Rodrigues Ana Maria da Silveira, Scatena Lúcia Marina, Vendramini Silvia Helena Figueiredo, Canini Silvia Rita Marin da Silva, Villa Tereza Cristina Scatena, Gir Elucir
Faculdade de Medicina de São José do Rio Preto, São José do Rio Preto, Brasil.
Rev Esc Enferm USP. 2012 Oct;46(5):1163-9. doi: 10.1590/s0080-62342012000500018.
This study aimed to evaluate accessibility to treatment for people with TB co-infected or not with HIV. This cross-sectional study addressed issues regarding accessibility to treatment in a city in the interior of São Paulo state, Brazil. The instrument Primary Care Assessment Tool was utilized with 95 people. To evaluate access to treatment, Student's t test was used. The mean scores of variables were analyzed separately and compared between two groups (people with TB co-infected with HIV and people with TB not co-infected with HIV ). Mean scores showed that HIV co-infected people presented greater difficulties in gaining access than those not co-infected. Professionals visited co-infected people more often when compared to those not co-infected; the co-infected people almost never accessed treatment for their disease in the Health Unit nearest their home. There is, therefore, the need for greater integration and communication between the programs for treatment of Tuberculosis and STD/AIDS.
本研究旨在评估合并或未合并感染艾滋病毒的结核病患者获得治疗的情况。这项横断面研究探讨了巴西圣保罗州内陆一个城市中有关获得治疗的问题。对95人使用了初级保健评估工具。为评估获得治疗的情况,采用了学生t检验。分别分析变量的平均得分,并在两组(合并感染艾滋病毒的结核病患者和未合并感染艾滋病毒的结核病患者)之间进行比较。平均得分表明,合并感染艾滋病毒的患者在获得治疗方面比未合并感染者面临更大困难。与未合并感染者相比,专业人员更频繁地探访合并感染者;合并感染者几乎从未在离家最近的卫生单位接受其疾病的治疗。因此,结核病和性传播感染/艾滋病治疗项目之间需要加强整合与沟通。