Ana Paula Portella

Federal University of Pernambuco, Arrecife, Pernambuco, Brazil

Are you Ana Paula Portella?

Claim your profile

Publications (9)6.65 Total impact

  • Source
    [Show abstract] [Hide abstract]
    ABSTRACT: The impact of HIV/AIDS infection on the decision of women living with HIV/AIDS to interrupt a pregnancy remains an understudied topic. In an effort to understand the influence of HIV/AIDS diagnosis on abortion practices, a qualitative study was carried out in seven Brazilian municipalities with women living with HIV/AIDS who reported inducing an abortion at some point in their lives. This study presents the analysis of interviews with thirty women who became pregnant after diagnosis. The results show that for some women, infection was the primary motive for terminating their pregnancy, while for others, the motives for abortion were predominantly related to life circumstances. The decision to abort due to HIV infection is not the same for all women. It is related to the timing of the diagnosis and other aspects of the woman's life during her pregnancy, such as the relationship with her partner, her job and family support. The results suggest the need for more attention from health services to the reproductive decisions of women living with HIV/Aids; the incorporation of men into sexual and reproductive health prevention actions; and a deeper discussion of the illegality of abortion in Brazil and its harmful consequences for women, men, and children.
    Ciencia & saude coletiva 07/2012; 17(7):1709-19. DOI:10.1590/S1413-81232012000700009
  • Source
    [Show abstract] [Hide abstract]
    ABSTRACT: To estimate the prevalence of physical and/or sexual violence by intimate partners and factors associated with this, in different sociocultural contexts. This cross-sectional study formed part of the 'WHO Multi-country Study on Women's Health and Domestic Violence against Women'. It consisted of representative samples of women from the municipality of São Paulo (Southeastern Brazil) and from the Zona da Mata of Pernambuco (Northeastern Brazil), this latter is a region with more traditional gender norms. Interviews were conducted in the homes of 940 women in São Paulo and 1,188 in the Zona da Mata, in the years 2000-1. The women were aged 15 to 49 years and had all had at least one affective-sexual partnership with a man during their lifetimes. Three sets of factors were constructed, corresponding to hierarchically organized categories: sociodemographic, family and female autonomy/submission characteristics. Hierarchical logistic regression was used to analyze factors associated with intimate partner violence at each location. A prevalence of 28.9% was found in Sao Paulo (95% CI 26.0;31.8) and 36.9% (95% CI 34.1;39.6) in Zona da Mata. Up to eight years of schooling, conjugal physical violence between the women's parents, sexual abuse during childhood, five or more pregnancies and drinking problems were associated with intimate partner violence at both locations. Financial autonomy for the woman, informal partnership, age and consent to the first sexual intercourse were associated with higher rates only in Zona da Mata. The socioeconomic characteristics that presented associations in the first category were mediated by other factors in the final model. The findings show the relativization of socioeconomic factors in relation to other factors, particularly those representing gender attributes. Sociocultural differences were found between the two locations, and these were reflected in the associated factors.
    Revista de saude publica 04/2009; 43(2):299-311. · 1.22 Impact Factor
  • Source
    [Show abstract] [Hide abstract]
    ABSTRACT: This article presents partial data from a larger qualitative, socio-anthropological survey in five States of Brazil, aimed at grasping the perspec- tives of users in urban and rural areas on their contraceptive and reproductive experiences, and their perceptions concerning contraceptive and family planning care in the Unified National Health System. The article focuses on findings in the State of Rio de Janeiro from 60 individual semi-structured interviews with users 18 to 49 years of age in two primary care clinics in the State capital and one rural clinic under the Fam- ily Health Program (FHP). There was a greater diversity in the use of methods in the capital as compared to the interior, where tubal ligation was the only alternative to the pill. Group edu- cation work in the capital expands the possibili- ties for choice of methods and collective learning, although access to the IUD and tubal ligation is still considered problematic, due to difficulties in providing such care. The health services pri- oritize care for women that have already begun childbearing, and more care is needed for non- pregnant adult women and adolescents, in ad- dition to strengthening the educational work in the FHP.
    Cadernos de Saúde Pública 01/2009; 25. DOI:10.1590/S0102-311X2009001400009 · 0.89 Impact Factor
  • Source
  • Revista de Saúde Pública 01/2009; 43(2). DOI:10.1590/S0034-89102009005000013 · 1.22 Impact Factor
  • Source
    [Show abstract] [Hide abstract]
    ABSTRACT: This article presents partial data from a larger qualitative, socio-anthropological survey in five States of Brazil, aimed at grasping the perspectives of users in urban and rural areas on their contraceptive and reproductive experiences, and their perceptions concerning contraceptive and family planning care in the Unified National Health System. The article focuses on findings in the State of Rio de Janeiro from 60 individual semi-structured interviews with users 18 to 49 years of age in two primary care clinics in the State capital and one rural clinic under the Family Health Program (FHP). There was a greater diversity in the use of methods in the capital as compared to the interior, where tubal ligation was the only alternative to the pill. Group education work in the capital expands the possibilities for choice of methods and collective learning, although access to the IUD and tubal ligation is still considered problematic, due to difficulties in providing such care. The health services prioritize care for women that have already begun childbearing, and more care is needed for non-pregnant adult women and adolescents, in addition to strengthening the educational work in the FHP.
    Cadernos de saúde pública / Ministério da Saúde, Fundação Oswaldo Cruz, Escola Nacional de Saúde Pública 01/2009; 25 Suppl 2:S269-78. · 0.89 Impact Factor
  • Source
    [Show abstract] [Hide abstract]
    ABSTRACT: To analyze the results from the "WHO Multi-country Study on Women's Health and Domestic Violence", on the prevalence of intimate partner violence against women found in Brazil. This cross-sectional study was part of the "WHO Multi-country Study on Women's Health and Domestic Violence against women", which was carried out in ten countries between 2000 and 2003. All the countries used a standardized structured questionnaire, devised for this study. In order to obtain data from contrasting settings within each country, the biggest city and a rural region were investigated whenever feasible. A representative sample of women aged 15 to 49 years was selected from the city of São Paulo and 15 municipalities in a rural region of the northeast, the Zona da Mata de Pernambuco. The study included 940 women from São Paulo and 1,188 from Zona da Mata de Pernambuco who had had an intimate partner at some time in their lives. Violence was classified as psychological, physical and sexual types, and was analyzed in relation to overlapping, recurrence of episodes, severity and when it occurred. The women in São Paulo and Pernambuco respectively reported the following at least once in their lifetimes: psychological (N=383; 41.8% and N=580; 48.9%); physical (N=266; 27.2% and N=401; 33.7%); sexual (N=95; 10.1% and N=170; 14.3%) violence. There was significant overlapping among the types of violence, which seemed to be associated with the most severe types of violence. The greatest single type was psychological violence, in São Paulo and Pernambuco (N=164; 17.5% and N=206; 17.3%), and the smallest was sexual violence (N=2; 0.2% and N=12; 1.0%). The results show that violence is a very common phenomenon. The findings reiterate previous international studies results with regard to high magnitude and overlapping of types of intimate partner violence.
    Revista de Saúde Pública 11/2007; 41(5):797-807. · 1.22 Impact Factor
  • Revista de Saúde Pública 01/2007; 41(5). DOI:10.1590/S0034-89102007000500014 · 1.22 Impact Factor
  • [Show abstract] [Hide abstract]
    ABSTRACT: This text deals with violence against women (VAW) as a scientific and practical object of Health. It is a theoretical and critical reflection related to historical processes that show convergences and distances between the approach of this violence as an issue and the health field particularities, creating contemporary conquests and challenges especially to Public Health. The text debates interdisciplinary aspects of this scientific object and some impacts to the knowledge production and to health actions. Considering the different scientific and practical cultures of Health and other fields that already deal with VAW, existing tensions between health perspective and violence as a socio-cultural phenomenon are showed, becoming critical when added the gender approach. Challenges are then created on dialogs between those fields in terms of: paradigms, scientific models and languages of each one; social intervention needs in every field; and the distinct relation between knowledge and social intervention presented in each field. On the other hand, the conquests related to human and social rights and the proposal of integral health are shown as convergences between these fields. To conclude, some possible answers to the challenges are considered.
    Ciencia & saude coletiva 14(4):1019-27.