The new epidemic of non-communicable disease in people living with the human immunodeficiency virus [Perspective]

Dawson, Rodney; Rom, William N.; Dheda, Keertan; Bateman, E.D.

doi:10.5588/pha.12.0048

Cited by 7 publications

(6 citation statements)

References 17 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Thus, identifying factors influencing ART adherence may help in understanding the strategies to enhance ART adherence for the purpose of improving HRQOL over time. However, ART does not fully restore immunity health, and a number of non-infectious diseases related to ageing and lifestyle in PLWH affect respiratory, cardiac, and endocrine systems (Dawson, Rom, Dheda, & Bateman, 2013 ). According to Rodriguez-Penney et al.…”

Section: Introductionmentioning

confidence: 99%

Health-related quality of life and associated factors in adults living with HIV in Rwanda

Biraguma

Mutimura

Frantz

2018

SAHARA-J: Journal of Social Aspects of HIV/AIDS

View full text Add to dashboard Cite

In Rwanda, as in other sub-Saharan African (SSA) countries, life expectancy of people living with HIV (PLWH) has increased dramatically as a result of combined antiretroviral therapy (cART). People living with HIV can now live longer but with increasing rates of non-communicable diseases (NCDs). Thus, prevention of NCD comorbidities in PWLHI is crucial to maintain and gain health-related benefits and to maximise the health-related quality of life (HRQOL) in the long-term management of PLWH. This study determines the association between physical and mental health-related dimensions of quality of life (QOL) with behavioural and biological risk factors, after controlling socio-demographic and HIV-related factors in adults living with HIV in Rwanda. A cross-sectional study using the WHO STEPwise approach and Kinyarwanda version of the MOS-HIV Health Survey, risk factors for NCDs and HRQOL were analysed for 794 PLWH, both HIV+ on ART and ART-naïve. Multiple regression analysis was used to examine the relationship between CMD risk factors and physical health and mental health summary scores. A total of 794 participants were interviewed. The mean age of the sample was 37.9 (±10.8) years and the majority of the participants were women (n = 513; 64.6%). About 16.2% reported daily smoking, 31.4% reported harmful alcohol use and 95% reported insufficient consumption of vegetables and fruits while 26.1% reported being physically inactive. 18.4% were overweight 43.4% had abdominal obesity, i.e. waist-hip-ratio (WHR) ≥0.95 in males and 0.85 in females. High blood pressure (HBP), i.e. systolic blood pressure (SBP) of ≥140 mmHg, or diastolic blood pressure (DBP) ≥90 mmHg was 24.4%. The results reveal that mean physical health summary and mental health summary score values were 63.96 ± 11.68 and 53.43 ± 10.89, respectively. While participants indicated that tobacco users and those who had abdominal obesity reported poor mental HRQOL, physical inactivity and hypertension have a negative impact on physical HRQOL. In addition, certain socio-demographic and HIV-related variables – specifically being unmarried, lack of HIV disclosure and low CD4 count (less 350 cell counts /mm3) – were associated with significantly lower mental and physical dimensions of quality of life. The results of this study reveal that behavioural and biological risk factors for NCDs were significantly associated with a lower HRQOL. These research findings also suggest that the assessment of the association between behavioural and biological risk factors for NCDs and a HRQOL provides opportunities for targeted counselling and secondary prevention efforts, so that health care providers can implement strategies that have a significant impact on the HRQOL.

show abstract

Section: Introductionmentioning

confidence: 99%

Health-related quality of life and associated factors in adults living with HIV in Rwanda

Biraguma

Mutimura

Frantz

2018

SAHARA-J: Journal of Social Aspects of HIV/AIDS

View full text Add to dashboard Cite

show abstract

“…Major weaknesses of the current structure center around continuity of care, comprehensive care, consistent drug supply, and regular auditing of quality of care (Dalal et al 2011;Dawson et al 2013;Levitt et al 2011;Oti 2013). Support from community health workers for patients with NCDs at the primary care level is rarely available; there is seldom opportunity for patient education, and health workers lack communication skills, which results in suboptimal patient-centered care (Levitt et al 2011).…”

Section: Hiv and Noncommunicable Disease (Ncd) Care In South Africamentioning

confidence: 99%

Provider Workload and Multiple Morbidities in the Caribbean and South Africa

Elewonibi

Pooransingh

Greaves

et al. 2018

SpringerBriefs in Public Health

View full text Add to dashboard Cite

“…Most patients in South Africa with NCDs are managed at the primary health care level (Levitt et al 2011). Major weaknesses of the current structure center around continuity of care, comprehensive care, consistent drug supply, and regular auditing of quality of care (Dalal et al 2011;Dawson et al 2013;Levitt et al 2011;Oti 2013). Support from community health workers for patients with NCDs at the primary care level is rarely available; there is seldom opportunity for patient education, and health workers lack communication skills, which results in suboptimal patient-centered care (Levitt et al 2011).…”

Section: Hiv and Noncommunicable Disease (Ncd) Care In South Africamentioning

confidence: 99%

Global Health Collaboration

Winchester¹,

Knapp²,

BeLue³

2018

SpringerBriefs in Public Health

View full text Add to dashboard Cite

adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license and indicate if changes were made. The images or other third party material in this book are included in the book's Creative Commons license, unless indicated otherwise in a credit line to the material. If material is not included in the book's Creative Commons license and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. The use of general descriptive names, registered names, trademarks, service marks, etc. in this publication does not imply, even in the absence of a specific statement, that such names are exempt from the relevant protective laws and regulations and therefore free for general use. The publisher, the authors and the editors are safe to assume that the advice and information in this book are believed to be true and accurate at the date of publication. Neither the publisher nor the authors or the editors give a warranty, express or implied, with respect to the material contained herein or for any errors or omissions that may have been made. The publisher remains neutral with regard to jurisdictional claims in published maps and institutional affiliations.

show abstract

The new epidemic of non-communicable disease in people living with the human immunodeficiency virus [Perspective]

Cited by 7 publications

References 17 publications

Health-related quality of life and associated factors in adults living with HIV in Rwanda

Health-related quality of life and associated factors in adults living with HIV in Rwanda

Provider Workload and Multiple Morbidities in the Caribbean and South Africa

Global Health Collaboration

Contact Info

Product

Resources

About