Self-rated health and substance use among individuals in HIV care in Rio de Janeiro, Brazil: a cross-sectional study
Autor(a) principal: | |
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Data de Publicação: | 2017 |
Outros Autores: | , , , , , , , |
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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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 |
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info:eu-repo/semantics/publishedVersion |
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info:eu-repo/semantics/article |
format |
article |
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 |
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eng |
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eng |
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info:eu-repo/semantics/openAccess |
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