Infecção pelo HIV em mulheres com 50 anos ou mais de idade, em Goiás
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Data
2013-05-06
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Universidade Federal de Goiás
Resumo
INTRODUCTION : The HIV epidemic worldwide reveals the increase of
new cases in individuals aged 50 years or older ( UNAIDS , 2010) . In Western
Europe 12.9 % of new cases of HIV infection in 2007 were in this population . In
Central Europe it is estimated that one in every ten new HIV infections
contemplate the same age group , while the proportion of cases in Eastern Europe
was 3.7% in the same year ( Lazzarus , Nielsen , 2010). In the U.S. 15 % of new
infections are in people aged 50 years or more , these represent about 30 % of the
population living with HIV in the country ( NGUYEN , HOLODNIY , 2008) . HIV
infection in the elderly include issues related to gender bias , especially among
women . This situation , coupled with the lack of perception of vulnerability can
lead a greater number of older women to the HIV epidemic . OBJECTIVE : To
describe older women infected with HIV analyze the epidemiology of women aged
50 or older with HIV attending the Reference Unit . METHODOLOGY : The study
investigated the profile of HIV infection in women aged 50 years or more in the
State of Goiás , with the analysis of a retrospective cohort of patients seen at the
Hospital Reference . Information not found in the records were completed from the
linkage with the database SINAN State. RESULTS : Older women infected with
HIV have less education compared to younger ( p = 0.001 ) . The proportion of
unmarried elderly women infected with HIV was statistically superior to the
younger ( p = 0.003 ) . Late diagnosis , translated by counting the first T - CD4 less
than 350 cells/mm3 was significantly higher in women aged 50 years or more ( p =
0.0001 ) as well as the manifestation of opportunistic infections during the first
admission in Reference Unit (p = 0.001). The prevalence of opportunistic diseases
in the general population of the study was 38.5 % . The distribution by age group
showed that older women were more likely to express wasting syndrome ( p =
0.000 ) and toxoplasmosis ( p = 0.039 ) . There was a significant linear trend of
increasing cases among older women ( p = 0.003 ) over the period observed . The
probability of developing AIDS was significantly higher in older women compared
to young (log rank = 10.5, p = 0.001 ) . The cumulative probability of survival
according to age was different between the groups (log rank = 17.5, p = 0.000 )
and older women had lower cumulative probability of survival . CONCLUSION :
The investigation of the epidemiological profile of HIV infection for women aged 50
or older has shown , the state level , the specificities and characteristics important
to foster discussions about new implications of the HIV epidemic in Brazil .
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SILVA, Letícia Dogakiuchi. Infecção pelo HIV em mulheres com 50 anos ou mais de idade, em Goiás. 2013. 93 f. Dissertação (Mestrado em Enfermagem) - Universidade Federal de Goiás, Goiânia, 2013.