Quality of life among Brazilian women living with HIV/AIDS
Quality of life among Brazilian women living with HIV/AIDS
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DOI：
10.1080/09540121.2011.630345
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发表时间：
2012-01-01
影响因子：
1.7
通讯作者：
Gir, Elucir
中科院分区：
文献类型：
--
作者：
Reis, Renata K.;Santos, Claudia B.;Gir, Elucir
本研究的目的是评估生活质量（QoL）的巴西妇女艾滋病毒/艾滋病感染者，根据世界卫生组织生活质量艾滋病毒-BREF（WHOQoL-HIV-BREF）域。一个定量的，横断面的，分析性的研究进行了专门协助艾滋病毒/艾滋病患者，位于市的圣保罗，巴西州的医疗中心。106名年龄在18岁或18岁以上的妇女，公共卫生系统的用户，参加了这项研究。社会人口统计学和临床变量收集使用特定的问卷调查。通过WHOQoL-HIV-BREF工具收集生活质量相关变量。根据生活质量领域，研究结果显示，精神领域达到了65.7的标准化平均得分，其次是身体（64.7），心理（60.6），社会关系（59.5），独立性（58.6）和环境（54.5）领域。多元回归分析的结果表明，妇女的就业或退休，收入大于最低工资，和较高的教育水平与较高的标准化平均得分的生活质量。然而，最近的艾滋病毒/艾滋病诊断和暴露于抗逆转录病毒药物的时间短于两年与生活质量呈负相关。至关重要的是，公共政策应有利于这些妇女全面融入社会，从而促进更好的社会条件。在感染诊断后立即进行咨询、临床随访和开始抗逆转录病毒治疗是这些人生活中的关键时刻。
The purpose of the present study was to assess quality of life (QoL) in Brazilian women living with HIV/AIDS, according to the World Health Organization Quality of Life HIV-BREF (WHOQoL-HIV-BREF) domains. A quantitative-based, cross-sectional, analytical study was carried out in healthcare centers specialized in assisting people living with HIV/AIDS, located in a municipality of the state of Sao Paulo, Brazil. One hundred and six women of age 18 years or more, users of the public healthcare system, participated in the study. Socio-demographic and clinical variables were collected using a specific questionnaire. Quality of life related variables were collected by means of the WHOQoL-HIV-BREF instrument. As per the QoL domains, study results show that the Spirituality domain reached a standardized mean score of 65.7, followed by the Physical (64.7), Psychological (60.6), Social Relationships (59.5), Independence (58.6), and Environment (54.5) domains. Results of the multiple regression analysis indicate that the women's employment or retirement, income greater than the minimum wage, and higher educational level were associated with a higher standardized mean score of QoL. However, recent HIV/AIDS diagnosis and exposure to antiretroviral agents for a period shorter than two years were negatively associated with QoL. It is critical that public policies favor an all-embracing social inclusion of these women, thus promoting better social conditions. Counseling, clinical follow-up immediately after the infection diagnosis, and initiation of antiretroviral treatment are crucial moments in the lives of these individuals.