Hospitalizations for HIV/AIDS: Differences between sexes |
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| Authors: | Altacílio Aparecido Nunes Igor Mariano de Melo Ana Laura Alves da Silva Leandro dos Santos de Araújo Rezende Paulo Bettero Guimarães Mario Leon Silva-Vergara |
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| Affiliation: | 1. Departamento de Psiquiatria e Psicologia Médica. Universidade Federal de São Paulo, São Paulo, Brazil. Rua Borges Lagoa, 570 - 1º Andar - São Paulo, SP, Brazil;2. Departamento de Medicina Preventiva, Universidade Federal de São Paulo, São Paulo, Brazil. Rua Botucatu, 740, 4° andar, São Paulo, SP, Brazil;3. In memoriam;4. Noncommunicable Diseases and Mental Health Department, Pan American Health Organization (PAHO), 525 Twenty-third Street, N.W., Washington, DC 20037, United States;1. Federal University of Santa Catarina Sports Center, Campus Universitário Reitor João David Ferreira Lima, Florianópolis, SC 88040-900, Brazil;2. Oswaldo Cruz Foundation, Avenida Brasil, 4365, Residência Oficial, Rio de Janeiro, RJ 21040-360, Brazil;3. Department of Preventive Medicine, University of São Paulo School of Medicine, Av. Dr. Arnaldo, 455, São Paulo, SP 01246-903, Brazil;4. University of São Paulo, School of Public Health, Av. Dr. Arnaldo, 715, São Paulo, SP 01246-904, Brazil |
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| Abstract: | Background: Women are especially vulnerable to HIV infection because of biological, social, cultural, and economic factors. In Brazil, AIDS was initially seen predominantly in homosexual men, but the epidemic gradually reached a gender balance as increasing numbers of women became infected with HIV.Objective: The aim of the present study was to identify the clinical and epidemiologic characteristics of hospitalized patients with HIV/AIDS of both sexes and compare the differences between them.Methods: This epidemiologic cross-sectional study evaluated gender differences in demographic, social, clinical, and epidemiologic characteristics of patients diagnosed with HIV/AIDS who were admitted for any reason to the Public Hospital of the Medical School of the Federal University of Triângulo Mineiro, Uberaba, Minas Gerais State, Brazil.Results: A total of 363 patients were included in the analysis, with a male/female ratio of 1.1:1.0. Forty-one percent of women were pregnant. Mean age at hospitalization and duration of hospitalization were significantly greater among men (P<0.05). Men and nonpregnant women were admitted because of infection significantly more often than were pregnant women (P<0.05). Significantly more single men who reported homosexual, bisexual, or heterosexual behavior associated with drug use were admitted compared with women (P<0.05). Women admitted for treatment were significantly more likely than men to be employed (P<0.05). Adherence to antiretroviral treatment and T CD4+ lymphocyte count indicated important differences between the sexes, with better parameters observed among nonpregnant and pregnant women compared with men.Conclusions: In the present study, women with HIV/AIDS who were admitted to the hospital for any reason were in better clinical condition compared with men. This observation may be partially explained by the proportion of pregnant women in the study population. These findings suggest that future studies should examine pregnant women with HIV/AIDS as a separate population group to avoid bias in analysis. |
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