Associação da autoestima e do uso de álcool, tabaco e outras substâncias com qualidade de vida de pessoas com HIV/AIDS
It is noted that people affected by AIDS are targets of stigma, prejudice and social exclusion, concomitantly arise undesirable feelings, which can trigger mental illness. Assuming that selfesteem and the use of alcohol and other substances may be associated with alterations in the quality of life...
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| Formato: | doctoralThesis |
| Idioma: | pt_BR |
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| Endereço do item: | https://repositorio.ufrn.br/jspui/handle/123456789/28625 |
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| Resumo: | It is noted that people affected by AIDS are targets of stigma, prejudice and social exclusion,
concomitantly arise undesirable feelings, which can trigger mental illness. Assuming that selfesteem and the use of alcohol and other substances may be associated with alterations in the
quality of life of people with AIDS, the following hypotheses are proposed: H1 - There is an
association of self-esteem, the use of alcohol, tobacco and other substances. quality of life of
people with HIV / AIDS accompanied by the Specialized Assistance Service. H0 –There is no
association between self-esteem, use of alcohol, tobacco and other quality-of-life substances
in people with HIV / AIDS accompanied by the Specialized Assistance Service. The objective
of this study was to evaluate the association of self-esteem, the use of alcohol, tobacco and
other substances with quality of life of people with HIV / AIDS accompanied by the
Specialized Assistance Service, in Parnamirim / RN-BR. This is an analytical study, crosssectional design and quantitative approach to treatment and data analysis, which aims to
identify aspects related to quality of life, self-esteem and use of alcohol and other substances
by people living with AIDS. The accessibility sample consisted of 150 people registered with
Specialized Assistance Services. In the data collection process, four specific instruments were
used, namely: 1. Questionnaire with sociodemographic characterization; 2. Medical Outcomes
Study 36 instrument - item Short Form (SF-36); 3. Rozemberg Self-Esteem Scale; 4. Alcohol,
Smoking and Substance Involvement Screening Test Questionnaire (ASSIST). Data obtained
from the four instruments were initially entered in an Excel spreadsheet, version 2016, with a
check for possible typing errors. These data were later exported to the Statistical Package for
Social Science (SPSS), version 21.0. Descriptive analyzes were performed with absolute and
relative frequencies of nominal variables, and minimum, maximum, mean (SD) and median
scores of scalar variables. To assess the reliability of the SF-36 questionnaire and Rosemberg
Self-Esteem Scale instruments, internal consistency analysis was performed using the
Cronbach's alpha coefficient. The nonparametric association tests (Chi-square and Fisher's
exact tests, Mann Whitney U test and Friedman's test) and correlation (Spearman's correlation
test) were chosen and the p <0 level was adopted. 05 of statistical significance. All ethical
precepts were respected and the project received approval from the Research Ethics
Committee of the Federal University of Rio Grande do Norte, issued CAEE
01426918.4.0000.5537. It was found that more than half of the sample consisted of men
(69%) aged up to 59 years, single (50%), monthly family income of up to 1 minimum wage,
living in a rented house (37.3% ), with time of study according to high school (32%).
Regarding the domains and dimensions of quality of life, it is observed that the Functional
(80.3), Physical (66.7) and Emotional (60.4) Aspects obtained the best scores and Body Pain
(24, 1) with the lowest score. Regarding the self-esteem scale according to gender, it can be
verified that the female was better than the male, but without significant difference. In the
distribution of substances used by people with AIDS, the highlight was alcohol 80 (53.3%),
tobacco products 61 (40.7%) and marijuana 37 (24.7), mostly in males when compared with
female. People with the lowest self-esteem achieved in some domains better quality of life,
except in two dimensions, General Health and Body Pain. In conclusion, it is accepted the
alternative hypothesis that there is an association of self-esteem, the use of alcohol, tobacco
and other substances with quality of life of people with HIV and AIDS accompanied by the Specialized Assistance Service, showing that the quality of life has changed. according to the
self-esteem of the interviewed individuals. |
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