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Document 2195
DOCN M94A2195
TI Reproductive rights, sexual rights, and power in Brazilian night school
students.
DT 9412
AU Paiva V; Stempliuk V; Antunes M; Silveira F; Blessa C; Serrano O;
NEPAIDS/University of Sao Paulo, Brazil.
SO Int Conf AIDS. 1994 Aug 7-12;10(1):36 (abstract no. 117D). Unique
Identifier : AIDSLINE ICA10/94370380
AB OBJECTIVES: To identify lessons learned during a two year research
intervention program among 4200 primary night school students, from poor
communities in four different districts of Sao Paulo, Brazil, each with
a high rate of AIDS. METHODS: We performed 130 open-ended interviews
about AIDS and sexuality among students aged 13-21 from four different
schools located in residential districts of Sao Paulo, Brazil with high
AIDS rates. Later, we presented a 3-hour AIDS education interactive
workshop to 4000 night school students in the same districts. In
addition, 200 other teenagers from the same two districts participated
in 15-hour workshops. We conducted 3-hour group sessions after 6 and 12
months with a random sample of 240 of the first group and 150 of the
second, stratified by age and sex. Written or taped records were kept of
every session. RESULTS: The qualitative data indicate that the main
obstacle to safer sex faced by these poor students after the
intervention is lack of access to condoms and other reproductive health
choices. Access to public health services is precarious, and private
services are inaffordable. Beyond the problem of access and
affordability, the key obstacles to condom use are gender norms about
sexuality and the lack of sexual communication, including condom or
contraceptive negotiation. Females feel much more powerless about
attempting sexual negotiation, while males feel excluded from
reproductive decision making. Consistent condom use is still difficult,
but the students report that after the intervention, all of the
following increased: AIDS risk perception, voluntary HIV testing, peer
support for condom use, more positive attitudes towards HIV+ people,
comfort with condom use, self esteem, individual identification as sex
and AIDS experts within their own community. DISCUSSION: Interventions
to encourage maintenance of condom use need to be ongoing and include
social and cultural variables. AIDS education should always consider
social and cultural contexts of sexual decision making, and should
always consider empowering men as well as women in confronting cultural
obstacles to safer sex.
DE Acquired Immunodeficiency Syndrome/*PREVENTION & CONTROL/ PSYCHOLOGY
Adolescence Adult Attitude to Health Brazil Condoms/UTILIZATION
Decision Making Female Health Services Accessibility Human *Human
Rights Knowledge, Attitudes, Practice Male Power (Psychology)
Sampling Studies *Sex Education MEETING ABSTRACT
SOURCE: National Library of Medicine. NOTICE: This material may be
protected by Copyright Law (Title 17, U.S.Code).