       Document 1976
 DOCN  M94A1976
 TI    Homeless people in Rio de Janeiro--a strategy to care.
 DT    9412
 AU    Carvalho N; Lahire D; Carvalho-Linhares MI; Santos V; Ambulatorio da
       Providencia da Arquidiocese do Rio de Janeiro,; Brasil.
 SO    Int Conf AIDS. 1994 Aug 7-12;10(1):409 (abstract no. PD0244). Unique
       Identifier : AIDSLINE ICA10/94370599
 AB    OBJECTIVE: Homeless people are a vulnerable group whose lifestyles place
       them at high risk for contraction and transmission of HIV and others
       STD's. HP are on street, most eat and sleep irregularly, can't maintain
       proper hygiene, being subjected to repeated illness and infections,
       which may lower their resistance to AIDS. They are sexually active (and
       get money on it), vulnerable to alcohol and drugs: under this
       circunstances they don't choose sexual partners and don't protect
       themselves even when share needles. Ambulatorio da Providencia staff
       coordenates the Santo Antonio Support House who has as customers:
       male/female prostitutes, IVDU transvesties, gay men, beggars, street
       kids, ex-convicts; their day to day life require to take risks to find
       food, shelter and make money. METHODS: SASH, the first one in Rio de
       Janeiro, offers to these HP: 60 beds, meals, medicines needs, medical,
       emotional, psychosocial and religious support, occupational therapist
       and voluntary people. SASH, has been maintened through financial
       resources of Archdiocese of RJ. The patients come from Municipal, State
       Hospitals, charitable organizations. In SASH they have oportunity to
       learn a job, occupational therapy, talk oppenly in group and
       individually about drugs, Aids, sexual behaviour, STD's, getting more
       information about prevention. RESULTS: After one year observing, they
       increase selfsteem, their health are steady, diminish oportunistic
       infections, they changed sexual/drugs/alcohol behaviour. DISCUSSION: To
       prevent HIV among HP a national policy must be set. HP are victims of a
       social-political-economic system. Our experience shows that they have
       been abused morally and sexually. Society and communities must responds,
       care and help trying to decrease this situation.
 DE    Brazil  Female  *Homeless Persons  Human  HIV
       Infections/EPIDEMIOLOGY/*PREVENTION & CONTROL/TRANSMISSION  Male
       Prostitution  Risk Factors  Sex Behavior  Urban Population  MEETING
       ABSTRACT

       SOURCE: National Library of Medicine.  NOTICE: This material may be
       protected by Copyright Law (Title 17, U.S.Code).

