Correlates of health-related quality of life among adults receiving combination antiretroviral therapy in coastal Kenya
Autor: | Stanley W. Wanjala, Amina Abubakar, Hans M. Koot, Agnes M. Mutua, Paul Mwangi, Moses K. Nyongesa, Pim Cuijpers, Charles R. Newton |
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Přispěvatelé: | Clinical Psychology, Clinical Developmental Psychology, APH - Mental Health, APH - Global Health, World Health Organization (WHO) Collaborating Center |
Jazyk: | angličtina |
Rok vydání: | 2020 |
Předmět: |
Gerontology
Adult Male Quality of life Psychometrics Social Stigma Psychological intervention Stigma (botany) lcsh:Computer applications to medicine. Medical informatics 03 medical and health sciences Social support 0302 clinical medicine Acquired immunodeficiency syndrome (AIDS) SDG 3 - Good Health and Well-being Surveys and Questionnaires Medicine Humans Adults 030212 general & internal medicine 2. Zero hunger business.industry Depression 030503 health policy & services Research Public Health Environmental and Occupational Health General Medicine Middle Aged medicine.disease Kenya humanities 3. Good health Antiretroviral therapy Cross-Sectional Studies Anti-Retroviral Agents lcsh:R858-859.7 Correlates Female 0305 other medical science business Serostatus Body mass index HIV infections |
Zdroj: | Nyongesa, M K, Mwangi, P, Wanjala, S W, Mutua, A M, Koot, H M, Cuijpers, P, Newton, C R J C & Abubakar, A 2020, ' Correlates of health-related quality of life among adults receiving combination antiretroviral therapy in coastal Kenya ', Health and Quality of Life Outcomes, vol. 18, no. 1, 169, pp. 1-14 . https://doi.org/10.1186/s12955-020-01421-0 Health and Quality of Life Outcomes Health and Quality of Life Outcomes, 18(1):169, 1-14. BioMed Central Health and Quality of Life Outcomes, Vol 18, Iss 1, Pp 1-14 (2020) |
ISSN: | 1477-7525 |
Popis: | Background Health-related quality of life (HRQoL) is an important metric of perceived wellbeing in people living with HIV/AIDS (PLWHA). However, research on HRQoL among PLWHA in sub-Saharan Africa is limited. This study investigates factors associated with HRQoL among PLWHA in Kilifi, coast of Kenya. Methods Between February and April 2018, 450 adults living with HIV and on combined antiretroviral therapy (cART) between 18 to 60 years were sequentially recruited from an HIV-specialized clinic. The Functional Assessment of HIV Infection (FAHI) questionnaire, previously adapted for assessing HRQoL in this setting, was slightly modified and administered to participants alongside other measures of sociodemographic, health and treatment characteristics in a face-to-face interview. Results Linear regression analyses indicated that depressive symptoms, HIV-related stigma, non-disclosure of HIV status, living alone, clinic inaccessibility, and presence of any current opportunistic infection were significantly associated with lower HRQoL scores at both the FAHI overall and sub-scale level. Higher physician empathy, male sex, and higher body mass index were significantly associated with better HRQoL scores at both FAHI overall and sub-scale level. Age and longer duration on cART were significantly associated with better HRQoL only at the sub-scale level. Conclusions Interventions aimed at reducing depressive symptoms and HIV stigma, making HIV-related services more accessible, addressing opportunistic infections, strengthening social support systems, serostatus disclosure and put in place caring, respectful, and compassionate model of care are necessary to improve the HRQoL of PLWHA. |
Databáze: | OpenAIRE |
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