Publications by authors named "Priscila Silva Pontes"

3 Publications

  • Page 1 of 1

Serodiscordance predictors among couples in the HIV context: implications for health care.

BMC Public Health 2021 10 13;21(1):1849. Epub 2021 Oct 13.

Department of General and Specialized Nursing, University of São Paulo, Ribeirão Preto College of Nursing, Bandeirantes Ave, 3900, Vila Monte Alegre SP, CEP, Ribeirão Preto, 14040-902, Brazil.

Background: After HIV diagnosis, people maintain, reestablish their sexual lives, or build new relationships, often with HIV seronegative partners. Therefore, understanding the factors concerning couple-vulnerability is essential in order to design effective HIV preventive strategies. We examined HIV serodiscordant couples prevalence and their associated factors from a Brazilian city.

Methods: This is a cross-sectional analytical study carried out with people living with HIV (PLHIV) who had an active sex life and were engagement in HIV health care follow-up. Data were collected using a semi-structured questionnaire during individual interviews. We analyzed data using bivariate and multiple logistic regression analyses.

Results: There was 72.0% of HIV serodiscordant partnerships. Those who inconsistently used condoms (aOR: 0.3[0.13-0.7]) and/or had HIV detectable viral load (aOR: 0.29 [0.12-0.7]) were less likely to have an HIV serodiscordant sexual partner. On other hand, the lack of HIV transmission counseling by the health service (aOR: 5.08 [2.02-12.76]), or those who had a casual partner (aOR: 8.12 [1.7-38.8]) or a steady and casual one concomitantly (aOR: 24.82 [1.46-420.83]), were more likely to indicate an HIV serodiscordant partnership.

Conclusion: The findings showed a high prevalence of serodiscordant partnerships in PLHIV. Greater visibility among couples in the health services is needed as well as a reassessment in order to provide PLHIV and their sexual partners with care strategies, by the health professionals.
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http://dx.doi.org/10.1186/s12889-021-11835-0DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC8513240PMC
October 2021

Factors associated to chronic kidney disease in people living with HIV/AIDS.

Rev Lat Am Enfermagem 2020 15;28:e3331. Epub 2020 Jul 15.

Escola de Enfermagem de Ribeirão Preto, Universidade de São Paulo, Ribeirão Preto, SP, Brazil.

Objective: to analyze the factors associated to chronic kidney disease in people living with HIV (PLHIV).

Method: a paired case-control study (4 controls for each case) carried out in a specialized care service in the Southeastern of Brazil, by analyzing PLHIV medical records. The sample consisted of 85 participants, corresponding to 17 cases and 68 controls. Pearson's chi-square test (Χ2) and Fisher's exact test, logistic regression, Odds Ratio (OR), 95% Confidence Interval (CI) and p<0.05 were used. SPSS version 25.0 and R Core Team, 2018 version 3.5.1 were used.

Results: the factors associated with chronic kidney disease identified in this study were the following: presence of Systemic Arterial Hypertension [OR=5.8, CI (95%)=1.84-18.42, p=0.001] and use of nephrotoxic anti-retrovirals in the previous therapeutic regimen [OR=3.3, CI (95%)=1.105-10.221, p=0.028]. On the other hand, age below 40 years old [OR: 0.122, CI (95%)=0.015-0.981, p=0.022] was identified as a protective factor.

Conclusion: the PLHIV under study have multi-factorial exposure associated with chronic kidney disease. However, knowing these factors helps to identify the existing risks and/or renal dysfunction, in addition to supporting the clinical decision of the health professionals who directly assist them.
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http://dx.doi.org/10.1590/1518-8345.3553.3331DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7365608PMC
August 2020

Association between sociodemographic and behavioral factors with metabolic syndrome in people living with HIV.

Rev Gaucha Enferm 2019 Jun 10;40:e20180379. Epub 2019 Jun 10.

Universidade de São Paulo (USP). Escola de Enfermagem de Ribeirão Preto. Ribeirão Preto, São Paulo, Brasil.

Objective: To analyze the association between sociodemographic and behavioral factors with the metabolic syndrome in people living with HIV.

Methods: A cross-sectional study was carried out in specialized outpatient clinics in Ribeirão Preto - SP city, between October 2014 and October 2016. The criteria of the National Cholesterol Education Program Adult Treatment Panel III and the International Diabetes Federation were used for the evaluation of metabolic syndrome. Individual interviews were conducted and the Chi-square and Fisher's exact test was used.

Results: 340 patients were evaluated, 28.5% (n=97) with metabolic syndrome by the National Cholesterol Education Program Adult Treatment Panel III criterion, and 39.4% (n=134) by the International Diabetes Federation. There was an association between MS and the variables gender (ATP: p<0.001, p=0.002), age (ATP: p<0.001, IDF: p<0.001), schooling (ATP: p=0.003, IDF: p=0.003), marital status (ATP: p=0.003, IDF: p=0.022), work status (ATP: p=0.003; IDF: p=0.024), smoking (ATP: p=0.037, IDF: p=0.033) and leisure activities (ATP: p=0.010, IDF: p=0.006).

Conclusions: There are significant associations between the metabolic syndrome, sociodemographic and behavioral factors in people living with HIV.
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http://dx.doi.org/10.1590/1983-1447.2019.20180379DOI Listing
June 2019
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