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巴西接受抗逆转录病毒治疗的艾滋病毒感染者的自我评估健康状况。

Self-rated health by HIV-infected individuals undergoing antiretroviral therapy in Brazil.

机构信息

Instituto de Comunicação e Informação Científica e Tecnológica em Saúde, Fundação Oswaldo Cruz, Rio de Janeiro, Brasil.

出版信息

Cad Saude Publica. 2011;27 Suppl 1:S56-66. doi: 10.1590/s0102-311x2011001300007.

Abstract

In 2008, a survey was applied to a probabilistically selected sample of 1,245 HIV-infected patients on antiretroviral therapy in Brazil. In this work, the analysis was focused on self-rated health. The analysis was conducted according to sex, age, socioeconomic variables, and clinical and treatment-related patient characteristics. Through stepwise logistic regression procedures, the main predictors of good perception of health status were established. Results showed that 65% self-rated health state as good or excellent, 81% do have no or slight difficulty in following treatment, but 34% men and 47% women reported intense or extreme degree of anxiety/worry feelings. Educational level, work situation, presence of side effects and AIDS-related symptoms were the main predictors of good self-perception of health. Problems related to animus status, involving worry and anxiety about the future are still barriers that must be overcome to improve quality of life of people living with HIV/AIDS.

摘要

2008 年,对巴西接受抗逆转录病毒治疗的 1245 名艾滋病毒感染者进行了概率抽样调查。在这项工作中,分析的重点是自我评估的健康状况。根据性别、年龄、社会经济变量以及临床和治疗相关的患者特征进行了分析。通过逐步逻辑回归程序,确定了健康状况良好感知的主要预测因素。结果显示,65%的人自我评估健康状况良好或优秀,81%的人在遵医嘱方面没有或只有轻微困难,但 34%的男性和 47%的女性报告说存在强烈或极度的焦虑/担忧感。教育程度、工作状况、副作用和艾滋病相关症状是自我健康感知良好的主要预测因素。与敌意状态有关的问题,包括对未来的担忧和焦虑,仍然是必须克服的障碍,以提高艾滋病毒/艾滋病患者的生活质量。

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