Level of pain and quality of life of people living with HIV/AIDS pain and quality of life in HIV/AIDS

Silva, Joelma Gomes da; Morgan, Dimas Anaximandro da Rocha; Melo, Flávia Cavalcante Monteiro; Santos, Ivanaldo; Azevedo, Kesley Pablo Morais de; Medeiros, Humberto Jefferson de; Knackfuss, Maria Irany

doi:10.1080/09540121.2016.1274013

Cited by 18 publications

(15 citation statements)

References 17 publications

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“…Whilst we did not aim to identify specific risk factors for current pain, pain was more commonly reported in women who, in our study, were also more likely to have acquired HIV infection through sex with men and to be of black African origin, and in those of lower association of pain with more advanced HIV infection (as expressed by lower current/nadir CD4 counts, higher HIV viral loads and/or longer duration of HIV infection) has been reported previously [4,5,38].…”

Section: Discussionmentioning

confidence: 47%

“…In a review article of 28 studies published from 1993-2011, Parker [6] reported a weighted point prevalence of pain of 54% and a three-month pain prevalence rate of 83%. Whilst more recent years have seen improvements in both the efficacy of ART, and the range of ART drugs that are available for use, pain continues to be frequently reported [4,5,8]. Among participants in the Women's Interagency HIV Study (WIHS), 56.1% indicated experiencing pain for at least 6 days over the past 6 months, with one in ten participants reporting experiencing pain for >120 days and over a third reporting experiencing extreme pain at least once over the period [38].…”

Section: Discussionmentioning

confidence: 99%

“…Moderate or severe pain has, in some studies, been reported to be one of the most common physical symptoms among PLWH, with reported prevalence ranging from 30% to 83% [4][5][6][7][8], and reports of high rates of several pain-related conditions among PLWH in Western countries [9][10][11][12]. Pain among PLWH has both clinical and public health importance.…”

Section: Introductionmentioning

confidence: 99%

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Pain in people living with HIV and its association with healthcare resource use, well being and functional status

Sabin¹,

Harding

Bagkeris³

et al. 2018

Aids

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Objective: We describe the prevalence of pain and its associations with healthcare resource utilisation and quality-of-life. Design: The POPPY Study recruited three cohorts: older PLWH (≥50 years, n=699), younger demographically/lifestyle similar PLWH (<50 years, n=374) and older demographically/lifestyle similar HIV-negative (≥50 years, n=304) people from April 2013-February 2016. Methods: Current pain and pain-related healthcare use was collected via a self-reported questionnaire. Logistic regression assessed between-group differences in the prevalence of pain in the past month and current pain after controlling for potential confounders. Associations between current pain and healthcare resource use, reported joint problems, depressive symptoms, quality-of-life and functional status were assessed in PLWH using Mann-Whitney U and Chi-squared tests. Results: Pain in the past month was reported by 473/676 (70.0%) older PLWH, 224/357 (62.7%) younger PLWH and 188/295 (63.7%) older HIV-negative controls (p=0.03), with current pain reported in 330 (48.8%), 134 (37.5%) and 116 (39.3%), respectively (p=0.0007). Older PLWH were more likely to experience current pain, even after adjustment for confounders. Of those with pain in the past month, 56/412 (13.6%) had missed days of work or study due to pain, and 520 (59%) had seen a doctor about their pain. PLWH experiencing current pain had more depressive symptoms, poorer quality-of-life on all domains, and greater functional impairment, regardless of age group. Conclusions: Even in the effective ART era, pain remains common in PLWH and has a major impact on quality-of-life and associated healthcare and societal costs. Interventions are required to assist clinicians and PLWH to proactively manage pain.

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Section: Discussionmentioning

confidence: 47%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Pain in people living with HIV and its association with healthcare resource use, well being and functional status

Sabin¹,

Harding

Bagkeris³

et al. 2018

Aids

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“…O domínio meio ambiente apresenta oito facetas relacionadas às condições de vida. Esse domínio apresentou a menor média, embora ainda classificada como intermediária, reafirmando os achados de diversos estudos 3,13,24,31,32,34 . A primeira faceta questiona o quão seguro os participantes se sentem na vida diária, que foi respondida positivamente por 60,1%.…”

Section: Domínios Do Whoqol-hiv Brefunclassified

Qualidade de vida de pessoas vivendo com HIV atendidas em serviços públicos de dois municípios brasileiros

et al. 2019

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Objetivo: descrever o perfil e avaliar a qualidade de vida de pessoas vivendo com HIV atendidas em serviços públicos de saúde. Métodos: os dados foram coletados no período de março a outubro de 2016 em quatro serviços de saúde situados nos municípios do Rio de Janeiro e Niterói – Brasil, e analisados por meio de estatística descritiva. Resultados: a amostra foi composta majoritariamente por homens, com renda de até dois salários mínimos, que relataram percepção positiva da saúde. A qualidade de vida foi positivamente avaliada na maioria das facetas, as maiores médias foram nos domínios: psicológico, relações sociais, espiritualidade, religião e crenças pessoais e a menor média no domínio meio ambiente. Conclusão: a avaliação da qualidade de vida de pessoas vivendo com HIV nesta amostra apresentou-se mais positiva do que a encontrada em outros estudos realizados em municípios interioranos do estado do Rio de Janeiro.

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“…The prevalence of pain among people living with HIV is estimated to vary between 54% to 83% [ 11 – 13 ], thus it is of great importance for healthcare professionals to better understand the mechanisms involved in chronic pain, as well as the psychological complexities of living with both conditions. In a Brazilian sample, 63.3% of the women living with HIV reported experiencing moderate to severe pain, and was correlated to the stage of infection [ 14 ]. Furthermore, being a female living with HIV in this country is an independent risk factor for suffering moderate and severe pain [ 15 ].…”

Section: Introductionmentioning

confidence: 99%

Comparison of pain burden and psychological factors in Brazilian women living with HIV and chronic neuropathic or nociceptive pain: An exploratory study

et al. 2018

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Psychological factors including pain catastrophizing and resilience associate with adjustment and quality of life in people living with chronic pain. Nevertheless, their presentation among females living with HIV and chronic pain has been poorly studied. Given that chronic pain in those living with HIV might occur due to different mechanisms (nociceptive or neuropathic), we hypothesize that the associated psychological states could also differ between these groups. We aimed to compare pain frequency and interference, psychological factors and sleep quality between females living with chronic nociceptive or neuropathic pain. Also, we explored correlations between psychological factors, pain severity and interference in females living with HIV and chronic pain. We performed a cross sectional study assessing females living with HIV and chronic pain, and compared it with a female HIV-positive, pain-free control sample in Brazil. To discriminate the most likely underlying mechanism for the chronic pain, we applied the Leeds Assessment for Neuropathic Signs and Symptoms (LANSS). Forty-nine females living with HIV and chronic pain were assessed, and divided in control (n = 12), nociceptive (n = 10) and neuropathic pain (n = 27) groups. Using validated scales, their pain catastrophizing, resilience, depression, anxiety and sleep disorders were assessed between May 2014 and August 2015. Compared to controls, females living with HIV and neuropathic chronic pain had higher pain frequency (p<0.001), interference on activities (p = 0.002), interference with emotions (p<0.001), catastrophizing (p<0.001), depression (p = 0.015), and lower resilience (p = 0.011). Catastrophizing was also significantly correlated to the burden of chronic pain. The type of chronic pain in females living with HIV should raise concerns regarding significant burden in psychological states in this population (particularly neuropathic pain). Using scales such as the LANSS to identify the type of choric pain, could be of use to address relevant issues for the patients, and to propose tailored therapies.

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Level of pain and quality of life of people living with HIV/AIDS pain and quality of life in HIV/AIDS

Cited by 18 publications

References 17 publications

Pain in people living with HIV and its association with healthcare resource use, well being and functional status

Pain in people living with HIV and its association with healthcare resource use, well being and functional status

Qualidade de vida de pessoas vivendo com HIV atendidas em serviços públicos de dois municípios brasileiros

Comparison of pain burden and psychological factors in Brazilian women living with HIV and chronic neuropathic or nociceptive pain: An exploratory study

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