"Prevenção da transmissão vertical do HIV/aids: compreendendo as crenças e percepções das mães soropositivas" / "Prevention for mother-to-child transmission: understanding HIV positive mother’s beliefs and perceptions"

AUTOR(ES)

Lis Aparecida de Souza Neves

DATA DE PUBLICAÇÃO

2005

RESUMO

Prevention measures for the mother-to-child transmission of the HIV virus may effectively reduce infection rates in children. However, for such effectiveness to come true, mothers have to comply with the treatment. This study was carried out aiming to understand the beliefs which influence the HIV positive mothers’ behaviors towards prevention methods against mother-to-child transmission. Fourteen HIV infected women whose children were at least 6 months old and all born in Ribeirão Preto county were interviewed. Data were studied according to the Content Analyses method and interpreted using as a theoretical reference the Health Belief Model (Rosenstock, 1974), formed by the following dimensions: perceived susceptibility, perceived severity, perceived benefits and perceived obstacles. As we analyzed those data we came up with some under categories showing the AIDS epidemic paradox: in the perceived susceptibility appeared: “invulnerability prior to pregnancy”; “pre delivery”; “a child’s susceptibility” as for the disease seriousness. “Underestimation of the HIV virus”;” fear of death”; “healthy growing up”; and “not the same as me” were the benefits mentioned by the mothers. As for the possible barriers, we found things like: “disbelief in the virus existence”; “financial problems”; “diagnosis omission”. Some aspects of the beliefs may be considered both helpers and trouble-makers for a mother’s adhesion, varying according to the social, economic and cultural environment the mother lives in. Getting to know a mother’s perception regarding the beliefs motivating their behaviors provides the health professionals a higher understanding of such behaviors, allowing the possibility of making up an effective care plan within the context culturally meaningful, with a higher probability of promoting patients’ adhesion.

ASSUNTO(S)

hiv hiv aids aids mother-to-child disease transmission transmissão vertical de doença

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