[Prevalence of oral lesions in persons with HIV and associated factors in a southern Brazilian city].
The aim of the study was to assess the prevalence of oral lesions in AIDS patients and identify associated factors. A cross-sectional study collected data from interviews, clinical examination, and a review of medical records for adult patients treated at the HIV/AIDS clinic in the University Hospital of the Federal University in Rio Grande, Rio Grande do Sul State, Brazil, focusing on socio-demographic, immune status, and treatment factors. Poisson regression was used in a hierarchical analytical model. From April 2006 to January 2007, 300 patients were observed (51% males; mean age 40 years). Of the total, 39% presented oral lesions, with candidiasis as the most frequent (59.1%), followed by hairy leukoplakia (19.5%). Women showed a lower risk of oral lesions, and there was an inverse association with CD4 count. Increased risk was associated with lower schooling, low income, smoking, alcohol addiction, time since HIV seroconversion, and higher viral load. The data confirm the increased prevalence of opportunistic oral lesions and show their relationship to socioeconomic conditions and modifiable habits and customs.
Gasparin
Adriano Baraciol
AB
Universidade Federal do Rio Grande, Rio Grande, Brasil.
Ferreira
Fabiana Vargas
FV
Danesi
Cristiane Cademartori
CC
Mendoza-Sassi
Raúl Andrés
RA
Silveira
Jussara
J
Martinez
Ana Maria Barral
AM
Zhang
Linjie
L
Cesar
Juraci A
JA
D017088:AIDS-Related Opportunistic Infections / Q000150:complications / Q000453:epidemiology*; D000293:Adolescent; D000328:Adult; D001938:Brazil / Q000453:epidemiology; D018791:CD4 Lymphocyte Count; D003430:Cross-Sectional Studies; D003710:Demography; D005260:Female; D015438:Health Behavior; D006801:Humans; D008297:Male; D008875:Middle Aged; D009059:Mouth Diseases / Q000453:epidemiology* / Q000821:virology; D015999:Multivariate Analysis; D009910:Oral Hygiene; D012737:Sex Factors; D012959:Socioeconomic Factors; D019562:Viral Load; D055815:Young Adult