Infecção pelo HIV em mulheres com 50 anos ou mais de idade, em Goiás

• Autor(a) principal: Silva, Letícia Dogakiuchi
• Data de Publicação: 2013
• Tipo de documento: Dissertação
• Idioma: por
• Título da fonte: Repositório Institucional da UFG
• dARK ID: ark:/38995/0013000009k9j
• Texto Completo: http://repositorio.bc.ufg.br/tede/handle/tede/4006
• topic: Envelhecimento; Mulheres; HIV; Aging; Women; ENFERMAGEM::ENFERMAGEM DE SAUDE PUBLICA

INTRODUCTION : The HIV epidemic worldwide reveals the increase of new cases in individuals aged 50 years or older ( UNAIDS , 2010) . In Western Europe 12.9 % of new cases of HIV infection in 2007 were in this population . In Central Europe it is estimated that one in every ten new HIV infections contemplate the same age group , while the proportion of cases in Eastern Europe was 3.7% in the same year ( Lazzarus , Nielsen , 2010). In the U.S. 15 % of new infections are in people aged 50 years or more , these represent about 30 % of the population living with HIV in the country ( NGUYEN , HOLODNIY , 2008) . HIV infection in the elderly include issues related to gender bias , especially among women . This situation , coupled with the lack of perception of vulnerability can lead a greater number of older women to the HIV epidemic . OBJECTIVE : To describe older women infected with HIV analyze the epidemiology of women aged 50 or older with HIV attending the Reference Unit . METHODOLOGY : The study investigated the profile of HIV infection in women aged 50 years or more in the State of Goiás , with the analysis of a retrospective cohort of patients seen at the Hospital Reference . Information not found in the records were completed from the linkage with the database SINAN State. RESULTS : Older women infected with HIV have less education compared to younger ( p = 0.001 ) . The proportion of unmarried elderly women infected with HIV was statistically superior to the younger ( p = 0.003 ) . Late diagnosis , translated by counting the first T - CD4 less than 350 cells/mm3 was significantly higher in women aged 50 years or more ( p = 0.0001 ) as well as the manifestation of opportunistic infections during the first admission in Reference Unit (p = 0.001). The prevalence of opportunistic diseases in the general population of the study was 38.5 % . The distribution by age group showed that older women were more likely to express wasting syndrome ( p = 0.000 ) and toxoplasmosis ( p = 0.039 ) . There was a significant linear trend of increasing cases among older women ( p = 0.003 ) over the period observed . The probability of developing AIDS was significantly higher in older women compared to young (log rank = 10.5, p = 0.001 ) . The cumulative probability of survival according to age was different between the groups (log rank = 17.5, p = 0.000 ) and older women had lower cumulative probability of survival . CONCLUSION : The investigation of the epidemiological profile of HIV infection for women aged 50 or older has shown , the state level , the specificities and characteristics important to foster discussions about new implications of the HIV epidemic in Brazil .