Study of carrying patients of HIV/AIDS after 60 years of age in two units of health of the state of Rio de Janeiro.
Historical data shows that for a quarter of a Century aids has committed the lives of human beings in populations around the globe. However higher number of new cases reported in older people are inversely proportional to the number of newborns affected by aids; the aim of this work was to study aspects of aging as well as the sexual activity of this age group. Through documental quantitative research an epidemiological study of the population above 60 years of age, HIV serum positive was made in the HSE RJ Hospital-DIP services at Rio de Janeiro, Brazil, and Health Medical Center of Duque de Caxias since the introduction of the National Program of Sexually Transmitted Diseases and aids, respectively 1991 and 1992. Pertinent information was retrieved from subjects by prepared dataforms. Analysis of data revealed 73 medical records and we studied 50 (we didn?t consider death, transfer, abandon patients). The total number of patients on Duque de Caxias is 1093 and older people over 60 years are 33 (3%). On HSE RJ, Rio de Janeiro, total number of patients is 486 and older people over 60 years, 40 (8,2%). That old-aged subjects became infected before they reached 60 years of age, the number of infected men and women are equal (1:1); majority of subjects are retired (56%), belong to lower income classes and have low educational level (receive under $500/month and high school). They come to ambulatorial care after a hospitalization (62%); HIV infection is predominantly among heterosexual individuals (82%) who do not regularly employ contraceptive measures. Aids diagnosis was made after severe immunosupression occurred and the great majority has used or still makes use of special medication anti-retrovirus (94%). Subjects are hypertensive or have other cardiovascular diseases (67,8%) and there is a high number of coinfection by syphilis and hepatitis B and C. This work concludes that new studies on this subject are necessary; there is need of new methods for specific prevention for individuals in this age group and need of early diagnosis to avoid late immunosupression and coinfections.
Advisor:Márcio Neves Bóia
School:Faculdades Oswaldo Cruz
Source Type:Master's Thesis
Date of Publication:07/15/2005