Banca de DEFESA: ANNA CLAUDIA FREIRE DE ARAUJO PATRICIO

Uma banca de DEFESA de DOUTORADO foi cadastrada pelo programa.
DISCENTE : ANNA CLAUDIA FREIRE DE ARAUJO PATRICIO
DATA : 13/11/2019
HORA: 15:00
LOCAL: Departamento de Enfermagem
TÍTULO:

Analysis of the health and disease conditions of homeless people

PALAVRAS-CHAVES:

Homeless Persons, Mental Health, HIV, Syphilis, Tuberculosis.

PÁGINAS: 152
GRANDE ÁREA: Ciências da Saúde
ÁREA: Enfermagem
RESUMO:

        This is a cross-sectional study conducted with 100 homeless people in the city of João Pessoa, Paraíba, with the objective of analyzing the health and disease conditions of 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. 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. Conclusion: 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.

MEMBROS DA BANCA:
Externa à Instituição - KHIVIA KISS DA SILVA BARBOSA - UFCG
Externa à Instituição - LUIPA MICHELE SILVA - UFG
Interna - 1863377 - MARIA ALZETE DE LIMA
Externa ao Programa - 1415086 - MIRELLA ALVES DA CUNHA
Presidente - 2379141 - RICHARDSON AUGUSTO ROSENDO DA SILVA