Abstract
To graspthe AIDS social representations built by freedom-deprived women. Descriptive study with a quali-quantitative approach that involved 174 convicted women in a women's prison in a capital city of the Brazilian northeastern region. Aword-association test was applied in October and November 2014, using AIDS as a stimulus. The corpuswas processed usingIramuteq software. Descending Hierarchical Classification and Correspondence Factor Analysis were applied. The content that comprises the social representation of AIDS was influenced by the prison context, which was pervaded by a lack of assistance, lack of knowledge, discrimination, and suffering that disclosed vulnerability to HIV/AIDS factors such as unprotected sex and object sharing. This underlines the stigma and fear of the illness, in addition to favoring and supporting negative feelings and a sense of rejection. To consider the use of this representational amalgam to ensure a comprehensive, contextualized care can help redirect practices, motivate self-care practices, and reduce prejudiced attitudes. Apreenderas representações sociais sobre a aids construídas por mulheres privadas de liberdade. Estudo descritivo, com abordagem quali-quantitativa que envolveu 174 apenadas de Presídio Feminino situado em capital do nordeste brasileiro. Aplicou-se o Teste de Associação Livre de Palavras, em outubro e novembro de 2014, utilizando-se do estímulo aids. O corpus foi processado pelo software Iramuteq, sendo efetuadas a Classificação Hierárquica Descendente e Análise Fatorial de Correspondência. Os conteúdos que compõem a representação social sobre aids são influenciados pelo contexto prisional, permeado dedesassistência, desconhecimento, discriminação e condições de sofrimento, revelando fatores de vulnerabilidade ao HIV/Aids como atividade sexual desprotegida e compartilhamento de objetos; reiterando o estigma e o temor à doença; e favorecendo e sustentando sentimentos negativos e de rejeição. Considerar este amálgama representacional na garantia de um cuidado integral e contextualizado pode contribuir para redirecionar práticas, motivar condutas de autocuidado e reduzir atitudes preconceituosas.
Highlights
One may recognize the advances in discussions, research, therapies, educational campaigns, and preventive programs regarding the transmission of the human immunodeficiency virus (HIV ), not everyone has equal access to these resources and services
Prison is a space where health care and necessary care are limited, both in terms of prevention and in terms of healing aspects, in addition to lack of care, neglect, and lack of knowledge about the disease. This produces discrimination against the people who live with HIV/ AIDS, a common feature in prison
In the formation of the AIDS social representations (SR), influences from the media, the incipient scientific discoveries, and early medical knowledge from the onset of the epidemic shaped the stereotypes of the people who live with HIV/AIDS
Summary
One may recognize the advances in discussions, research, therapies, educational campaigns, and preventive programs regarding the transmission of the human immunodeficiency virus (HIV ), not everyone has equal access to these resources and services. Throughout the years, the diversity in the infection distribution standard gave it various epidemiological configurations and resulted in expansion to marginalized groups that have less social support and fewer developmental opportunities. This scenario has been shaping discriminatory practices and behaviors, strengthening the stigma and compromising programs that respond to HIV, hindering access to healthcare services on the part of those who live with HIV and those who face a high risk of contracting the virus[1]. It is necessary to invest in the quality of socio-cultural diagnoses of health problems, when they lead to changes in socially established behaviors[4]
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