument in its long and reduced versions showed good validity and reliability evidences for the Brazilian context and can be used in future studies. (AU)


Este estudio tiene como objetivo adaptar transculturalmente la Escala de Orientación a la Dominancia Social (SDO7) para el contexto brasileño, proponer una versión reducida del instrumento, evaluar su estructura factorial y evidencias de validez entre grupos. Por lo que, se llevó a cabo una recogida de datos online en la que participaron 1056 individuos de cuatro muestras diferentes. Los análisis factoriales confirmatorios indicaron los mejores índices de ajuste para la estructura original de cuatro factores, dos de ellos son sustanciales (Dominancia x Anti-Igualitarismo) y los otros dos son metodológicos (pro-rasgo x contra-rasgo). Los factores sustanciales, denominados "Dominancia social" y "Anti-Igualitarismo", presentaron alfa de Cronbach por encima de 0,70 en todas las muestras. Las versiones larga y corta de la escala presentaron buenos índices de validez con altas correlaciones entre los puntajes de los factores sustanciales y la autocategorización política. Por lo tanto, el instrumento presentó evidencias de validez y confiabilidad para el contexto brasileño y puede utilizarse en futuros estudios. (AU)


Assuntos
Humanos , Masculino , Feminino , Adolescente , Adulto , Pessoa de Meia-Idade , Idoso , Adulto Jovem , Preconceito/psicologia , Predomínio Social , Psicometria , Tradução , Comparação Transcultural , Inquéritos e Questionários , Reprodutibilidade dos Testes , Análise Fatorial , Fatores Sociodemográficos
20.
Arch Sex Behav ; 51(4): 1993-2002, 2022 05.
Artigo em Inglês | MEDLINE | ID: mdl-35414149

RESUMO

This cross-sectional study investigated whether depression, self-esteem, and resilience (mental health indicators) are associated with some psychological features of sexuality (sexual fear, sexual anxiety, sexual dissatisfaction, and sexual body image worries) in a sample of 462 transgender men and women from Brazil. Pearson's correlations were performed between all continuous variables in the study. Those that were significantly associated with the psychological features of sexuality in previous analyses were tested as independent variables in multiple linear regression models. Sexual fear, sexual anxiety, sexual dissatisfaction, and sexual body image worries were negatively related to self-esteem and resilience, while positively related to depression. Higher levels of depression were associated with sexual fear, while higher levels of depression and lower self-esteem were associated with sexual anxiety. In addition, higher levels of depression and lower levels of resilience were associated with sexual dissatisfaction. Depression and resilience were associated with the composite score of sexual dissatisfaction and sexual anxiety. Our results suggest that negative mental health indicators may impair the sexual life of transgender individuals. Clinical interventions should be developed and tested to address the psychological features of sexuality.


Assuntos
Resiliência Psicológica , Pessoas Transgênero , Brasil , Estudos Transversais , Depressão/psicologia , Feminino , Humanos , Masculino , Autoimagem , Sexualidade/psicologia
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