Características dos usuários do Centro de Testagem e Aconselhamento de Fortaleza e fatores associados ao diagnóstico de infecção pelo HIV

• Ano de defesa: 2016
• Autor(a) principal: Silva, Stelania Sales da
• Tipo de documento: Dissertação
• Tipo de acesso: Acesso aberto
• Idioma: por
• Palavras-chave em Português: Sorodiagnóstico da AIDS; Infecções por HIV; Soroprevalência de HIV; Testes Sorológicos
• Link de acesso: http://www.repositorio.ufc.br/handle/riufc/30591

In the last decade, there has been a reduction of indicators related to HIV worldwide, particularly in new cases and deaths. This phenomenon has been associated with a global expansion to antiretroviral therapy. In Brazil, these indicators remain stable, but with important regional differences, with its increase in the North and Northeast. The Testing and Counselling Centres (CTA in Brazil) are important for the development of studies that seek to understand the HIV epidemic. This study aimed to describe the characteristics of their users, trying to determine the factor associated with the diagnosis of infection by the HIV, a cross-sectional study involving individuals who sought serological testing in the Testing and Counselling Centres of Fortaleza, in the period of October/2013 and September/2014. The data of the users was obtained in the forms from the Testing and Counselling Centres. Additional data was obtained from those individuals diagnosed with HIV infection, through a structured interview, performed after about a week from the diagnosis. During the period of this study 4.856 users were evaluated, and 191 (3.9%) were diagnosed as new cases of infection by the HIV. The users in the Testing and Counselling Centres were predominantly men (60%); between the ages of 20 and 29 (43.9%); single, separated or widowed (61.3%), having 8 to 11 years of studies (41.4%). Among the new cases there was a predominance of men (8.4%) and the elevated number of men who have sex with men (HSH) (83%), being the two factors significantly associated with the infection [OR= 4.42 (IC 95%: 2.91 – 6.78), p<0.001] e [OR=10.81(IC 95%: 7.66 – 15.270), p<0.001]. We have observed that the majority (75%) of the new cases were asymptomatic and had a CD4+ value above 350 cells/µL (73.1%). The high prevalence of HIV between the HSH reinforces the need for strategies directed to key populations. The clinical and immunological status of the new cases was quite favourable and diverse from the local epidemiological data, suggesting the importance of the Testing and Counselling Centres and the need for amplifying the access to early diagnosis throughout the State health system. The Testing and Counselling Centres consists of a valuable epidemiological and virological surveillance tool.