Federal University of Mato Grosso do Sul, Brazil.
Clinics (Sao Paulo). 2012;67(1):19-25. doi: 10.6061/clinics/2012(01)04.
As the world population ages with an improved quality of life and sexual longevity, the prevalence of AIDS is rising among the elderly. The purpose of this study was to estimate the vulnerability to AIDS among individuals attending senior community centers in Campo Grande, Mato Grosso do Sul, Brazil.
This descriptive, exploratory investigation included 329 subjects selected in a probabilistic manner. Individuals with scores on the Mini-Mental State Examination indicating cognitive impairment were excluded from the analyses. Barthel's and Lawton's functional assessment scales were applied. Interviews were conducted to evaluate the presence of cognitive and behavioral factors associated with HIV transmission.
Most subjects were non-dependent, fell within the 60- to 69-year age bracket and were female. A majority of individuals reported having knowledge about AIDS and were aware that the elderly are vulnerable to the disease. More than a quarter (26.9%) of the sample reported previous HIV testing. No participants reported drug use, homosexual orientation, or alcohol abuse. A minority of participants reported using medication for erectile dysfunction. Casual and multiple partners accounted for 12% and 34% of reported intercourse experiences, respectively. Condom use was reported by 14% of respondents.
Unprotected sex was the primary factor accounting for vulnerability to AIDS among the elderly.
随着世界人口老龄化，生活质量和性寿命得到提高，艾滋病在老年人中的发病率正在上升。本研究旨在评估巴西南马托格罗索州坎波格兰德市老年人社区中心参与者感染艾滋病的易感性。
本描述性、探索性研究以概率方式选择了 329 名受试者。排除了在 Mini-Mental State Examination 上得分表明认知障碍的个体进行分析。应用了 Barthel 和 Lawton 的功能评估量表。进行访谈以评估与 HIV 传播相关的认知和行为因素的存在。
大多数受试者是非依赖性的，年龄在 60 至 69 岁之间，并且是女性。大多数人报告了解艾滋病知识，并意识到老年人容易感染该疾病。超过四分之一（26.9%）的样本报告了之前的 HIV 检测。没有参与者报告吸毒、同性恋倾向或酗酒。少数参与者报告使用治疗勃起功能障碍的药物。报告的性行为经历中，偶然和多个性伴侣分别占 12%和 34%。14%的受访者报告使用了避孕套。
无保护性行为是导致老年人易感染艾滋病的主要因素。
