Resumo Fumar representa 24% das mortes na população geral, sendo o fator que explica o maior número de anos de vida perdidos. É importante compreender as expectativas relacionadas ao comportamento de fumar. O presente estudo teve por objetivo validar o instrumento Short Form of the Smoking Consequences Questionnaire (S-SCQ) para uma versão brasileira. Após o processo de adaptação semântica para o idioma e o contexto nacional, o S-SCQ foi aplicado numa amostra de 129 pessoas. No passo seguinte, foram realizadas análises psicométricas para o conjunto de 21 itens. Os dados foram submetidos à prova de validade de construto por meio de Análise Fatorial Exploratória, com tratamento “pairwise” para casos omissos. Para proceder a Análise Fatorial se utilizou inicialmente o método da Análise dos Componentes Principais (ACP). Após, foi feita a Fatoração dos Eixos Principais (FEP) utilizando rotação Varimax com normalização de Kaiser. A fidedignidade da escala total (com 21 itens) apresentou índice alfa de Cronbach 0,851 e Lambda 2 de Gutmann 0,870. Índices bastante satisfatórios foram observados também nas subescalas. No mesmo sentido, os valores de correlação item-total também confirmaram os bons índices de fidedignidade da escala.

Abstract Smoking accounts for 24% of deaths in the general population and is also the factor that explains the biggest amount of years of life lost. It is important to understand the expectations regarding smoking behavior. The present study aimed to validate the Short Form of the Smoking Consequences Questionnaire (S-SCQ) for a Brazilian version. The Researchers did the process of semantic adaptation to language and national context. The S-SCQ was applied in a sample of 129 people. The next step was to perform psychometric analyses for the set of 21 items. Exploratory Factor Analysis, with pairwise treatment for missing cases, was used to achieve construct validity. To carry out Factor Analysis, the method of Principal Component Analysis (PCA) was used initially. Afterwards, Principal Axis Factoring (PAF) using Varimax rotation with Kaiser normalization was applied. The reliability of the total scale (21 items) showed a Cronbach alpha index of 0.851 and a 0.870 Lambda2 of Gutmann. Quite satisfactory rates were also observed in the subscales. Similarly, the item-overall correlation values also confirmed the scale’s good reliability indices.

Resumo Fumar representa 24% das mortes na população geral, sendo o fator que explica o maior número de anos de vida perdidos. É importante compreender as expectativas relacionadas ao comportamento de fumar. O presente estudo teve por objetivo validar o instrumento Short Form of the Smoking Consequences Questionnaire (S-SCQ) para uma versão brasileira. Após o processo de adaptação semântica para o idioma e o contexto nacional, o S-SCQ foi aplicado numa amostra de 129 pessoas. No passo seguinte, foram realizadas análises psicométricas para o conjunto de 21 itens. Os dados foram submetidos à prova de validade de construto por meio de Análise Fatorial Exploratória, com tratamento “pairwise” para casos omissos. Para proceder a Análise Fatorial se utilizou inicialmente o método da Análise dos Componentes Principais (ACP). Após, foi feita a Fatoração dos Eixos Principais (FEP) utilizando rotação Varimax com normalização de Kaiser. A fidedignidade da escala total (com 21 itens) apresentou índice alfa de Cronbach 0,851 e Lambda 2 de Gutmann 0,870. Índices bastante satisfatórios foram observados também nas subescalas. No mesmo sentido, os valores de correlação item-total também confirmaram os bons índices de fidedignidade da escala.

Abstract Smoking accounts for 24% of deaths in the general population and is also the factor that explains the biggest amount of years of life lost. It is important to understand the expectations regarding smoking behavior. The present study aimed to validate the Short Form of the Smoking Consequences Questionnaire (S-SCQ) for a Brazilian version. The Researchers did the process of semantic adaptation to language and national context. The S-SCQ was applied in a sample of 129 people. The next step was to perform psychometric analyses for the set of 21 items. Exploratory Factor Analysis, with pairwise treatment for missing cases, was used to achieve construct validity. To carry out Factor Analysis, the method of Principal Component Analysis (PCA) was used initially. Afterwards, Principal Axis Factoring (PAF) using Varimax rotation with Kaiser normalization was applied. The reliability of the total scale (21 items) showed a Cronbach alpha index of 0.851 and a 0.870 Lambda2 of Gutmann. Quite satisfactory rates were also observed in the subscales. Similarly, the item-overall correlation values also confirmed the scale’s good reliability indices.

ABSTRACT Background/objective: There is an increasing number of older patients with human immunodeficiency virus infection due to the success of antiretroviral therapy, the improved prognosis and life expectancy of patients, and the higher number of new infections among older individuals. The main objective of the present study was to compare the characteristics of older human immunodeficiency virus patients with those of younger patients. Materials and methods: We conducted a cross-sectional study with human immunodeficiency virus-infected patients who were treated at the Specialized Care Service (Serviço de Assistência Especializada) for human immunodeficiency virus/AIDS in the city of Pelotas, South Brazil. Sociodemographic information as well as data on human immunodeficiency virus infection and treatment were collected. All participants underwent psychiatric and neurocognitive assessments, and their adherence to antiretroviral therapy was evaluated. Results: A total of 392 patients participated in the study, with 114 patients aged 50 years and older. The characteristics showing significant differences between older and younger human immunodeficiency virus-infected patients included race/ethnicity, comorbidities, duration and adherence to antiretroviral therapy, currently undetectable viral load, and cognitive impairment. Compared to younger patients, older patients were at higher risk of exhibiting cognitive impairment [OR 2.28 (95% CI: 1.35-3.82, p = 0.002)] and of having increased adherence to antiretroviral therapy [OR 3.11 (95% CI: 1.67-5.79, p < 0.001)]. Conclusions: The prevalence of neurocognitive impairment remained high in human immunodeficiency virus-infected patients despite antiretroviral therapy. In the present study, the prevalence of this type of impairment was significantly higher in patients aged ≥50 years, most likely due to aging, human immunodeficiency virus infection, and a possible synergistic effect between these factors. Despite this higher prevalence, older patients exhibited higher rates of adherence to antiretroviral therapy and of undetectable human immunodeficiency virus viral load.