Health-related quality of life among people living with HIV/AIDS in Togo: individuals and contextual effects

Yaya, Issifou; Djalogue, Lihanimpo; Patassi, Akouda; Landoh, Dadja Essoya; Assindo, Ayélé; Nambiema, Aboubakari; Kolani, Kanfitine; Patchali, P’Niwè Massoubayo; Bignandi, Essodjèlouna Manani; Diallo, A.; Ekouévi, Didier K.; Saka, Bayaki

doi:10.1186/s13104-019-4171-x

Cited by 37 publications

(38 citation statements)

References 21 publications

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“…In this study, we observed that close to half of the participants (43%) had a good QoL. This finding compares with previous findings involving HIV patients on treatment from Ethiopia [ 23 , 24 ] and Togo [ 25 ]. The proportion of study participants with good QoL was even higher (>70%) according to other studies from sub-Saharan Africa [ 26 ].…”

Section: Discussionsupporting

confidence: 81%

Health-related quality of life and associated factors among people living with human immunodeficiency virus on highly active antiretroviral therapy in North East Ethiopia: Cross-sectional study

et al. 2021

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Introduction HIV/AIDS remains a public health concern affecting millions of people across the world. Although the health-related quality of life (HRQoL) of patients living with HIV has significantly improved after treatment, its chronicity makes the HRQoL uncertain. This study assessed factors associated with the health-related quality of life among people living with HIV/AIDS on HAART in North-East Ethiopia. Methods An institutional-based cross-sectional study was conducted from March to April 2018, and systematic random sampling was used to select 235 participants who were on HAART. HRQoL was assessed using the Medical Outcomes Study HIV Health Survey. Descriptive and multiple linear regression analysis were computed using the statistical package for social sciences version 20. Results The study revealed one-factor structure and had good overall internal consistency (78.5). Over one-third (42.6%; 95% CI; 36.2%, 48.9%) of participants had good HRQoL. The least HRQoL mean score was found for cognitive functioning 32.21(±19.78), followed by social functioning 40.58(±29.8). Factors associated with the overall HRQoL were 25–45 years of age (β = − 3.55, 95% CI;-6.54, -0.55), working in private sector (β = -5.66, 95% CI;-9.43, -1.88), government (β = -4.29, 95% CI;-7.83, -0.75) and self-employment (β = -8.86, 95% CI;-13.50, -4.21), 100–200 (β = − 4.84, 95% CI;-9.04, -0.63) and 201–350 CD4 at the time of diagnosis (β = − 7.45, 95% CI;-11.73, -3.16), 351–500 current CD4 level (β = 8.34, 95% CI;5.55, 11.41), 6–10 years of disease duration (β = -8.28, 95% CI;-12.51, -4.04), WHO stage II (β = -4.78, 95% CI;-8.52, -1.04) and III (β = 3.42, 95% CI;0.06, 6.79) during treatment initiation and not taking of Cotrimoxazole prophylaxis (β = -5.79, 95% CI;-8.34, -3.25). Conclusions High proportion of participants had a poor HRQoL. Routine assessment and appropriate interventions at each visit is recommended to improve HRQoL.

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Section: Discussionsupporting

confidence: 81%

Health-related quality of life and associated factors among people living with human immunodeficiency virus on highly active antiretroviral therapy in North East Ethiopia: Cross-sectional study

et al. 2021

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“…Better living conditions, greater awareness about HIV, and the anonymity people generally enjoy living in an urban setting likely creates a less-stigmatizing space for PLHIV. Our ndings that educational level, employment and income level was not associated with HRQoL however differs from reports in the literature which associates a better HRQoL among PLHIV with a higher level of education (18,20,(48)(49)(50); with employment (19,54,56) and relatedly to higher income levels (19,57). The prevailing socio-economic circumstances which is similar among participants irrespective of setting may likely be the explanation and can inform the additional interventions to explore for higher impact.…”

Section: Discussioncontrasting

confidence: 67%

“…Context such as place of residence has been shown to be associated with HRQoL in LMIC (20,21). Our study showed that urban participants at Ngokolo had higher HRQoL scores across most domains than did their rural counterparts at Bugisi.…”

Section: Discussionmentioning

confidence: 46%

Beyond Viral Suppression: Quality of Life among stable ART Clients in a Differentiated Service Delivery Intervention in Tanzania

Okere

Censi

Machibya³

et al. 2020

Preprint

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Background: More people living with HIV (PLHIV) in resource-limited settings are virally suppressed and living longer, mainly due to an increased access to effective antiretroviral therapy (ART). With the expansion of ART programmes, the World Health Organisation recommended differentiated service delivery (DSD) as an alternative less resource-demanding way of accessing HIV services. While maintaining quality of care and continued adherence among patients are health system’s priorities, monitoring patient’s quality of life is key to ensure sustainability and uptake of services. However, health-related quality of life (HRQoL) is understudied in sub-Saharan Africa (SSA). We aimed to assess HRQoL among stable ART clients accessing ART care in adherence clubs implemented in Tanzania. Methods: We conducted a cross-sectional survey from May to August 2019 among stable ART clients randomly sampled among those accessing clinics and clubs daily in two sites, a rural and peri-urban setting in the Shinyanga region. HRQoL data was collected, after obtaining informed consent, using the interviewer-administered Functional Assessment of HIV infection (FAHI), a validated HIV-specific HRQoL instrument. We also collected on socio-demographic, HIV care and service accessibility factors. Descriptive analysis, modified Poisson regression with robust variance and a stepwise multiple linear regression were performed to analyse HRQoL and its determinants.Results: A total of 629 participants were enrolled, of which 40% were DSD patients. DSD and clinic participants showed similar HRQoL scores [mean (SD), p value]; FAHI total [152.2 (22.2) vs 153.8 (20.6), p 0.687]. Accessibility factors, e.g. less time spent during and less frequent DSD meetings, contributed to emotional wellbeing among DSD participants compared to those in clinic (53.4% vs 18.5%,p=<0.001). Satisfactory (>80% of achievable) HRQoL scoring was independently associated with (relative risk [95% confidence interval], p value) being male (1.18[1.06-1.31], p 0.002); being married (1.22 [1.01-1.45, p 0.043); and living in an urban setting (1.28 [1.09-1.49], p 0.001). Conclusions: DSD does not appear to compromise HRQoL and, encouragingly, it could contribute to an improvement in emotional wellbeing among patients. While DSD shows promise in improving acceptability among patients and, therefore, sustainability of such services, our research highlights future research avenues to identify supporting interventions to improve other HRQoL domains among PLHIV.

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“…The support from family largely depends on disclosure of sero-status, which is high in our study (86.25%). Disclosure is found to associated with QoL [44]. Family support can also help to improve adherence to HAART which in turn suppress viral load and improve clinical condition of patients, ultimately contribute for improved QoL.…”

Section: Plos Onementioning

confidence: 98%

Health related quality of life of people receiving highly active antiretroviral therapy in Southwest Ethiopia

Desta¹,

Biru

Kefale

2020

PLoS ONE

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Background Highly Active Antiretroviral Therapy (HAART) is a standard of HIV management to suppress viral load and delay progression to AIDS. However, questions have been raised about the use of antiretroviral therapy and how it affects quality of life (QoL) of people living with HIV/ AIDS (PLWHA). The study hence aimed to assess the QoL of PLWHA who were taking HAART at Mizan-Tepi University Teaching Hospital (MTUTH) and identify factors associated with QoL. Methods A cross sectional study was conducted among PLWHA receiving HAART at MTUTH from March 04-April 1, 2018. Patients were recruited consecutively and interviewed with structured questionnaire. A data abstraction tool was used to extract data from patient medical records. Quality of life was assessed using the World Health Organization Quality of Life HIV-BREF (WHOQOL-HIV-BREF) standard tool. Data was entered to Epi-Info version 3.5.3 and analyzed using SPSS version 22 for windows. A multivariable logistic regression analysis was fitted to identify factors associated with QoL. A statistical significance was established at a p value <0.05. Results A total of 240 participants with the mean age of 35.11 (SD = 9.08) years were included in the study. This study found that 57.1% of the patients had high global score of QoL. Patients with normal current health (AOR = 3.38, 95% CI = 1.56-7.31)) and having family support (AOR = 3.12, 95% CI = 1.51-6.46) were positively associated with high global score of QoL, while patients with low HAART adherence (AOR = 0.40, 95%, CI = 0.19-0.86) were negatively associated with high global score of QoL.

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Health-related quality of life among people living with HIV/AIDS in Togo: individuals and contextual effects

Cited by 37 publications

References 21 publications

Health-related quality of life and associated factors among people living with human immunodeficiency virus on highly active antiretroviral therapy in North East Ethiopia: Cross-sectional study

Health-related quality of life and associated factors among people living with human immunodeficiency virus on highly active antiretroviral therapy in North East Ethiopia: Cross-sectional study

Beyond Viral Suppression: Quality of Life among stable ART Clients in a Differentiated Service Delivery Intervention in Tanzania

Health related quality of life of people receiving highly active antiretroviral therapy in Southwest Ethiopia

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