Factors involved between social support and self-efficacy in HIV-infected individuals

Detalhes bibliográficos
Autor(a) principal: dos Santos, Wendel Mombaque
Data de Publicação: 2015
Outros Autores: Padoin, Stela Maris de Mello, Magnago, Tânia Solange B. de Souza, Dalmolin, Graziele de Lima, Zuge, Samuel Spierlberg
Tipo de documento: Artigo
Idioma: por
Título da fonte: Scientia Medica (Porto Alegre. Online)
Texto Completo: https://revistaseletronicas.pucrs.br/scientiamedica/article/view/21105
Resumo: Aims: To investigate the relationships between perceived social support received and expectation of self-efficacy.Methods: Cross-sectional study conducted at the Outpatient Clinic of Infectious Diseases of the Teaching Hospital of Santa Maria, southern Brazil, from January to July 2012 with adults on antiretroviral treatment for HIV. To collect the data, we applied an instrument which included: a sociodemographic and economic questionnaire, a self-efficacy expectation scale for antiretroviral treatment, and the scale for evaluation of social support. We used descriptive statistics, Spearman’s correlation, and multivariate logistic regression. Values equal to or less than 5% were considered to be of statistical significance.Results: There was a correlation between emotional social support and expectation of self-efficacy. Total social support presented CD4+ T lymphocyte count  up to 50 cells/µL (odds ratio [OR] = 1.17; 95% confidence interval [CI] = 1.01-1.37) as a risk factor, and an income of less than 8,000 dollars per year (OR = 0.95; 95%CI = 0.91-0.99) as a protective factor. Four to seven years of schooling (OR = 0.94; 95%CI = 0.89-0.99), income of less than 8,000 dollars per year (OR = 0.91; 95%CI = 0.84-0.98), CD4+ T lymphocyte count up to 50 cells/µL (OR = 0.84; 95%CI = 0.77-0.92), viral load equal to or greater than 501 copies/mL (OR =0.91; 95%CI=0.87-0.95), and healthcare follow-up considered moderate (OR = 0.96; 95%CI = 0.92-0.99) or difficult (OR = 0.94; 95%CI = 0.89-0.99) were regarded as protective factors for self-efficacy.Conclusions: Perceived social support is associated with expectation of self-efficacy. The data suggest that social support and expectation of self-efficacy, in addition to affecting the therapeutic response to treatment, may interfere with healthcare follow-up and act as a protective factor for sustained adherence to antiretroviral therapy.
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spelling Factors involved between social support and self-efficacy in HIV-infected individualsFatores intervenientes entre suporte social e autoeficácia em pessoas infectadas pelo HIVHIV infectionsanti-retroviral agentssocial supportself efficacy.infecções por HIVantirretroviraisapoio socialautoeficácia.Aims: To investigate the relationships between perceived social support received and expectation of self-efficacy.Methods: Cross-sectional study conducted at the Outpatient Clinic of Infectious Diseases of the Teaching Hospital of Santa Maria, southern Brazil, from January to July 2012 with adults on antiretroviral treatment for HIV. To collect the data, we applied an instrument which included: a sociodemographic and economic questionnaire, a self-efficacy expectation scale for antiretroviral treatment, and the scale for evaluation of social support. We used descriptive statistics, Spearman’s correlation, and multivariate logistic regression. Values equal to or less than 5% were considered to be of statistical significance.Results: There was a correlation between emotional social support and expectation of self-efficacy. Total social support presented CD4+ T lymphocyte count  up to 50 cells/µL (odds ratio [OR] = 1.17; 95% confidence interval [CI] = 1.01-1.37) as a risk factor, and an income of less than 8,000 dollars per year (OR = 0.95; 95%CI = 0.91-0.99) as a protective factor. Four to seven years of schooling (OR = 0.94; 95%CI = 0.89-0.99), income of less than 8,000 dollars per year (OR = 0.91; 95%CI = 0.84-0.98), CD4+ T lymphocyte count up to 50 cells/µL (OR = 0.84; 95%CI = 0.77-0.92), viral load equal to or greater than 501 copies/mL (OR =0.91; 95%CI=0.87-0.95), and healthcare follow-up considered moderate (OR = 0.96; 95%CI = 0.92-0.99) or difficult (OR = 0.94; 95%CI = 0.89-0.99) were regarded as protective factors for self-efficacy.Conclusions: Perceived social support is associated with expectation of self-efficacy. The data suggest that social support and expectation of self-efficacy, in addition to affecting the therapeutic response to treatment, may interfere with healthcare follow-up and act as a protective factor for sustained adherence to antiretroviral therapy.Objetivos: Verificar a relação entre a percepção do suporte social recebido e a expectativa de autoeficácia em adultos em tratamento antirretroviral para o HIV.Métodos: Estudo transversal, realizado de janeiro a julho de 2012 no Ambulatório de Doenças Infecciosas do Hospital Universitário de Santa Maria, Rio Grande do Sul, com adultos em tratamento antirretroviral para HIV. Como instrumentos para coleta de dados foram aplicados um questionário com informações sociodemográficas e econômicas, a escala de expectativa de autoeficácia ao tratamento antirretroviral para o HIV e a escala para avaliação do suporte social. Utilizou-se estatística descritiva, correlação de Spearman e regressão logística multivariada. Foi considerado o nível de significância com valores iguais ou menores que 5%.Resultados: Verificou-se correlação entre suporte social emocional e expectativa de autoeficácia. O suporte social total apresenta como fator de risco contagem de linfócitos T CD4+ em até 50 células/µL (odds ratio [OR] 1,17; intervalo de confiança [IC] 95% 1,01-1,37) e como fator de proteção renda inferior a 16.024 reais anuais (OR 0,95; IC 95% 0,91-0,99). A autoeficácia apresentou como fatores de proteção escolaridade entre quatro e sete anos de estudo (OR 0,94; IC 0,89-0,99), renda inferior a 16.024 reais anuais (OR 0,91; IC 0,84-0,98), contagem de linfócitos T CD4+ em até 50 células/µL (OR 0,84; IC 0,77-0,92), carga viral igual ou acima de 501 cópias/mL (OR 0,91; IC 0,87-0,95) e considerar o acompanhamento no serviço de saúde moderado (OR 0,96; IC 0,92-0,99) ou difícil (OR 0,94; IC 0,89-0,99).Conclusões: O suporte social percebido associou-se com a expectativa de autoeficácia. Os dados sugerem que o suporte social e a expectativa de autoeficácia, além de afetar a resposta terapêutica ao tratamento, podem interferir no acompanhamento do serviço de saúde, assim como servir como barreira de proteção para manutenção da adesão ao TARV.Editora da PUCRS - ediPUCRS2015-11-03info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionapplication/pdfhttps://revistaseletronicas.pucrs.br/scientiamedica/article/view/2110510.15448/1980-6108.2015.2.21105Scientia Medica; Vol. 25 No. 2 (2015); ID21105Scientia Medica; v. 25 n. 2 (2015); ID211051980-61081806-556210.15448/1980-6108.2015.2reponame:Scientia Medica (Porto Alegre. Online)instname:Pontifícia Universidade Católica do Rio Grande do Sul (PUCRS)instacron:PUC_RSporhttps://revistaseletronicas.pucrs.br/scientiamedica/article/view/21105/13635Copyright (c) 2015 Scientia Medicainfo:eu-repo/semantics/openAccessdos Santos, Wendel MombaquePadoin, Stela Maris de MelloMagnago, Tânia Solange B. de SouzaDalmolin, Graziele de LimaZuge, Samuel Spierlberg2015-11-03T19:34:43Zoai:ojs.revistaseletronicas.pucrs.br:article/21105Revistahttps://revistaseletronicas.pucrs.br/scientiamedica/PUBhttps://revistaseletronicas.pucrs.br/scientiamedica/oaiscientiamedica@pucrs.br || editora.periodicos@pucrs.br1980-61081806-5562opendoar:2015-11-03T19:34:43Scientia Medica (Porto Alegre. Online) - Pontifícia Universidade Católica do Rio Grande do Sul (PUCRS)false
dc.title.none.fl_str_mv Factors involved between social support and self-efficacy in HIV-infected individuals
Fatores intervenientes entre suporte social e autoeficácia em pessoas infectadas pelo HIV
title Factors involved between social support and self-efficacy in HIV-infected individuals
spellingShingle Factors involved between social support and self-efficacy in HIV-infected individuals
dos Santos, Wendel Mombaque
HIV infections
anti-retroviral agents
social support
self efficacy.
infecções por HIV
antirretrovirais
apoio social
autoeficácia.
title_short Factors involved between social support and self-efficacy in HIV-infected individuals
title_full Factors involved between social support and self-efficacy in HIV-infected individuals
title_fullStr Factors involved between social support and self-efficacy in HIV-infected individuals
title_full_unstemmed Factors involved between social support and self-efficacy in HIV-infected individuals
title_sort Factors involved between social support and self-efficacy in HIV-infected individuals
author dos Santos, Wendel Mombaque
author_facet dos Santos, Wendel Mombaque
Padoin, Stela Maris de Mello
Magnago, Tânia Solange B. de Souza
Dalmolin, Graziele de Lima
Zuge, Samuel Spierlberg
author_role author
author2 Padoin, Stela Maris de Mello
Magnago, Tânia Solange B. de Souza
Dalmolin, Graziele de Lima
Zuge, Samuel Spierlberg
author2_role author
author
author
author
dc.contributor.author.fl_str_mv dos Santos, Wendel Mombaque
Padoin, Stela Maris de Mello
Magnago, Tânia Solange B. de Souza
Dalmolin, Graziele de Lima
Zuge, Samuel Spierlberg
dc.subject.por.fl_str_mv HIV infections
anti-retroviral agents
social support
self efficacy.
infecções por HIV
antirretrovirais
apoio social
autoeficácia.
topic HIV infections
anti-retroviral agents
social support
self efficacy.
infecções por HIV
antirretrovirais
apoio social
autoeficácia.
description Aims: To investigate the relationships between perceived social support received and expectation of self-efficacy.Methods: Cross-sectional study conducted at the Outpatient Clinic of Infectious Diseases of the Teaching Hospital of Santa Maria, southern Brazil, from January to July 2012 with adults on antiretroviral treatment for HIV. To collect the data, we applied an instrument which included: a sociodemographic and economic questionnaire, a self-efficacy expectation scale for antiretroviral treatment, and the scale for evaluation of social support. We used descriptive statistics, Spearman’s correlation, and multivariate logistic regression. Values equal to or less than 5% were considered to be of statistical significance.Results: There was a correlation between emotional social support and expectation of self-efficacy. Total social support presented CD4+ T lymphocyte count  up to 50 cells/µL (odds ratio [OR] = 1.17; 95% confidence interval [CI] = 1.01-1.37) as a risk factor, and an income of less than 8,000 dollars per year (OR = 0.95; 95%CI = 0.91-0.99) as a protective factor. Four to seven years of schooling (OR = 0.94; 95%CI = 0.89-0.99), income of less than 8,000 dollars per year (OR = 0.91; 95%CI = 0.84-0.98), CD4+ T lymphocyte count up to 50 cells/µL (OR = 0.84; 95%CI = 0.77-0.92), viral load equal to or greater than 501 copies/mL (OR =0.91; 95%CI=0.87-0.95), and healthcare follow-up considered moderate (OR = 0.96; 95%CI = 0.92-0.99) or difficult (OR = 0.94; 95%CI = 0.89-0.99) were regarded as protective factors for self-efficacy.Conclusions: Perceived social support is associated with expectation of self-efficacy. The data suggest that social support and expectation of self-efficacy, in addition to affecting the therapeutic response to treatment, may interfere with healthcare follow-up and act as a protective factor for sustained adherence to antiretroviral therapy.
publishDate 2015
dc.date.none.fl_str_mv 2015-11-03
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dc.identifier.uri.fl_str_mv https://revistaseletronicas.pucrs.br/scientiamedica/article/view/21105
10.15448/1980-6108.2015.2.21105
url https://revistaseletronicas.pucrs.br/scientiamedica/article/view/21105
identifier_str_mv 10.15448/1980-6108.2015.2.21105
dc.language.iso.fl_str_mv por
language por
dc.relation.none.fl_str_mv https://revistaseletronicas.pucrs.br/scientiamedica/article/view/21105/13635
dc.rights.driver.fl_str_mv Copyright (c) 2015 Scientia Medica
info:eu-repo/semantics/openAccess
rights_invalid_str_mv Copyright (c) 2015 Scientia Medica
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv application/pdf
dc.publisher.none.fl_str_mv Editora da PUCRS - ediPUCRS
publisher.none.fl_str_mv Editora da PUCRS - ediPUCRS
dc.source.none.fl_str_mv Scientia Medica; Vol. 25 No. 2 (2015); ID21105
Scientia Medica; v. 25 n. 2 (2015); ID21105
1980-6108
1806-5562
10.15448/1980-6108.2015.2
reponame:Scientia Medica (Porto Alegre. Online)
instname:Pontifícia Universidade Católica do Rio Grande do Sul (PUCRS)
instacron:PUC_RS
instname_str Pontifícia Universidade Católica do Rio Grande do Sul (PUCRS)
instacron_str PUC_RS
institution PUC_RS
reponame_str Scientia Medica (Porto Alegre. Online)
collection Scientia Medica (Porto Alegre. Online)
repository.name.fl_str_mv Scientia Medica (Porto Alegre. Online) - Pontifícia Universidade Católica do Rio Grande do Sul (PUCRS)
repository.mail.fl_str_mv scientiamedica@pucrs.br || editora.periodicos@pucrs.br
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