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Sociodemographic factors and health in a population of children living in families infected with HIV in Fortaleza and Salvador, Brazil

机译:巴西福塔莱萨和萨尔瓦多感染艾滋病毒的家庭的儿童人口中的社会人口统计学因素和健康状况

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This study explores the relationships between demographic, socioeconomic and health statuses of children whose parents were HIV positive in two cities in Northeast Brazil. We conducted a multisite exploratory study in HIV/AIDS referral services for HIV/AIDS in Fortaleza, the capital of Ceará State, and Salvador, the capital of Bahia State, between June 2008 and March 2009. The study population consisted of 562 HIV+ adults - or caretakers of children of HIV+ adults - who provided information about a single index child under 13 years of age of either sex in their household. A structured questionnaire was used for to the adult parent or caretaker. We used multiple correspondence analysis (MCA), as implemented in the software SPAD (Portable Système pour l'Analyse des données). This analysis enabled us to identify the relationships between a large number of variables simultaneously. Of the 562 children, 311 (55.3%) lived in Fortaleza and 251 (44.7%) lived in Salvador. The proportion of HIV-infected children in Fortaleza was 14.2%, and 61.4% (27/44) of these had progressed to AIDS. In Salvador 34.7% of children were seropositive and 95% (83/87) were diagnosed with AIDS. The most important factors that emerged from the study were city and serostatus of the children. These two active variables accounted for 75.3% of the variance. Results are grouped into four profiles that describe the complex of socioeconomic variables closely associated with these families, and the complex and multiple epidemics of HIV, discrimination and poverty associated with these AIDS-affected families.
机译:这项研究探讨了巴西东北部两个城市中父母为HIV阳性儿童的人口统计学,社会经济状况和健康状况之间的关系。我们于2008年6月至2009年3月之间在塞阿拉州首府福塔莱萨和巴伊亚州首府萨尔瓦多进行了针对HIV / AIDS推荐服务的多站点探索性研究。研究人群包括562名HIV +成人-或HIV +成人儿童的看护者-他们提供了有关其家庭中性别不满13岁的单个索引儿童的信息。结构化的问卷用于成年父母或看护人。我们使用了在软件SPAD(PortableSystèmepour l'Analyse desdonnées)中实现的多重对应分析(MCA)。这种分析使我们能够同时识别大量变量之间的关系。在562名儿童中,有311名(55.3%)生活在福塔莱萨,而有251名(44.7%)生活在萨尔瓦多。在福塔雷萨,受艾滋病毒感染的儿童比例为14.2%,其中61.4%(27/44)患有艾滋病。在萨尔瓦多,34.7%的儿童血清反应阳性,95%(83/87)被诊断出患有艾滋病。从研究中得出的最重要因素是儿童的城市和血清状况。这两个活动变量占方差的75.3%。结果分为四个概况,描述与这些家庭密切相关的复杂的社会经济变量,以及与这些受艾滋病影响的家庭相关的艾滋病毒,歧视和贫困的复杂和多重流行。

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