Associação entre a atividade sexual e marcadores de imunidades adquirida em mulheres com AIDS em um município do Nordeste brasileiro

Abstract

INTRODUCTION:The Acquired Immunodeficiency Syndrome (Aids) comes along the years promoting inversion of the relation men/women in the age group of 13 to 19 years, committing mainly the reproductive life phase women. The sexuality, inherent upon human being, has in the expression of satisfaction of the sexual performance the possibility of providing several benefits in the quality of life of people, such as increase of the longevity, among others. In women living with Aids the main marker of immunity are the CD4+ T lymphocytes used for evaluating the need of antiretroviral therapy (ARVT). OBJECTIVE: Showing up the association between the CD4 count and the sexual performance of women living with Aids in Imperatriz city. METHODOLOGY: cross-sectional study, carried out in the period of march, 2014 to december, 2014, in which it was selected women with diagnosis of Aids, using ARVT at least six months before interview, originating from the Specialized Aids Service (SAS), registered in the Medicines Logistic Control System - SICLOM, of Imperatriz town. They were included those women older than 18, who related having sexual practice before the diagnosis of Aids, capable of communicating, without any cognitive deficit. The facts about the socio-demographic and behavioral variables, clinical factors related to co-morbidities were recorded in own form, right away they answered the Female Sexual Function Index (FSFI) questionnaire. The sample was based in the quantitative of women registered in the SICLOM of Imperatriz Town, sampling error of 5%, confidence interval (CI) of 95%, alpha value ≤ 5%. The chisquare test was used to evaluate the association between the variables, so the Kruskal- Wallis test when necessary. The test of Spearman was utilized for showing the correlation between the relation CD4/CD8 and FSFI. RESULT: the sample included 149 women, it was noted that the larger FSFI score means and medians coincided with the highest means of CD4 T- lymphocyte count from the 2rd quartile (Kruskal Wallis test, p = 0.0347), and there was a positive association between FSFI and the CD4 / CD8 ratio (p = 0.0264), confirming the alternative hypothesis (Spearman correlation). CONCLUSION: It was concluded there is a positive association between the sexual performance and CD4 count.