Abstract

ABSTRACTOBJECTIVE To analyze the conception of seropositive young people on how to prevent HIV infection.METHODS This is a qualitative study using semi-structured interviews with HIV-positive young people whose diagnosis was made in adolescence 5 years ago or less. We followed a semi-structured script containing sociodemographic data and an open question on HIV/AIDS prevention. The interviews were recorded and fully transcribed, then analyzed with the support of the webQDA software. We used the categories that compose the concept of vulnerability as a theoretical basis for data analysis.RESULTS We interviewed 39 young people, 23 girls and 16 boys. Some perceive the prevention of HIV infection only as an individual issue, summarizing it to the use of condoms and self-care. Most of the interlocutors point out educational strategies as the most relevant for prevention but used in a permanent and non-punctual way. In schools, they believe it is necessary to include younger students and their family. Guidelines should be given by people who can use the language of young people and preferably by HIV-positive people, to show the reality of those who have AIDS. In the programmatic field, they suggest intensifying campaigns in the media, distributing condoms in large scale, producing vaccines and medicines that cure. No one mentioned the female condom, the rapid test, nor the availability of sexual and reproductive health care.CONCLUSIONS The qualification and expansion of communication strategies on sexuality in schools is urgent and essential in HIV and AIDS prevention in adolescence, contrary to the current trend of restricting the discussion of these topics in education policies.

Highlights

  • According to the Epidemiological Report on HIV/AIDS of the Brazilian Ministry of Health, referring to cases reported up to June 20171, the population group aged 15 to 19 continues to show increasing rates of AIDS incidence

  • This is a qualitative study using semi-structured interviews with HIV-positive young people whose diagnosis was made in adolescence 5 years ago or less

  • Guidelines should be given by people who can use the language of young people and preferably by HIV-positive people, to show the reality of those who have AIDS

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Summary

Introduction

According to the Epidemiological Report on HIV/AIDS of the Brazilian Ministry of Health, referring to cases reported up to June 20171, the population group aged 15 to 19 continues to show increasing rates of AIDS incidence. In the distribution by sex, the detection rate among women in the last 10 years decreased in all age groups, except between 15 and 19 years. The prevalence ratio between sexes, of 17 men to every 10 women, is lower in this age group when compared with the others, showing that the reduction in the trend of feminization of the epidemy observed from 2009 was lower in adolescents. In the 20-29 age group, this ratio is 30 men to every 10 women. In the case of men, the detection rate tripled between 15 and 19 years in the same period, from 2.4 to 6.9 cases per 100 thousand inhabitants. The study showed a higher prevalence increase between 15 and 19 years, which tripled[2]. AIDS in Brazil is out of control and goes against the world scenario[3]

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