Diecinueve años de experiencia hacen de la atención PROFIN VIH un concepto único en México.
INTRAFAMILIAR RISK FOR WOMEN
MAXIMUM EXPOSURE TO HIV / MINIMUM PROTECTION
Dra Ma de la Paz Mireles Vieyra
IBB Raúl Martín Cruz M.
HIV infections in women have maintained an ascendant tendency but, contrary to predictions, promiscuity is not the critical element, as most reports involve women infected by their permanent partner, a context in which it is rarely –perhaps never– possible to use the required protection, due to sociocultural or informative factors.
2. Material and methods:
A historical-perspective type analysis of 100 HIV-positive women from urban and rural areas, between 18 and 45 years of age, 90% of whom had monthly incomes below 6 minimum wages, whose male partners were previously infected, and with a minimum of 8 years of shared living before the HIV diagnosis in the woman.
In 7 of every 10 cases, the male partner never used a condom, and no woman reported using the feminine condom. The average frequency of unprotected vaginal coitus was twice per month, which means approximately 340 events of vaginal coitus over a 10-year exposure period. Anal coitus was practiced by 45% of these couples, with a range of 1 to 6 events per year, and 93% of the male partners reported hidden bisexual conduct. Their sexual activity –anal coitus– normally involved male strangers (7 of every 10 cases). Alcoholism was involved in 6 of every 10 cases and, on average, no condom was used in 50 per cent of those encounters.
The fact that the greatest risk factor for women who acquire HIV is exposure through sexual relations with their permanent male partners, where few or no preventive measures can be taken –or are even promoted– reveals not only the danger of infectious exposure but also shortcomings in protecting human rights, which apparently do not advance here as we are dealing with an often veiled and highly dangerous unit in terms of people’s physical and emotional integrity: the family.