Barreiras na assistência a saúde ao HIV em mulheres que fazem sexo com mulheres.

Abstract

Introduction: The invisibility of women who have sex with women (WWW) in public health policies for HIV prevention in Brazil. Classified as low risk, they face exclusion in campaigns, misinformation, and discrimination in health services, aggravating their vulnerability. Factors such as unprotected sexual practices and institutionalized prejudice hinder access to adequate information and care. Objective: To analyze barriers in HIV health care for women who have sex with women in relation to HIV prevention and treatment. Methods: The study, with a quantitative, exploratory, and descriptive approach with a cross-sectional design, was carried out in Recife and the Metropolitan Region between May and December 2021. Data collection was initially carried out by the Specialized HIV/AIDS Care Service located at Oswaldo Cruz Hospital. The target population included 105 women who reported having sex with women. The collected data were tabulated in Excel software, where they underwent descriptive analysis and were used to create graphs. Results: The research analyzed sociodemographic data and experiences of access to health services. The interviewees reported several factors, such as fear of judgment, prejudice and lack of questions about sexuality, which caused some women not to reveal their sexual orientation during consultations. Relationships of discrimination and inadequate treatment, especially in gynecological consultations, highlight the need for greater sensitivity and training of professionals. Discussion: The study revealed challenges, discrimination, invisibility in public policies and institutional barriers that hinder adequate care. The study points to the need for inclusive approaches, with trained professionals and campaigns that address the specificities of this population, promoting humanized care that is sensitive to their demands. Final considerations: This work emphasizes the importance of including MSM in HIV/AIDS prevention policies, since this group faces specific challenges. The invisibility of their sexuality contributes to stigma and hinders the formation of support networks, increasing the risk of HIV infection. To combat this, it is necessary to promote inclusive educational campaigns and offer adequate prevention methods.