Quality of life in people living with HIV: a cross-sectional study in Ouagadougou, Burkina Faso
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Auteurs : Fidèle Bakiono [Belgique] ; Laurent Ouédraogo [Burkina Faso] ; Mahamoudou Sanou [Burkina Faso] ; Sékou Samadoulougou [Belgique] ; Patrice Wendpouiré Laurent Guiguemdé [Burkina Faso] ; Fati Kirakoya-Samadoulougou [Belgique] ; Annie Robert [Belgique]Source :
- SpringerPlus [ 2193-1801 ] ; 2014.
Abstract
HIV/AIDS is a leading cause of death in most of sub-Saharan countries. HIV/AIDS impact on the quality of life of persons living with HIV in Burkina Faso hasn't been well documented. The aim of the study was to assess the quality of life in persons living with HIV and its associated factors.
A cross-sectional study was conducted in Ouagadougou. 424 persons living with HIV were included in the study according to their status with regard to Highly Active Anti Retroviral Treatment: 115 were not yet under treatment, 21 started the treatment within the three months preceding the enrolment and 288 were under treatment for at least 12 months. The quality of life was assessed through the WHOQOL HIV-BREF. Statistical comparisons were made using Mann Whitney U test, Kruskal-Wallis H test, Pearson's khi2 or Fisher's exact test. Correlations were appreciated using Spearman's rho. Logistic regression was used to examine associations between the quality of life scores and sociodemographic or clinical variables.
The mean global score of quality of life in all patients was 82.4. Better scores were recorded in the spiritual domain and worst scores in the environmental domain. Men had a higher global score than women (p < 0.001). Illiteracy was significantly associated with a lower quality of life (p = 0.001). Patients having support for medical treatment had a significantly better quality of life (p < 0.01). In multivariate analysis, being a man, having a support for medical care, getting older and self-perceived as healthy, were associated with a global score of quality of life higher than 77, that corresponds to the mid-range of the score in our data.
These findings suggest the importance of the socio-psychological support and of a good environment in order to improve the quality of life of people living with HIV, especially in women, in younger and in those having no support for medical care. In the environmental domain, actions of HIV services providers should focus on better accessibility to social and health care, promotion of income-generating activities especially for women and youth living with HIV.
Url:
DOI: 10.1186/2193-1801-3-372
PubMed: 25089255
PubMed Central: 4117860
Affiliations:
- Belgique, Burkina Faso
- Région de Bruxelles-Capitale
- Bruxelles, Louvain-la-Neuve
- Université catholique de Louvain
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Belgium</nlm:aff><country xml:lang="fr">Belgique</country><wicri:regionArea>Pôle Epidémiologie et Biostatistique, Institut de Recherche Expérimentale et Clinique (IREC), Faculté de Santé Publique, Université catholique de Louvain, Clos Chapelle-aux-Champs 30, Brussels</wicri:regionArea><placeName><settlement type="city">Bruxelles</settlement><region nuts="2">Région de Bruxelles-Capitale</region><settlement type="city">Louvain-la-Neuve</settlement></placeName><orgName type="university">Université catholique de Louvain</orgName></affiliation></author></analytic><series><title level="j">SpringerPlus</title><idno type="eISSN">2193-1801</idno><imprint><date when="2014">2014</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><p>HIV/AIDS is a leading cause of death in most of sub-Saharan countries. HIV/AIDS impact on the quality of life of persons living with HIV in Burkina Faso hasn't been well documented. The aim of the study was to assess the quality of life in persons living with HIV and its associated factors.</p><p>A cross-sectional study was conducted in Ouagadougou. 424 persons living with HIV were included in the study according to their status with regard to Highly Active Anti Retroviral Treatment: 115 were not yet under treatment, 21 started the treatment within the three months preceding the enrolment and 288 were under treatment for at least 12 months. The quality of life was assessed through the WHOQOL HIV-BREF. Statistical comparisons were made using Mann Whitney U test, Kruskal-Wallis H test, Pearson's khi2 or Fisher's exact test. Correlations were appreciated using Spearman's rho. Logistic regression was used to examine associations between the quality of life scores and sociodemographic or clinical variables.</p><p>The mean global score of quality of life in all patients was 82.4. Better scores were recorded in the spiritual domain and worst scores in the environmental domain. Men had a higher global score than women (p < 0.001). Illiteracy was significantly associated with a lower quality of life (p = 0.001). Patients having support for medical treatment had a significantly better quality of life (p < 0.01). In multivariate analysis, being a man, having a support for medical care, getting older and self-perceived as healthy, were associated with a global score of quality of life higher than 77, that corresponds to the mid-range of the score in our data.</p><p>These findings suggest the importance of the socio-psychological support and of a good environment in order to improve the quality of life of people living with HIV, especially in women, in younger and in those having no support for medical care. In the environmental domain, actions of HIV services providers should focus on better accessibility to social and health care, promotion of income-generating activities especially for women and youth living with HIV.</p></div></front><back><div1 type="bibliography"><listBibl><biblStruct><analytic><author><name sortKey="Adewuya, Ao" uniqKey="Adewuya A">AO Adewuya</name></author><author><name sortKey="Afolabi, Mo" uniqKey="Afolabi M">MO Afolabi</name></author><author><name sortKey="Ola, Ba" uniqKey="Ola B">BA Ola</name></author><author><name sortKey="Ogundele, Oa" uniqKey="Ogundele O">OA Ogundele</name></author><author><name sortKey="Ajibare, Ao" uniqKey="Ajibare A">AO Ajibare</name></author><author><name sortKey="Oladipo, Bf" uniqKey="Oladipo B">BF Oladipo</name></author><author><name sortKey="Fakande, I" uniqKey="Fakande I">I Fakande</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Bajunirwe, F" uniqKey="Bajunirwe F">F 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Ezzati</name></author><author><name sortKey="Jamison, Dt" uniqKey="Jamison D">DT Jamison</name></author><author><name sortKey="Murray, Cj" uniqKey="Murray C">CJ Murray</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Marcellin, F" uniqKey="Marcellin F">F Marcellin</name></author><author><name sortKey="Preau, M" uniqKey="Preau M">M Preau</name></author><author><name sortKey="Ravaux, I" uniqKey="Ravaux I">I Ravaux</name></author><author><name sortKey="Dellamonica, P" uniqKey="Dellamonica P">P Dellamonica</name></author><author><name sortKey="Spire, B" uniqKey="Spire B">B Spire</name></author><author><name sortKey="Carrieri, Mp" uniqKey="Carrieri M">MP Carrieri</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Ogbuji, Qc" uniqKey="Ogbuji Q">QC Ogbuji</name></author><author><name sortKey="Oke, Ae" uniqKey="Oke A">AE Oke</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Preau, M" uniqKey="Preau M">M Preau</name></author><author><name sortKey="Apostolidis, T" uniqKey="Apostolidis T">T Apostolidis</name></author><author><name sortKey="Francois, C" uniqKey="Francois C">C Francois</name></author><author><name sortKey="Raffi, F" uniqKey="Raffi F">F Raffi</name></author><author><name sortKey="Spire, B" uniqKey="Spire B">B Spire</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Skevington, Sm" uniqKey="Skevington S">SM Skevington</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Solomon, S" uniqKey="Solomon S">S Solomon</name></author><author><name sortKey="Batavia, A" uniqKey="Batavia A">A Batavia</name></author><author><name sortKey="Venkatesh, Kk" uniqKey="Venkatesh K">KK Venkatesh</name></author><author><name sortKey="Brown, L" uniqKey="Brown L">L Brown</name></author><author><name sortKey="Verma, P" uniqKey="Verma P">P Verma</name></author><author><name sortKey="Cecelia, Aj" uniqKey="Cecelia A">AJ Cecelia</name></author><author><name sortKey="Daly, C" uniqKey="Daly C">C Daly</name></author><author><name sortKey="Mahendra, Vs" uniqKey="Mahendra V">VS Mahendra</name></author><author><name sortKey="Kumarasamy, N" uniqKey="Kumarasamy N">N Kumarasamy</name></author><author><name sortKey="Mayer, Kh" uniqKey="Mayer K">KH Mayer</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Stangl, Al" uniqKey="Stangl A">AL Stangl</name></author><author><name sortKey="Bunnell, R" uniqKey="Bunnell R">R Bunnell</name></author><author><name sortKey="Wamai, N" uniqKey="Wamai N">N Wamai</name></author><author><name sortKey="Masaba, H" uniqKey="Masaba H">H Masaba</name></author><author><name sortKey="Mermin, J" uniqKey="Mermin J">J Mermin</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Stangl, Al" uniqKey="Stangl A">AL Stangl</name></author><author><name sortKey="Wamai, N" uniqKey="Wamai N">N Wamai</name></author><author><name sortKey="Mermin, J" uniqKey="Mermin J">J Mermin</name></author><author><name sortKey="Awor, Ac" uniqKey="Awor A">AC Awor</name></author><author><name sortKey="Bunnell, Re" uniqKey="Bunnell R">RE Bunnell</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Tran, Bx" uniqKey="Tran B">BX Tran</name></author><author><name sortKey="Ohinmaa, A" uniqKey="Ohinmaa A">A Ohinmaa</name></author><author><name sortKey="Nguyen, Lt" uniqKey="Nguyen L">LT Nguyen</name></author><author><name sortKey="Oosterhoff, P" uniqKey="Oosterhoff P">P Oosterhoff</name></author><author><name sortKey="Vu, Px" uniqKey="Vu P">PX Vu</name></author><author><name sortKey="Vu, Tv" uniqKey="Vu T">TV Vu</name></author><author><name sortKey="Larsson, M" uniqKey="Larsson M">M Larsson</name></author></analytic></biblStruct><biblStruct></biblStruct><biblStruct></biblStruct></listBibl></div1></back></TEI><affiliations><list><country><li>Belgique</li><li>Burkina Faso</li></country><region><li>Région de Bruxelles-Capitale</li></region><settlement><li>Bruxelles</li><li>Louvain-la-Neuve</li></settlement><orgName><li>Université catholique de Louvain</li></orgName></list><tree><country name="Belgique"><region name="Région de Bruxelles-Capitale"><name sortKey="Bakiono, Fidele" sort="Bakiono, Fidele" uniqKey="Bakiono F" first="Fidèle" last="Bakiono">Fidèle Bakiono</name></region><name sortKey="Kirakoya Samadoulougou, Fati" sort="Kirakoya Samadoulougou, Fati" uniqKey="Kirakoya Samadoulougou F" first="Fati" last="Kirakoya-Samadoulougou">Fati Kirakoya-Samadoulougou</name><name sortKey="Robert, Annie" sort="Robert, Annie" uniqKey="Robert A" first="Annie" last="Robert">Annie Robert</name><name sortKey="Samadoulougou, Sekou" sort="Samadoulougou, Sekou" uniqKey="Samadoulougou S" first="Sékou" last="Samadoulougou">Sékou Samadoulougou</name></country><country name="Burkina Faso"><noRegion><name sortKey="Ouedraogo, Laurent" sort="Ouedraogo, Laurent" uniqKey="Ouedraogo L" first="Laurent" last="Ouédraogo">Laurent Ouédraogo</name></noRegion><name sortKey="Guiguemde, Patrice Wendpouire Laurent" sort="Guiguemde, Patrice Wendpouire Laurent" uniqKey="Guiguemde P" first="Patrice Wendpouiré Laurent" last="Guiguemdé">Patrice Wendpouiré Laurent Guiguemdé</name><name sortKey="Sanou, Mahamoudou" sort="Sanou, Mahamoudou" uniqKey="Sanou M" first="Mahamoudou" last="Sanou">Mahamoudou Sanou</name></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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