Health-Related Quality of Life of HIV Positive Patients with Hypertension: Is There an Association with Blood Pressure Control?

Autor: Jackson IL; Department of Clinical Pharmacy and Biopharmacy, University of Uyo, Uyo, 520103, Akwa Ibom, Nigeria. idongesitjackson@uniuyo.edu.ng., Igwe CN; Department of Clinical Pharmacy and Biopharmacy, University of Uyo, Uyo, 520103, Akwa Ibom, Nigeria., Effiong DE; Department of Pharmaceutics and Pharmaceutical Technology, University of Uyo, Uyo, Akwa Ibom, Nigeria., Ukwe CV; Department of Clinical Pharmacy and Pharmacy Management, University of Nigeria, Nsukka, Enugu, Nigeria.
Jazyk: angličtina
Zdroj: High blood pressure & cardiovascular prevention : the official journal of the Italian Society of Hypertension [High Blood Press Cardiovasc Prev] 2022 Jul; Vol. 29 (4), pp. 393-400. Date of Electronic Publication: 2022 Jun 20.
DOI: 10.1007/s40292-022-00527-4
Abstrakt: Introduction: The presence of comorbidities could affect the health-related quality of life (HRQoL) of people living with HIV (PLHIV).
Aim: To assess the HRQoL of PLHIV and Hypertension, as well as its association with blood pressure (BP) control.
Methods: This cross-sectional study was conducted in the HIV clinic of the University of Uyo Teaching Hospial in Akwa Ibom State, Nigeria, between August and October 2018. The EQ-5D-5L was administered to 201 eligible outpatients in the waiting area of the clinic before consulting the physician. Patients' socio-demographic and clinical data were obtained from the medical records. Blood pressure was measured using an automatic BP monitor. Data were analyzed with SPSS version 20.0.
Results: Majority (58.6%) of the respondents were females; mean age was 49.59 ± 8.97 years; mean systolic and diastolic BP were 152.77 ± 19.38 mmHg and 90.28 ± 11.33 mmHg, respectively. EQ-VAS and EQ-5D index scores were 80.99 ± 15.97 and 0.86 ± 0.05, respectively. There were no significant differences in EQ-VAS score (z = - 0.113,  p = 0.910) or EQ-5D utility (z = - 0.523,  p = 0.601) between participants with controlled and uncontrolled BP. Duration on antihypertensive drugs was associated with EQ-VAS score (χ 2 (2) = 6.558,  p = 0.038), while employment status was associated with EQ-5D utility (z = - 2.661,   p = 0.008).
Conclusions: PLHIV and hypertension accessing care at a Nigerian hospital reported a high HRQoL, irrespective of BP control status. Nevertheless, there is a need to provide psychological support and employment for this population to maximise their HRQoL.
(© 2022. Italian Society of Hypertension.)
Databáze: MEDLINE
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