Quality of life of people living with HIV/AIDS in São Paulo, Brazil

Detalhes bibliográficos
Autor(a) principal: Santos, Elisabete Cristina Morandi dos
Data de Publicação: 2007
Outros Autores: França Junior, Ivan, Lopes, Fernanda
Tipo de documento: Artigo
Idioma: por
eng
Título da fonte: Revista de Saúde Pública
Texto Completo: https://www.revistas.usp.br/rsp/article/view/32365
Resumo: 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 significant 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 significantly 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/mm³ had lower scores for the physical domain. In all domains significantly 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 reflect stigmatization and discrimination associated to the difficulties of disclosing their HIV status in social settings and for a safe sex life.
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spelling Quality of life of people living with HIV/AIDS in São Paulo, Brazil Qualidade de vida de pessoas vivendo com HIV/Aids em São Paulo Síndrome de imunodeficiência adquirida^i1^spsicoloQualidade de vidaEstilo de vidaFatores socioeconômicosEstudos transversaisAcquired immunodeficiency syndrome^i2^spsycholQuality of lifeLife styleSocioeconomic factorsCross-sectional studies 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 significant 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 significantly 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/mm³ had lower scores for the physical domain. In all domains significantly 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 reflect stigmatization and discrimination associated to the difficulties of disclosing their HIV status in social settings and for a safe sex life. OBJETIVO: Analisar a qualidade de vida de pessoas vivendo com HIV/Aids. MÉTODOS: Estudo transversal, desenvolvido em serviço ambulatorial para Aids, com base em amostragem consecutiva, realizado no segundo semestre de 2002. Selecionaram-se 365 pessoas com idade >;18 anos que passaram por consulta com o infectologista. As variáveis sociodemográficas, de consumo recente de drogas e as condições clínicas foram obtidas por meio de questionários e a qualidade de vida por meio do WHOQOL-bref. RESULTADOS: Os escores dos domínios físico, psicológico, relações sociais e meio ambiente apresentaram valores semelhantes. Foram observadas diferenças estatisticamente significativas das médias nos escores do domínio meio ambiente segundo cor da pele, com os pretos e os pardos obtendo escores menores. As mulheres apresentaram escores menores nos domínios psicológico e meio ambiente. Maior renda foi significativa na obtenção de maior escore em todos os domínios de qualidade de vida, exceto no domínio relações sociais. Os indivíduos com número abaixo de 200 células CD4+/mm³ de sangue apresentaram menores escores no domínio físico. Em todos os domínios, os escores foram menores com diferenças significativas para pessoas em seguimento ou com indicação de seguimento psiquiátrico. CONCLUSÕES: Apesar de diferenças por sexo, cor da pele, renda e condições de saúde mental e imunológica, os portadores de Aids têm melhor qualidade de vida - física e psicológica - que outros pacientes, mas pior no domínio de relações sociais. Neste último, podem estar refletidos os processos de estigma e discriminação associados às dificuldades na revelação diagnóstica em espaços sociais e para uma vida sexual tranqüila. Universidade de São Paulo. Faculdade de Saúde Pública2007-12-01info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionapplication/pdfapplication/pdfhttps://www.revistas.usp.br/rsp/article/view/3236510.1590/S0034-89102007000900011Revista de Saúde Pública; Vol. 41 No. suppl.2 (2007); 64-71 Revista de Saúde Pública; Vol. 41 Núm. suppl.2 (2007); 64-71 Revista de Saúde Pública; v. 41 n. suppl.2 (2007); 64-71 1518-87870034-8910reponame:Revista de Saúde Públicainstname:Universidade de São Paulo (USP)instacron:USPporenghttps://www.revistas.usp.br/rsp/article/view/32365/34561https://www.revistas.usp.br/rsp/article/view/32365/34562Copyright (c) 2017 Revista de Saúde Públicainfo:eu-repo/semantics/openAccessSantos, Elisabete Cristina Morandi dosFrança Junior, IvanLopes, Fernanda2012-07-09T00:49:15Zoai:revistas.usp.br:article/32365Revistahttps://www.revistas.usp.br/rsp/indexONGhttps://www.revistas.usp.br/rsp/oairevsp@org.usp.br||revsp1@usp.br1518-87870034-8910opendoar:2012-07-09T00:49:15Revista de Saúde Pública - Universidade de São Paulo (USP)false
dc.title.none.fl_str_mv Quality of life of people living with HIV/AIDS in São Paulo, Brazil
Qualidade de vida de pessoas vivendo com HIV/Aids em São Paulo
title Quality of life of people living with HIV/AIDS in São Paulo, Brazil
spellingShingle Quality of life of people living with HIV/AIDS in São Paulo, Brazil
Santos, Elisabete Cristina Morandi dos
Síndrome de imunodeficiência adquirida^i1^spsicolo
Qualidade de vida
Estilo de vida
Fatores socioeconômicos
Estudos transversais
Acquired immunodeficiency syndrome^i2^spsychol
Quality of life
Life style
Socioeconomic factors
Cross-sectional studies
title_short Quality of life of people living with HIV/AIDS in São Paulo, Brazil
title_full Quality of life of people living with HIV/AIDS in São Paulo, Brazil
title_fullStr Quality of life of people living with HIV/AIDS in São Paulo, Brazil
title_full_unstemmed Quality of life of people living with HIV/AIDS in São Paulo, Brazil
title_sort Quality of life of people living with HIV/AIDS in São Paulo, Brazil
author Santos, Elisabete Cristina Morandi dos
author_facet Santos, Elisabete Cristina Morandi dos
França Junior, Ivan
Lopes, Fernanda
author_role author
author2 França Junior, Ivan
Lopes, Fernanda
author2_role author
author
dc.contributor.author.fl_str_mv Santos, Elisabete Cristina Morandi dos
França Junior, Ivan
Lopes, Fernanda
dc.subject.por.fl_str_mv Síndrome de imunodeficiência adquirida^i1^spsicolo
Qualidade de vida
Estilo de vida
Fatores socioeconômicos
Estudos transversais
Acquired immunodeficiency syndrome^i2^spsychol
Quality of life
Life style
Socioeconomic factors
Cross-sectional studies
topic Síndrome de imunodeficiência adquirida^i1^spsicolo
Qualidade de vida
Estilo de vida
Fatores socioeconômicos
Estudos transversais
Acquired immunodeficiency syndrome^i2^spsychol
Quality of life
Life style
Socioeconomic factors
Cross-sectional studies
description 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 significant 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 significantly 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/mm³ had lower scores for the physical domain. In all domains significantly 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 reflect stigmatization and discrimination associated to the difficulties of disclosing their HIV status in social settings and for a safe sex life.
publishDate 2007
dc.date.none.fl_str_mv 2007-12-01
dc.type.driver.fl_str_mv info:eu-repo/semantics/article
info:eu-repo/semantics/publishedVersion
format article
status_str publishedVersion
dc.identifier.uri.fl_str_mv https://www.revistas.usp.br/rsp/article/view/32365
10.1590/S0034-89102007000900011
url https://www.revistas.usp.br/rsp/article/view/32365
identifier_str_mv 10.1590/S0034-89102007000900011
dc.language.iso.fl_str_mv por
eng
language por
eng
dc.relation.none.fl_str_mv https://www.revistas.usp.br/rsp/article/view/32365/34561
https://www.revistas.usp.br/rsp/article/view/32365/34562
dc.rights.driver.fl_str_mv Copyright (c) 2017 Revista de Saúde Pública
info:eu-repo/semantics/openAccess
rights_invalid_str_mv Copyright (c) 2017 Revista de Saúde Pública
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv application/pdf
application/pdf
dc.publisher.none.fl_str_mv Universidade de São Paulo. Faculdade de Saúde Pública
publisher.none.fl_str_mv Universidade de São Paulo. Faculdade de Saúde Pública
dc.source.none.fl_str_mv Revista de Saúde Pública; Vol. 41 No. suppl.2 (2007); 64-71
Revista de Saúde Pública; Vol. 41 Núm. suppl.2 (2007); 64-71
Revista de Saúde Pública; v. 41 n. suppl.2 (2007); 64-71
1518-8787
0034-8910
reponame:Revista de Saúde Pública
instname:Universidade de São Paulo (USP)
instacron:USP
instname_str Universidade de São Paulo (USP)
instacron_str USP
institution USP
reponame_str Revista de Saúde Pública
collection Revista de Saúde Pública
repository.name.fl_str_mv Revista de Saúde Pública - Universidade de São Paulo (USP)
repository.mail.fl_str_mv revsp@org.usp.br||revsp1@usp.br
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