Claudia Renata dos Santos Barros

Bio: Claudia Renata dos Santos Barros is an academic researcher from Universidade Católica de Santos. The author has contributed to research in topics: Sexual violence & Population. The author has an hindex of 13, co-authored 52 publications receiving 483 citations. Previous affiliations of Claudia Renata dos Santos Barros include University of São Paulo.

Violência contra as mulheres por parceiros íntimos: usos de serviços de saúde

Abstract: OBJETIVO: Estimar a associacao entre violencia por parceiro intimo (VPI) e uso de servicos de atencao primaria a saude em Sao Paulo. METODOS: Estudo transversal com selecao dos servicos por amostragem de conveniencia e de mulheres usuarias desses servicos por amostragem do tipo consecutivo. As unidades amostrais finais de 2.674 mulheres de 15 a 49 anos de idade foram categorizadas, segundo a ocorrencia e repeticao de episodios de qualquer tipo de VPI na vida, como "nao", "sim com alguma repeticao" e "sim com muita repeticao". Por meio de regressao logistica polinomial, testou-se a associacao entre VPI, uso de servicos de saude e diagnosticos ou queixas das mulheres usuarias (tipo e frequencia de registro), ajustadas pelas variaveis sociodemograficas e de saude sexual e reprodutiva. RESULTADOS: Foi observada uma prevalencia de 59% de VPI independente de sua repeticao. O maior numero de consultas mostrou-se associado com VPI repetitiva, apos o ajuste dos efeitos de possiveis variaveis de confundimento. Os diagnosticos e/ou queixas de agravos psicoemocionais registrados, mais de uma vez, no ultimo ano, mostraram-se associados com VPI, aumentando sua magnitude com a maior repeticao da violencia. CONCLUSOES: E crucial um maior diagnostico dos casos de VPI entre mulheres usuarias dos servicos de saude, bem como a implementacao de acoes que previnam a violencia e de cuidado relativamente as necessidades particulares de saude dessas mulheres. Tais medidas, se adotadas, produzirao impactos tambem no padrao de uso dos servicos.

Associação entre violência por parceiro íntimo contra a mulher e infecção por HIV

Abstract: OBJETIVO: Analisar a associacao entre a violencia por parceiro intimo contra mulheres e a infeccao ou suspeita de infeccao pelo virus da imunodeficiencia humana (HIV). METODOS: Estudo transversal com base em dados de questionarios aplicados face-a-face e de prontuarios medicos de 2.780 mulheres de 15 a 49 anos, atendidas em unidades do sistema unico de saude da Grande Sao Paulo, SP, em 2001-2002. As mulheres foram categorizadas em: usuarias em tratamento por serem "soropositivas para o HIV", com "suspeita de HIV" e aquelas que procuraram os servicos por outros motivos. A violencia por parceiro intimo contra mulheres na vida foi categorizada por gravidade e recorrencia dos episodios de violencia. A associacao com o desfecho foi testada pelo modelo de Poisson com variância robusta e ajustada por variaveis sociodemograficas, sexuais e reprodutivas. RESULTADOS: A prevalencia de violencia foi de 59,8%. Sofrer violencia reiterada e grave apresentou maior associacao de infeccao confirmada pelo HIV (RP = 1,91). A violencia independente da gravidade e da recorrencia dos episodios apresentou maior associacao para a suspeita de infeccao por HIV (RP = 1,29). CONCLUSOES: A violencia por parceiro intimo contra mulheres tem papel relevante nas situacoes de suspeita e confirmacao da infeccao pelo HIV, sendo essencial incluir sua deteccao, controle e prevencao como parte da atencao integral a saude das mulheres.

Repercussão da exposição à violência por parceiro íntimo no comportamento dos filhos

Abstract: OBJETIVO: Analisar a associacao entre a exposicao a violencia por parceiro intimo (VPI) contra a mulher com desajustes comportamentais e problemas escolares entre os filhos METODOS: Inquerito populacional participante do WHO Multicountry Study on Violence Against Women, com 790 mulheres que coabitam com filhos de cinco a 12 anos, residentes no Municipio de Sao Paulo, SP, e na Zona da Mata de Pernambuco Foram realizados tres modelos multiplos para estimar a forca da associacao entre variaveis explanatorias de apoio social e comunitario, eventos de vida estressantes, fatores sociodemograficos e gravidade da VPI, entre outras Os modelos incluiram tres respectivos desfechos: numero de problemas de comportamento; agressividade; e interrupcao abandono ou repetencia escolar RESULTADOS: A exposicao a VPI fisica e/ou sexual grave esteve associada a ocorrencia de problemas escolares, de problemas de comportamento em geral e de comportamentos agressivos na analise de regressao logistica univariada A exposicao a VPI grave manteve-se associada a ocorrencia de tres ou mais problemas de comportamento entre seus filhos, independentemente do transtorno mental comum, da baixa escolaridade, de a mae (avo) ter sido vitima de VPI fisica e do apoio social e comunitario nos modelos de regressao logistica multiplos A VPI grave esteve associada ao comportamento agressivo e aos problemas escolares, depois do ajuste por outras variaveis sociodemograficas, entre outras O estado de saude mental materna constituiu-se em fator mediador da relacao entre a exposicao a VPI e os problemas de comportamento, sobretudo agressividade CONCLUSOES: A VPI grave afeta o comportamento dos filhos e deve ser incluida na assistencia a saude das criancas em idade escolar, por meio de intervencoes conjuntas entre criancas e maes

Repercusión de la exposición a la violencia por pareja íntima en el comportamiento de los hijos

Abstract: OBJETIVO: Analizar la asociacion entre la exposicion a la violencia por pareja intima (VPI) contra la mujer con desajustes de comportamiento y problemas escolares entre los hijos. METODOS: Pesquisa poblacional participante del WHO Multicountry Study on Violence Against Women, con 790 mujeres que cohabitan con hijos de cinco a 12 anos, residentes en el Municipio de Sao Paulo, Sureste de Brasil, y en la Zona de la Mata de Pernambuco, Noreste de Brasil. Se realizaron tres modelos multiples para estimar la fuerza de la asociacion entre variables explicativas de apoyo social y comunitario, eventos de vida estresantes, factores sociodemograficos y gravedad de la VPI, entre otras. Los modelos incluyeron tres aspectos respectivos: numero de problemas de comportamiento, agresividad e interrupcion, abandono o repeticion escolar. RESULTADOS: La exposicion a la VPI fisica y/o sexual grave estuvo asociada a la ocurrencia de problemas escolares, de problemas de comportamiento en general, y de comportamientos agresivos en el analisis de regresion logistica univariada. La exposicion a la VPI grave se mantuvo asociada a la ocurrencia de tres o mas problemas de comportamiento entre sus hijos, independientemente del trastorno mental comun, de la baja escolaridad, de la madre (abuela) haber sido victima de VPI fisica y del apoyo social y comunitario en los modelos de regresion logistica multiples. La VPI grave estuvo asociada al comportamiento agresivo y a los problemas escolares, despues del ajuste por otras variables sociodemograficas, entre otras. El estado de salud mental materno constituye un factor mediador de la relacion entre la exposicion a la VPI y los problemas de comportamiento, sobretodo la agresividad. CONCLUSIONES: La VPI grave afecta el comportamiento de los hijos y debe ser incluida en la asistencia a la salud de los ninos en edad escolar, por medio de intervenciones conjuntas entre ninos y madres.

Factors associated with sexually transmitted infections: a population based survey in the city of São Paulo, Brazil

Abstract: We determined the prevalence of sexually transmitted infections (STIs), the factors associated with infection and types of counseling received by men and women from health professionals in the City of Sao Paulo. The investigation consisted of a cross-sectional study conducted with men and women aged between 15 and 64 years living in the City of Sao Paulo. Of 4,057 individuals who had engaged in sexual activity, 6.3% reported previous history of a STI: 4.3% of women and 8.2% of men. The factors associated with STI were being aged over 34 years and not using a condom during first sexual intercourse, among men, and being aged over 25 years among women. Protective factors included not having had sexual intercourse with someone from the same sex, among men, and having initiated sexual activity after the age of 15 years and not having a casual sex partner over the last 12 months, among women. Counseling about the importance of HIV and syphilis testing was received by 72.1% and 64.7% of women, respectively, while fewer than half of the men received this type of counseling (40.2% and 38.6 %, respectively). The prevalence of previous history of a STI was high among the population of the City of Sao Paulo. The findings of this study informed the development, implementation, and evaluation of STI policies, including those directed at HIV, leading to a reduction in the barriers that hinder access to and use of condoms and the creation of STI prevention app.

Compliance with physical activity guidelines : prevalence in a population of children and youth

Abstract: PURPOSE To use objective monitoring of physical activity to determine the percentages of children and youth in a population that met physical activity guidelines. METHODS A total of 375 students in grades 1–12 wore an accelerometer (CSA 7164) for seven consecutive days. Bouts of continuous activity and accumulation of minutes spent in physical activity at various intensities were calculated to determine how many students met three physical activity guidelines. RESULTS Over 90% of students met Healthy People 2010, Objective 22.6 and nearly 70% met the United Kingdom Expert Consensus Group guideline, both of which recommend daily accumulation of moderate physical activity. Less than 3% met Healthy People 2010, Objective 22.7, which calls for bouts of continuous vigorous physical activity. For the United Kingdom Expert Consensus Group guideline, compliance decreased markedly with age, but gender differences were not statistically significant. CONCLUSIONS Prevalence estimates for compliance with national physical activity guidelines varied markedly for the three guidelines examined. Objective monitoring of physical activity in youth appears to be feasible and may provide more accurate prevalence rates than self-report measures.

Intimate partner violence and HIV infection among women: a systematic review and meta‐analysis

Abstract: Introduction : To assess evidence of an association between intimate partner violence (IPV) and HIV infection among women. Methods : Medline/PubMed, Embase, Web of Science, EBSCO, Ovid, Cochrane HIV/AIDS Group’s Specialized Register and Cochrane Central Register of Controlled Trials were searched up to 20 May 2013 to identify studies that examined the association between IPV and HIV infection in women. We included studies on women aged ≥15 years, in any form of sexually intimate relationship with a male partner. Results : Twenty-eight studies [(19 cross-sectional, 5 cohorts and 4 case-control studies) involving 331,468 individuals in 16 countries – the US (eight studies), South Africa (four studies), East Africa (10 studies), India (three studies), Brazil (one study) and multiple low-income countries (two studies)] were included. Results were pooled using RevMan 5.0. To moderate effect estimates, we analyzed all data using the random effects model, irrespective of heterogeneity level. Pooled results of cohort studies indicated that physical IPV [pooled RR (95% CI): 1.22 (1.01, 1.46)] and any type of IPV [pooled RR (95% CI): 1.28 (1.00, 1.64)] were significantly associated with HIV infection among women. Results of cross-sectional studies demonstrated significant associations of physical IPV with HIV infection among women [pooled OR (95% CI): 1.44 (1.10, 1.87)]. Similarly, results of cross-sectional studies indicated that combination of physical and sexual IPV [pooled OR (95% CI): 2.00 (1.24, 3.22) and any type of IPV [pooled OR (95% CI): 1.41 (1.16, 1.73)] were significantly associated with HIV infection among women. Conclusions : Available evidence suggests a moderate statistically significant association between IPV and HIV infection among women. To further elucidate the strength of the association between IPV and HIV infection among women, there is a need for high-quality follow-up studies conducted in different geographical regions of the world, and among individuals of diverse racial/cultural backgrounds and varying levels of HIV risks. Keywords: intimate partner violence; women’s health; systematic review; meta-analysis; gender-based violence; HIV/AIDS. (Published: 13 February 2014) Citation: Li Y et al. Journal of the International AIDS Society 2014, 17 :18845 http://www.jiasociety.org/index.php/jias/article/view/18845 | http://dx.doi.org/10.7448/IAS.17.1.18845 To access the supplementary material to this article please see Supplementary Files in the column to the right (under Article Tools).

A systematic review of the relationships between intimate partner violence and HIV/AIDS

Abstract: Background Intimate partner violence (IPV) is a significant health problem that has been associated with HIV infection in numerous studies. We aimed to systematically review the literature on relationships between IPV and HIV in order to describe the prevalence of IPV in people with HIV, the prevalence of HIV in people experiencing IPV, the association between IPV and HIV, and evidence regarding mechanisms of risk and interventions. Methods Data sources were 10 electronic databases and reference lists. Studies were included if they reported data on the relationship between IPV and HIV. All records were independently reviewed by two authors at the stages of title and abstract review and full text review. Any abstract considered eligible by either reviewer was reviewed in full, and any disagreement regarding eligibility of full texts or data extracted was resolved by discussion. Results 101 articles were included. Experiencing IPV and HIV infection were associated in unadjusted analyses in most studies, as well as in adjusted analyses in many studies. The findings of qualitative and quantitative studies assessing potential mechanisms linking IPV and HIV were variable. Few interventions have been assessed, but two identified in this review were promising in terms of preventing IPV, though not HIV infection. Conclusions Experiencing IPV and HIV infection tend to be associated in unadjusted analyses, suggesting that IPV screening and linkage with relevant programs and services may be valuable. It is unclear whether there is a causal association between experiencing IPV and HIV infection. Research should focus on defining parameters of IPV which are relevant to HIV infection, including type of IPV and period of exposure and risk, on assessing potential mechanisms, and on developing and assessing interventions which build on the strengths of existing studies.

Factores asociados a la violencia por pareja íntima en mujeres brasileras

Abstract: OBJETIVO: Estimar a prevalencia e os fatores associados a violencia fisica e/ou sexual por parceiro intimo em diferentes contextos socioculturais. METODOS: Estudo transversal, participante do WHO Multi-country Study on Women's Health and Domestic Violence against women, com amostra representativa de mulheres no municipio de Sao Paulo e Zona da Mata de Pernambuco, regiao com normas mais tradicionais de genero. Foram entrevistadas no domicilio 940 mulheres de Sao Paulo e 1.188 da Zona da Mata, entre 2000-1, com idade entre 15 a 49 anos que tiveram parceria afetivo-sexual com homens alguma vez na vida. Foram construidos tres conjuntos de fatores, correspondentes a blocos hierarquicamente ordenados: caracteristicas sociodemograficas, familiares e aspectos referentes a autonomia/submissao feminina. Utilizou-se regressao logistica hierarquica na analise dos fatores associados a violencia por parceiro intimo em cada local. RESULTADOS: Encontrou-se prevalencia de 28,9% em Sao Paulo (IC 95% 26,0;31,8) e 36,9% (IC 95% 34,1;39,6) na Zona da Mata. Escolaridade ate oito anos, violencia fisica conjugal entre os pais da mulher, abuso sexual na infância, cinco ou mais gestacoes e problemas com a bebida mostraram-se associados a violencia por parceiro intimo em ambos locais. Autonomia financeira da mulher, uniao informal, idade e consentimento na primeira relacao sexual mostraram-se associadas a maiores taxas apenas na Zona da Mata. As caracteristicas socioeconomicas associadas no primeiro bloco foram mediadas por outros fatores no modelo final. CONCLUSOES: Os achados mostram a relativizacao dos fatores socioeconomicos diante de outros, em especial os representantes de atributos de genero. Nas duas localidades estudadas foram encontradas diferencas socioculturais que se refletiram nos fatores associados.