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OBJETIVO: Identificar a prevalência de atitudes discriminatórias em dois momentos da epidemia brasileira de HIV/Aids e possíveis mudanças ocorridas. MÉTODOS: O Índice de Intenção de Discriminação foi obtido por pontuação, somando 1 para situações de discriminação ou 0, para o caso contrário. As faixas de intenção de discriminação foram estabelecidas por meio da técnica de cluster, compatibilizadas entre os estudos de 1998 e 2005. Para verificar associação entre o índice e as variáveis sociodemográficas, utilizou-se comparações de médias, teste qui-quadrado, e modelos ajustados de regressão logito ordenado. RESULTADOS: Houve redução estatisticamente significante na proporção de pessoas entre as pesquisas de 1998 e 2005 que responderam sim à obrigatoriedade do teste anti-HIV para: a admissão no emprego, antes do casamento, ingresso nas forças armadas, usuários de drogas, entrada de estrangeiros no país, profissionais do sexo e para todas as pessoas. Possuir menor escolaridade, ser do sexo feminino, ter acima de 45 anos e residir na região Norte/Nordeste são fatores associados ao maior nível de intenção de discriminação. CONCLUSÕES: O crescimento da intenção de discriminação mostra que as informações sobre formas de transmissão e não transmissão da Aids ainda necessitam de melhor elaboração e divulgação, principalmente entre as populações de menor escolaridade, residentes nos estados do Norte/Nordeste, do sexo feminino e pertencentes à faixa etária acima de 45 anos. ; OBJECTIVE: To identify discriminatory attitudes in two moments of the Brazilian HIV/AIDS epidemic, as well as the occurrence of possible changes. METHODS: The Intention of Discrimination Index was obtained by scoring 1 for discriminatory situations or 0, when the opposite was the case. Intention of discrimination ranges were established by means of the clustering technique, and made compatible between the 1998 and 2005 surveys. Mean comparisons, chi-square test and ordered logit adjusted regression models were used to verify association between the index and socio-demographic variables. RESULTS: Between the 1998 and 2005 surveys, there was a statistically significant reduction in the proportion of people who answered "yes" to anti-HIV test's being mandatory in the following cases: admission for employment, before getting married, when joining the military service, drug users, foreigners entering the country, sex professionals, and for all the people. To have lower level of education, to be female, to live in the North/Northeast regions of Brazil, and to be aged over 45 years are factors associated with higher intention of discrimination level. CONCLUSIONS: The growth of intention of discrimination shows that information about ways of AIDS transmission and non-transmission still needs to be better planned and promoted, especially among populations that have lower level of education, live in the North/Northeast regions, are female and aged over 45 years.

Neste artigo se apresentam os principais resultados de levantamentos feitos em São Paulo e Belo Horizonte sobre as condições de trabalho e de saúde dos motoristas do transporte de passageiros. Constataram-se condições de trabalho bastante desfavoráveis e estabeleceram-se associações estatísticas entre essas condições e sérios sintomas de morbidade declarados pelos motoristas. Sugere-se a necessidade de políticas públicas para o setor.

AbstractIntroductionPre‐exposure prophylaxis (PrEP) delivery based on user needs can enhance PrEP access and impact. We examined whether telehealth for daily oral PrEP delivery could change the indicators of care related to prophylactic use in five Brazilian public HIV clinics (testing centres, outpatient clinics and infectious disease hospitals).MethodsBetween July 2019 and December 2020, clients on PrEP for at least 6 months could transition to telehealth or stay with in‐person follow‐up. Clients were clinically monitored until June 2021. A desktop or mobile application was developed, comprising three asynchronous consultations and one annual in‐person consultation visit. Predictors influencing telehealth preference and care outcomes were examined. The analysis encompassed intent‐to‐treat (first choice) and adjustments for sexual practices, schooling, age, duration of PrEP use and PrEP status during the choice period.ResultsOf 470 users, 52% chose telehealth, with the adjusted odds ratio (aOR) increasing over time for PrEP use (aOR for 25–months of use: 4.90; 95% CI: 1.32–18.25), having discontinued PrEP at the time of the choice (aOR: 2.91; 95% CI: 1.40–6.06) and having health insurance (aOR: 1.91; 95% CI: 1.24–2.94) and decreasing for those who reported higher‐risk behaviour (aOR for unprotected anal sex: 0.51; 95% CI: 0.29–0.88). After an average follow‐up period of 1.6 years (95% CI: 1.5–1.7), the risk of discontinuing PrEP (not having the medication for more than 90 days) was 34% lower with telehealth (adjusted hazard ratio: 0.66; 95% CI: 0.45–0.97). When adjusted by mixed linear regression, no differences in adherence (measured by mean medication possession rate) were found between in‐person and telehealth (p = 0.486) or at pre‐ and post‐telehealth follow‐ups (p = 0.245). Sexually transmitted infections increased between the pre‐follow‐up and post‐follow‐up choices and were not associated with in‐person or telehealth (p = 0.528). No HIV infections were observed.ConclusionsOur findings indicate that telehealth for PrEP delivery can enhance service rationalization and reinforce the prevention cascade. This approach reduces prophylaxis interruptions and is mainly preferred by individuals with lower demands for healthcare services.