Home opportunities for the motor development of infants vertically exposed to HIV.

Autor: Pacheco, Tamiris Ferreira, Paula, Cristiane Cardoso de, Tamplain, Priscila, Muñoz, Jenny Amanda Ortiz, Rodrigues, Analu Lopes, Padoin, Stela Maris de Mello
Zdroj: Acta Paulista de Enfermagem; 2024, Vol. 37 Issue 1, p1-9, 9p
Abstrakt: Objective: to evaluate the opportunities of the home for the motor development of vertically exposed infants according to the interdependent levels of the environment. Methods: This was a cross-sectional study which included family members who were capable of carrying out the daily care of HIV-exposed infants aged between three and 18 months who were being monitored by health services in eight municipalities in southern Brazil. Infants who were institutionalized, had lost their outpatient follow-up or were unable to be contacted by telephone were excluded. A total of 168 family members took part in the study through face-to-face and telephone data collection, characterizing the family member, the infant and the environment. The scales of opportunities in the home environment for motor development, the infant and food insecurity scales were applied. Descriptive analyses and correlations between the independent variables were carried out, followed by Poisson regression with robust variance. Results: The total opportunities of the home environment were classified as moderately adequate (37.4%), variety of stimulation as excellent (35.4%), physical space as moderately adequate (44.5%), toys for gross motor skills (38.0%) and fine motor skills (38.7%) as less than adequate. There was an association for schooling (p < 0.005), income (p < 0.013) and food security (p < 0.032) with the outcome less than adequate or moderately adequate for home opportunities. Conclusion: Poorer schooling, financial conditions and food security imply fewer opportunities for motor development, which can be exacerbated by the clinical fragility of infants with an as yet undefined serological condition and the demand for regular care to prevent vertical transmission. [ABSTRACT FROM AUTHOR]
Databáze: Complementary Index