Self-rated health and substance use among individuals in HIV care in Rio de Janeiro, Brazil: a cross-sectional study

Detalhes bibliográficos
Autor(a) principal: Machado, Iona K
Data de Publicação: 2017
Outros Autores: Luz, Paula Mendes, Lake, Jordan E, Castro, Rodolfo, Velasque, Luciane, Clark, Jesse L, Santos, Valdiléa Gonçalves Veloso dos, Grinsztejn, Beatriz, De Boni, Raquel Brandini
Tipo de documento: Artigo
Idioma: eng
Título da fonte: Repositório Institucional da FIOCRUZ (ARCA)
Texto Completo: https://www.arca.fiocruz.br/handle/icict/25617
Resumo: University of California, Los Angeles, Los Angeles, CA, USA / Columbia College of Physicians & Surgeons, New York City, NY, USA
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spelling Machado, Iona KLuz, Paula MendesLake, Jordan ECastro, RodolfoVelasque, LucianeClark, Jesse LSantos, Valdiléa Gonçalves Veloso dosGrinsztejn, BeatrizDe Boni, Raquel Brandini2018-04-04T18:42:58Z2018-04-04T18:42:58Z2017MACHADO, Iona K. et al. Self-rated health and substance use among individuals in HIV care in Rio de Janeiro, Brazil: a cross-sectional study. International Journal of STD and AIDS, v. 28, n. 12, 2017.0956-4624https://www.arca.fiocruz.br/handle/icict/2561710.1177/0956462417692278engSAGESelf-rated health and substance use among individuals in HIV care in Rio de Janeiro, Brazil: a cross-sectional studyinfo:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/articleUniversity of California, Los Angeles, Los Angeles, CA, USA / Columbia College of Physicians & Surgeons, New York City, NY, USAFundação Oswaldo Cruz, Instituto Nacional de Infectologia Evandro Chagas, Rio de Janeiro, BrazilUniversity of California, Los Angeles, Los Angeles, CA, USAUniversity of California, Los Angeles, Los Angeles, CA, USA / Universidade Federal do Estado do Rio de Janeiro, Rio de Janeiro, BrazilUniversidade Federal do Estado do Rio de Janeiro, Rio de Janeiro, BrazilUniversity of California, Los Angeles, Los Angeles, CA, USAFundação Oswaldo Cruz, Instituto Nacional de Infectologia Evandro Chagas, Rio de Janeiro, BrazilFundação Oswaldo Cruz, Instituto Nacional de Infectologia Evandro Chagas, Rio de Janeiro, BrazilFundação Oswaldo Cruz, Instituto Nacional de Infectologia Evandro Chagas, Rio de Janeiro, BrazilSelf-rated health (SRH) is associated with morbidity and mortality in HIV-uninfected populations but is understudied in HIV. Substance use may affect SRH in addition to its deleterious effect on HIV disease. This analysis aimed to estimate SRH and substance use prevalence and evaluate factors associated with poor SRH among individuals in HIV care in Rio de Janeiro, Brazil. A convenience sample of HIV-infected adults completed one item of SRH, the Alcohol, Smoking and Substance Involvement Screening Test, and the Patient Health Questionnaire-2 (PHQ-2). Logistic regression models identified factors associated with poor SRH. Participants' (n = 1029) median age was 42.9 years, 64.2% were male, and 54.5% were nonwhite. Poor SRH was reported by 19.5% and the use of alcohol, tobacco, marijuana, and crack/cocaine by 30.1, 19.5, 3.9, and 3.5%, respectively. Less than high school education (adjusted odds ratio [aOR] 1.54, 95% confidence interval [CI]: 1.08-2.20), lack of sexual activity in previous 12 months (aOR 1.53, 95% CI: 1.01-2.30), crack/cocaine use (aOR 3.82, 95% CI: 1.80-8.09), positive PHQ-2 screen (aOR 3.43, 95% CI: 2.09-5.62), and HIV-1 RNA ≥40 c/ml (aOR 2.51, 95% CI: 1.57-4.02) were significantly associated with poor SRH as identified by logistic regression analyses. Alcohol, marijuana, and sedative use were not significantly associated with poor SRH. These results emphasize the need for substance use and mental health screening and treatment in this population. Further research may elucidate the consequences of poor SRH on treatment adherence, morbidity, and mortality in HIV-infected individuals.Self-rated healthSubstance useHIVAIDSSelf-AssessmentHIVSíndrome de Imunodeficiência AdquiridaAutoavaliaçãoinfo:eu-repo/semantics/openAccessreponame:Repositório Institucional da FIOCRUZ (ARCA)instname:Fundação Oswaldo Cruz (FIOCRUZ)instacron:FIOCRUZLICENSElicense.txtlicense.txttext/plain; charset=utf-83099https://www.arca.fiocruz.br/bitstream/icict/25617/1/license.txt586c046dcfeef936e32f0323bb9a47c0MD51ORIGINALve_Iona_Machado_etal_INI_Lapclin_2017.pdfve_Iona_Machado_etal_INI_Lapclin_2017.pdfapplication/pdf277323https://www.arca.fiocruz.br/bitstream/icict/25617/2/ve_Iona_Machado_etal_INI_Lapclin_2017.pdfa1b261bb303f50e6dbe29e211c48ed7aMD52TEXTve_Iona_Machado_etal_INI_Lapclin_2017.pdf.txtve_Iona_Machado_etal_INI_Lapclin_2017.pdf.txtExtracted 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dc.title.pt_BR.fl_str_mv Self-rated health and substance use among individuals in HIV care in Rio de Janeiro, Brazil: a cross-sectional study
title Self-rated health and substance use among individuals in HIV care in Rio de Janeiro, Brazil: a cross-sectional study
spellingShingle Self-rated health and substance use among individuals in HIV care in Rio de Janeiro, Brazil: a cross-sectional study
Machado, Iona K
Self-rated health
Substance use
HIV
AIDS
Self-Assessment
HIV
Síndrome de Imunodeficiência Adquirida
Autoavaliação
title_short Self-rated health and substance use among individuals in HIV care in Rio de Janeiro, Brazil: a cross-sectional study
title_full Self-rated health and substance use among individuals in HIV care in Rio de Janeiro, Brazil: a cross-sectional study
title_fullStr Self-rated health and substance use among individuals in HIV care in Rio de Janeiro, Brazil: a cross-sectional study
title_full_unstemmed Self-rated health and substance use among individuals in HIV care in Rio de Janeiro, Brazil: a cross-sectional study
title_sort Self-rated health and substance use among individuals in HIV care in Rio de Janeiro, Brazil: a cross-sectional study
author Machado, Iona K
author_facet Machado, Iona K
Luz, Paula Mendes
Lake, Jordan E
Castro, Rodolfo
Velasque, Luciane
Clark, Jesse L
Santos, Valdiléa Gonçalves Veloso dos
Grinsztejn, Beatriz
De Boni, Raquel Brandini
author_role author
author2 Luz, Paula Mendes
Lake, Jordan E
Castro, Rodolfo
Velasque, Luciane
Clark, Jesse L
Santos, Valdiléa Gonçalves Veloso dos
Grinsztejn, Beatriz
De Boni, Raquel Brandini
author2_role author
author
author
author
author
author
author
author
dc.contributor.author.fl_str_mv Machado, Iona K
Luz, Paula Mendes
Lake, Jordan E
Castro, Rodolfo
Velasque, Luciane
Clark, Jesse L
Santos, Valdiléa Gonçalves Veloso dos
Grinsztejn, Beatriz
De Boni, Raquel Brandini
dc.subject.en.pt_BR.fl_str_mv Self-rated health
Substance use
HIV
AIDS
Self-Assessment
topic Self-rated health
Substance use
HIV
AIDS
Self-Assessment
HIV
Síndrome de Imunodeficiência Adquirida
Autoavaliação
dc.subject.decs.pt_BR.fl_str_mv HIV
Síndrome de Imunodeficiência Adquirida
Autoavaliação
description University of California, Los Angeles, Los Angeles, CA, USA / Columbia College of Physicians & Surgeons, New York City, NY, USA
publishDate 2017
dc.date.issued.fl_str_mv 2017
dc.date.accessioned.fl_str_mv 2018-04-04T18:42:58Z
dc.date.available.fl_str_mv 2018-04-04T18:42:58Z
dc.type.status.fl_str_mv info:eu-repo/semantics/publishedVersion
dc.type.driver.fl_str_mv info:eu-repo/semantics/article
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status_str publishedVersion
dc.identifier.citation.fl_str_mv MACHADO, Iona K. et al. Self-rated health and substance use among individuals in HIV care in Rio de Janeiro, Brazil: a cross-sectional study. International Journal of STD and AIDS, v. 28, n. 12, 2017.
dc.identifier.uri.fl_str_mv https://www.arca.fiocruz.br/handle/icict/25617
dc.identifier.issn.pt_BR.fl_str_mv 0956-4624
dc.identifier.doi.none.fl_str_mv 10.1177/0956462417692278
identifier_str_mv MACHADO, Iona K. et al. Self-rated health and substance use among individuals in HIV care in Rio de Janeiro, Brazil: a cross-sectional study. International Journal of STD and AIDS, v. 28, n. 12, 2017.
0956-4624
10.1177/0956462417692278
url https://www.arca.fiocruz.br/handle/icict/25617
dc.language.iso.fl_str_mv eng
language eng
dc.rights.driver.fl_str_mv info:eu-repo/semantics/openAccess
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dc.source.none.fl_str_mv reponame:Repositório Institucional da FIOCRUZ (ARCA)
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