Factors affecting quality of life in adults with HIV: A local cross-sectional study.
Background: Understanding health-related quality of life (HRQOL) among people with HIV (PWH) can inform strategies to maintain or improve health and functioning. Most HRQOL research has focused on resource-rich settings, underrepresenting younger cohorts in lowresource settings. Objectives: To asses...
| Publicado en: | South African Journal of Physiotherapy Vol. 79; no. 1; pp. 1 - 14 |
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| Autores principales: | , |
| Formato: | research tables/charts Journal Article |
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African Online Scientific Information System PTY LTD
2023
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=174985244&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 174985244 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 03796175 GO5 jtl: South African Journal of Physiotherapy issn: 03796175 maglogo: N pubinfo: dt: 2023 vid: 79 iid: 1 pid: 56831 pub: African Online Scientific Information System PTY LTD place: , <Blank> artinfo: ui: 174985244 174985244 174985244 10.4102/sajp.v79i1.1921 174985244 ppf: 1 ppct: 13 formats: fmt: – @attributes: type: T – @attributes: type: P tig: atl: Factors affecting quality of life in adults with HIV: A local cross-sectional study. aug: au: Berner, Karina Louw, Quinette A. affil: Department of Health and Rehabilitation Sciences, Faculty of Medicine and Health Sciences, Stellenbosch University, Cape Town, South Africa sug: subj: Quality of Life Evaluation Quality of Life Psychosocial Factors HIV-Positive Persons Psychosocial Factors Primary Health Care South Africa Office Visits Human Cross Sectional Studies South Africa Male Female Questionnaires Visual Analog Scaling Regression Pain Depression Anxiety Activities of Daily Living Self Care Rising Income Poverty Disease Duration HIV Infections Drug Therapy Polypharmacy Anti-Retroviral Agents Therapeutic Use Medication Compliance Self Report Patient-Reported Outcomes Descriptive Research Adolescence Adult Middle Age Aged Aged, 80 and Over Descriptive Statistics Funding Source Adolescent: 13-18 years Adult: 19-44 years Middle Aged: 45-64 years Aged: 65+ years Aged, 80 & over Male Female ab: Background: Understanding health-related quality of life (HRQOL) among people with HIV (PWH) can inform strategies to maintain or improve health and functioning. Most HRQOL research has focused on resource-rich settings, underrepresenting younger cohorts in lowresource settings. Objectives: To assess HRQOL and associated factors in PWH visiting two primary healthcare clinics in the Western Cape, South Africa. Method: A cross-sectional study included 48 PWH (58.3% women; mean age: 39.2 [10.3]). Health-related QOL was assessed using EQ-5D-5L descriptive domains, visual analogue scale (EQ-VAS), and index score (EQ-index). Mobility was assessed using clinical tests. Tobit regression determined associations. Results: Mean and median EQ-VAS scores were 88.14 (16.35) and 95.00. Mean and median EQ-index scores were 0.84 (0.10) and 0.90. PWH reported problems as pain/discomfort (35.4%), depression/anxiety (25.0%), mobility (22.9%), usual activities (18.7%) and self-care (12.5%) domains. Slow chair rise (p = 0.012), low income (p = 0.030), longer HIV duration (p = 0.009) and polypharmacy (p = 0.034) were associated with lower HRQOL. Antiretroviral therapy (ART) adherence was associated with higher HRQOL (p = 0.020). Conclusion: Despite high overall HRQOL, specific domains presented challenges to PWH. Health-related QOL was associated with chair rise repetitions, income, HIV duration, polypharmacy, and treatment adherence. Comprehensive care and contextualised interventions to address these through rehabilitation, including health promotion, are proposed strategies for future investigation. Clinical implications: Clinicians should be cognisant of potential physical and mental functioning problems, and factors related to drug therapy, socio-economic status and disease duration that may affect HRQOL even in seemingly unimpaired PWH. pubtype: Academic Journal doctype: research tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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