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Resumen Introducción: el progreso en los tratamientos para el lupus eritematoso sistémico (LES) resultó en una disminución de la mortalidad; sin embargo, la enfermedad cardiovascular y las complicaciones infecciosas aún son las principales causas de muerte. La evidencia apoya la participación del sistema inmunológico en la generación de la placa aterosclerótica, así como su conexión con las enfermedades autoinmunes. Objetivos: describir la frecuencia de eventos cardiovasculares (ECV) en el Registro de Lupus Eritematoso Sistémico de la Sociedad Argentina de Reumatología (RELESSAR) transversal, así como sus principales factores de riesgo asociados. Materiales y métodos: estudio descriptivo y transversal para el cual se tomaron los pacientes ingresados en el registro RELESSAR transversal. Se describieron las variables sociodemográficas y clínicas, las comorbilidades, score de actividad y daño. ECV se definió como la presencia de al menos una de las siguientes patologías: enfermedad arterial periférica, cardiopatía isquémica o accidente cerebrovascular. El evento clasificado para el análisis fue aquel posterior al diagnóstico del LES. Se conformaron dos grupos macheados por edad y sexo 1:2. Resultados: 1515 pacientes mayores de 18 años participaron del registro. Se describieron 80 pacientes con ECV (5,3%). En este análisis se incluyeron 240 pacientes conformando dos grupos. La edad media fue de 47,8 (14,4) y 47,6 (14,2) en el grupo con y sin ECV respectivamente. Los pacientes con ECV tuvieron mayor duración del LES en meses, mayor índice de Charlson, mayor SLICC (Systemic Lupus International Collaborating Clinics/American College of Rheumatology), mayor frecuencia de manifestaciones neurológicas, síndrome antifosfolípido, hospitalizaciones y uso de ciclofosfamida. Las únicas variables asociadas en el análisis multivariado fueron el índice de Charlson (p=0,004) y el SLICC (p<0,001). Conclusiones: los ECV influyen significativamente en nuestros pacientes, y se asocian a mayor posibilidad de daño irreversible y comorbilidades.

Abstract Introduction: progress in treatments for systemic lupus erythematosus (SLE) has resulted in a decrease in mortality; however, cardiovascular and infectious diseases remain the leading causes of death. Evidence supports the involvement of the immune system in the generation of atherosclerotic plaque, as well as its connection to autoimmune diseases. Objectives: to describe the frequency of cardiovascular disease (CVD) in the cross-sectional RELESSAR registry, as well as its associated variables. Materials and methods: a descriptive and cross-sectional study was performed using patients admitted to the cross-sectional RELESSAR registry. Sociodemographic variables, clinical variables, comorbidities, activity and damage scores were described. CVD was defined as at least one of the following: peripheral arterial disease, ischemic heart disease, or cerebrovascular accident. All patients with at least one CVD were included in our analysis (heart attack, central nervous system vascular disease, and peripheral arteries atherosclerotic disease). The event classified for the analysis was that after the diagnosis of SLE. SLE diagnosis was previous to CVD. Two groups matched by age and sex, 1:2 were formed. Results: a total of 1515 patients older than 18 years participated in the registry. Eighty patients with CVD (5.3%) were described in the registry. Two-hundred and forty patients were included, according to two groups. The mean age was 47.8 (SD 14.4) and 47.6 (SD 14.2) in patients with and without CVD, respectively. Patients with CVD had a longer duration of SLE in months, a higher Charlson index, a higher SLICC, increased frequency of neurological manifestations, antiphospholipid syndrome, hospitalizations, and use of cyclophosphamide. The associated variables in the multivariate were the Charlson Index (p=0.004) and the SLICC (p<0.001). Conclusions: CVDs have a significant influence on our patients, being associated with a greater possibility of damage and comorbidities.

https://doi.org/10.47196/rar.v34i2.747

Validation of the Brazilian version of the Hip Sports Activity Scale (HSAS) for patients with femoroacetabular impingement: a cross-sectional study
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Mathias, Letícia Nunes Carreras Del Castillo

; Cardinot, Themis Moura

; Sá-Caputo, Danúbia da Cunha de

; Freitas, Juliana Pessanha de

; Bernardo Filho, Mário

; Costa, Rafaela Maria de Paula

; Oliveira, Nathalia Sundin Palmeira de

; Oliveira, Liszt Palmeira de

Sao Paulo Medical Journal

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apr 2023, Volume 141 N. 2 Pages 114 - 119

Abstract: En | Text: En | PDF: En

ABSTRACT BACKGROUND: The Hip Sports Activity Scale (HSAS) is a hip-specific instrument for assessing the present levels of physical activity among patients with femoroacetabular impingement (FAI) syndrome. When evaluating treatment outcomes in patients with FAI syndrome, it is necessary to use joint-specific instruments and ones that can evaluate the levels of physical activity in these patients, such as the HSAS-Brazil. OBJECTIVE: To validate the HSAS-Brazil among a group of physically active patients after arthroscopic treatment of FAI syndrome. DESIGN AND SETTING: Cross-sectional research of quantitative and qualitative types using data obtained from July 2018 to October 2019. METHODS: A total of 58 patients of both genders diagnosed with FAI syndrome and who had undergone hip arthroscopy participated in this research. To establish reliability and validity, patients first answered the Brazilian versions of the 12-Item Short-Form Health Survey (SF-12), Nonarthritic Hip Score (NAHS), and HSAS; after a 48-hour interval, they answered the HSAS-Brazil again. RESULTS: For test-retest reliability, the interclass correlation was 0.908 (P < 0.001). The HSAS-Brazil correlated to the NAHS-Brazil (r = 0.63, P < 0.001), as well as the SF-12 (Physical Health) (r = 0.42, P = 0.001). CONCLUSION: The HSAS-Brazil was validated and proved to be a reliable and valid scale to assess sports activity levels in physically active patients with FAI syndrome after arthroscopic treatment.

https://doi.org/10.1590/1516-3180.2021.0832.r1.11052022

Lupus en Argentina. .
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Quintana, Rosana

; García, Lucila

; Gobbi, Carla

; Alba, Paula

; Roverano, Susana

; Álvarez, Analia Patricia

; Graf, César Enrique

; Pisoni, Cecilia

; Spindler, Alberto

; Gómez, Catalina

; Figueredo, Heber Matías

; Papasidero, Silvia

; Paniego, Raúl

; de la Vega, María Celina

; Civit, Emma

; González Lucero, Luciana

; Martire, María Victoria

; Aguila Maldonado, Rodrigo

; Gordon, Sergio

; Micelli, Marina

; Nieto, Romina

; Rausch, Gretel

; Gongora, Vanina

; Damico, Agustina

; Rodríguez Gil, Gustavo

; Dubinsky, Diana

; Orden, Alberto

; Zacariaz, Johana

; Romero, Julia

; Pera, Mariana

; Goñi, Mario

; Rillo, Oscar

; Báez, Roberto

; Arturi, Valeria

; González, Andrea

; Vivero, Florencia

; Bedoya, María Eugenia

; Shmid, María Marcela

; Caputo, Víctor

; Larroude, Maria Silvia

; Domínguez, Nadia

; Gómez, Graciela Noemí

; Rodríguez, Graciela Nora

; Marín, Josefina

; Collado, Victoria

; Jorfen, Marisa

; Bedran, Zaida

; Curti, Ana

; Gazzoni, María Victoria

; Sarano, Judith

; Zelaya, Marcos

; Sacnun, Mónica

; Finucci Curi, Pablo

; Rojas Tessel, Romina

; Arias Saavedra, Maira

; Sattler, María Emilia

; Machado Escobar, Maximiliano Augusto

; Astesana, Pablo

; Paris, Úrsula

; Virasoro, Belén María

; Santa Cruz, María Julia

; Allievi, Alberto

; Vandale, Juan Manuel

; Hojberg, Noelia Giselle

; Pons-Estel, Bernardo

; Pons-Estel, Guillermo

; García, Mercedes Argentina

Revista argentina de reumatología

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mar 2022, Volume 33 N. 1 Pages 14 - 25

Abstract: Es En | Text: Es En | PDF: Es | PDF: En

resumen está disponible en el texto completo

Abstract Introduction: lupus is a complex disease and often difficult to approach. Achieving remission is one of the objectives, incorporating therapeutic options. Objectives: to describe the characteristics of the patients and the use of belimumab, according to the status of the disease. Materials and methods: cross-sectional study. Patients of the RELESSAR registry. Stratification: Remission: SLEDAI=0 and without corticosteroids. Low disease activity SLEDAI> 0 and ≤4 and without corticosteroids and non-optimal control: SLEDAI> 4 and any dose of corticosteroids. Results: a total of 1,277 patients were included, 23.4% in remission, 12.6% in low disease activity and 63.8% in non-optimal control. The last group was younger and had a shorter duration of the disease. They had higher activity and chronicity indices and greater use of immunosuppressants. Only 22.3% of the patients with potential criteria for the use of belimumab (activity disease despite standard treatment) were receiving it. The variables associated with hospitalizations were: corticosteroids, cyclophosphamide and higher SLICC. Those associated with severe infection: mycophenolate mofetil, azathioprine, corticosteroids, and higher SLICC. Conclusions: the complexity of the management of these patients is reflected, visualizing structural aspects such as inequality. The use of belimumab could be beneficial in selected patients.

https://doi.org/10.47196/rar.v33i1.602 101 downloads

Validation of the Brazilian version of the Hip Sports Activity Scale (HSAS) for patients with femoroacetabular impingement: a cross-sectional study
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Mathias, Letícia Nunes Carreras Del Castillo

; Cardinot, Themis Moura

; Sá-Caputo, Danúbia da Cunha de

; Freitas, Juliana Pessanha de

; Bernardo Filho, Mário

; Costa, Rafaela Maria de Paula

; Oliveira, Nathalia Sundin Palmeira de

; Oliveira, Liszt Palmeira de

Sao Paulo Medical Journal

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2022, N. ahead

Abstract: En | Text: En | PDF: En

https://doi.org/10.1590/1516-3180.2021.0832.r1.11052022

Oral physiology and quality of life in cancer patients
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Pereira, Luciano J.

; Braga Caputo, Júnior

; Midori Castelo, Paula

; Francelino Andrade, Eric

; Silva Marques, Leandro

; Martins de Paiva, Saul

; Márcia Pereira, Stela

; Vicente Pereira, Cássio

Nutrición Hospitalaria

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may 2015, Volume 31 N. 5 Pages 2161 - 2166

Abstract: En Es | Text: En Es | PDF: En | PDF: Es

Introduction: Cancer treatment can affect the health of the teeth and support structures, which are essential to the chewing process, which may change the nutritional status of the patient. Objective: The aim of this study was to evaluate the impact of oral physiology changes on quality of life (QoL) of patients submitted to cancer treatment. Design: Initially 84 cancer patients were screened and only those presenting at least 15 natural teeth were selected for oral physiology and quality of life tests. The final sample comprised 30 patients. Twenty subjects were selected as controls paired by age and gender. Dental caries status, salivary flow, masticatory performance (MP), location of tumor, duration of chemo and radiotherapy and World Health Organization Quality of Life (WHOQOL- bref) questionnaire were assessed. Linear regression models were used to test the relationship between the WHOQOL-bref domains (physical, psychological, social relationship, environmental and overall QoL) and independent variables under study. Results and Discussion: Number of teeth, MP and salivary flow were lower in cancer patients, as well as for the scores obtained in Social Relationship, Environment and Overall QoL domains (p<0.050). Breast cancer caused a negative impact on Psychological (p<0.001) and Overall QoL scores (p=0.017). A similar negative effect was found for the duration of radiotherapy on Psychological (p=0.012) and Environmental (p=0.039) domains. On the other hand, the maintenance of teeth had a positive impact on Psychological (p=0.012) and Environmental (p=0.024) scores. Conclusion: Oral physiology changes may impact the QoL of oncological patients. The maintenance of teeth was of positive importance, especially for the psychological aspects.

Introdución: El tratamiento del cáncer puede afectar la salud de los dientes y estructuras de apoyo, que son esenciales para el proceso de masticación, que pueden cambiar el estado nutricional del paciente. Objetivo: El objetivo de este estudio fue evaluar el impacto de los cambios fisiológicos orales sobre la calidad de vida (QoL) de los pacientes sometidos a tratamiento contra el cáncer. Metodos: Inicialmente 84 pacientes con cáncer fueron examinados y sólo los que presentan al menos 15 dientes naturales fueron seleccionados para la fisiología oral y la calidad de las pruebas de la vida. La muestra final quedó conformado por 30 pacientes. Veinte sujetos fueron seleccionados como controles emparejados por edad y sexo. Dental estado de la caries, el flujo salival, rendimiento masticatorio (MP), la ubicación del tumor, la duración de la quimioterapia y la radioterapia y lo cuestionario de La Organización Mundial de la Salud Calidad de Vida (WHOQOL-BREF) cuestionario fueron evaluados. Se utilizaron modelos de regresión lineal para probar la relación entre los dominios del WHOQOL-BREF (psicológicos relación física,, social, ambiental y de calidad de vida en general) y variables independientes bajo estudio. Resultados y Discusión: Número de dientes, MP y el flujo salival fueron menores en los pacientes de cáncer, así como para las puntuaciones obtenidas en la relación social, medio ambiente y dominios de calidad de vida general (p <0,050). El cáncer de mama causó un impacto negativo en la psicológica (p <0,001) y las puntuaciones de calidad de vida global (p = 0,017). Un efecto negativo similar se encontró para la duración de la radioterapia sobre psicológica (p = 0,012) y ambientales (p = 0,039) dominios. Por otra parte, el mantenimiento de dientes tuvo un impacto positivo en la psicológica (p = 0,012) y del Medio Ambiente (p = 0,024) resultados. Conclusión: los cambios orales fisiología pueden afectar la calidad de vida de los pacientes oncológicos. El mantenimiento de dientes fue de importancia positiva, sobre todo por los aspectos psicológicos.

https://doi.org/10.3305/nh.2015.31.5.8565 548 downloads

Equivalências conceitual, semântica e instrumental: análises preliminares da versão em português (Brasil) da Male Body Dissatisfaction Scale (MBDS)
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Carvalho, Pedro Henrique Berbert de

; Ferreira, Maria Elisa Caputo

; Kotait, Marcela

; Teixeira, Paula Costa

; Hearst, Norman

; Cordás, Táki Athanássios

; Conti, Maria Aparecida

Cadernos de Saúde Pública

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feb 2013, Volume 29 N. 2 Pages 403 - 409

Abstract: Pt En Es | Text: Pt En Es | PDF: Pt | PDF: En | PDF: Es

O objetivo do estudo foi descrever o processo de tradução para o idioma português (Brasil), as análises das equivalências conceitual, semântica e instrumental e a avaliação da consistência interna da Male Body Dissatisfaction Scale (MBDS). Envolveu as seguintes etapas: (1) tradução; (2) síntese de tradução; (3) retrotradução; (4) revisão por peritos (juízes) - análise da equivalência semântica e instrumental; (5) pré-teste - avaliação da compreensão verbal do instrumento por especialistas e estudantes do sexo masculino; (6) análise da consistência interna por meio do coeficiente α de Cronbach. A MBDS foi traduzida e adaptada para o idioma português, mantendo seus 25 itens originais, e demonstrou ser de fácil compreensão, apresentando consistência interna de 0,92. A escala foi traduzida e adaptada obtendo resultados satisfatórios, o que comprova, assim, suas qualidades psicométricas iniciais. Necessita, ainda, de análises de validade interna e externa, e de reprodutibilidade.

This study aimed to describe the translation into Brazilian Portuguese and the analysis of conceptual, semantic, and instrumental equivalences and assessment of internal consistency of the Male Body Dissatisfaction Scale (MBDS). The study included the steps of (1) translation; (2) synthesis of translation; (3) back-translation; (4) review by experts - judges - analysis of the semantic and instrumental equivalences; (5) pre-test - assessment of verbal understanding of the instrument by specialists and male students; (6) analysis of the internal consistency by Cronbach's α coefficient. The MBDS was translated and adapted into Brazilian Portuguese maintaining its original 25 items, showed good verbal comprehension, and had an internal consistency coefficient of 0.92. The scale was translated and adapted with satisfactory results, thus confirming its initial psychometric qualities. The instrument requires further analysis of internal and external validity, and reproducibility.

El objetivo del estudio fue describir el proceso de traducción al idioma portugués (Brasil) de los análisis de las equivalencias conceptual, semántica e instrumental y la evaluación de la consistencia interna de la Male Body Dissatisfaction Scale (MBDS). El estudio contó con las siguientes etapas: (1) traducción; (2) síntesis de traducción; (3) retrotraducción; (4) revisión por especialistas (peritos) - análisis de la equivalencia semántica e instrumental; (5) pre-test - evaluación de la comprensión verbal del instrumento por especialistas y estudiantes del sexo masculino; (6) análisis de la consistencia interna por medio del coeficiente alfa de Cronbach. La MBDS fue traducida y adaptada al idioma portugués, manteniendo sus 25 ítems originales, y demostró ser de fácil comprensión, presentando una consistencia interna de 0,92. La escala fue traducida y adaptada, obteniendo resultados satisfactorios, lo que comprueba, de este modo, sus cualidades psicométricas iniciales. Necesita, asimismo, análisis de validez interna y externa, y de reproductibilidad.

3698 downloads Cited 1 time in SciELO

Equivalências conceitual, semântica e instrumental: análises preliminares da versão em português (Brasil) da Male Body Dissatisfaction Scale (MBDS)
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Carvalho, Pedro Henrique Berbert de

; Ferreira, Maria Elisa Caputo

; Kotait, Marcela

; Teixeira, Paula Costa

; Hearst, Norman

; Cordás, Táki Athanássios

; Conti, Maria Aparecida

Cadernos de Saúde Pública

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feb 2013, Volume 29 N. 2 Pages 403 - 409

Abstract: Pt En Es | Text: Pt En Es | PDF: Pt | PDF: En | PDF: Es

1085 downloads Cited 1 time in SciELO

Insatisfação corporal em universitários de diferentes áreas de conhecimento
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Miranda, Valter Paulo Neves

; Filgueiras, Juliana Fernandes

; Neves, Clara Mockdece

; Teixeira, Paula Costa

; Ferreira, Maria Elisa Caputo

Jornal Brasileiro de Psiquiatria

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2012, Volume 61 N. 1 Pages 25 - 32

Abstract: Pt En | Text: Pt En | PDF: Pt | PDF: En

OBJETIVOS: Verificar a prevalência de insatisfação corporal em universitários de diferentes áreas de conhecimento, bem como a relação com sexo e com estado nutricional. MÉTODOS: A amostra foi composta por universitários da Universidade Federal de Juiz de Fora (UFJF) de diferentes áreas de conhecimento. O Body Shape Questionnaire (BSQ) e a Escala de Silhuetas para adultos avaliaram a insatisfação corporal. Massa corporal e estatura autorreferidas foram utilizadas para o cálculo do índice de massa corporal (IMC). Para as análises estatísticas, foram realizados testes de associação, comparação e regressão logística. RESULTADOS: Dos 535 estudantes, com média de idade de 20,82 ± 3,03 anos, 245 eram do sexo masculino. A média do BSQ foi de 68,00 ± 28,74, sendo 88,9% livres de insatisfação. Porém, pela escala de silhuetas, 76,6% foram considerados insatisfeitos. Os estudantes da área de saúde e humanas foram, sem significância, mais insatisfeitos que alunos de exatas. As mulheres em relação aos homens (p < 0,05) e aqueles com sobrepeso/obesidade (OR: 3,174; p = 0,000) tiveram a maior frequência na classificação de insatisfação corporal. CONCLUSÃO: A maioria dos jovens mostrou-se livre de insatisfação corporal, não havendo relação com a área de estudo, porém as universitárias com IMC mais elevado apresentaram-se mais insatisfeitas com sua imagem corporal.

OBJECTIVES: To check the prevalence of body dissatisfaction in college students of different majors, as well as the relationship with gender and nutritional status. METHODS: The sample was composed of college students from the Federal University of Juiz de Fora (UFJF) of several different majors. The Body Shape Questionnaire (BSQ) and the Silhouette Scale for Adults assessed body dissatisfaction. Self-referred body mass and height were used to calculate the body mass index (BMI). For the statistical analysis, association, comparison, and logistic regression tests were performed. RESULTS: Among the 535 students, with average age of 20.82 ± 3.03 years old, 245 were male. The BSQ average score was 68.00 ± 28.74, being 88.9% of the subjects free from dissatisfaction. Nevertheless, according to the silhouette scale, 76.6% were found to be dissatisfied. The students of Life Sciences and Humanities were, insignificantly, more dissatisfied than the Exact Sciences students. Women, when compared to men (p < 0.05) and those overweight/obese (OR: 3.174; p = 0.000) had the highest score in the body dissatisfaction rating. CONCLUSION: Most young people were found to be free from body dissatisfaction, and no correlation to their area of studies was found. However, the college girls with the highest BMIs were found to be the most dissatisfied with their body image.

12151 downloads Cited 2 times in SciELO

O conhecimento de HIV/aids na terceira idade: estudo epidemiológico no Vale do Sinos, Rio Grande do Sul, Brasil
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Lazzarotto, Alexandre Ramos

; Kramer, Andréa Sebben

; Hädrich, Martha

; Tonin, Marina

; Caputo, Paula

; Sprinz, Eduardo

Ciência & Saúde Coletiva

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dec 2008, Volume 13 N. 6 Pages 1833 - 1840

Abstract: Pt En | Text: Pt En | PDF: Pt | PDF: En

O objetivo deste estudo é avaliar o conhecimento sobre HIV/aids dos participantes de grupos de convivência do Vale do Sinos, Rio Grande do Sul. O estudo caracterizou-se como transversal, obtendo-se uma amostra de 510 pessoas, sendo 17,5% homens e 82,5% mulheres, na faixa etária entre 60-90 anos. Utilizou-se o questionário sobre HIV para terceira idade, que abrange características gerais dos participantes e questões relativas à aids, organizadas nos domínios "conceito", "transmissão", "prevenção", "vulnerabilidade" e "tratamento". Quase metade (48,4%) dos participantes relatou ter cursado de quatro a sete anos de estudo e a renda mensal de 52,2% foi de um a três salários mínimos. Nos domínios "conceito" e "transmissão", 49,4% desconheciam a fase assintomática da infecção pelo HIV e 41,4% acreditavam que a aids poderia ser transmitida pelo mosquito. No âmbito dos domínios "prevenção" e "vulnerabilidade", 25,5% não sabiam da existência da camisinha feminina e 36,9% consideravam a aids uma síndrome somente de homens que fazem sexo com homens, profissionais do sexo e usuários de drogas. Quanto ao "tratamento", 12,2% ignoravam a sua existência. Constataram-se lacunas no conhecimento sobre HIV/aids na amostra avaliada, demonstrando a necessidade de programas de saúde pública que visem à elucidação das principais dúvidas.

The objective of this study was to assess the knowledge about HIV/AIDS in participants of companionship groups in the Vale do Sinos, Rio Grande do Sul, Brazil. It was a prospective cross-sectional study in a sample of 510 individuals, 17% males and 82.5% females aged between 60 and 90 years. We used the Questionnaire on HIV for the Old Aged, which comprises the general characteristics of the participants and questions concerning HIV/AIDS, organized into the elements 'concept', 'transmission', 'prevention', 'vulnerability', and 'treatment'. Nearly half of the participants (48.4 %) reported having studied 4 to 7 years and the monthly income of 52.2% was of 1 to 3 minimum wages. In the dimensions concept and transmission, 49.4% had no idea about the asymptomatic phase of the infection, and 41.4% believed HIV could be transmitted by a mosquito bite. With regard to prevention and vulnerability, 25.5% did not know about the female condom and 36.9% considered AIDS a disease confined to men who have sex with men, sex workers, and injection-drug users. Regarding antiretroviral treatment, 12.2% ignored its existence. Elderly people in companionship groups have important misconceptions about HIV/AIDS, which can increase their risk of infection. There is a need for public health programs directed to this population in order to prevent or decrease the risk of HIV transmission.

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O conhecimento de HIV/aids na terceira idade: estudo epidemiológico no Vale do Sinos, Rio Grande do Sul, Brasil
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Lazzarotto, Alexandre Ramos

; Kramer, Andréa Sebben

; Hädrich, Martha

; Tonin, Marina

; Caputo, Paula

; Sprinz, Eduardo

Ciência & Saúde Coletiva

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dec 2008, Volume 13 N. 6 Pages 1833 - 1840

Abstract: Pt En | Text: Pt En | PDF: Pt | PDF: En

22401 downloads Cited 18 times in SciELO

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aff_institution	author affiliation institution
volume	article volume
issue	article issue
elocation	elocation
doi	DOI number
issn	journal ISSN
in	SciELO colection code (e.g. scl - Brasil, col - Colômbia)
use_license	article usage license code

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