Hospitalization of people 50 years old or older living with HIV/AIDS

A quantitative, cross-sectional study was conducted at two inpatient units specialized in infectious diseases in a teaching hospital. Data were gathered through individual interviews between August 2011 and February 2015. All ethical precepts were followed.

Results:

Of the 532 admitted patients, 95 were PLHA 50 years old or older; 30.5% were admitted 3 to 4 times after being diagnosed with HIV/AIDS.

Conclusion:

Rate of hospitalization was 17.8%, and being 50 to 60 years old was a protective factor against hospitalization.

Descriptors:
Hospitalization; HIV; HIV Long-term Survivors; HIV Infections; Opportunistic Infections

Variables	People hospitalized with HIV infection diagnosis
	Younger than 50 years (n=55)		50 years old or older (n=40)		Total		p value
	n	%	n	%	n	%
Sociodemographic
Gender
Male	31	53.4	27	46.6	58	100	0.295
Female	24	64.9	13	35.1	37	100	0.295
Age group (years)
50 \|----\| 60	48	65.8	25	34.2	73	100	0.007
≥ 61	7	31.8	15	68.2	22	100	0.007
Ethnicity
White	39	58.2	28	41.8	67	100	1.000
Black	16	57.1	12	42.9	28	100	1.000
Occupation
On medical leave/benefit	6	66.7	3	33.3	9	100	0.436
Retired/receives pension	15	53.6	13	46.4	28	100
Unemployed	10	76.9	3	23.1	13	100
Working	24	53.3	21	46.7	45	100
Affective-sexual
Sexual orientation
Heterosexual	45	52.6	31	47.4	76	100	0.796
Homo/Bisexual	10	59.2	9	40.8	19	100	0.796
Sexual partnership in the 6 months prior to the study
Yes	16	43.2	21	56.8	37	100	0.033
No	39	67.2	19	32.8	58	100	0.033
Condom use in the 6 months prior to the study
Yes	13	54.2	11	45.8	24	100	0.005
No	3	21.4	11	78.6	14	100
No relations	39	68.4	18	31.6	57	100
Epidemiological
Category of exposure to HIV
Sexual	36	52.9	32	47.1	68	100	0.167
Nonsexual	19	70.4	8	29.6	27	100	0.167
Time of HIV diagnosis
≤ 5 years	10	23.8	32	76.2	42	100	0.000
> 5 years	45	84.9	8	15.1	53	100	0.000
Clinical
Viral load count
≤ 50 copies/ml (undetectable)	22	59.5	15	40.5	37	100	0.300
>50 copies/ml (detectable)	26	63.4	15	36.6	41	100
No information	7	41.2	10	58.8	17	100
CD4 T count
≤ 350 cells/mm³	23	60.0	14	40.0	37	100	0.321
> 350 cells/mm³	27	38.5	18	61.5	45	100
No information	5	57.9	8	42.1	13	100
Treatment
Picking up ART prescription in the year prior to the study
Desirable (≥ 9 pick ups)	34	54.0	28	46.0	63	100	0.379
Undesirable (< 9 pick ups)	21	65.5	11	34.4	32	100	0.379
Number of ART alterations in the year prior to the study
Once	8	61.5	5	38.5	13	100	0.142
Twice	28	66.7	14	33.4	42	100
3 times	11	42.3	15	57.7	26	100

Variables	Crude OR	*95% CIMin - Max	pvalue	Adjusted OR	*95% CIMin - Max	pvalue
Age group (years)
50 \|----\| 60	0.072	0.023 - 0.541	0.001	0.221	0.077 - 0.633	0.005
≥ 61		Reference			Reference
Category of exposure to HIV
Sexual	5.399	1.155 - 25.241	0.032	2.445	0.883 - 6.773	0.085
Non-sexual		Reference			Reference

Associação Brasileira de Enfermagem SGA Norte Quadra 603 Conj. "B" - Av. L2 Norte 70830-102 Brasília, DF, Brasil, Tel.: (55 61) 3226-0653, Fax: (55 61) 3225-4473 - Brasília - DF - Brazil
E-mail: reben@abennacional.org.br

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[1] CORRESPONDING AUTHOR: Daiana Patricia Marchetti Pio. E-mail: daiana_pio@yahoo.com.br