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Work ability and associated factors in people living with human T-cell leukemia virus type 1
Costa, Dayana Alves; Carvalho, Fernando Martins; Vieira, Nicolle Melo; Falcão, Gleicy Gabriela Spínola Carneiro; Sarmento, Viviane Almeida; Brites, Carlos; Lins-Kusterer, Liliane.
  • Costa, Dayana Alves; Universidade Federal da Bahia. Programa de Pós-graduação em Medicina e Saúde. Salvador. BR
  • Carvalho, Fernando Martins; Universidade Federal da Bahia. Faculdade de Medicina da Bahia. Salvador. BR
  • Vieira, Nicolle Melo; Universidade Federal da Bahia. Programa de Pós-graduação em Medicina e Saúde. Salvador. BR
  • Falcão, Gleicy Gabriela Spínola Carneiro; Universidade Federal da Bahia. Faculdade de Odontologia. Salvador. BR
  • Sarmento, Viviane Almeida; Universidade Federal da Bahia. Faculdade de Odontologia. Salvador. BR
  • Brites, Carlos; Universidade Federal da Bahia. Programa de Pós-graduação em Medicina e Saúde. Salvador. BR
  • Lins-Kusterer, Liliane; Universidade Federal da Bahia. Programa de Pós-graduação em Medicina e Saúde. Salvador. BR
Rev. Soc. Bras. Med. Trop ; 55: e0111, 2022. tab, graf
Article in English | LILACS-Express | LILACS | ID: biblio-1387554
ABSTRACT
ABSTRACT

Background:

Infection with the human T-lymphotropic virus type 1 (HTLV-1) affects an estimated 10-15 million people worldwide. However, knowledge of the impact of HTLV-1 infection on work ability is lacking. This study aimed to measure the frequency and identify factors associated with poor work ability in patients living with HTLV-1.

Methods:

This cross-sectional study included 207 individuals infected with HTLV-1 who attended the University Hospital in Salvador, Bahia, Brazil. HTLV-1 antibodies were detected in the participants' blood by enzyme-linked immunosorbent assay (ELISA) and confirmed by western blotting. Participants answered a questionnaire on sociodemographic data, personal habits, clinical data, health-related quality of life, and work ability, evaluated using the work ability index questionnaire. A Poisson regression model with a robust variance estimate was used to identify the factors associated with the prevalence of poor work ability.

Results:

Patients mean age was 55.2, ranging from 19 to 84 years, 73.0% were females, 100% had monthly family income less than US$ 394, and 33.8% presented HTLV-1 associated myelopathy/tropical spastic paraparesis (HAM/TSP). No individual was classified as having excellent work ability. Poor work ability prevalence was strongly associated (prevalence ratio; 95% confidence interval [CI]) with sedentarism (1.30; 1.03-1.65), neurological symptoms (1.25; 1.02-1.52), and low physical (0.95; 0.94-0.96) and mental (0.98; 0.97-0.99) component summaries of health-related quality of life.

Conclusions:

Poor work ability among people living with HTLV-1 is associated with sedentarism, neurologic symptoms, and low health-related quality of life.


Full text: Available Index: LILACS (Americas) Type of study: Observational study / Prognostic study / Risk factors Language: English Journal: Rev. Soc. Bras. Med. Trop Journal subject: Tropical Medicine Year: 2022 Type: Article Affiliation country: Brazil Institution/Affiliation country: Universidade Federal da Bahia/BR

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Full text: Available Index: LILACS (Americas) Type of study: Observational study / Prognostic study / Risk factors Language: English Journal: Rev. Soc. Bras. Med. Trop Journal subject: Tropical Medicine Year: 2022 Type: Article Affiliation country: Brazil Institution/Affiliation country: Universidade Federal da Bahia/BR