Abstract:
:The aim of the present study was to describe vulnerability profiles and to verify their association with non-adherence to antiretroviral therapy (ART) among 295 HIV-patients receiving their first prescription in two public-referral centers in Minas Gerais States, Brazil. The cumulative incidence of non-adherence was 36.9%. Three pure vulnerability profiles (lower, medium and higher) were identified based on the Grade of Membership method (GoM). Pure type patients of the "higher vulnerability" profile had, when compared to the overall sample, an increased probability of being younger, not understanding the need of ART, having a personal reason to be HIV-tested, not disclosing their HIV status, having more than one (non-regular) sexual partner, reporting use of alcohol, tobacco and illicit drugs, and having sex among men. Non-adherence to ART was statistically associated (p < 0.001) with this profile. Also, the heterogeneity of the sample was found to be high, since over 40% were mixed type. The implications are that health staff should be trained to develop strategies for incorporating risk-reduction interventions, bearing in mind the three dimensions of vulnerability and the diversity of those patients initiating antiretroviral therapy.
journal_name
Cad Saude Publicajournal_title
Cadernos de saude publicaauthors
Bonolo Pde F,Machado CJ,César CC,Ceccato Md,Guimarães MDdoi
10.1590/s0102-311x2008001100015subject
Has Abstractpub_date
2008-11-01 00:00:00pages
2603-13issue
11eissn
0102-311Xissn
1678-4464pii
S0102-311X2008001100015journal_volume
24pub_type
杂志文章,多中心研究abstract::The relationships were studied between daily life, work, and mental disorders in female health workers from the Mexican Health Insurance Institute. The study sample (n = 170) included female physicians, nurses, laboratory workers, and medical assistants. Primary data were obtained through an interview which had been p...
journal_title:Cadernos de saude publica
pub_type: 杂志文章
doi:10.1590/s0102-311x2004000500031
更新日期:2004-09-01 00:00:00
abstract::This qualitative study analyzed meanings associated with tuberculosis (TB) in children. Interviews were conducted with lay caregivers and health professionals in six health situations in a vulnerable territory. Data collection was followed by thematic content analysis and interpretation in consultation with the litera...
journal_title:Cadernos de saude publica
pub_type: 杂志文章
doi:10.1590/0102-311X00084414
更新日期:2015-09-01 00:00:00
abstract::The aim of this study was to identify spatial-temporal clusters of high and low diabetes-related mortality from 1990 to 2012 in Argentina. This was a spatial-temporal retrospective ecological study in the population older than 34 years living in Argentina, according to sex, from 1990 to 2012. The spatial units of anal...
journal_title:Cadernos de saude publica
pub_type: 杂志文章
doi:10.1590/0102-311X00169615
更新日期:2017-02-13 00:00:00
abstract::This paper discusses dental fluorosis as a relevant public health problem, using a review of epidemiological studies published in the last 10 years on the disease's prevalence, severity, and risk factors. The results suggest that there are already more cases than expected, although few studies refer to major severity....
journal_title:Cadernos de saude publica
pub_type: 杂志文章,评审
doi:10.1590/s0102-311x2002000100002
更新日期:2002-01-01 00:00:00
abstract::This cross-sectional study aimed to determine the profile of physical abuse against older people who underwent forensic examination at the Institute of Forensic Medicine in Recife, Pernambuco State, Brazil. The cases, with data from 1,027 forensic reports, were described according to characteristics of the incident, v...
journal_title:Cadernos de saude publica
pub_type: 杂志文章
doi:10.1590/s0102-311x2010000900013
更新日期:2010-09-01 00:00:00
abstract::Knowledge of job satisfaction and work impact among psychiatric staff is highly useful for policymakers and mental health professionals. Since there are few studies on this issue in Brazil, a cross-sectional study was carried out among mental health professionals. Data were collected for 133 professionals from 4 menta...
journal_title:Cadernos de saude publica
pub_type: 杂志文章
doi:10.1590/s0102-311x2008000300016
更新日期:2008-03-01 00:00:00
abstract::The study used a qualitative, evaluative, and participant methodology based on Gadamer's hermeneutics and the constructivist paradigm. The aim was to analyze the arrangement called "patient care teams" for treatment of psychotic patients in the context of Community Mental Health Services (CMHS). Data were collected in...
journal_title:Cadernos de saude publica
pub_type: 杂志文章
doi:10.1590/s0102-311x2010000600009
更新日期:2010-06-01 00:00:00
abstract::Among the ten leading causes of disability-adjusted life years, seven are mental disorders. Primary health care centers are crucial to public mental health policies, according to the World Health Organization. This study aimed to verify the prevalence of mental disorders among individuals seeking care at the referral ...
journal_title:Cadernos de saude publica
pub_type: 杂志文章
doi:10.1590/s0102-311x2008000900010
更新日期:2008-09-01 00:00:00
abstract::The aim of this study was to present the contributions of the systematic review of economic evaluations to the development of a national study on childhood hepatitis A vaccination. A literature review was performed in EMBASE, MEDLINE, WOPEC, HealthSTAR, SciELO and LILACS from 1995 to 2010. Most of the studies (8 of 10...
journal_title:Cadernos de saude publica
pub_type: 杂志文章,评审
doi:10.1590/s0102-311x2012000200002
更新日期:2012-02-01 00:00:00
abstract::In Brazil, nonprofit or charitable organizations are the oldest and most traditional and institutionalized form of relationship between the third sector and the state. Despite the historical importance of charitable hospital care, little research has been done on the participation of the nonprofit sector in basic heal...
journal_title:Cadernos de saude publica
pub_type: 杂志文章
doi:10.1590/s0102-311x2007000100013
更新日期:2007-01-01 00:00:00
abstract::Seventeen variables were evaluated as possible risk factors for the intradomiciliary infestation with Triatoma dimidiata in 644 houses in Jutiapa, Guatemala. During 2004 the houses were assessed for vector presence and evaluated for hygiene, cluttering, material comfort, construction conditions and number of inhabitan...
journal_title:Cadernos de saude publica
pub_type: 杂志文章
doi:10.1590/s0102-311x2009001300008
更新日期:2009-01-01 00:00:00
abstract::Diarrhea is an important cause of hospitalization among infants. There are many complex factors that influence hospital use: socioeconomic and cultural characteristics, access, medical needs, and supply. The objective was to measure hospitalization rates from diarrhea among infants in Rio de Janeiro in 1996 and the as...
journal_title:Cadernos de saude publica
pub_type: 杂志文章
doi:
更新日期:2002-05-01 00:00:00
abstract::The continent of the Americas has the greatest number of people infected and deaths associated with severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) in the world. Brazil occupies the 2nd position in numbers of infected cases and deaths, preceded only by the United States. Older adults and those with pre-ex...
journal_title:Cadernos de saude publica
pub_type: 杂志文章
doi:10.1590/0102-311X00181920
更新日期:2020-10-12 00:00:00
abstract::This cross-sectional study investigated the prevalence of smoking and associated factors in a nationally representative sample of 6,510 Brazilian schoolteachers. Data were obtained from telephone interviews using a questionnaire on sociodemographic information, health status, work absenteeism, and the characteristics ...
journal_title:Cadernos de saude publica
pub_type: 杂志文章
doi:10.1590/0102-311X00180217
更新日期:2019-04-15 00:00:00
abstract::To prevent or mitigate an AIDS epidemic among injecting drug users (IDUs), effective activities need to be implemented on a large enough scale to reach and assist sufficient numbers of drug users and thereby change their risk behaviors related to drug use and sex. Recent work by UNAIDS on "high coverage sites", adopti...
journal_title:Cadernos de saude publica
pub_type: 杂志文章
doi:10.1590/s0102-311x2006000400025
更新日期:2006-04-01 00:00:00
abstract::The objective was to determine the prevalence of lower back pain in adolescents and its relationship to sports and sedentary activities. We conducted a cross-sectional study of 5th to 8th-grade students (n = 1,236) in Bauru, São Paulo State, Brazil. We used a structured protocol and the Nordic questionnaire for muscul...
journal_title:Cadernos de saude publica
pub_type: 杂志文章
doi:10.1590/s0102-311x2011000800007
更新日期:2011-08-01 00:00:00
abstract::No consensus has been reached concerning the definition of criteria and standards for evaluating the decentralization of actions by municipal health surveillance systems. With the aim of developing and validating an objective image for municipal health surveillance that would correspond to an appropriate system for th...
journal_title:Cadernos de saude publica
pub_type: 杂志文章
doi:10.1590/s0102-311x2009001000011
更新日期:2009-10-01 00:00:00
abstract::Rio Grande do Sul State has the highest suicide rates in Brazil. Previous studies have suggested a possible role of agricultural activities, especially tobacco farming, where pesticide use is intensive. An ecological study was designed to assess associations between age-adjusted suicide rates based on death certificat...
journal_title:Cadernos de saude publica
pub_type: 杂志文章
doi:10.1590/s0102-311x2006001200011
更新日期:2006-12-01 00:00:00
abstract::This study aims to estimate postpartum use of outpatient health services and verify the demographic, socioeconomic, and obstetric factors associated with use. A nationwide hospital-based study in 2011-2012 interviewed 23,894 women. Point estimates and respective confidence intervals were calculated for eight indicator...
journal_title:Cadernos de saude publica
pub_type: 杂志文章
doi:10.1590/0102-311x00119519
更新日期:2020-01-01 00:00:00
abstract::This paper, the second in a series, reports on a study designed to assess how physicians operate selective mechanisms to sort out relevant and/or reliable information from what is presented to them. Twenty-four professors of internal medicine from two leading medical schools in Rio de Janeiro, Brazil, answered open-en...
journal_title:Cadernos de saude publica
pub_type: 杂志文章
doi:10.1590/s0102-311x2003000400037
更新日期:2003-07-01 00:00:00
abstract::The present study aimed to review the literature on the prevalence of metabolic syndrome and its components in adolescents (10-19 years old). The search was conducted in online databases (MEDLINE and SciELO), references from retrieved articles, and contacts with authors. Only original articles using either the criteri...
journal_title:Cadernos de saude publica
pub_type: 杂志文章,评审
doi:10.1590/s0102-311x2009000600002
更新日期:2009-06-01 00:00:00
abstract::A total of 72 postmenopausal patients presenting no risk factors for cardiovascular disease nor osteoporosis, were studied. The study evaluated total serum cholesterol and fractions and bone mass by densitometry of the lumbar spine and femur using a Lunar-DPX. There was no association between lipid profile variables a...
journal_title:Cadernos de saude publica
pub_type: 杂志文章
doi:10.1590/s0102-311x1998000400019
更新日期:1998-10-01 00:00:00
abstract::The study aimed to: (1) describe the work process in Brazil's oral health teams, based on the essential attributes of primary health care, according to geographic region, type of team, and the municipality's socioeconomic characteristics and (2) verify whether the data in the work process of the oral health teams in t...
journal_title:Cadernos de saude publica
pub_type: 杂志文章
doi:10.1590/0102-311X00049817
更新日期:2018-09-06 00:00:00
abstract::We recently confirmed several cases of acute schistosomiasis in Porto de Galinhas beach, Northeast Brazil. A total of 662 patients were diagnosed by parasitological and clinical examinations. The infection likely occurred during the September 7 national holiday, when heavy rainfall flooded the Ipojuca River and people...
journal_title:Cadernos de saude publica
pub_type: 杂志文章
doi:10.1590/s0102-311x2001000300028
更新日期:2001-05-01 00:00:00
abstract::: The objective was to describe the governance system used in structuring the regionalized healthcare network in Santa Catarina State, Brazil, based on the Bipartite Inter-Managerial Commission (CIB), with a focus on structuring of oral healthcare. This was a qualitative, exploratory-descriptive documental study, base...
journal_title:Cadernos de saude publica
pub_type: 杂志文章
doi:10.1590/0102-311X00133516
更新日期:2017-09-28 00:00:00
abstract::This is a descriptive study to assess the leprosy control program in the municipality of Buriticupu in Maranhão State, Brazil. The records of 214 patients with different forms of leprosy were studied. Patients were treated at a health center of the Federal University in Maranhão located in the above-mentioned municipa...
journal_title:Cadernos de saude publica
pub_type: 杂志文章
doi:10.1590/s0102-311x2003000100013
更新日期:2003-01-01 00:00:00
abstract::This study aims to analyze the oral health care network in Santa Catarina State, Brazil, in municipalities with 100,000 inhabitants or more, focusing on the identification and integration of the network's essential elements. Primary data were obtained through a structured questionnaire applied to oral health care admi...
journal_title:Cadernos de saude publica
pub_type: 杂志文章
doi:10.1590/0102-311X00084513
更新日期:2014-02-01 00:00:00
abstract::This study evaluated the association between use of misoprostol and other drugs to induce menstruation, and congenital anomalies. A sample of 4,856 pregnant women 20 years and older were enrolled consecutively in prenatal services in the Unified National Health System, in six Brazilian State capitals. Data on socio-de...
journal_title:Cadernos de saude publica
pub_type: 杂志文章
doi:10.1590/s0102-311x2008000600025
更新日期:2008-06-01 00:00:00
abstract::The aim of this study was to explore the distribution of reproductive outcomes following dengue virus infection during pregnancy (2001-2005). An ecological epidemiological study was conducted in all counties with more than 80,000 inhabitants in Southeast Brazil. The study explored the correlation between dengue incide...
journal_title:Cadernos de saude publica
pub_type: 杂志文章
doi:10.1590/s0102-311x2012000600005
更新日期:2012-06-01 00:00:00
abstract::This study aimed at assessing the potential impact of the reduction of sodium content in processed foods in the average salt intake in the Brazilian population. A total of 32,900 participants of the first National Dietary Survey (NDS 2008-2009), age 10 years and older who provided information about food intake over tw...
journal_title:Cadernos de saude publica
pub_type: 杂志文章
doi:10.1590/0102-311X00064615
更新日期:2016-02-01 00:00:00