Carolina de Castro Castrighini

Qualidade de vida de mulheres vivendo com o HIV/aids de um município do interior paulista

A terapia antirretroviral de alta potencia beneficia os individuos com HIV/aids na sobrevida, cronicidade e qualidade de vida. Este estudo de corte transversal, com abordagem quantitativa, objetivou avaliar a qualidade de vida de mulheres com HIV/aids, utilizando o WHOQOL - HIV bref e sua associacao com variaveis sociodemograficas. Foi realizado em dois ambulatorios especializados no atendimento a individuos com HIV/aids. De 106 mulheres participantes, 99,1% eram heterossexuais e 92,4% foram infectadas por via sexual. Dentre os dominios de qualidade de vida, espiritualidade obteve maior escore (65,7), seguido pelo fisico (64,7), psicologico (60,6), relacoes sociais (59,5). Menores escores foram atingidos nos dominios nivel de independencia (58,6) e meio ambiente (54,5). Evidenciou-se que os fatores baixo nivel socioeconomico e educacional tiveram associacao com diferentes dominios, denotando a relacao entre qualidade de vida e condicoes de vida. Concluiu-se que persistem os desafios no âmbito das relacoes sociais, afetivas, financeiras, requerendo intervencoes efetivas focando o empoderamento das mulheres com HIV/aids.High potency antiretroviral therapy brings benefits to people with HIV/AIDS, related to survival, chronicity and quality of life. The objective of this quantitative and cross-sectional study was to assess the quality of life of women with HIV/AIDS, using the WHOQOL--HIV bref and its association with sociodemographic variables. The study was performed in outpatient clinics specialized in care to HIV/AIDS patients. Of the 106 interviewed women, 99.1% were heterosexual and 92.4% were infected sexually. Among the domains of quality of life, spirituality had the highest score (65.7), followed by physical (64.7), psychological (60.6), social relationships (59.5). Level of independence (58.6) and environment (54.5) scored the lowest. The factors low socioeconomic and educational levels were associated with different domains of quality of life, showing the relationship between quality of life and living conditions. Challenges persist in the scope of social, affective and financial relations, which require effective interventions regarding empowerment of women with HIV/AIDS.

Avaliação da autoestima em pessoas vivendo com HIV/aids no município de Ribeirão Preto-SP

Esse estudo de corte transversal teve como objetivo avaliar a autoestima de pessoas com HIV/aids e relaciona-la com fatores sociodemograficos e clinicos. Participaram 331 pessoas com HIV/aids, que faziam acompanhamento em dois servicos de referencia de um municipio do interior paulista, entre 2007 e 2010. Os dados foram coletados por meio de entrevistas individuais, utilizando-se Escala de autoestima de Rosenberg. Dos entrevistados, 167 (50,5%) eram do sexo masculino, faixa etaria predominante entre 30 e 39 anos (42,0%). Com referencia as variaveis relacionadas a sexualidade, 82,2% declararam-se heterossexuais e 84,6% referiram ter se infectado por via sexual. Quanto a avaliacao da autoestima, a media obtida foi de 25,25. Os impactos negativos quer fisico, social ou emocional da infeccao pelo HIV, revelaram a necessidade dos servicos de saude estarem preparados para oferecer assistencia integral as pessoas com HIV/aids, valorizando os fatores psicossociais.This cross-sectional study aimed evaluate self-esteem individuals with HIV/AIDS and relate it to sociodemographic and clinical factors. 331 people with HIV/AIDS, who were assisted at two referral centers in a city of the interior of Sao Paulo state between 2007 and 2010, participated of the study. Data were collected through individual interviews, using self-esteem scale of Rosenberg. 167 (50.5%) of the respondents were male, mostly between 30 and 39 years old (42.0%). Considering the variables related to sexuality, 82.2% reported being heterosexual and 84.6% referred to have been infected by sexual intercourse. Regarding the evaluation of self-esteem, the avarage score was 25.25. The negative impacts whether physical, social or emotional of HIV infection revealed the need for health services prepared to offer comprehensive care for people with HIV/AIDS, valuing the psychosocial factors. DESCRIPTORS: Acquired Immunodeficiency Syndrome. Self-esteem. Self image.

Depression and self-esteem of patients positive for HIV/AIDS in an inland city of Brazil

Background Psychiatric disorders are common in the course of HIV infection, and depression is one of the most prevalent. Another consequence is the decrease in self-esteem of the individual, marked by the accumulation and fat loss in areas of the body, one of the side effects of drugs. This study aims to characterize aspects demographics, economics, clinical and epidemiological and identify symptoms of depression and assess self-esteem in individuals with HIV/AIDS at different stages of infection.

Prevalence and factors associated with depressive symptoms in individuals living with HIV/AIDS

Introduction . Symptoms of depression are highly prevalent among people living with HIV/AIDS in Brazil and in other countries. This situation points to the need for proper diagnosis and timely treatment by the health team. Objective . To identify the prevalence of depressive symptoms and its association with sociodemographic, clinical and behavioral disorders among PLWHA. Method . This cross-sectional study analyzed 331 people living with HIV/AIDS in the city of Sao Paulo, Southeast Brazil. The Beck Depression Inventory was used to assess depressive symptoms. To identify predictors of depression, a multiple regression model was used, with a 95% confidence interval. Results . Of the participants, 167 (50.5%) were men, with an average age of 40. Depressive symptoms were prevalent in 42.3% and the factors associated with depression were being employed, age, and immunological status. Being employed was 1.8 times more likely (95% CI [1.0, 2.8]) to develop depressive symptoms than those who were not employed. The odds ratio of individuals under the age of 40 indicates they were 1.8 times more likely (95% CI [1.1, 2.8]) to have depressive symptoms than those over 40 years old. In regard to clinical aspects, individuals with 200 CD4 cells per mm3 are 2.1 times (95% CI [1.1, 3.9]) more likely to develop depression. Discussion and conclusion . We conclude that the prevalence of depressive symptoms among people living with HIV/AIDS was 42.3% and it was associated with being employed, age and CD4 + cell count.

Evaluación de la autoestima en personas que viven con el VIH/SIDA en el municipio de Ribeirão Preto, estado de São Paulo, Brasil

Esse estudo de corte transversal teve como objetivo avaliar a autoestima de pessoas com HIV/aids e relaciona-la com fatores sociodemograficos e clinicos. Participaram 331 pessoas com HIV/aids, que faziam acompanhamento em dois servicos de referencia de um municipio do interior paulista, entre 2007 e 2010. Os dados foram coletados por meio de entrevistas individuais, utilizando-se Escala de autoestima de Rosenberg. Dos entrevistados, 167 (50,5%) eram do sexo masculino, faixa etaria predominante entre 30 e 39 anos (42,0%). Com referencia as variaveis relacionadas a sexualidade, 82,2% declararam-se heterossexuais e 84,6% referiram ter se infectado por via sexual. Quanto a avaliacao da autoestima, a media obtida foi de 25,25. Os impactos negativos quer fisico, social ou emocional da infeccao pelo HIV, revelaram a necessidade dos servicos de saude estarem preparados para oferecer assistencia integral as pessoas com HIV/aids, valorizando os fatores psicossociais.This cross-sectional study aimed evaluate self-esteem individuals with HIV/AIDS and relate it to sociodemographic and clinical factors. 331 people with HIV/AIDS, who were assisted at two referral centers in a city of the interior of Sao Paulo state between 2007 and 2010, participated of the study. Data were collected through individual interviews, using self-esteem scale of Rosenberg. 167 (50.5%) of the respondents were male, mostly between 30 and 39 years old (42.0%). Considering the variables related to sexuality, 82.2% reported being heterosexual and 84.6% referred to have been infected by sexual intercourse. Regarding the evaluation of self-esteem, the avarage score was 25.25. The negative impacts whether physical, social or emotional of HIV infection revealed the need for health services prepared to offer comprehensive care for people with HIV/AIDS, valuing the psychosocial factors. DESCRIPTORS: Acquired Immunodeficiency Syndrome. Self-esteem. Self image.

EVALUATION OF SELF-ESTEEM IN PEOPLE LIVING WITH HIV/AIDS IN THE CITY OF RIBEIRÃO PRETO, STATE OF SÃO PAULO, BRAZIL

Esse estudo de corte transversal teve como objetivo avaliar a autoestima de pessoas com HIV/aids e relaciona-la com fatores sociodemograficos e clinicos. Participaram 331 pessoas com HIV/aids, que faziam acompanhamento em dois servicos de referencia de um municipio do interior paulista, entre 2007 e 2010. Os dados foram coletados por meio de entrevistas individuais, utilizando-se Escala de autoestima de Rosenberg. Dos entrevistados, 167 (50,5%) eram do sexo masculino, faixa etaria predominante entre 30 e 39 anos (42,0%). Com referencia as variaveis relacionadas a sexualidade, 82,2% declararam-se heterossexuais e 84,6% referiram ter se infectado por via sexual. Quanto a avaliacao da autoestima, a media obtida foi de 25,25. Os impactos negativos quer fisico, social ou emocional da infeccao pelo HIV, revelaram a necessidade dos servicos de saude estarem preparados para oferecer assistencia integral as pessoas com HIV/aids, valorizando os fatores psicossociais.This cross-sectional study aimed evaluate self-esteem individuals with HIV/AIDS and relate it to sociodemographic and clinical factors. 331 people with HIV/AIDS, who were assisted at two referral centers in a city of the interior of Sao Paulo state between 2007 and 2010, participated of the study. Data were collected through individual interviews, using self-esteem scale of Rosenberg. 167 (50.5%) of the respondents were male, mostly between 30 and 39 years old (42.0%). Considering the variables related to sexuality, 82.2% reported being heterosexual and 84.6% referred to have been infected by sexual intercourse. Regarding the evaluation of self-esteem, the avarage score was 25.25. The negative impacts whether physical, social or emotional of HIV infection revealed the need for health services prepared to offer comprehensive care for people with HIV/AIDS, valuing the psychosocial factors. DESCRIPTORS: Acquired Immunodeficiency Syndrome. Self-esteem. Self image.

P6.070 Prevalence of Depressive Symptoms in People Living with HIV/Aids in the Brazilian City

Prevalence of depressive symptoms in people living with HIV/aids in the Brazilian city Carolina de Castro Castrighini, Renata Karina Reis, Lis Aparecida de Souza Neves, Fabíola Garcia Morales, Elucir Gir Background Several challenges are imposed in the course of HIV/aids, including the mental health care. This study aims to assess depressive symptoms of people living with HIV/aids and correlate with sociodemographics and clinical factors. Methods This is a cross-sectional study, conducted in two specialised ambulatory care to individuals with HIV/AIDS located in a city in the interior. We evaluated sociodemographic and clinical variables. For evaluation of depressive symptoms was used Beck Depression Inventory. Results The study included 331 people living with HIV/AIDS, and 167 (50.5%) were male. The mean age was 39 years. It was found that most 195 (58.9%) of subjects had up to 8 years of study. Refers clinical characteristics showed that 156 (47.1%) subjects were classified as AIDS, 267 (80.7%) had CD4 above 200 cells/mm3 and 176 (53.2%) had no others comorbidities. The prevalence of depressive symptoms was 29.6% (BDI > 16), with 6.6% classified with mild symptoms (BDI 16–20), 12.4% moderate (20 to 29) and 10.6% (BDI 30–63) with severe symptoms. Conclusions Data analysis showed that most participants were young, males, with low education which corroborates with the profile found in this population. Services and health professionals, especially nurses, should be able to provide comprehensive care to individuals with HIV/aids, considering clinical and emotional aspects.

Calidad de vida de mujeres viviendo con HIV/aids en un municipio del interior paulista

A terapia antirretroviral de alta potencia beneficia os individuos com HIV/aids na sobrevida, cronicidade e qualidade de vida. Este estudo de corte transversal, com abordagem quantitativa, objetivou avaliar a qualidade de vida de mulheres com HIV/aids, utilizando o WHOQOL - HIV bref e sua associacao com variaveis sociodemograficas. Foi realizado em dois ambulatorios especializados no atendimento a individuos com HIV/aids. De 106 mulheres participantes, 99,1% eram heterossexuais e 92,4% foram infectadas por via sexual. Dentre os dominios de qualidade de vida, espiritualidade obteve maior escore (65,7), seguido pelo fisico (64,7), psicologico (60,6), relacoes sociais (59,5). Menores escores foram atingidos nos dominios nivel de independencia (58,6) e meio ambiente (54,5). Evidenciou-se que os fatores baixo nivel socioeconomico e educacional tiveram associacao com diferentes dominios, denotando a relacao entre qualidade de vida e condicoes de vida. Concluiu-se que persistem os desafios no âmbito das relacoes sociais, afetivas, financeiras, requerendo intervencoes efetivas focando o empoderamento das mulheres com HIV/aids.High potency antiretroviral therapy brings benefits to people with HIV/AIDS, related to survival, chronicity and quality of life. The objective of this quantitative and cross-sectional study was to assess the quality of life of women with HIV/AIDS, using the WHOQOL--HIV bref and its association with sociodemographic variables. The study was performed in outpatient clinics specialized in care to HIV/AIDS patients. Of the 106 interviewed women, 99.1% were heterosexual and 92.4% were infected sexually. Among the domains of quality of life, spirituality had the highest score (65.7), followed by physical (64.7), psychological (60.6), social relationships (59.5). Level of independence (58.6) and environment (54.5) scored the lowest. The factors low socioeconomic and educational levels were associated with different domains of quality of life, showing the relationship between quality of life and living conditions. Challenges persist in the scope of social, affective and financial relations, which require effective interventions regarding empowerment of women with HIV/AIDS.