Significados e vulnerabilidade ao HIV/aids entre caminhoneiros de rota longa no Brasil

Detalhes bibliográficos
Autor(a) principal: Magno, Laio
Data de Publicação: 2016
Outros Autores: Castellanos, Marcelo Eduardo Pfeiffer
Tipo de documento: Artigo
Idioma: eng
por
Título da fonte: Revista de Saúde Pública
Texto Completo: https://www.revistas.usp.br/rsp/article/view/126566
Resumo: OBJECTIVE To understand the meanings assigned by long-distance truck drivers to HIV/AIDS and its transmission and prevention, bearing in mind different contexts of vulnerability. METHODS Qualitative research with 22 truck drivers. Semi-structured interviews and participant observation were conducted in highways of the state of Bahia in 2013. We selected male truck drivers, with one year or more of work experience in long-distance routes. We carried out the thematic analysis of the interviews, to identify different contexts of vulnerability. RESULTS The results showed that the insertion of truck drivers in contexts of high social vulnerability (poor working conditions, violence on the roads, and use of alcohol and other drugs) along with the advances in access and effectiveness of treatment for AIDS promote a reduced perception of the risk and severity of this disease. In addition, the notion of “risk group” and the symbolic division between “home space” (protected) and “street space” (unprotected) intensified a restricted and specific use of condoms, guided by the opposition between “woman of the street” (unknown women, prostitutes, among others) and “woman of the house” (wives, girlfriends). CONCLUSIONS The meanings assigned by truckers to AIDS incorporated elements of recent transformations of the expanded social context, such as the development of health technologies (especially anti-retroviral drugs) and the guarantee of free access to treatment in the Brazilian public health system; but also incorporated old elements of social vulnerability context – such as the poor working conditions on Brazilian highways.
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spelling Significados e vulnerabilidade ao HIV/aids entre caminhoneiros de rota longa no Brasil Meanings and vulnerability to HIV/AIDS among long-distance truck drivers in Brazil OBJECTIVE To understand the meanings assigned by long-distance truck drivers to HIV/AIDS and its transmission and prevention, bearing in mind different contexts of vulnerability. METHODS Qualitative research with 22 truck drivers. Semi-structured interviews and participant observation were conducted in highways of the state of Bahia in 2013. We selected male truck drivers, with one year or more of work experience in long-distance routes. We carried out the thematic analysis of the interviews, to identify different contexts of vulnerability. RESULTS The results showed that the insertion of truck drivers in contexts of high social vulnerability (poor working conditions, violence on the roads, and use of alcohol and other drugs) along with the advances in access and effectiveness of treatment for AIDS promote a reduced perception of the risk and severity of this disease. In addition, the notion of “risk group” and the symbolic division between “home space” (protected) and “street space” (unprotected) intensified a restricted and specific use of condoms, guided by the opposition between “woman of the street” (unknown women, prostitutes, among others) and “woman of the house” (wives, girlfriends). CONCLUSIONS The meanings assigned by truckers to AIDS incorporated elements of recent transformations of the expanded social context, such as the development of health technologies (especially anti-retroviral drugs) and the guarantee of free access to treatment in the Brazilian public health system; but also incorporated old elements of social vulnerability context – such as the poor working conditions on Brazilian highways. OBJETIVO Compreender os significados atribuídos pelos caminhoneiros de rota longa ao HIV/aids e à sua transmissão e prevenção, tendo em vista diferentes contextos de vulnerabilidade. MÉTODOS Pesquisa qualitativa com 22 caminhoneiros. Foram realizadas entrevistas semi-estruturadas e observação participante em rodovias do estado da Bahia em 2013. Foram selecionados caminhoneiros do sexo masculino, com um ano ou mais de experiência de trabalho em rotas de longa distância. Realizou-se análise temática das entrevistas, orientada para identificação de diferentes contextos de vulnerabilidade. RESULTADOS Os resultados mostraram que a inserção dos caminhoneiros em contextos de alta vulnerabilidade social (más condições de trabalho, violência nas estradas e uso de álcool e outras drogas) e os avanços no acesso e efetividade do tratamento para aids favorecem a minimização da percepção de risco e gravidade dessa doença. Além disso, a noção de “grupo de risco” e a divisão simbólica entre “espaço da casa” (protegido) e “espaço da rua” (desprotegido) intensificaram um uso restrito e específico do preservativo, orientado pela oposição entre “mulher do mundo” (desconhecidas, prostitutas, entre outros) e “mulher de casa” (esposas, namoradas). CONCLUSÕES Os significados atribuídos pelos caminhoneiros à aids incorporaram elementos de transformações recentes do contexto social ampliado, como o desenvolvimento de tecnologias em saúde (com destaque para os antirretrovirais) e a garantia de acesso gratuito ao tratamento no sistema público de saúde no Brasil; mas também incorporaram antigos elementos do contexto de vulnerabilidade social – a exemplo das más condições de trabalho nas estradas brasileiras. Universidade de São Paulo. Faculdade de Saúde Pública2016-01-01info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionapplication/pdfapplication/pdfhttps://www.revistas.usp.br/rsp/article/view/12656610.1590/s1518-8787.2016050006185Revista de Saúde Pública; Vol. 50 (2016); 76Revista de Saúde Pública; Vol. 50 (2016); 76Revista de Saúde Pública; v. 50 (2016); 761518-87870034-8910reponame:Revista de Saúde Públicainstname:Universidade de São Paulo (USP)instacron:USPengporhttps://www.revistas.usp.br/rsp/article/view/126566/123539https://www.revistas.usp.br/rsp/article/view/126566/123540Copyright (c) 2017 Revista de Saúde Públicainfo:eu-repo/semantics/openAccessMagno, LaioCastellanos, Marcelo Eduardo Pfeiffer2018-02-26T17:09:53Zoai:revistas.usp.br:article/126566Revistahttps://www.revistas.usp.br/rsp/indexONGhttps://www.revistas.usp.br/rsp/oairevsp@org.usp.br||revsp1@usp.br1518-87870034-8910opendoar:2018-02-26T17:09:53Revista de Saúde Pública - Universidade de São Paulo (USP)false
dc.title.none.fl_str_mv Significados e vulnerabilidade ao HIV/aids entre caminhoneiros de rota longa no Brasil
Meanings and vulnerability to HIV/AIDS among long-distance truck drivers in Brazil
title Significados e vulnerabilidade ao HIV/aids entre caminhoneiros de rota longa no Brasil
spellingShingle Significados e vulnerabilidade ao HIV/aids entre caminhoneiros de rota longa no Brasil
Magno, Laio
title_short Significados e vulnerabilidade ao HIV/aids entre caminhoneiros de rota longa no Brasil
title_full Significados e vulnerabilidade ao HIV/aids entre caminhoneiros de rota longa no Brasil
title_fullStr Significados e vulnerabilidade ao HIV/aids entre caminhoneiros de rota longa no Brasil
title_full_unstemmed Significados e vulnerabilidade ao HIV/aids entre caminhoneiros de rota longa no Brasil
title_sort Significados e vulnerabilidade ao HIV/aids entre caminhoneiros de rota longa no Brasil
author Magno, Laio
author_facet Magno, Laio
Castellanos, Marcelo Eduardo Pfeiffer
author_role author
author2 Castellanos, Marcelo Eduardo Pfeiffer
author2_role author
dc.contributor.author.fl_str_mv Magno, Laio
Castellanos, Marcelo Eduardo Pfeiffer
description OBJECTIVE To understand the meanings assigned by long-distance truck drivers to HIV/AIDS and its transmission and prevention, bearing in mind different contexts of vulnerability. METHODS Qualitative research with 22 truck drivers. Semi-structured interviews and participant observation were conducted in highways of the state of Bahia in 2013. We selected male truck drivers, with one year or more of work experience in long-distance routes. We carried out the thematic analysis of the interviews, to identify different contexts of vulnerability. RESULTS The results showed that the insertion of truck drivers in contexts of high social vulnerability (poor working conditions, violence on the roads, and use of alcohol and other drugs) along with the advances in access and effectiveness of treatment for AIDS promote a reduced perception of the risk and severity of this disease. In addition, the notion of “risk group” and the symbolic division between “home space” (protected) and “street space” (unprotected) intensified a restricted and specific use of condoms, guided by the opposition between “woman of the street” (unknown women, prostitutes, among others) and “woman of the house” (wives, girlfriends). CONCLUSIONS The meanings assigned by truckers to AIDS incorporated elements of recent transformations of the expanded social context, such as the development of health technologies (especially anti-retroviral drugs) and the guarantee of free access to treatment in the Brazilian public health system; but also incorporated old elements of social vulnerability context – such as the poor working conditions on Brazilian highways.
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10.1590/s1518-8787.2016050006185
url https://www.revistas.usp.br/rsp/article/view/126566
identifier_str_mv 10.1590/s1518-8787.2016050006185
dc.language.iso.fl_str_mv eng
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https://www.revistas.usp.br/rsp/article/view/126566/123540
dc.rights.driver.fl_str_mv Copyright (c) 2017 Revista de Saúde Pública
info:eu-repo/semantics/openAccess
rights_invalid_str_mv Copyright (c) 2017 Revista de Saúde Pública
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv application/pdf
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dc.publisher.none.fl_str_mv Universidade de São Paulo. Faculdade de Saúde Pública
publisher.none.fl_str_mv Universidade de São Paulo. Faculdade de Saúde Pública
dc.source.none.fl_str_mv Revista de Saúde Pública; Vol. 50 (2016); 76
Revista de Saúde Pública; Vol. 50 (2016); 76
Revista de Saúde Pública; v. 50 (2016); 76
1518-8787
0034-8910
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