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      Discriminação racial e vulnerabilidade às DST/Aids: um estudo com adolescentes negras Translated title: Racial discrimination and vulnerability to STD/AIDS: a study of black teenage girls in Rio de Janeiro

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          Abstract

          O estudo teve como objetivo verificar a discriminação racial vivenciada por adolescentes negras moradoras em favelas da cidade do Rio de Janeiro e sua possível influência no processo de vulnerabilização ao HIV/Aids. Utilizou-se uma combinação de métodos, quantitativo e qualitativo. Este artigo se refere a um recorte da etapa qualitativa desenvolvida por meio de dez grupos focais com a participação de 139 adolescentes. Seguiu-se um roteiro para o debate contendo dois grupos temáticos: sexualidade/DST/Aids/gênero e raça/cor/discriminação. Os relatos foram gravados e o material transcrito organizado conforme os temas tratados e analisados criticamente por equipe multidisciplinar. Os dados coletados foram classificados em categorias específicas articuladas aos pressupostos teóricos, a fim de responder às questões formuladas, tendo por base os objetivos da pesquisa. Os resultados revelaram que as adolescentes negras sofrem discriminação racial no seu cotidiano, que é manifestada nas expressões de suas falas, referindo-se ao aspecto físico, ao caráter e à capacidade intelectual. Tais condutas discriminatórias dificultam o acesso aos serviços de saúde e induzem um atendimento de baixa qualidade. Concluiu-se que a discriminação racial vivida por estas adolescentes negras, na cidade do Rio de Janeiro, influencia o desenvolvimento da autoestima e contribui para a construção de uma identidade negativa que, aliada ao racismo e à pobreza, se configura num contexto de vulnerabilidade às DST/Aids. Sugere-se que estes dados sejam levados em consideração na elaboração de políticas públicas para que ofereçam atenção diferenciada àqueles que estão inseridos de forma desigual na sociedade.

          Translated abstract

          This study aimed to verify the racial discrimination experienced by black teenage girls living in shantytowns in Rio de Janeiro city and its possible influence on their vulnerability to HIV/AIDS. We used a combination of quantitative and qualitative methods, based on data collected from focus groups composed of 139 teenage girls. Group discussions followed a script of subjects involving two thematic areas: sexuality/STDs/AIDS/gender and race/color/discrimination. The discussions were recorded and the transcribed texts were critically analyzed by a multidisciplinary team. The data collected were classified in specific categories associated with the theoretical assumptions, to respond to the research questions. The results reveal that the girls suffer racial discrimination in their daily lives, manifested in disparaging remarks and attitudes toward their way of speaking, physical appearance, character and intellectual capacity. This discriminatory behavior hinders their access to health services and also reduces the quality of the services received. The conclusion is that the racial discrimination experienced by these black teenage girls influences their development of self-esteem and contributes to the construction of a negative identity, which allied with poverty creates a context of vulnerability to DSTs/AIDS. We suggest these findings be taken into consideration in the formulation of public policies to offer better health care services to those who suffer from inequality and discrimination.

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          O desafio do conhecimento:: pesquisa qualitativa em saúde.

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            Censo 2000

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              Vulnerability, human rights, and comprehensive health care needs of young people living with HIV/AIDS.

              We sought to identify and understand the health care needs of young people living with HIV/AIDS, particularly in terms of their psychosocial well-being. We conducted a qualitative analysis of HIV-positive young people and their caregivers, focusing on the implications of an HIV diagnosis for health care needs. Stigma was a recurrent issue that arose in the interviews conducted with the respondents, and it was evident that youths had been denied many rights related to health. We concluded that young people living with HIV need comprehensive care based on a human rights approach. In this regard, we offer some practical recommendations for health programs.
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                Author and article information

                Contributors
                Role: ND
                Role: ND
                Journal
                physis
                Physis: Revista de Saúde Coletiva
                Physis
                IMS-UERJ
                1809-4481
                2013
                : 23
                : 1
                : 129-142
                Affiliations
                [1 ] Universidade do Estado do Rio de Janeiro Brazil
                [2 ] Universidade do Estado do Rio de Janeiro Brazil
                Article
                S0103-73312013000100008
                9a1f748d-c308-4d60-9314-0fc36ae4c095

                http://creativecommons.org/licenses/by/4.0/

                History
                Product

                SciELO Public Health

                Self URI (journal page): http://www.scielosp.org/scielo.php?script=sci_serial&pid=0103-7331&lng=en

                teenage health,vulnerability,STD/AIDS,qualitative research,preconceito,racismo,saúde da adolescente,vulnerabilidade,DST/Aids,pesquisa qualitativa,prejudice,racism

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