Stigma and discrimination Stigma and discrimination are widespread in our society. The information gathered by the KAPS-SPC can help different communities and social movements in efforts to contribute to changes in attitudes, placing value on the acceptance of differences and sexual diversity.
90%
25% 75%
75% of those interviewed think that gay couples have the right to adopt children.
agree that someone with AIDS can teach in the classroom.
But
29%
would not buy vegetables from someone who has AIDS.
DST
4%
of women and
8%
of men had had at least one Sexually Transmitted Disease at some time in their lives.
Some
80%
saude.prefeitura.sp.gov.br
POPULATION KNOWLEDGE, ATTITUDES AND PRACTICES SURVEY – SĂƒO PAULO CITY
of those who had had an STD had had some kind of treatment:
84% of women and 61% of men had seen a doctor and 2% of women and 23% of men had sought the help of a pharmacist.
New strategies are prepared based on sound information Support
But only
Introduction In 2013 and 2014 São Paulo City Health Department, via its Municipal STD/AIDS Program , conducted its first São Paulo City Knowledge, Attitudes and Practices Survey (KAPS-SPC). The survey's objectives were to assess the degree of knowledge about HIV, other Sexually Transmitted Diseases and Hepatitis B and C infection; to learn about other aspects relating to sexual and reproductive health, HIV, Syphilis, Hepatitis B and C testing coverage, as well as situations of vulnerability faced by the population in SPC's different regions. The household survey was conducted with individuals aged 15 to 64 resident in the city of São Paulo. The sample was selected based on the 2010 Census tracts. The domains for planning the sample were the city's five regions (CenterWest, Southeast, South, East and North), as well as gender and age group (15-24, 25-34, 35-49 and 50-64 years old) of the population living in the urban region of São Paulo city. 80 Census Tracts were systematically selected to be Primary Sampling Units (PSU) proportionally to the size of each of the city's regions. The selection of the households and household member in each tract took place in accordance with quotas comprised of three variables: gender, age group and conjugal status. 4318 people were interviewed.
Knowledge about HIV and Aids Considering this background and the constitutional right to information, it is the duty of the Municipal STD/AIDS Program (PM STD/AIDS) to scale up access to every kind of knowledge about STDs, HIV and AIDS in SPC.
treatment
reduces this risk.
3%
97%
97 % of the population agree that condoms are the best way of preventing HIV transmission.
Among the 82% who stated having used drugs at some time in their lives,
Drug use Observing changes in licit and illicit drug use patterns is critical to understanding increased risk of HIV infection among those who use them, as a result of more widespread unprotected sex.
93%
Condoms
of those interviewed think that alcohol and other drugs can lead people to having sex without using condoms. stated that this had already happened to them.
23%
81% 20% 9% 2%
had consumed alcohol, marijuana, cocaine and crack.
One of the mainstays of prevention strategies is unrestricted access to male and female condoms and lubricant gel, in addition to information with the addresses of health services providing them free of charge.
46%
The HIV and other Sexually Transmitted Disease epidemics are in constant evolution and this in turn brings new challenges to overcoming them. In order to formulate better health policies, we need to know how these epidemics operate in our territory which is characterized by regional specificities. São Paulo City has more than 11 million inhabitants, concentrates 12.3% of all Brazil's AIDS cases and currently faces an STD epidemic as well.
did not access condoms in the last 12 months.
Linking information from different systems in use in the city's health services with the KAPS-SPC can increase the potential to define more adequate strategies for these epidemics, within an approach based on human rights and civil liberties that characterizes how the epidemic is tackled in the city of São Paulo.
HIV testing
Also of relevance is the possibility of being able to compare SPC with the rest of Brazil, given that the same variables were used in the KAPS-SPC as in the National KAP Survey. Finally, the information resulting from the KAPS-SPC, which above all will be used to organize health promotion, prevention and care actions, will also be available to the community which in turn may plan other actions to fight these diseases.
agree that 30% antiretroviral
Among those who did have access,
37% bought them in drugstores and 21%
Condoms
90%
know about female condoms, but only
got them free of charge from health services.
12%
of women had free access to them in the last 12 months.
Early diagnosis is an important strategy in the fight against the HIV epidemic. It enables the timely starting of treatment, it is fundamental for improving the quality of life of people living with the virus, it reduces AIDS mortality rates and has recently been proven to be a powerful prevention tool.
35% 65%
An important finding:
89%
Only 35% had tested for HIV at some time in their lives.
46%
do not know where to get a free HIV test.
classified their risk of contracting HIV as low or inexistent.
Access to information and prevention commodities helps people to decide about using condoms with both casual and stable partners. Among the
94% who had begun their sex life: 39% used a condom the first time they had sex.
And out of the
86% who stated having had sex in the last 12 months,
46% used a condom the last time they had sex, 44% used condoms with their stable partner and 87% used them with casual partners.
Same-sex sexual experiences
9% of men and 4% of women had had same-sex sexual experiences at some time in their lives.