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巴西艾滋病病毒/艾滋病感染者的口腔健康与生活质量的关系

Oral health associated with quality of life of people living with HIV/AIDS in Brazil.

作者信息

Soares Gabriella Barreto, Garbin Cléa Adas Saliba, Rovida Tânia Adas Saliba, Garbin Artênio José Ísper

机构信息

Postgraduate Programme in Preventive and Social Dentistry, Araçatuba Dental School, Estadual Paulista University, Unesp, 1193 José Bonifácio Street, Vila Mendonça, Araçatuba, São Paulo, Brazil.

出版信息

Health Qual Life Outcomes. 2014 Mar 1;12:28. doi: 10.1186/1477-7525-12-28.


DOI:10.1186/1477-7525-12-28
PMID:24581005
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC3942772/
Abstract

BACKGROUND: The epidemic of HIV/AIDS enters into its fourth decade and is still considered an important public health problem in developed and developing countries. The purpose is verify the oral health and other factors that influence the quality of life of people living with HIV/AIDS attending a public service reference in Brazil. METHODS: The participants answered the questionnaire on socio-demographic conditions, issues related to HIV and daily habits. The quality of life was analyzed by the HIV/AIDS Targeted Quality of Life (HAT-QoL) instrument with 42 items divided into nine domains: General Activity, Sexual Activity, Confidentiality concerns, Health Concerns, Financial Concern, HIV Awareness, Satisfaction with Life Issues related to medication and Trust in the physician. The oral health data were collected by means of the DMFT index, use and need of dentures and the Community Periodontal Index, according to the criteria proposed by the World Health Organization, by a calibrated researcher. Bivariate and multiple linear regressions were performed. RESULTS: Of the participants, 53.1% were women and had a mean age of 42 years, 53.1% had eight years or less of schooling and 20.3% were not employed. In analyzing the quality of life domain of the HAT-QoL, with a lower average there was: Financial concern (39.4), followed by Confidentiality concern (43.2), Sexual activities (55.2) and Health concerns (62. 88). There was an association between the variables: do not have link to employment (p <0.001), is brown or black (p = 0.045), alcohol consumption (p = 0.041), did not make use of antiretroviral therapy (p = 0.006), high levels of viral load (p = 0.035) and need for dentures (p = 0.025), with the worse quality of life scores. CONCLUSION: Socioeconomic and inadequate health conditions had a negative impact on the quality of life of people with HIV/AIDS.

摘要

背景:艾滋病毒/艾滋病疫情已进入第四个十年,在发达国家和发展中国家仍被视为一个重要的公共卫生问题。目的是核实巴西一家公共服务机构中感染艾滋病毒/艾滋病患者的口腔健康状况以及影响其生活质量的其他因素。 方法:参与者回答了关于社会人口状况、与艾滋病毒相关的问题及日常习惯的问卷。生活质量通过艾滋病毒/艾滋病针对性生活质量(HAT-QoL)工具进行分析,该工具包含42个项目,分为九个领域:一般活动、性活动、保密问题、健康问题、财务问题、艾滋病毒认知、对生活问题的满意度、与药物相关的问题以及对医生的信任。口腔健康数据由一名经过校准的研究人员根据世界卫生组织提出的标准,通过DMFT指数、假牙的使用和需求以及社区牙周指数进行收集。进行了双变量和多元线性回归分析。 结果:参与者中,53.1%为女性,平均年龄42岁,53.1%的人受教育年限为八年或以下,20.3%的人未就业。在分析HAT-QoL的生活质量领域时,平均得分较低的领域有:财务问题(39.4),其次是保密问题(43.2)、性活动(55.2)和健康问题(62.88)。变量之间存在关联:与就业无关联(p<0.001)、为棕色或黑色人种(p = 0.045)、饮酒(p = 0.041)、未使用抗逆转录病毒疗法(p = 0.006)、病毒载量高(p = 0.035)以及需要假牙(p = 0.025),这些与较差的生活质量得分相关。 结论:社会经济状况和健康条件不佳对艾滋病毒/艾滋病患者的生活质量产生了负面影响。

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[3]
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[4]
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[5]
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[6]
Oral health-related quality of life in patients infected with HIV, Iran: a cross-sectional study.

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[7]
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[8]
The People Living with HIV STIGMASurvey UK 2015: Stigmatising experiences and dental care.

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[9]
Dental Health Status of HIV-Positive Patients and Related Variables in Southeast Iran.

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[10]
Dentistry and HIV/AIDS related stigma.

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本文引用的文献

[1]
Oral Health Impact Profile, EuroQol, and Assessment of Quality of Life instruments as quality of life and health-utility measures of oral health.

Eur J Oral Sci. 2013-6

[2]
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BMC Oral Health. 2011-1-5

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