Grando Liliane J, Yurgel Liliane S, Machado Denise C, Nachman Sharon, Ferguson Fred, Berentsen Barbara, Fernandes Angela
Universidade Federal de Santa Catarina, Florianópolis (SC), Brasil.
Rev Panam Salud Publica. 2003 Aug;14(2):112-8. doi: 10.1590/s1020-49892003000700006.
This study had two objectives: (1) to investigate the socioeconomic and cultural characteristics of HIV-infected children and their families in relation to the presence of oral manifestations of AIDS and (2) to identify the most frequent oral manifestations of AIDS in the sample of children studied.
The sample consisted of a total of 184 children - both boys and girls - from 0 to 13 years old. The children were receiving care at two hospitals in the city of Porto Alegre, Brazil (the Hospital de Clínicas de Porto Alegre and the Hospital São Lucas da Pontifícia Universidade Católica), and at Stony Brook University Hospital, which is in the state of New York, United States. Data were analyzed using the chisquare test, Student's t test, and analysis of variance.
Of the 184 patients, 117 of them (63.59%) were receiving care at the Hospital de Clínicas de Porto Alegre, 26 (14.13%) at the Hospital São Lucas, and 41 (22.28%) at Stony Brook University Hospital. In the Brazilian sample (the two hospitals in Porto Alegre) 42.66% of the children were living with their natural parents (mostly with the mother), while in the United States 56.10% of the children were living with foster families. Concerning income, 39.86% of the Brazilian families had a monthly income ranging from US$ 180 to US$ 450, and 33.57% had no income or did not provide information. With the United States sample, we were not allowed to ask about income, but all the families were classified by the social workers as having a monthly income below US$ 1 000. HIV was acquired through vertical transmission by 97.20% of the Brazilian children and by 97.56% of the children in the United States sample. Oral manifestations were more frequent in the Brazilian children (72.73%) than in the children in the United States sample (53.66%) (P = 0.01).
The frequency of oral manifestations in the samples in both Brazil and the United States was influenced by socioeconomic and cultural conditions, family structure and income, access to information concerning AIDS, and adherence to treatment.
本研究有两个目的：（1）调查感染艾滋病毒儿童及其家庭的社会经济和文化特征与艾滋病口腔表现之间的关系；（2）确定所研究儿童样本中最常见的艾滋病口腔表现。
样本包括总共184名0至13岁的儿童，有男有女。这些儿童在巴西阿雷格里港的两家医院（阿雷格里港临床医院和圣卢卡斯天主教大学医院）以及美国纽约州的石溪大学医院接受治疗。使用卡方检验、学生t检验和方差分析对数据进行分析。
在184名患者中，117名（63.59%）在阿雷格里港临床医院接受治疗，26名（14.13%）在圣卢卡斯医院接受治疗，41名（22.28%）在石溪大学医院接受治疗。在巴西样本（阿雷格里港的两家医院）中，42.66%的儿童与亲生父母生活在一起（大多是与母亲），而在美国，有56.10%的儿童与寄养家庭生活在一起。关于收入，39.86%的巴西家庭月收入在180美元至450美元之间，33.57%没有收入或未提供相关信息。对于美国样本，我们不允许询问收入情况，但所有家庭都被社会工作者归类为月收入低于1000美元。巴西97.20%的儿童和美国样本中97.56%的儿童是通过垂直传播感染艾滋病毒的。巴西儿童（72.73%）的口腔表现比美国样本中的儿童（53.66%）更常见（P = 0.01）。
巴西和美国样本中口腔表现的频率受社会经济和文化状况、家庭结构和收入、获取艾滋病相关信息的情况以及坚持治疗的影响。
