Vínculo de trabalho informal, qualidade de sono ruim e pior bem estar subjetivo estão associados à capacidade para o trabalho entre pessoas vivendo com HIV .

Abstract

Introduction: The advent of antiretroviral therapy (ART) increased life expectancy among people living with HIV (PLWHIV), which also facilitated their insertion or maintenance in the work environment. On the other hand, PLWHIV carry the burden of diagnosis, the stigma attached to the disease, opportunistic infections and tumors, and difficulties in career opportunities. Objective: To evaluate the factors associated with work ability among people living with HIV (PLWHIV), as well as to estimate the prevalence of work ability, subjective well-being and quality of sleep in people living with HIV. Methods: This was a observational cross-sectional epidemiological study in a sample of 122 PLWHIV, who had formal or informal employment contract, aged 18 years or over and treated with antiretrovirals (ART), assisted by the service of specialized assistance in AIDS, of the municipality of Santos / SP. To evaluate the factors associated with moderate or low work ability, the logistic regression analysis was performed. The multiple model was adjusted for the working hours, time of HIV infection and biological markers (viral load, CD4 cell count and CD4/CD8 ratio). Results: The mean age was 43.7 years (SD 10.6 years); the majority were male (55.7%), single (58.2%), with incomplete secondary education (65.6% %) and with informal employment contract (52.1%). The mean time to use ART was 7.2 years (SD 6.6 years). The majority presented great or good work ability (55.7%), poor sleep quality, both on workdays and on days off (53.3% and 50.8%, respectively). The worst subjective well-being was seen in 41% in PLWHIV. Regardless of the working hours, time of HIV infection and biological markers, it has been found that having informal employment contract, poor sleep quality on working days, and worse subjective well-being has increased about twice the chance of having a moderate or low work ability among PLWHIV. Conclusion: Informal work, poor sleep quality, and worse subjective well-being are associated with worse work ability among people living with HIV, being high the prevalence of moderate or low work ability, subjective well-being and quality of sleep.