Revista de Saúde Pública
On-line version ISSN 1518-8787
GALVAO, Marli T Gimeniz; CERQUEIRA, Ana Teresa de Abreu Ramos and MARCONDES-MACHADO, Jussara. Contraceptive measures and HIV transmission protection among women with HIV/AIDS. Rev. Saúde Pública [online]. 2004, vol.38, n.2, pp. 194-200. ISSN 1518-8787. http://dx.doi.org/10.1590/S0034-89102004000200007.
OBJECTIVE: Sexual intercourse is currently the route of transmission among women that has most contributed to the feminization of the HIV/AIDS epidemic. As an ongoing effort to establish more appropriate standards for health counseling, the study's purpose was to investigate the use of contraceptive methods that would also prevent HIV/AIDS women against disease transmission. METHODS: An exploratory study was developed in an outpatient clinic of a public university hospital, a reference center of HIV/AIDS patients in the mid-south region of the state of São Paulo, Brazil, during a 5-month-period (2000 and 2001). The study was carried out in 73 HIV/AIDS women. Data were collected using a semi-structured questionnaire exploring subjects' sociodemographics, contraception method used and HIV status of their sex partners. A descriptive data analysis was performed and the contents of open answers were grouped into themes. Fischer's exact test was applied for analyzing some variables at a 5% significance level. Content analysis was carried out according to Bardin's proposal.2 RESULTS: Most women at reproductive age were married and had been infected almost exclusively through heterosexual contact. Of them, 35.4% reported having an HIV discordant partner and 13.7% used inadequate contraceptive methods that failed to protect them against HIV transmission. CONCLUSIONS: The study results call for the need of continuous education on safer sex among HIV/AIDS women to empower them to discuss with their partners alternative options of exercising their sexuality and to raise awareness on their contraceptive choices in a way to protect their own health, their partner's and even their unborn offspring's health.
Keywords : Sex behavior; Contraception; Women; Acquired immunodeficiency syndrome [transmission]; HIV infections [transmission].