<?xml version="1.0" encoding="ISO-8859-1"?><article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance">
<front>
<journal-meta>
<journal-id>1688-0390</journal-id>
<journal-title><![CDATA[Revista Médica del Uruguay]]></journal-title>
<abbrev-journal-title><![CDATA[Rev. Méd. Urug.]]></abbrev-journal-title>
<issn>1688-0390</issn>
<publisher>
<publisher-name><![CDATA[Sindicato Médico del Uruguay]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S1688-03902018000100003</article-id>
<article-id pub-id-type="doi">10.29193/rmu.34.1.1</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Calidad de vida relacionada a la salud en personas con VIH y factores asociados]]></article-title>
<article-title xml:lang="en"><![CDATA[Quality of life related to health in people with HIV and associated factors]]></article-title>
<article-title xml:lang="pt"><![CDATA[Qualidade de vida relacionada à saúde em pessoas com HIV e fatores associados]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Cabrera Alonso]]></surname>
<given-names><![CDATA[Susana Gabriela]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Arteta Dalchiele]]></surname>
<given-names><![CDATA[Zaida]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Meré Rouco]]></surname>
<given-names><![CDATA[Juan José]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Cavalleri Ferrari]]></surname>
<given-names><![CDATA[Fiorella]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Universidad de la República Facultad de Medicina ]]></institution>
<addr-line><![CDATA[ ]]></addr-line>
<country>Uruguay</country>
</aff>
<aff id="Af2">
<institution><![CDATA[,Fondo de Población de Naciones Unidas (UNFPA)  ]]></institution>
<addr-line><![CDATA[ ]]></addr-line>
</aff>
<aff id="Af3">
<institution><![CDATA[,Universidad de la República Facultad de Medicina Departamento de Métodos Cuantitativos]]></institution>
<addr-line><![CDATA[ ]]></addr-line>
<country>Uruguay</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>00</month>
<year>2018</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>00</month>
<year>2018</year>
</pub-date>
<volume>34</volume>
<numero>1</numero>
<fpage>3</fpage>
<lpage>41</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://www.scielo.edu.uy/scielo.php?script=sci_arttext&amp;pid=S1688-03902018000100003&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.edu.uy/scielo.php?script=sci_abstract&amp;pid=S1688-03902018000100003&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.edu.uy/scielo.php?script=sci_pdf&amp;pid=S1688-03902018000100003&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[Resumen:  Introducción:  aunque existe una mejoría significativa en la sobrevida consecuencia del impacto del tratamiento antirretroviral (TARV), numerosos estudios demuestran que existe una afectación de la calidad de vida relacionada a la salud (CVRS) en personas con virus de inmunodeficiencia humana (VIH).  Objetivo:  evaluar CVRS en personas con VIH y variables socio-demográficas y clínicas asociados, con énfasis en la adherencia al TARV.  Método:  estudio transversal de una muestra no probabilística de personas con VIH, mayores de 18 años, recibiendo TARV, asistidas en el subsector público en un período de 24 meses. Se aplicó la encuesta MOS-HIV SF30 (CVRS). Se aplicó el cuestionario SMAQ para evaluar adherencia.  Resultados:  se incluyeron 101 personas. El cuestionario MOS-HIV SF30 mostró fiabilidad y buena consistencia interna. El score global de CVRS fue 71,71±17,76. Fue peor el score global y en algunas dimensiones en pacientes con carga viral indetectable: funcionamiento físico, p=0,016; energía/fatiga, p=0,008; calidad de vida percibida, p=0,025. En mujeres el score fue peor en dolor, p=0,034; funcionamiento físico, p=0,006; funcionamiento social, p=0,031; salud mental, p=0,040. El score fue significativamente mejor en algunos dominios entre adherentes (salud general percibida, p=0,027; funcionamiento social, p=0,030); en varones gay/bisexuales (dolor, p=0,025; actividad diaria, p=0,028); entre quienes tuvieron relaciones sexuales en el último mes (salud general percibida, p=0,011).  Conclusiones:  el score global de CVRS fue bueno a pesar de ser una población con múltiples vulnerabilidades. Si bien la adherencia se relacionó a mejor percepción de CVRS en algunos dominios, no tuvo impacto en el score global. La carga viral indetectable no fue predictor de mejor CVRS, lo que reafirma que los parámetros biológicos aislados no dan cuenta de la complejidad de la salud percibida.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[Abstract:  Introduction: in spite of there being a meaningful improvement in the survival of individuals as a consequence of antiretroviral therapy (ART), several studies have shown it affects the health-related quality of life of HIV infected people.  Objective:  to assess the health-related quality of life (HRQoL) of HIV infected people, as well as social and demographic variables, associated clinical findings, in particular in the adherence to antiretroviral therapy (ART).  Method: transversal study of a non-probabilistic sample of HIV infected people, older than 18years old, undergoing antiretroviral therapy (ART), who were seen in the public sub-sector during a 24 month period. The MOS-HIV SF30 (HRQoL) questionnaire survey was applied. The SMAQ questionnaire was applied to assess adherence.  Results: 101 patients were included in the study. The MOS-HIV SF30 (HRQoL) questionnaire evidenced reliability and a good internal consistency. Global HRQoL score was 71.71±17.76. Global score was worse and in a few dimensions, in patients with an undetectable viral load the following was found: physical activity: p=0.016; energy/fatigue: p=0.008; perceived quality of life: p=0.025. Score for women was worse for pain: p=0.034; physical activity: p=0.006; social performance: p=0.031; mental health: p=0.040. The score was meaningfully better in a few domains among those who adhered to it (general health condition perceived p=0.027; social performance: p=0.030), in gay/bisexual boys (pain: p=0.025; daily activity: p=0.028); among those who had sex in the last month (general health condition perceived: p=0.011).  Conclusions: the Global HRQoL score was good despite it being a population comprising multiple vulnerabilities. In spite of adherence being associated to a better perception of the HRQoL in a few domains, it had no impact on the global score. Undetectable viral load was no predictor of the HRQoL, what reinforces the idea that isolated biological parameters do not account for the complexity of perceived health condition.]]></p></abstract>
<abstract abstract-type="short" xml:lang="pt"><p><![CDATA[Resumo:  Introdução:  embora exista uma significativa melhoria na sobrevida, consequência do impacto do tratamento antirretroviral (TARV), numerosos estudos demostram que a qualidade de vida relacionada à saúde (QVRS) em pessoas com VIH é afetada.  Objetivo:  avaliar QVRS em pessoas com VIH e as variáveis sócio demográficas e clínicas associadas, com ênfase na adesão ao TARV. Método. Estudo transversal de uma amostra não probabilística de pessoas com VIH, maiores de 18 anos, recebendo TARV, atendidas no subsetor público em um período de 24 meses. Foram utilizados os questionários MOS-HIV SF30 para QVRS e SMAQ para avaliar a adesão ao tratamento.  Resultados:  foram incluídas 101 pessoas. O questionário MOS-HIV SF30 mostrou fiabilidade e boa consistência interna. O score global de QVRS foi 71,71±17,76. O score global e em algumas dimensões foi pior em pacientes com carga viral indetectável: funcionamento físico, p=0,016; energia/fadiga, p=0,008; qualidade de vida percebida, p=0,025. Nas mulheres o score foi pior em dor, p=0,034; funcionamento físico, p=0,006; funcionamento social, p=0,031; saúde mental, p=0,040. O score foi significativamente melhor em alguns domínios entre os aderentes (saúde general percebida, p=0,027; funcionamento social, p=0,030); em homens gay/bissexuais (dor, p=0,025; atividade diária, p=0,028); entre os que tiveram relações sexuais no último mês (saúde general percebida, p=0,011).  Conclusões:  o score global de QVRS foi bom apesar de ser uma população com múltiplas vulnerabilidades. Embora a adesão ao tratamento estivesse relacionada a uma melhor percepção da QVRS em alguns domínios, não teve impacto no score global. A carga viral indetectável não foi preditor de melhor QVRS, o que confirma que os parâmetros biológicos isolados não explicam a complexidade da percepção de saúde.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[Calidad de vida]]></kwd>
<kwd lng="es"><![CDATA[VIH]]></kwd>
<kwd lng="es"><![CDATA[Síndrome de inmunodeficiencia adquirida]]></kwd>
<kwd lng="en"><![CDATA[Quality of life]]></kwd>
<kwd lng="en"><![CDATA[HIV]]></kwd>
<kwd lng="en"><![CDATA[Acquired immunodeficiency syndrome]]></kwd>
<kwd lng="pt"><![CDATA[Qualidade de vida]]></kwd>
<kwd lng="pt"><![CDATA[HIV]]></kwd>
<kwd lng="pt"><![CDATA[Síndrome de imunodeficiência adquirida]]></kwd>
</kwd-group>
</article-meta>
</front><back>
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