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31	Mudanças na vida sexual após o sorodiagnóstico para o HIV: uma comparação entre homens e mulheres / Changings in sexual life after HIV serodiagnosis: a comparison between men and women Polistchuck, Lígia 05 October 2010 (has links) Após a disponibilização dos antirretrovirais (ARV), a sexualidade dos portadores de HIV/Aids passou a ser mais freqüentemente estudada, especialmente com enfoque na prevenção e no risco. Objetivos: Descrever a vida sexual de portadores de HIV/Aids e identificar as associações da piora na vida sexual após o diagnóstico de HIV com variáveis relativas às características socioeconômicas, à vida sexual, ao uso do ARV e dos serviços de saúde. Métodos: Os dados utilizados procedem de dois estudos transversais com 250 homens e 729 mulheres portadores de HIV/Aids (amostras consecutivas), realizados em dois centros de referência para o HIV/Aids da cidade de São Paulo, entre setembro de 1999 e fevereiro de 2002.A resposta para a questão sobre a mudança na vida sexual, após o diagnóstico de HIV/Aids de cada questionário, foi avaliada e categorizada como piora ou não. A comparação foi realizada entre os grupos de homens e mulheres em relação à piora na vida sexual após o diagnóstico de HIV. Fatores associados foram estimados por regressão múltipla de Poisson. Os testes foram conduzidos em nível de significância de 5 por cento. Resultados: Os homens relataram mais mudança negativa que as mulheres 59 por cento e 41 por cento, respectivamente (p<0,001). Para mulheres, os fatores associados às mudanças negativas na vida sexual, após o diagnóstico, foram: passar por dor ou desconforto físico no atendimento recebido no serviço de saúde, não ser atendida por enfermeiro, dificuldade de falar com ginecologista sobre a vida sexual, desejo de ter filhos/estar grávida, ausência de desejo de ter filhos e abstinência sexual. Fatores negativamente associados foram: renda entre 2 e 4 salários mínimos, via sexual de infecção para o HIV. Para homens, os fatores associados a mudanças negativas na vida sexual após o diagnóstico foram: desemprego e facilidade moderada de falar com psicólogo sobre a vida sexual. Fatores negativamente associados foram: número de parcerias sexuais durante a vida (pelo menos 6) e uso prévio de maconha. Conclusões: Os resultados parecem apontar para uma vulnerabilidade programática elevada das mulheres portadoras em relação ao desfecho, bem como vulnerabilidades individuais e sociais que acompanham roteiros de gênero específicos / After Highly Active AntiRetroviral Treatment (HAART) became available, the sexuality of people living with HIV/Aids has been more frequently studied, especially focusing prevention and risk. Objectives: Describe sexual life of people living with HIV/Aids and identify the associations between worsening in sexual life after serodiagnosis and variables such as sociodemographic, related to sexual life, use of HAART, use and relation to healthcare services. Methods: The data came from two previous cross-sectional studies with 729 women and 250 men living with HIV/Aids in São Paulo (consecutive samples), carried out in two reference centers in the city, between September 1999 and February 2002. The answer to the question about changing in sexual life after the diagnosis of HIV/Aids in each questionary was rated and categorized as worsening or not. Comparison was done between men and women groups that showed worsening of sexual life after serodiagnosis. Associated factors were estimated by Poissons Multiple Regression. The tests were conducted with a 5 per cent significance level. Results: Men reported more negative changes in sexual life after diagnosis than women 59 per cent and 41 per cent, respectively (p<0.001). Associated factors for women were: experiencing pain or physical discomfort when being attended by healthcare services, not being attended by a nurse, difficulty in talking about sexual life with the gynecologist; desire to have children/being pregnant, absence of desire to have children and sexual abstinence. Negatively associated factors were: monthly income of 2-4 minimum wages, sexual infection for HIV. In men, the associated factors were: unemployment, moderate easiness to talk to a psychologist about sexual life. Negatively associated factors were; sexual partnership through life (at least 6), previous or current use of marijuana. Conclusions: The results seem to point out to a high programmatic vulnerability of women regarding the outcome, as well as individual and social vulnerabilities of men and women, that accompany specific gender scripts Cross-Sectional Study Estudo Transversal Gender Gênero Mudanças Negativas People Living with HIV/Aids Pessoas Vivendo com HIV/Aids Sexualidade Sexuality Vulnerabilidade Vulnerability
32	Mudanças na vida sexual após o sorodiagnóstico para o HIV: uma comparação entre homens e mulheres / Changings in sexual life after HIV serodiagnosis: a comparison between men and women Lígia Polistchuck 05 October 2010 (has links) Após a disponibilização dos antirretrovirais (ARV), a sexualidade dos portadores de HIV/Aids passou a ser mais freqüentemente estudada, especialmente com enfoque na prevenção e no risco. Objetivos: Descrever a vida sexual de portadores de HIV/Aids e identificar as associações da piora na vida sexual após o diagnóstico de HIV com variáveis relativas às características socioeconômicas, à vida sexual, ao uso do ARV e dos serviços de saúde. Métodos: Os dados utilizados procedem de dois estudos transversais com 250 homens e 729 mulheres portadores de HIV/Aids (amostras consecutivas), realizados em dois centros de referência para o HIV/Aids da cidade de São Paulo, entre setembro de 1999 e fevereiro de 2002.A resposta para a questão sobre a mudança na vida sexual, após o diagnóstico de HIV/Aids de cada questionário, foi avaliada e categorizada como piora ou não. A comparação foi realizada entre os grupos de homens e mulheres em relação à piora na vida sexual após o diagnóstico de HIV. Fatores associados foram estimados por regressão múltipla de Poisson. Os testes foram conduzidos em nível de significância de 5 por cento. Resultados: Os homens relataram mais mudança negativa que as mulheres 59 por cento e 41 por cento, respectivamente (p<0,001). Para mulheres, os fatores associados às mudanças negativas na vida sexual, após o diagnóstico, foram: passar por dor ou desconforto físico no atendimento recebido no serviço de saúde, não ser atendida por enfermeiro, dificuldade de falar com ginecologista sobre a vida sexual, desejo de ter filhos/estar grávida, ausência de desejo de ter filhos e abstinência sexual. Fatores negativamente associados foram: renda entre 2 e 4 salários mínimos, via sexual de infecção para o HIV. Para homens, os fatores associados a mudanças negativas na vida sexual após o diagnóstico foram: desemprego e facilidade moderada de falar com psicólogo sobre a vida sexual. Fatores negativamente associados foram: número de parcerias sexuais durante a vida (pelo menos 6) e uso prévio de maconha. Conclusões: Os resultados parecem apontar para uma vulnerabilidade programática elevada das mulheres portadoras em relação ao desfecho, bem como vulnerabilidades individuais e sociais que acompanham roteiros de gênero específicos / After Highly Active AntiRetroviral Treatment (HAART) became available, the sexuality of people living with HIV/Aids has been more frequently studied, especially focusing prevention and risk. Objectives: Describe sexual life of people living with HIV/Aids and identify the associations between worsening in sexual life after serodiagnosis and variables such as sociodemographic, related to sexual life, use of HAART, use and relation to healthcare services. Methods: The data came from two previous cross-sectional studies with 729 women and 250 men living with HIV/Aids in São Paulo (consecutive samples), carried out in two reference centers in the city, between September 1999 and February 2002. The answer to the question about changing in sexual life after the diagnosis of HIV/Aids in each questionary was rated and categorized as worsening or not. Comparison was done between men and women groups that showed worsening of sexual life after serodiagnosis. Associated factors were estimated by Poissons Multiple Regression. The tests were conducted with a 5 per cent significance level. Results: Men reported more negative changes in sexual life after diagnosis than women 59 per cent and 41 per cent, respectively (p<0.001). Associated factors for women were: experiencing pain or physical discomfort when being attended by healthcare services, not being attended by a nurse, difficulty in talking about sexual life with the gynecologist; desire to have children/being pregnant, absence of desire to have children and sexual abstinence. Negatively associated factors were: monthly income of 2-4 minimum wages, sexual infection for HIV. In men, the associated factors were: unemployment, moderate easiness to talk to a psychologist about sexual life. Negatively associated factors were; sexual partnership through life (at least 6), previous or current use of marijuana. Conclusions: The results seem to point out to a high programmatic vulnerability of women regarding the outcome, as well as individual and social vulnerabilities of men and women, that accompany specific gender scripts Estudo Transversal Gênero Mudanças Negativas Pessoas Vivendo com HIV/Aids Sexualidade Vulnerabilidade Cross-Sectional Study Gender People Living with HIV/Aids Sexuality Vulnerability
33	Assessment of health-related quality of life of adult highly active anti-retroviral therapy recipients at the Kagera Regional Hospital Tanzania. Magafu, Mgaywa. 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style="font-size: 10pt / font-family: &quot / Times New Roman&quot / ,&quot / serif&quot / ">Background: The care and treatment for people with HIV/AIDS (PLWHA) at the Kagera regional hospital began in February 2005. It is important to evaluate quality of life (QOL) of highly active anti-retroviral therapy (HAART) recipients periodical to assess HAART&rsquo / s effectiveness. This study aimed to assess the health-related QOL (HRQOL) of HAART recipients and determine factors associated with it, two years after the programme had started at the kagera regional hospital in Tanzania. Results: The HRQOL of HAART recipients was generally lower than that of the general population. However, the general health perceptions (p=0.191) and mental health (p=0.161) means score of HAART recipients were not different from those of the Tanzanian general population. About 89% of the HAART recipients reported better health than in the previous years. Chronic diseases were associated with lower HRQOL of HAART recipients independently of other factors. HAART recipients with chronic diseases co-morbidity were more likely to score below the general population&rsquo / s mean score for mental health (p=0.007). While the effect of chronic diseases on HRQOL among those who recorded CD4+ cell increase was negative (OR=13.6,95%CI=3.7 / 49.9), there was no effect on those who did not have such an increase. Adherence to ARVs and CD4+ cell count were not associated with HRQOL. &nbsp / &nbsp / &nbsp / &nbsp / &nbsp / &nbsp / <span style=""> <o:p></o:p></span></span></p> <p style="margin-bottom: 0.0001pt / line-height: normal / " class="MsoNormal"><span style="font-size: 12pt / font-family: &quot / Times New Roman&quot / ,&quot / serif&quot / "><o:p>&nbsp / </o:p></span></p> <span style="font-size: 12pt / font-family: &quot / Times New Roman&quot / ,&quot / serif&quot / "><span style="">&nbsp / </span><span style="">&nbsp / </span><span style="">&nbsp / </span><span style="">&nbsp / </span><span style=""> </span><o:p></o:p></span></p> <p>&nbsp / </p> HIV/AIDS People living with HIV/AIDS Highly active anti-retroviral therapy care and treatment anti-retroviral therapy Kagera regional hospital Tanzania.
34	Assessment of health-related quality of life of adult highly active anti-retroviral therapy recipients at the Kagera Regional Hospital Tanzania. Magafu, Mgaywa. 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mso-paper-source:0 / } div.WordSection1 {page:WordSection1 / } --> </style><!--[if gte mso 10]> <style> / Style Definitions */ table.MsoNormalTable {mso-style-name:"Table Normal" / mso-tstyle-rowband-size:0 / mso-tstyle-colband-size:0 / mso-style-noshow:yes / mso-style-priority:99 / mso-style-qformat:yes / mso-style-parent:"" / mso-padding-alt:0in 5.4pt 0in 5.4pt / mso-para-margin-top:0in / mso-para-margin-right:0in / mso-para-margin-bottom:10.0pt / mso-para-margin-left:0in / line-height:115% / mso-pagination:widow-orphan / font-size:11.0pt / font-family:"Calibri","sans-serif" / mso-ascii-font-family:Calibri / mso-ascii-theme-font:minor-latin / mso-fareast-font-family:"Times New Roman" / mso-fareast-theme-font:minor-fareast / mso-hansi-font-family:Calibri / mso-hansi-theme-font:minor-latin / mso-bidi-font-family:"Times New Roman" / mso-bidi-theme-font:minor-bidi / } </style> <![endif]--> <p style="margin-bottom: 0.0001pt / line-height: normal / " class="MsoNormal"><span style="font-size: 10pt / font-family: &quot / Times New Roman&quot / ,&quot / serif&quot / ">Background: The care and treatment for people with HIV/AIDS (PLWHA) at the Kagera regional hospital began in February 2005. It is important to evaluate quality of life (QOL) of highly active anti-retroviral therapy (HAART) recipients periodical to assess HAART&rsquo / s effectiveness. This study aimed to assess the health-related QOL (HRQOL) of HAART recipients and determine factors associated with it, two years after the programme had started at the kagera regional hospital in Tanzania. Results: The HRQOL of HAART recipients was generally lower than that of the general population. However, the general health perceptions (p=0.191) and mental health (p=0.161) means score of HAART recipients were not different from those of the Tanzanian general population. About 89% of the HAART recipients reported better health than in the previous years. Chronic diseases were associated with lower HRQOL of HAART recipients independently of other factors. HAART recipients with chronic diseases co-morbidity were more likely to score below the general population&rsquo / s mean score for mental health (p=0.007). While the effect of chronic diseases on HRQOL among those who recorded CD4+ cell increase was negative (OR=13.6,95%CI=3.7 / 49.9), there was no effect on those who did not have such an increase. Adherence to ARVs and CD4+ cell count were not associated with HRQOL. &nbsp / &nbsp / &nbsp / &nbsp / &nbsp / &nbsp / <span style=""> <o:p></o:p></span></span></p> <p style="margin-bottom: 0.0001pt / line-height: normal / " class="MsoNormal"><span style="font-size: 12pt / font-family: &quot / Times New Roman&quot / ,&quot / serif&quot / "><o:p>&nbsp / </o:p></span></p> <span style="font-size: 12pt / font-family: &quot / Times New Roman&quot / ,&quot / serif&quot / "><span style="">&nbsp / </span><span style="">&nbsp / </span><span style="">&nbsp / </span><span style="">&nbsp / </span><span style=""> </span><o:p></o:p></span></p> <p>&nbsp / </p> HIV/AIDS People living with HIV/AIDS Highly active anti-retroviral therapy care and treatment anti-retroviral therapy Kagera regional hospital Tanzania.
35	HIV/AIDS : knowledge, attitudes and occupational risk perceptions of physiotherapists in the Eastern Cape province, South Africa Cupido, Rudy Angus January 2011 (has links) Magister Public Health - MPH / Human Immune-deficiency Virus (HIV) and Acquired Immune Deficiency Syndrome (AIDS) is a major public health problem. Globally, the number of new HIV infections is decreasing but the total number of people living with the disease is increasing. An estimated 5.7 million South Africans are currently living with the disease. The life expectancy of people living with HIV (PLHIV) in South Africa has slowly increased due to the availability of Anti-Retroviral Therapy (ART). The progressive "chronicity" of HIV may be associated with a variety of impairments and disabilities for people living with HIV. This emphasising the increasingly important role that physiotherapists play to minimize the disabling impact of the disease and improve quality of life for PLHIV. The aim of study was to determine the HIV/AIDS knowledge, attitudes and the occupational risk perception of physiotherapists practicing in the Eastern Cape Province, South Africa. This study utilized a cross sectional descriptive quantitative survey to collect data. The data was collected via a structured self-administered postal questionnaire. The questionnaires were captured in Microsoft Excel and analysed statistically using CDC Epi-Info version 3.5.1. Data was analysed descriptively and the chi-square test, T-tests and ANOVA was used to identify any statistically significant relationship between variables. The results of the study identified that the physiotherapists in the study have "high" general HIV related knowledge, although major gaps regarding HIV prevention and transmission still exists. The physiotherapists expressed a positive attitude towards PLHIV, while they perceive themselves to be at low risk of HIV transmission risk when managing PLHIV. The physiotherapists with more than 10 years' experience had significantly better HIV related knowledge compared to those with less than 10 years' experience while the attitudes of married physiotherapists towards PLHIV were significantly less favourable than those who were not married. There is a need for intervention strategies to address the HIV knowledge gaps of physiotherapists. Intervention strategies need to address physiotherapists HIV prevention and transmission knowledge. Human Immune-deficiency Virus (HIV) Physiotherapists Occupational risk HIV (Viruses)--Transmission People living with HIV and AIDS (PLHIV)
36	Mitt liv som hivpositiv : Upplevelser av lidande Gunnarsson, Ida, Grahn, Josefin January 2017 (has links) Bakgrund: En av sjuksköterskans främsta arbetsuppgift är att lindra lidande. I tidigare forskning framkommer att det råder stigmatisering kring HIV och att vårdpersonal har negativa attityder gentemot personer som lever med sjukdomen. För att minska stigmatiseringen och de negativa attityder som förkommer mot personer som lever med HIV behövs mer kunskap och utbildning kring ämnet. Syfte: Att beskriva upplevelser av lidande hos personer som lever med HIV i Sverige. Metod: Kvalitativ innehållsanalys baserad på självbiografier. Resultat: Fyra teman som beskriver olika upplevelser av lidande hos personer som lever med HIV i Sverige framkom. Dessa var ensamhet, begränsningar i livet, förakt och ångest. Slutsats: Resultatet av den kvalitativa innehållsanalysen tyder på att personer som lever med HIV i Sverige lider. Studien visar att detta lidande skulle kunna vara ett onödigt lidande då den största orsaken till lidandet i studien är bristen på kunskap både i samhället och inom vården hos bland annat sjuksköterskor. Med mer kunskap kring sjukdomen kan bemötandet av personer som lever med HIV förbättras och stigmatisering samt attityder skulle minska. / Background: One of the nurse’s most important task is to relieve suffering. Earlier research reveals that there is a stigma around HIV and that healthcare professionals have negative attitudes towards people living with HIV. To reduce stigma and negative attitudes that exists towards people living with HIV, more knowledge is needed on the subject. Aim: To describe the experiences of the concept suffering from people living with HIV in Sweden. Method: Qualitative content analysis based on autobiographies. Results: Four themes that describe different experiences from people that suffer from HIV in Sweden was found. These were loneliness, limitations in life, disrespect and anxiety. Conclusion: The result of this qualitative content analysis shows that people living with HIV in Sweden are suffering. The study shows that the suffering should not be necessary when the major cause to the suffering in the study is the lack of knowledge in society and in the care of including nurses. With more knowledge about the disease can be an improvement in the treatment of people living with HIV, stigma and attitudes could be reduced. Attitudes People living with HIV Qualitative content analysis Stigma Suffering Attityder Kvalitativ innehållsanalys Lidande Personer som lever med HIV Stigmatisering Medical and Health Sciences Medicin och hälsovetenskap
37	Internally displaced children and HIV in situations of armed conflict in the DRC : a study of the obligations of the government and selected non-state actors Iraguha, Ndamiyehe Patient January 2013 (has links) The mini-dissertation analyses the international law obligations of the government and nonstate actors regarding the protection of internally displaced children living with HIV in the Democratic Republic of the Congo. The war and armed conflicts in the Eastern DRC have exacerbated the vulnerability of children, causing them to be separated from their families, to experience sexual violence and forced conscription into armed groups, to experience the violent deaths of a parent or friend, resulting in insufficient adult care. They further are subject to a lack of safe drinking water and food, insufficient access to health care services, discrimination and stigmatisation, and so on. These factors increase their risk of contracting HIV and, if they are already living with HIV, they adversely affect their welfare. The mini-dissertation illustrates that international, regional and domestic human rights instruments protecting children can be applied in situations of armed conflicts to supplement humanitarian law instruments. It demonstrates that the government of the DRC has not implemented and fulfilled its international obligations to ensure these children adequate access to health services and to humanitarian assistance for displaced persons living with HIV; security and protection within displaced persons camps; and that children are protected from abuse and human rights violations. The dissertation recommends the prosecution of perpetrators of crimes tied to the conflicts which have targeted children, as well as the ratification by the DRC of regional instruments such as the African Union Convention on the Protection and Assistance of Internally Displaced Persons in Africa, and the African Charter on the Rights and the Welfare of the Child, as this may enhance the legal protection of displaced children in the DRC. / Dissertation (LLM)--University of Pretoria, 2013. / gm2014 / Centre for Human Rights / unrestricted People living with HIV (PLHIV) Antiretroviral International Criminal Court Internally displaced children Democratic Republic of the Congo (DRC) UCTD
38	A Dissertation entitledDevelopment and Validation of the Mental Health Professionals’ Attitude Towards People Living with HIV/AIDS Scale (MHP-PLHIV-AS) Rose, Jared S. January 2016 (has links) No description available. Counseling Education Counseling Psychology Public Health Multicultural Education Psychology Therapy HIV AIDS people living with HIV-AIDS PLHIV attitude competency mental health Rasch Measurement Model
39	O ATENDIMENTO PÚBLICO EM HIV/AIDS NA CIDADE DE PONTA GROSSA – PR E A VISÃO DAS EQUIPES MULTIDISCIPLINARES SOBRE A UTILIZAÇÃO DA POLÍTICA NACIONAL DE HUMANIZAÇÃO NO GERENCIAMENTO DA EPIDEMIA Wisniewski, Marcelo 10 September 2015 (has links) Made available in DSpace on 2017-07-21T14:42:33Z (GMT). No. of bitstreams: 1 MARCELO WISNIEWSKI.pdf: 2182472 bytes, checksum: 6feb7e047dc964aaf318165e6ae31cb5 (MD5) Previous issue date: 2015-09-10 / Since the advent of AIDS in the 1980’s, much has been discussed about this syndrome. Either by strands designated as 'scientific' or not, the matter raised polemics, controversies, but also caused to science to put on demand urgent studies on the treatment of this disease. In Brazil, the arrival of innovative antiretroviral therapies from the second half of the 1990’s as well as the requirement for free distribution by the public health system, contributed undoubtedly to increase longevity and quality of life of people with HIV. Overcome this phase, the epidemic maintains its trajectory and other demands, among them, adherence to drug therapies, were outlined as mandatory elements for the successful treatment of this syndrome. In this study, it was intended to historically rescue the deployment of public services care for HIV / AIDS in Ponta Grossa - PR, from the point of view of multidisciplinary teams involved. Moreover, it was emphasized the historical trajectory of the management of these patients during the arrival of the National Humanization Policy (PNH). And how these professionals involved have assimilated this police of the Unified Health System to develop promotion strategies for adherence to antiretroviral therapies. The methodology proposed in this research was conducted through a qualitative analysis of the subject throught exploratory research. Using elements such as: a literature review, documentary research through newspapers, magazines and movies on the HIV/AIDS issues; and interviews with professionals who acted and act in the treatment of patients with HIV for further analysis of content. The results obtained from this research demonstrated the underspending of PNH as supportive tool to adherence of antiretroviral therapies in the researched county. / Desde o advento da AIDS nos anos 1980, muito se discutiu a respeito desta síndrome. Seja por vertentes designadas como ‘científicas’ ou não, o assunto suscitou polêmicas, controvérsias, mas também, provocou a Ciência a colocar em demanda de urgência estudos sobre o tratamento dessa enfermidade. No Brasil, a chegada de terapias antirretrovirais inovadoras a partir da segunda metade dos anos 1990, bem como a obrigatoriedade de sua distribuição gratuita pelo sistema público de saúde, contribuiu, indiscutivelmente, para o incremento na longevidade e qualidade de vida dos portadores de HIV. Superada essa fase, a epidemia mantém sua trajetória e outras demandas, dentre elas, a adesão às terapias medicamentosas, delinearam-se como elementos imperativos para o sucesso terapêutico sobre esta síndrome. Nesta pesquisa, pretendeu-se resgatar historicamente a implantação dos serviços públicos de atendimento para portadores de HIV/AIDS em Ponta Grossa – PR, sob o ponto de vista das equipes multidisciplinares envolvidas. Destacou-se a trajetória histórica da gestão desses pacientes à luz da chegada da Política Nacional de Humanização (PNH). Buscou-se, também, verificar como os profissionais envolvidos assimilaram essa política no Sistema Único de Saúde para desenvolver estratégias de promoção à adesão às terapias antirretrovirais. A metodologia proposta nessa pesquisa foi realizada através da análise qualitativa do tema por meio de pesquisa exploratória. Utilizando-se de elementos como: a revisão teórica, a pesquisa documental através de jornais, revistas e filmes sobre o tema HIV/AIDS; e entrevistas com profissionais que atuaram e atuam no tratamento de pacientes portadores de HIV, para posterior análise de conteúdo. O resultado obtido com essa pesquisa demonstrou a subutilização da PNH como ferramenta incentivadora da adesão as terapias antirretrovirais no município de estudo. CNPQ::CIENCIAS SOCIAIS APLICADAS
40	Vínculo de trabalho informal, qualidade de sono ruim e pior bem estar subjetivo estão associados à capacidade para o trabalho entre pessoas vivendo com HIV . Mendonça, Mariana Farias 09 August 2018 (has links) Submitted by Rosina Valeria Lanzellotti Mattiussi Teixeira (rosina.teixeira@unisantos.br) on 2018-09-24T16:44:15Z No. of bitstreams: 1 Mariana Farias Mendonça.pdf: 2160140 bytes, checksum: 3922ec44b836d67d7d17d466c116fa58 (MD5) / Made available in DSpace on 2018-09-24T16:44:15Z (GMT). No. of bitstreams: 1 Mariana Farias Mendonça.pdf: 2160140 bytes, checksum: 3922ec44b836d67d7d17d466c116fa58 (MD5) Previous issue date: 2018-08-09 / Conselho Nacional de Desenvolvimento Científico e Tecnológico - CNPq / Introdução: O advento da terapia antirretroviral (TARV) aumentou a expectativa de vida entre as pessoas vivendo com HIV (PVHIV), o que facilitou também sua inserção ou manutenção no ambiente de trabalho. Por outro lado, as PVHIV carregam consigo o peso do diagnóstico, o estigma atribuído à doença, infecções e tumores oportunistas e dificuldades quanto às oportunidades profissionais. Objetivo: Avaliar os fatores associados à capacidade para o trabalho entre as pessoas vivendo com HIV (PVHIV), bem como estimar a prevalência da capacidade para o trabalho, do bem-estar subjetivo e da qualidade de sono em pessoas vivendo com HIV. Métodos: Trata-se de uma pesquisa epidemiológica observacional, de corte transversal em uma amostra de 122 PVHIV, que possuíam trabalho remunerado, formal ou informal, com idade igual ou superior a 18 anos e em tratamento com antirretrovirais (TARV), assistidas pelo serviço de assistência especializada em aids, do município de Santos/SP. Para avaliar os fatores associados à capacidade para o trabalho moderada ou baixa, foi realizada a análise de regressão logística. O modelo múltiplo foi ajustado pela jornada de trabalho diária, tempo de infecção pelo HIV e marcadores biológicos (carga viral, contagem de células CD4 e relação entre CD4/CD8). Resultados: A idade média dos foi de 43,7 anos (DP 10,6 anos), sendo a maioria do sexo masculino (55,7%), solteiro (58,2%), com o ensino médio incompleto (65,6%) e com vínculo empregatício informal (52,1%). A média de tempo do uso da TARV foi de 7,2 anos (DP 6,6anos). A maioria apresentou capacidade para o trabalho ótima ou boa (55,7%), qualidade de sono ruim, tanto nos dias de trabalho quanto nos dias de folga (53,3% e 50,8%, respectivamente). O pior bem-estar subjetivo foi verificado em 41% das PVHIV. Independentemente da jornada de trabalho, do tempo de infecção pelo HIV e dos marcadores biológicos (carga viral, contagem de células CD4 e relação entre CD4/CD8), verificou-se que ter um trabalho informal, qualidade de sono ruim nos dias de trabalho e pior bem-estar subjetivo aumentou cerca de duas vezes a chance de se ter uma capacidade para o trabalho moderada ou baixa entre as PVHIV. Conclusão: O trabalho com vínculo informal, a qualidade de sono de ruim e o pior bem-estar subjetivo estão associados à pior capacidade para o trabalho entre pessoas vivendo com HIV, sendo elevadas as prevalências de capacidade moderada ou baixa para o trabalho, do bem-estar subjetivo e da qualidade de sono. / Introduction: The advent of antiretroviral therapy (ART) increased life expectancy among people living with HIV (PLWHIV), which also facilitated their insertion or maintenance in the work environment. On the other hand, PLWHIV carry the burden of diagnosis, the stigma attached to the disease, opportunistic infections and tumors, and difficulties in career opportunities. Objective: To evaluate the factors associated with work ability among people living with HIV (PLWHIV), as well as to estimate the prevalence of work ability, subjective well-being and quality of sleep in people living with HIV. Methods: This was a observational cross-sectional epidemiological study in a sample of 122 PLWHIV, who had formal or informal employment contract, aged 18 years or over and treated with antiretrovirals (ART), assisted by the service of specialized assistance in AIDS, of the municipality of Santos / SP. To evaluate the factors associated with moderate or low work ability, the logistic regression analysis was performed. The multiple model was adjusted for the working hours, time of HIV infection and biological markers (viral load, CD4 cell count and CD4/CD8 ratio). Results: The mean age was 43.7 years (SD 10.6 years); the majority were male (55.7%), single (58.2%), with incomplete secondary education (65.6% %) and with informal employment contract (52.1%). The mean time to use ART was 7.2 years (SD 6.6 years). The majority presented great or good work ability (55.7%), poor sleep quality, both on workdays and on days off (53.3% and 50.8%, respectively). The worst subjective well-being was seen in 41% in PLWHIV. Regardless of the working hours, time of HIV infection and biological markers, it has been found that having informal employment contract, poor sleep quality on working days, and worse subjective well-being has increased about twice the chance of having a moderate or low work ability among PLWHIV. Conclusion: Informal work, poor sleep quality, and worse subjective well-being are associated with worse work ability among people living with HIV, being high the prevalence of moderate or low work ability, subjective well-being and quality of sleep.

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