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Falls are accidental events and harmful to the healthy elderly. Its consequence can lead to the disability and the death. Accordingly, it becomes important to assess the relation between falls and quality of life. This theme is little studied in Brazil and internationally, especially in areas with large population bases. Objective: To identify the association between occurrence of fall and health-related quality of life (HRQL) using the SF-36 according to gender, age and schooling, among the elderly population of Campinas/Brazil. Methods: A cross-sectional, population-based study, using data from ISACAMP 2008. The present study analyzed only the population with 60 years old or more, totaling 1432 elderly individuals. The dependent variables were the eight SF-36 scale, version 2. The main independent variables were the falls occurred in the last 12 months and the limitation in activities daily living due to the falls. Analysis were carried out with the simple and multiple linear regression model in order to determine the associations between the dependent and main independent variables, using svy commands of STATA 11.0. Results: The prevalence of falls in the last year was 6.3%. The elderly individuals who referred to fall in the last 12 months exhibited the lowest score in seven of eight SF-36 scales, comparing with non-fallers. The association between fall and HRQL was greater in the male population. The elderly individuals who are older (75 or more) and located in the lower schooling stratum, and experienced falls also exhibited the lowest SF-36 scale scores, in physical and social functioning. Stratifying falls, considering those who cause limitations and those who do not, can be observed with the lowest scores in physical functioning, role physical, role emotion and social functioning, and only in the stratum of people who have limitations in daily living. Conclusion: The occurrence of falls can cause important limitations in
of the study was to analyze the relationship between treatment adherence,
quality of life and clinical variables in HIV/AIDS Infection. The empirical study was conducted at two Portuguese hospitals (Porto and
Lisbon) with a sample of 295 outpatients diagnosed with HIV/AIDS attending the
Infectology service and on antiretroviral medication, during a 12-month period
(February 2009 to February 2010). Data were collected by voluntary fulfillment of three questionnaires: one for
socio-demographic variables, one to
Assess Adherence to Antiretroviral Treatment-HIV and the Portuguese version
of the WHOQOL-Bref to measure the quality of life (QoL). Clinical records were
inspected in order to collect clinical information from the patients. The
relationship between these variables was accessed by Student’s t-test and ANOVA using Tukey and LSD as the post Hoc test.
Regarding disease stages, the post Hoc analysis has showed that asymptomatic patients have a better level of adherence and
quality of life when compared to those in more advanced stages of the disease.
Undetectable viral load <20 copies/mL and T CD4+ count >500 cells/mm3 were also associated with higher QoL in all overall domains. Patients on NRTI + NNTRI regimens have higher adherence
when compared to those on NRTI + PI regimens and
higher QoL indexes when compared to twice daily regimens, patients on single
dose per day regimens have higher adherence and higher QoL in overall domain.
Patients experiencing adverse effects have lower QoL and lower adherence levels
when compared to those not experiencing such events. We consider the multiplicity and the interaction of several determinants
of influence in the adaptation process during the HIV/AIDS treatment. The
results may have implications for the psychological intervention to improve the
adherence’s level to the antiretroviral therapy.