Leidyanny Barbosa de Medeiros

Insegurança alimentar moderada e grave em famílias integradas por pessoas vivendo com HIV/Aids: validação da escala e fatores associados

Vulnerable population groups, including people living with HIV/Aids (PLHA), may have a high prevalence of food insecurity (FI). A cross-sectional study evaluated the internal validity of the Brazilian Food Insecurity Scale (Escala Brasileira de Insegurança Alimentar - EBIA) and measured the prevalence of FI in a sample of 796 PLHA in João Pessoa, Paraíba State (PB). The validation was performed using a Rasch analysis. The association of FI with sociodemographic and clinical characteristics was assessed using the chi-square test. Associated variables were included in a Poisson multiple regression model. The EBIA was valid for PLHA with fit values within the expected limits and item severity conforming to the theoretical model. The EBIA identified 66.5% of PLHA with FI in the sample (30.8% mild FI, 18.1% moderate FI and 17.6% severe FI). Moderate FI and severe FI were associated with an age younger than 43 years (prevalence ratio (PR) = 1.49; 95% confidence interval (CI): 1.14-1.86), primary education (PR=1.64; 95% CI: 1.24-2.17), income per capita lower than ½ minimum wage (MW) (PR=1.83; 95% CI: 1.37-2.44), lack of occupation (PR=1.59; 95% CI: 1.16-2.19) and adult-only households with a female reference person (PR=2.19; 95% CI: 1.45-3.31). The PLHA in this study had a high prevalence of FI, worsening their living conditions and potentially exacerbating their health problems.

Integration of health services in the care of people living with aids: an approach using a decision tree

The care offer to people living with HIV/AIDS must transcend specialized outpatient services and include the participation of the Family Health Strategy. By understanding the importance of integration between these two points in the care network, the study aimed to build a decision support model to assist professionals of specialized health services in identifying behavior patterns in the use of Family Health Strategy services by people living with HIV/AIDS attended in the outpatient clinic. Thus, was proposed a model called decision tree, created from a database of 141 people with AIDS, users of a specialized outpatient clinic. The decision-making variable was the use of Family Health Strategy services by evaluating the integration of care. The model enabled the establishment of 23 rules with 80.1% hit percentage, what may support the decision-making of professionals in identifying situations in which it is necessary to stimulate the use of the Family Health Strategy by users.

Sífilis em mulheres egressas do sistema prisional: prevalência e fatores associados

Objetivo: investigar a prevalencia de sifilis e seus fatores associados em mulheres egressas do sistema prisional. Metodos: estudo transversal realizado com 56 mulheres cumprindo pena em regime aberto e semiaberto em Centro de Reeducacao Feminina. Os dados foram coletados utilizando-se formulario contendo caracteristicas sociodemograficas e praticas sexuais, bem como realizado teste rapido para sifilis. Procedeu-se analise descritiva, prevalencia, teste qui-quadrado e teste exato de Fisher. Resultados: a sifilis foi prevalente em 16,1% da amostra. Constatou-se maior prevalencia em mulheres com mais de 35 anos (21,7%), cor branca (33,3%), casadas/uniao estavel (21,4%), nivel de escolaridade elevado (27,3%), evangelicas (33,3%), sem vida sexual ativa (20,0%), com multiplos parceiros (16,7%), que relatavam usar preservativos com parceiros fixos (33,3%) e eventuais (28,0%), e que usavam drogas ilicitas (20,0%). Conclusao: os achados apontam para importância da utilizacao de metodos de rastreio da infeccao e evidenciam a necessidade de estrategias preventivas que considerem especificidades contextuais.

Self-reported and measured weight, height and body mass index for the diagnosis of the nutritional status in people living with HIV/AIDS

1 Universidade Federal da Paraíba, Departamento de Nutrição, Programa de Pós-Graduação em Modelos de Decisão e Saúde. Campus Universitário I, 58051-900, João Pessoa, PB, Brasil. Correspondência para/Correspondence to: RLFC LIMA. E-mail: <rafaelanutri@gmail.com>. 2 Universidade Federal da Paraíba, Departamento de Morfologia, Programa de Pós-Graduação em Modelos de Decisão e Saúde. João Pessoa, PB, Brasil. 3 Universidade Federal da Paraíba, Centro de Ciências da Saúde, Programa de Pós-Graduação em Enfermagem. Paraíba, PB, Brasil. 4 Universidade Federal da Paraíba, Departamento de Estatística, Programa de Pós-Graduação em Modelos de Decisão e Saúde. João Pessoa, PB, Brasil. Self-reported and measured weight, height and body mass index for the diagnosis of the nutritional status in people living with HIV/AIDS

Developing a Tool for Accession to Assessment Exam Cytological of the Cervix

Objective: To develop a tool for assessing the adherence of women performing the cytological examination of the cervix. Method: exploratory, descriptive with quantitative approach, which followed four steps for the construction of the instrument. Held between May and July 2015, using a sample of 384 women attending health facilities in Joao Pessoa city family. Data were analyzed by applying factor analysis and then correspondence analysis. Results: Scores were calculated from the influential factors reported by these women to perform the cytological examination, and then these scores were associated with the frequency of the examination. As for frequency, 37% performed annually, 25.1% every two years and 20.5% every six months, associated between the low and medium scores. While the high score was associated with a lower frequency, corresponding to 1.3% of those who underwent the test every three years and 15.9% who said they have set periods for their realization. Conclusion: The difficulties for not performing the examination, worse adherence to these women that health care, requiring effective interventions of professionals to minimize these barriers.