Adherence to antiretroviral therapy (ART) is a complex and multi-determined process that is influenced by psychosocial variables. Although international studies have pointed to the adverse impact of HIV stigma, sexual stigma, and depression on ART adherence among men who have sex with men (MSM) with HIV, less is known about this association among Brazilians. We aimed to (a) evaluate indicators of depression, stigma related to HIV and homosexuality, and adherence to ART in a sample of Brazilian MSM living with HIV; (b) assess possible correlations between the variables analyzed, and (c) assess the impact of HIV and sexual stigma and depression on ART adherence. This cross-sectional study comprised 138 Brazilian MSM living with HIV as participants. Scales used included: a sociodemographic/clinical questionnaire, the questionnaire for assessment of adherence to antiretroviral therapy (CEAT-HIV), the Beck depression inventory (BDI-II), the internalized homophobia scale, and the HIV stigmatization scale. The mean adherence score was relatively high (78.83, within a range of 17–89 points). However, we observed inadequate ART adherence (CEAT-HIV < 75) in 28 (20.2%) respondents. Participants reported high scores for internalized sexual stigma, perceived sexual stigma in the community, and HIV stigma. Symptoms of depression were identified in 48.47% of participants. We found negative correlations between depression, HIV stigma, and treatment adherence, but not between sexual stigma and ART adherence. HIV-related stigma and sexual stigma were positively correlated with depression. Our regression analysis indicated that each year of age at diagnosis of HIV increased adherence by 0.22 points, on average. Each additional BDI-II score reduced adherence to ART by 0.20 points. The high prevalence of depression, HIV stigma, and sexual stigma, and their adverse effects on ART adherence and mental health, point to the need to implement evidence-based interventions to reduce sexual and serological stigma in the general population, as well as to mitigate the negative impacts of stigma on MSM living in HIV in Brazil. They also highlight the importance of periodically screening for these variables among MSM treated in Brazilian public health services, especially among those with inadequate adherence to ART.

Despite advances in legislation and social attitudes, workplace discrimination against sexual and gender minority populations remains prevalent, posing significant psychosocial risks. This study aims to explore the occupational health challenges faced by LGBTQIA+ populations, examining factors of discrimination, support, and prevention strategies. Methods: A narrative review of articles from the Scopus, PubMed, and Web of Science databases was carried out, focusing on studies published between 2011 and 2024. Articles in English, Spanish, and Portuguese were considered. Results: 359 studies were identified, and 11 articles were selected for analysis. The findings reveal pervasive discrimination experienced by LGBTQIA+ workers in the workplace, impacting their mental health and job satisfaction. Factors influencing disclosure of sexual or gender identity at work were identified, including workplace characteristics and anti-discrimination policies. Conclusions: Promoting inclusive and supportive work environments is crucial to the well-being of LGBTQIA+ employees. Recommendations include strengthening anti-discrimination protections, improving education and training on LGBTQIA+ issues, and promoting explicit communication about support and equality. Despite progress, more research is needed to address gaps in understanding and effectively promote the occupational health of sexual and gender minority populations.

We investigated the experiences of Brazilian gay men with HIV, focusing on the moment of diagnosis and its potential biopsychosocial impacts. This clinical–qualitative study involved 15 participants interviewed online and synchronously by a clinical psychologist in 2021. Thematic analysis was employed to analyze the data. Interpretations were grounded in Minority Stress Theory. Four thematic axes emerged, including “Diagnostic Revelation”, “Social and Internalized Stigma”, “Biopsychosocial Effects of Living with HIV”, and “Gratitude for Treatment Advances and the Brazilian Health System”. The diagnosis was often experienced as traumatic, exacerbated by the absence of empathy and emotional support from healthcare providers. Participants commonly reported guilt, fear upon learning of their HIV status, social isolation, loneliness, lack of social support, and damage to affective-sexual relationships. Many also noted a decline in mental health, even those without HIV-related medical complications. Despite over 40 years since the HIV epidemic began, the prevalence of homophobia and serophobia among gay men remains widespread, including within the multidisciplinary teams of specialized services. This indicates that the stigma associated with homosexuality and HIV persists, despite significant biomedical progress in the diagnosis and treatment of the infection, particularly in Brazil.

Background: Although screening for early signs of autism spectrum disorder (ASD) using the Modified Checklist for Autism in Toddlers (M-CHAT) has been recommended by the Brazilian Ministry of Health since 2014, the feasibility of this intervention and its effects in primary care have not been sufficiently investigated. Objectives: (1) to verify the feasibility of implementing the M-CHAT in the Brazilian Unified Health System, through routine childcare vaccination; (2) to evaluate the level of knowledge and practices of nursing professionals in Brazilian primary health care in relation to ASD to check the expertise to apply M-CHAT to verify early signs of this condition; (3) to verify, after implementation, the frequency of children with possible early signs of ASD using the M-CHAT. Methods: This is an observational, cross-sectional study conducted in a medium-sized city in southeastern Brazil. A total of 97 nursing professionals from 21 health facilities participated. The professionals answered a questionnaire on knowledge and practices regarding ASD, attended training on early signs of ASD and for the use of M-CHAT. Finally, they administered the M-CHAT to 267 parents of children aged 16 to 57 months in primary care settings. Results: Insufficient knowledge of ASD was identified among the nursing professionals evaluated. Approximately 80% agreed that the training was satisfactory, and 88% agreed that they felt competent to use the M-CHAT; 74% agreed with the benefits of using the M-CHAT to detect early signs of ASD in public health settings. However, 91% of the professionals reported that incorporating the M-CHAT into the day care routine overloaded their work, and less than 50% agreed that the instrument should continue to be used in the day care routine. Sixty-seven (25.09%) children screened positive for possible early signs of ASD by M-CHAT. Conclusions: The insufficient level of knowledge on ASD found among nursing professionals suggests gaps in Brazilian academic and professional training in this area. Although most participants recognized the importance of early detection of signs of ASD in primary care settings, the implementation of the M-CHAT in the routine primary care settings was not well accepted for most participants due to work overload, which indicates the need for public health policies to offer working conditions that minimize the overload of professionals, maintaining early screening interventions for ASD in Brazilian primary care institutions.

Contexto: A sorofobia ou estigma relacionado ao HIV é um fenômeno recorrente. Em populações histórica e socialmente marginalizadas, a prevalência tende a ser mais acentuada. O estigma associa-se a diversos desfechos negativos em saúde mental, interfere na testagem sorológica regular e compromete a adesão ao tratamento antirretroviral. Objetivo: o estudo visou avaliar a sorofobia percebida por homens gays que vivem com HIV/AIDS e verificar associações entre a sorofobia percebida e variáveis sociodemográficas e clínicas. Métodos: tratou-se de um estudo transversal com 138 homens gays, com média de idade de 36,12 anos. Utilizou-se questionário sociodemográfico/clínico e a Escala Berger de Estigmatização. Resultados: O escore médio total de estigma percebido foi de 98,56 em uma escala de 40 a 160, indicando uma forte tendência dos participantes a perceber sorofobia, tanto na comunidade quanto internalizada. A grande maioria dos avaliados (72%–95%) reportou esforços para ocultar a soropositividade, percebendo que a sua divulgação é arriscada e que pessoas com HIV são ostracizadas pela comunidade. Observou-se correlação negativa e significativa entre os escores de sorofobia e idade atual, mas não com renda, escolaridade, idade do diagnóstico de HIV, situação de moradia, vínculo empregatício e variáveis clínicas. Conclusões: os elevados níveis de sorofobia percebida por homens gays com HIV evidenciam a necessidade de estratégias de acolhimento e cuidado em saúde mental para esta população. Estudos futuros devem avaliar a eficácia de intervenções direcionadas à redução do estigma e de campanhas destinadas ao público em geral para desestigmatizar a doença.

Cyberbullying victimization (CBV) is widely linked to adolescent depression, but most studies collapse depression into a single score. Far less is known about which specific depressive symptoms track with CBV—and whether those patterns differ by gender—especially in Brazilian youth. We surveyed 268 public-school students in southern Brazil (M_age 13.4 years; 50.7% girls) using the Children’s Depression Inventory and the victimization subscale of the Revised Cyberbullying Inventory. Girls reported higher depressive symptoms overall (p < 0.05), although CBV did not differ by gender (p = 0.11). In gender-stratified analyses, CBV among girls was tied to every depression domain (anhedonia, ineffectiveness, interpersonal problems, negative mood, and negative self-esteem) as well as the total score; among boys, CBV was related only to overall depression. When domains were entered together, anhedonia and interpersonal problems uniquely signaled greater odds of any CBV for girls, whereas no single domain stood out for boys (ineffectiveness showed a modest, nonsignificant trend). Taken together, these results suggest that CBV travels with a distinct emotional–interpersonal profile for girls but aligns with general depressive burden for boys. Practically, schools and clinicians should pair universal digital-safety efforts with targeted supports—behavioral activation and peer-skills work for girls, and broad depression screening and stepped care for boys.