{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,4]],"date-time":"2026-05-04T00:08:26Z","timestamp":1777853306416,"version":"3.51.4"},"reference-count":34,"publisher":"SAGE Publications","license":[{"start":{"date-parts":[[2026,1,1]],"date-time":"2026-01-01T00:00:00Z","timestamp":1767225600000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"},{"start":{"date-parts":[[2026,1,1]],"date-time":"2026-01-01T00:00:00Z","timestamp":1767225600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"funder":[{"DOI":"10.13039\/501100002322","name":"Coordena\u00e7\u00e3o de Aperfei\u00e7oamento de Pessoal de N\u00edvel Superior","doi-asserted-by":"publisher","award":["001"],"award-info":[{"award-number":["001"]}],"id":[{"id":"10.13039\/501100002322","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["J Int Assoc Provid AIDS Care"],"published-print":{"date-parts":[[2026,1]]},"abstract":"<jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>To understand perceptions of sexuality and care needs from the perspective of women living with human immunodeficiency virus (HIV) and health professionals.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Method<\/jats:title>\n                    <jats:p>This exploratory qualitative study was conducted in 2 specialized secondary-care services in Brazil. Participants included women living with HIV (WLHIV) aged \u226518 years receiving ongoing follow-up and healthcare professionals involved in their care for at least 6 months. Semistructured interviews were conducted between September and November 2024. Data were analyzed using inductive thematic content analysis, and interpretation was informed by Bronfenbrenner's ecological model to integrate individual, relational, and structural dimensions. The final sample comprised 13 WLHIV and 9 healthcare professionals, with recruitment completed upon theoretical saturation.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>two themes were identified. The first indicated that WLHIV frequently experience sexuality as a domain marked by fear, guilt, and anticipated judgment rooted in HIV-related stigma and strained intimate relationships. Concerns related to transmission, rejection, and disclosure limited sexual activity, generated emotional distress, and hindered new partnerships. Some women, however, described processes of reframing sexuality through emotional support, strengthened self-care, and renewed trust in partners. The second theme highlighted insufficient professional preparedness, including limited training, discomfort discussing sexual health, and reliance on biomedical and preventive guidance. Conversations about sexuality were typically patient-initiated and constrained by time pressures, cultural norms, and generational differences.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Final considerations<\/jats:title>\n                    <jats:p>Findings underscore the need to integrate sexuality into HIV care for WLHIV, addressing the impacts of stigma and gaps in professional training. Advancing sexual health in this population requires public policies and ongoing capacity-building to support comprehensive, humanized, and nonjudgmental care.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/23259582261426238","type":"journal-article","created":{"date-parts":[[2026,4,22]],"date-time":"2026-04-22T14:28:04Z","timestamp":1776868084000},"update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":0,"title":["The Sexuality of Women Living With HIV: Care Demands and Implications for Practice"],"prefix":"10.1177","volume":"25","author":[{"ORCID":"https:\/\/orcid.org\/0009-0008-1489-7767","authenticated-orcid":false,"given":"Tailma Silva Lino","family":"de Souza","sequence":"first","affiliation":[{"name":"Federal University of Mato Grosso do Sul (UFMS)"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1327-5383","authenticated-orcid":false,"given":"Ana Paula de Assis","family":"Sales","sequence":"additional","affiliation":[{"name":"Federal University of Mato Grosso do Sul (UFMS)"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0009-0008-4501-674X","authenticated-orcid":false,"given":"Tha\u00eds Gianini","family":"Dias","sequence":"additional","affiliation":[{"name":"Federal University of Mato Grosso do Sul (UFMS)"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0009-0004-0097-3774","authenticated-orcid":false,"given":"Elis Regina","family":"Souza","sequence":"additional","affiliation":[{"name":"Federal University of Mato Grosso do Sul (UFMS)"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5985-7418","authenticated-orcid":false,"given":"Luciana de Alc\u00e2ntara","family":"Nogueira","sequence":"additional","affiliation":[{"name":"Federal University of Paran\u00e1 (UFPR)"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4394-2298","authenticated-orcid":false,"given":"Maria Neto da Cruz","family":"Leit\u00e3o","sequence":"additional","affiliation":[{"name":"Nursing School of Coimbra (ESEnfC)"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4693-2087","authenticated-orcid":false,"given":"Gareth","family":"Wiltshire","sequence":"additional","affiliation":[{"name":"Loughborough University"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6835-0574","authenticated-orcid":false,"given":"Elen Ferraz","family":"Teston","sequence":"additional","affiliation":[{"name":"Federal University of Mato Grosso do Sul (UFMS)"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2026,4,22]]},"reference":[{"key":"e_1_3_2_2_2","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pmed.1003649"},{"key":"e_1_3_2_3_2","doi-asserted-by":"publisher","DOI":"10.1007\/s10461-023-04220-y"},{"key":"e_1_3_2_4_2","unstructured":"Brasil. Secretaria de Vigil\u00e2ncia em Sa\u00fade. Boletim Epidemiol\u00f3gico HIV\/AIDS. Minist\u00e9rio da Sa\u00fade. Accessed January 29 2025. https:\/\/www.gov.br\/saude\/pt-br\/centrais-de-conteudo\/publicacoes\/boletins\/epidemiologicos\/especiais\/2021\/boletim-epidemiologico-especial-hiv-aids-2021.pdf"},{"key":"e_1_3_2_5_2","doi-asserted-by":"publisher","DOI":"10.1080\/17482631.2024.2393752"},{"key":"e_1_3_2_6_2","volume-title":"Sexual Health, Human Rights and the Law","author":"World Health Organization (WHO)","year":"2015","unstructured":"World Health Organization (WHO). Sexual Health, Human Rights and the Law. World Health Organization; 2015. 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