ABSTRACT
OBJECTIVE: To investigate the association between social support, adherence to HIV anti-retroviral therapy, and clinical and sociodemographic factors. METHOD: A cross-sectional study conducted from July 2016 to August 2018 in a specialized outpatient clinic in southern Brazil. Individual interviews were conducted for the application of the following instruments: Questionnaire for the Evaluation of Adherence to Anti-retroviral Treatment (CEAT-HIV) and Social Support Scale for People Living with HIV/AIDS. The Spearman bivariate correlation test was used for analysis purposes. RESULTS: Among the 168 participants, the mean social support score was 3.53 points (SD = 0.66), and 64.9% (n = 109) of the respondents had insufficient adherence. There was a significant association (p < 0.05) between emotional social support and the following adherence domains: antecedents of non-adherence behaviors and doctor-patient communication. CONCLUSIONS: Social support is associated with antecedents of non-adherence behaviors and doctor-patient communication.
Subject(s)
Anti-Retroviral Agents/therapeutic use , HIV Infections/drug therapy , Medication Adherence/statistics & numerical data , Social Support , Adult , Cross-Sectional Studies , Female , Humans , MaleABSTRACT
Objetivo: Avaliar o atributo integralidade da Atenção Primária à Saúde, com foco em crianças e adolescentes vivendo com HIV, na experiência de profissionais, comparando unidades dos modelos tradicional e Estratégia Saúde da Família (ESF). Método: Estudo transversal com 527 profissionais em 25 municípios de procedência da população em acompanhamento em serviço especializado no Rio Grande do Sul (Brasil). Entrevistas desenvolvidas de março a agosto de 2014, com o instrumento Primary Care Assessment Tool-Brasil. Resultados: Somente a ESF alcançou alto escore geral (7,42), inclusive para serviços disponíveis (7,18) e prestados (7,67). Variáveis que contribuíram para o alto escore: clínico geral (p = 0,05), ≤ 15 anos/formação (p = 0,001) e pós-graduação (p < 0,001). Conclusão: A atenção primária é capaz de oferecer atenção integral a crianças e adolescentes que vivem com HIV. É necessária superação das unidades do modelo tradicional, incentivo à pós-graduação dos profissionais e manutenção de um vínculo empregatício.
Objective: To evaluate the integrality attribute of Primary Health Care, focusing on children and adolescents living with HIV, on the experience of professionals, comparing units of the traditional and Family Health Strategies models. Method: A cross-sectional study with 527 professionals in 25 municipalities from the population under follow-up at a specialized service in Rio Grande do Sul, Brazil. Interviews were conducted from March to August 2014, with Primary Care Assessment Tool-Brazil. Results: Only Family Health Strategies reached a high general score (7.42), even for available (7,18) and provided (7.67) services. Variables that contributed to the high score: general practitioner (p = 0.05), ≤ 15 years / training (p = 0.001) and post-graduation (p <0.001). Conclusion: primary care is able to comprehensive care to children and adolescents living with HIV. It is necessary to overcome the units of the traditional model, and to encourage the post-graduation of professionals and the maintenance of an employment relationship.
