Qualidade de vida de pessoas vivendo com HIV/Aids em São Paulo

Abstract

OBJECTIVE:To assess quality of life of people living with HIV/AIDS. METHODS:Cross-sectional study conducted in an AIDS outpatient service based on consecutive sampling during the second half of the year 2002. There were selected 365 men and women aged 18 years or older who were attended by the infectious disease physician. Sociodemographic and recent drug use variables and data on clinical conditions were obtained using a questionnaire and quality of life was analyzed using WHOQOL-bref. RESULTS:Scores of the four domains (physical, psychological, social relationships and environment) were very similar. There were statistically signifi cant differences in mean scores for the environment domain according to skin color, with blacks and pardos having lower scores. Women also had the lowest scores for the psychological and environmental domains. Higher income was signifi cantly associated to higher scores in all domains of quality of life, except for the social relationships domain. Subjects with CD4+ cell counts below 200 cells/mm 3 had lower scores for the physical domain. In all domains signifi cantly lower scores were seen for those receiving psychiatric treatment or with an indication for such treatment.CONCLUSIONS: Despite differences in sex, skin color, income, and mental and immunological status, people living with HIV/AIDS have better (physical and psychological) quality of life than other patients but lower quality in social relationships domain. The latter domain could refl ect stigmatization and discrimination associated to the diffi culties of disclosing their HIV status in social settings and for a safe sex life.KEY WORDS: Acquired immunodefi ciency syndrome, psychology. Quality of life. Life style. Socioeconomic factors. Cross-sectional studies.

Qualidade de vida de portadores de HIV/AIDS e sua relação com linfócitos CD4+, carga viral e tempo de diagnóstico

“…Os escores médios obtidos para os seis domínios foram de 12,6 a 14,8 pontos, classificados como intermediários 6 .…”

“…Santos et al 6 apontaram que os homens apresentam melhor QV que as mulheres, concordando com o presente estudo nos domínios físico, psicológico e ERCP. A compreensão dessas diferenças é mais bem entendida à luz do local de análise, pois na Índia 8 as mulheres apresentam melhor QV e na Croácia 12 não foram identificadas diferenças entre os sexos.…”

“…Outros estudos observaram correlação entre QV e escolaridade 6,12 , evidenciando que investimentos em educação também podem influenciar a QV em PVHAs.…”

“…Foi realizado um estudo tipo corte transversal, no qual foi utilizada amostragem não-probabilística consecutiva 6 …”

Lipodystrophy in HIV/AIDS patients with different levels of physical activity while on antiretroviral therapy

“…It is not clear whether the investigated subjects had higher CD4 because they were active or if they were more active because they had higher levels of CD4. Santos et al 28 found that patients, assessed by Bouchard questionnaire, that presented low levels of CD4+ lymphocytes, also had low physical domain scores, which suggests that individuals with weakened immune systems are more prone to physical inactivity.…”