["Revealing in the gerund": secrecy and stigma in practices of care for children and adolescents living with HIV/Aids].
Júlia Gonçalves Barreto BaptistaIvia MaksudImara Moreira FreirePublished in: Ciencia & saude coletiva (2023)
This article analyzes practices of care and the HIV diagnosis disclosure process to children and adolescents living with HIV/AIDS. A case study was conducted in an outpatient clinic located in a public hospital in Rio de Janeiro through participant observation, semi-structured interviews with health professionals, and the consultation of documents produced by the professionals. The analysis, based on the sociology of Simmel and Goffman, points to the revelation of the diagnosis as a hallmark that accompanies all the care established with users and sheds light on issues such as secrecy, stigma and the possible understandings about the health condition established. As a result, institutionalized relationships contribute to a progressive contact with the condition of bearing a stigma and enable phases of a patient's life protected by information to exist.
Keyphrases
- hiv aids
- healthcare
- antiretroviral therapy
- palliative care
- human immunodeficiency virus
- primary care
- hiv infected
- hiv positive
- mental health
- quality improvement
- multiple sclerosis
- health information
- affordable care act
- pain management
- emergency department
- social support
- mental illness
- social media
- case report
- depressive symptoms
- adverse drug
- human health