Perfil clínico e epidemiológico dos indivíduos infectados pelo vírus da imunodeficiência humana (HIV) em Goiás

• Ano de defesa: 2008
• Autor(a) principal: PEREIRA, Gisella Souza
• Orientador(a): TELES, Sheila Araújo
• Tipo de documento: Dissertação
• Tipo de acesso: Acesso aberto
• Idioma: por
• Instituição de defesa: Universidade Federal de Goiás
• Programa de Pós-Graduação: Mestrado em Enfermagem
• Departamento: Cuidado em Enfermagem
• País: BR
• Palavras-chave em Português: HIV/AIDS; Epidemiologia; Idoso; 1. HIV/AIDS; 2. Epidemiologia - Goiás (Estado); 3. Idoso
• Palavras-chave em Inglês: HIV/AIDS; Epidemiology; Aged
• Área do conhecimento CNPq: CNPQ::CIENCIAS DA SAUDE::ENFERMAGEM
• Link de acesso: http://repositorio.bc.ufg.br/tede/handle/tde/710

To investigate the clinical and epidemiologic profile of HIV/aids carriers in Goiânia, Goiás, data of 583 individuals HIV-positive seeking a referral hospital were collected from January to December of 2006. The majority were black (75.6%), men (56.6%), with 20 to 49 yers old (62.6%), with less than five years of schooling (54.1%), and residents in the metropolitan area of Goiânia. Unprotected sex (34.7%), HIV-positivity partner (19.9%), use of illicit drug (16.3%), and sex with individual of the same sex (14.8%) were the most frequent risk factors reported. Opportunistic diseases were diagnosed in 249 individuals, being esophagitis by Candida sp. and consumptive syndrome predominant. Positivity for HBsAg (n=422), anti-HBc (n=324), anti-HBs (n=247) and anti-HCV (n=349) were found in 3.6%, 23.1%, 23.5% and 6.5% individuals, respectively. The majority had LT CD4+ count less than 350 cels/mm3. Further, those with at least 50 years old (G2) had lower average of LT CD4+ when compared with those aged less than 40 years old (G1) (241.91 vs. 371.84 cels/mm3) (p<0.05). In addition, G1 had higher probability of remaining alive after 365 days when compared with G1 (84.8% vs.78.4%; log-rank=0.09). The findings of this study show the maturity of the HIV/aids epidemic in Goiás, with an increasing in women, heterosexuals, individuals with lower education level and those with at least 50 years old. The high frequency of late diagnosis of HIV infection, mainly in older individuals, and the high frequency of early death in HIV/aids carriers, suggest the necessity of intensify public strategies for early diagnosis, but also educational campaigns to prevent HIV infection including elderly people.