[AIDS in rural Minas Gerais state (Southeastern Brazil): a cultural approach].
OBJECTIVE
To describe behaviors facilitating HIV/AIDS exposure in rural population.


METHODS
A qualitative study was conducted comprising 52 patients who attended a STD/AIDS outpatient clinic in 2002 and 2003. In-depth open and semi-structured interviews were carried out with subjects (30 males, 22 females) at the clinic or at home in rural municipalities in the northern area of Minas Gerais state, Southeastern Brazil. Interviews were transcribed and analyzed considering categories such as disease, work, social life, prior HIV/AIDS knowledge, and lifestyle. Content analysis was used for result interpretation.


RESULTS
Interviewees perceived AIDS as a "big city disease", an "outsider's disease", dissociated from local culture. They were all infected through either heterosexual or homosexual sex. Rural-urban migration is a major factor for HIV infection in the area as people migrate to search for jobs.


CONCLUSIONS
Popular beliefs about HIV/AIDS disease contributes to HIV vulnerability of this population. There is a need to apprehend their cultural beliefs to better understand their ways of thinking and to focus on these local beliefs when disseminating HIV/AIDS information.
Guimarães
Patricia Neves
PN
Departamento de Saúde Mental e Saúde Coletiva, Universidade Estadual de Montes Claros, Montes Claros, MG, Brasil. pnguimaraes@yahoo.com.br
Martin
Denise
D
Quirino
José
J
D000163:Acquired Immunodeficiency Syndrome / Q000517:prevention & control*; D000328:Adult; D000368:Aged; D001938:Brazil; D003466:Cultural Characteristics; D005260:Female; D006679:HIV Seropositivity; D007722:Health Knowledge, Attitudes, Practice; D006306:Health Surveys; D006801:Humans; D008019:Life Style; D008297:Male; D008875:Middle Aged; D036301:Qualitative Research; D012424:Rural Population; D012725:Sexual Behavior; D012945:Social Values; D014171:Transients and Migrants