Condições clínicas associadas às pessoas em situação de rua
This is a cross-sectional study conducted with 100 homeless people in the city of João Pessoa, Paraíba, with the objective of analyzing clinical conditions associated with homeless people. Data were collected between February and May 2018. For this purpose, a structured interview script, Self-Rep...
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| Formato: | doctoralThesis |
| Idioma: | pt_BR |
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Brasil
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| Endereço do item: | https://repositorio.ufrn.br/jspui/handle/123456789/28481 |
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| Resumo: | This is a cross-sectional study conducted with 100 homeless people in the city of João Pessoa,
Paraíba, with the objective of analyzing clinical conditions associated with homeless people.
Data were collected between February and May 2018. For this purpose, a structured interview
script, Self-Reporting Questionnaire Scale, Beck Anxiety Scale, Beck Depression Scale, Beck
Desperation Scale, Resilience, Hamilton Depression Scale and HIV / AIDS Vulnerability
Questionnaire. In addition, rapid tests for HIV, virus, hepatitis B and C were performed. One
research was approved by the Ethics Committee on Research on Human Beings of the Federal
University of Paraíba, according to opinion number 2456847, CAAE 79486517000005176.
Initially, the questionnaire on vulnerability to HIV was validated. HIV, Tuberculosis, and
other Sexually Transmitted Infections through Item Response Theory. To verify the influence
of variables on the diagnosis of HIV and tuberculosis, perform the Weight of Evidence by
measuring the Information Value. The latent class model and confirmatory factor analysis are
also used to verify an association of variables with psychological, sociodemographic and
behavioral factors. These procedures were performed with the aid of the software SPSS 19.0,
Software R and MPLUS. It was found that 79% of respondents have common mental
disorders, 37% mild, 29% desperate, 48% low resilience, 69% depression; 74% use drugs,
29% are HIV positive, 5% HIV, 1% hepatitis B, 75% do not use condoms in all sexual
relations, 52% have sex with casual partners, 54% have sex with drug users, 71% suffered
physical violence. An analysis using the Item Response Theory validated as reliable for
measuring vulnerability to HIV, the following items: early diagnosis of STI (F = 0.473),
partner with STI symptom (F = 0.518), drug use (F = 0.509), sex for money (F = 0.552), STI
symptoms (F = 0.448), amount of sexual partner (F = 0.616), sharpening (F = 0.398) and
being a victim of sexual violence (F = 0.347). Factors considered by the Weight of Evidence
that influence HIV were: hopelessness, anxiety, time spent living on the street, age, oral sex.
For tuberculosis found: hopelessness, resilience, dwelling time on the street, anal and oral sex.
We highlight the Latent Class Model for three classes with Akaike Information Criterion of
1828.24, Bayesian Information Criterion of 1989.76, relative entropy of 95.89%, being
interpreted as ≤ 30 years, men, single, low resilience, depression, 85% mental disorder, oral,
anal and vaginal sex, anxiety symptoms and mild depression. A confirmatory factor analysis
found a presence of factors that influence or harm homeless people, such as:
sociodemographic, psychic and behavioral, with a Comparative Adjustment Index of 0.986;
Tucker-Lewis Index of 0.982; Mean Square Root of Approximation Error Squares 0.022;
Mean Square Index 0.075. The study allowed identifying factors that predispose to
postponement and that can be inserted in the care provided as homeless people in order to find
early factors that favor the postponement, minimizing them and providing the necessary
assistance. |
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