Reproductive health and lifestyle factors associated with health-related quality of life among perinatally HIV-infected adolescents in Uganda
Identifieur interne : 003390 ( Ncbi/Merge ); précédent : 003389; suivant : 003391Reproductive health and lifestyle factors associated with health-related quality of life among perinatally HIV-infected adolescents in Uganda
Auteurs : Scovia Nalugo Mbalinda [Ouganda] ; Noah Kiwanuka [Ouganda] ; Dan K. Kaye [Ouganda] ; Lars E. Eriksson [Suède, Royaume-Uni]Source :
- Health and Quality of Life Outcomes [ 1477-7525 ] ; 2015.
Abstract
With increased survival of perinatally HIV - infected adolescents due to antiretroviral therapy (ART), the focus of HIV care has shifted to health-related quality of life (HRQoL) as a measure of disease progression, effects of ART co-morbidity and prognosis. We assessed factors associated with better HRQoL in perinatally HIV -infected adolescents in Uganda by determining the associations between sexual and reproductive health (SRH) or lifestyle experiences on HRQoL.
In a cross-sectional study, data on SRH, lifestyle experiences, socio demographic factors, communication with parents on sexuality and satisfaction of SRH services in ART clinics were collected from 614 HIV perinatally infected adolescents aged 10–19 using an interviewer-administered survey questionnaire. HRQoL data were collected using the Medical Outcomes Study HIV Health Survey instrument (MOS-HIV). Factors associated with better HRQoL were analysed using multiple logistic regression.
The mean age was 16.2 ± 2.1 years, 362 (58.8 %) were females and 210 (34.2 %) were sexually active. Adolescents on ART were twice likely to present with better physical health (AOR = 2.07, 95 % CI: 1.24–3.46) and four times more likely to present with better mental health (AOR = 3.9, 95 % CI: 2.22–6.92) than those who were not on ART. There were no statistically significant associations between SRH (ever had sex, ever been pregnant, condom use, contraceptive use) or life style factors and physical health or mental health. Those with secondary or tertiary education were more likely to present with a better mental health (AOR = 5.3, 95 % CI: 1.86–15.41) compared those who had attained primary or no education. Participants who desired to have a child in future more likely (AOR 1.7, 95 % CI: 1.05–3.00) to present with a better mental health. Lack of communication with guardians on sexuality (AOR = 0.6, 95 % CI: 0.40–0.89), or dissatisfaction with SRH services (AOR 0.34, 95 % CI: 0.18–0.62) were associated with poorer mental health.
Among perinatally HIV-infected adolescents in Uganda, being on ART was associated with better physical and mental health while lack of communication with guardians on sexuality or dissatisfaction with SRH services was associated with poor mental health. Adolescents with pregnancy intentions were more likely to have a better mental health.
Url:
DOI: 10.1186/s12955-015-0366-6
PubMed: 26490047
PubMed Central: 4618375
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Kaye</name><affiliation wicri:level="1"><nlm:aff id="Aff3">Department of Obstetrics and Gynecology, College of Health Sciences, Makerere University, Kampala, Uganda</nlm:aff><country xml:lang="fr">Ouganda</country><wicri:regionArea>Department of Obstetrics and Gynecology, College of Health Sciences, Makerere University, Kampala</wicri:regionArea><wicri:noRegion>Kampala</wicri:noRegion></affiliation></author><author><name sortKey="Eriksson, Lars E" sort="Eriksson, Lars E" uniqKey="Eriksson L" first="Lars E." last="Eriksson">Lars E. 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Kaye</name><affiliation wicri:level="1"><nlm:aff id="Aff3">Department of Obstetrics and Gynecology, College of Health Sciences, Makerere University, Kampala, Uganda</nlm:aff><country xml:lang="fr">Ouganda</country><wicri:regionArea>Department of Obstetrics and Gynecology, College of Health Sciences, Makerere University, Kampala</wicri:regionArea><wicri:noRegion>Kampala</wicri:noRegion></affiliation></author><author><name sortKey="Eriksson, Lars E" sort="Eriksson, Lars E" uniqKey="Eriksson L" first="Lars E." last="Eriksson">Lars E. Eriksson</name><affiliation wicri:level="1"><nlm:aff id="Aff4">Department of Learning, Informatics, Management and Ethics, Karolinska Institutet, Solna, Sweden</nlm:aff><country xml:lang="fr">Suède</country><wicri:regionArea>Department of Learning, Informatics, Management and Ethics, Karolinska Institutet, Solna</wicri:regionArea><wicri:noRegion>Solna</wicri:noRegion></affiliation><affiliation wicri:level="3"><nlm:aff id="Aff5">Department of Infectious Diseases, Karolinska University Hospital, Stockholm, Sweden</nlm:aff><country xml:lang="fr">Suède</country><wicri:regionArea>Department of Infectious Diseases, Karolinska University Hospital, Stockholm</wicri:regionArea><placeName><settlement type="city">Stockholm</settlement><region nuts="2">Svealand</region></placeName></affiliation><affiliation wicri:level="3"><nlm:aff id="Aff6">School of Health Sciences, City University London, London, UK</nlm:aff><country xml:lang="fr">Royaume-Uni</country><wicri:regionArea>School of Health Sciences, City University London, London</wicri:regionArea><placeName><settlement type="city">Londres</settlement><region type="country">Angleterre</region><region type="région" nuts="1">Grand Londres</region></placeName></affiliation></author></analytic><series><title level="j">Health and Quality of Life Outcomes</title><idno type="eISSN">1477-7525</idno><imprint><date when="2015">2015</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><sec><title>Background</title><p>With increased survival of perinatally HIV - infected adolescents due to antiretroviral therapy (ART), the focus of HIV care has shifted to health-related quality of life (HRQoL) as a measure of disease progression, effects of ART co-morbidity and prognosis. We assessed factors associated with better HRQoL in perinatally HIV -infected adolescents in Uganda by determining the associations between sexual and reproductive health (SRH) or lifestyle experiences on HRQoL.</p></sec><sec><title>Methods</title><p>In a cross-sectional study, data on SRH, lifestyle experiences, socio demographic factors, communication with parents on sexuality and satisfaction of SRH services in ART clinics were collected from 614 HIV perinatally infected adolescents aged 10–19 using an interviewer-administered survey questionnaire. HRQoL data were collected using the Medical Outcomes Study HIV Health Survey instrument (MOS-HIV). Factors associated with better HRQoL were analysed using multiple logistic regression.</p></sec><sec><title>Results</title><p>The mean age was 16.2 ± 2.1 years, 362 (58.8 %) were females and 210 (34.2 %) were sexually active. Adolescents on ART were twice likely to present with better physical health (AOR = 2.07, 95 % CI: 1.24–3.46) and four times more likely to present with better mental health (AOR = 3.9, 95 % CI: 2.22–6.92) than those who were not on ART. There were no statistically significant associations between SRH (ever had sex, ever been pregnant, condom use, contraceptive use) or life style factors and physical health or mental health. Those with secondary or tertiary education were more likely to present with a better mental health (AOR = 5.3, 95 % CI: 1.86–15.41) compared those who had attained primary or no education. Participants who desired to have a child in future more likely (AOR 1.7, 95 % CI: 1.05–3.00) to present with a better mental health. Lack of communication with guardians on sexuality (AOR = 0.6, 95 % CI: 0.40–0.89), or dissatisfaction with SRH services (AOR 0.34, 95 % CI: 0.18–0.62) were associated with poorer mental health.</p></sec><sec><title>Conclusion</title><p>Among perinatally HIV-infected adolescents in Uganda, being on ART was associated with better physical and mental health while lack of communication with guardians on sexuality or dissatisfaction with SRH services was associated with poor mental health. 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article-type="research-article"><pmc-dir>properties open_access</pmc-dir>
<front><journal-meta><journal-id journal-id-type="nlm-ta">Health Qual Life Outcomes</journal-id><journal-id journal-id-type="iso-abbrev">Health Qual Life Outcomes</journal-id><journal-title-group><journal-title>Health and Quality of Life Outcomes</journal-title></journal-title-group><issn pub-type="epub">1477-7525</issn><publisher><publisher-name>BioMed Central</publisher-name><publisher-loc>London</publisher-loc></publisher></journal-meta><article-meta><article-id pub-id-type="pmid">26490047</article-id><article-id pub-id-type="pmc">4618375</article-id><article-id pub-id-type="publisher-id">366</article-id><article-id pub-id-type="doi">10.1186/s12955-015-0366-6</article-id><article-categories><subj-group subj-group-type="heading"><subject>Research</subject></subj-group></article-categories><title-group><article-title>Reproductive health and lifestyle factors associated with health-related quality of life among perinatally HIV-infected adolescents in Uganda</article-title></title-group><contrib-group><contrib contrib-type="author" corresp="yes"><name><surname>Mbalinda</surname><given-names>Scovia Nalugo</given-names></name><address><email>snmbalinda@gmail.com</email></address><xref ref-type="aff" rid="Aff1"></xref></contrib><contrib contrib-type="author"><name><surname>Kiwanuka</surname><given-names>Noah</given-names></name><address><email>nkiwanuka@gmail.com</email></address><xref ref-type="aff" rid="Aff2"></xref></contrib><contrib contrib-type="author"><name><surname>Kaye</surname><given-names>Dan K.</given-names></name><address><email>dankkaye@yahoo.com</email></address><xref ref-type="aff" rid="Aff3"></xref></contrib><contrib contrib-type="author"><name><surname>Eriksson</surname><given-names>Lars E.</given-names></name><address><email>Lars.Eriksson@ki.se</email></address><xref ref-type="aff" rid="Aff4"></xref><xref ref-type="aff" rid="Aff5"></xref><xref ref-type="aff" rid="Aff6"></xref></contrib><aff id="Aff1"><label></label>Department of Nursing, School of Health Sciences, Makerere University, P.O.Box 7072, Kampala, Uganda</aff><aff id="Aff2"><label></label>Department of Epidemiology and Biostatistics, School of Public Health, College of Health Sciences, Makerere University, Kampala, Uganda</aff><aff id="Aff3"><label></label>Department of Obstetrics and Gynecology, College of Health Sciences, Makerere University, Kampala, Uganda</aff><aff id="Aff4"><label></label>Department of Learning, Informatics, Management and Ethics, Karolinska Institutet, Solna, Sweden</aff><aff id="Aff5"><label></label>Department of Infectious Diseases, Karolinska University Hospital, Stockholm, Sweden</aff><aff id="Aff6"><label></label>School of Health Sciences, City University London, London, UK</aff></contrib-group><pub-date pub-type="epub"><day>21</day><month>10</month><year>2015</year></pub-date><pub-date pub-type="pmc-release"><day>21</day><month>10</month><year>2015</year></pub-date><pub-date pub-type="collection"><year>2015</year></pub-date><volume>13</volume><elocation-id>170</elocation-id><history><date date-type="received"><day>18</day><month>5</month><year>2015</year></date><date date-type="accepted"><day>14</day><month>10</month><year>2015</year></date></history><permissions><copyright-statement>© Mbalinda et al. 2015</copyright-statement><license license-type="OpenAccess"><license-p><bold>Open Access</bold>This article is distributed under the terms of the Creative Commons Attribution 4.0 International License (<ext-link ext-link-type="uri" xlink:href="http://creativecommons.org/licenses/by/4.0/">http://creativecommons.org/licenses/by/4.0/</ext-link>), which permits unrestricted use, distribution, and reproduction in any medium, provided 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 Creative Commons Public Domain Dedication waiver (<ext-link ext-link-type="uri" xlink:href="http://creativecommons.org/publicdomain/zero/1.0/">http://creativecommons.org/publicdomain/zero/1.0/</ext-link>) applies to the data made available in this article, unless otherwise stated.</license-p></license></permissions><abstract id="Abs1"><sec><title>Background</title><p>With increased survival of perinatally HIV - infected adolescents due to antiretroviral therapy (ART), the focus of HIV care has shifted to health-related quality of life (HRQoL) as a measure of disease progression, effects of ART co-morbidity and prognosis. We assessed factors associated with better HRQoL in perinatally HIV -infected adolescents in Uganda by determining the associations between sexual and reproductive health (SRH) or lifestyle experiences on HRQoL.</p></sec><sec><title>Methods</title><p>In a cross-sectional study, data on SRH, lifestyle experiences, socio demographic factors, communication with parents on sexuality and satisfaction of SRH services in ART clinics were collected from 614 HIV perinatally infected adolescents aged 10–19 using an interviewer-administered survey questionnaire. HRQoL data were collected using the Medical Outcomes Study HIV Health Survey instrument (MOS-HIV). Factors associated with better HRQoL were analysed using multiple logistic regression.</p></sec><sec><title>Results</title><p>The mean age was 16.2 ± 2.1 years, 362 (58.8 %) were females and 210 (34.2 %) were sexually active. Adolescents on ART were twice likely to present with better physical health (AOR = 2.07, 95 % CI: 1.24–3.46) and four times more likely to present with better mental health (AOR = 3.9, 95 % CI: 2.22–6.92) than those who were not on ART. There were no statistically significant associations between SRH (ever had sex, ever been pregnant, condom use, contraceptive use) or life style factors and physical health or mental health. Those with secondary or tertiary education were more likely to present with a better mental health (AOR = 5.3, 95 % CI: 1.86–15.41) compared those who had attained primary or no education. Participants who desired to have a child in future more likely (AOR 1.7, 95 % CI: 1.05–3.00) to present with a better mental health. Lack of communication with guardians on sexuality (AOR = 0.6, 95 % CI: 0.40–0.89), or dissatisfaction with SRH services (AOR 0.34, 95 % CI: 0.18–0.62) were associated with poorer mental health.</p></sec><sec><title>Conclusion</title><p>Among perinatally HIV-infected adolescents in Uganda, being on ART was associated with better physical and mental health while lack of communication with guardians on sexuality or dissatisfaction with SRH services was associated with poor mental health. Adolescents with pregnancy intentions were more likely to have a better mental health.</p></sec></abstract><kwd-group xml:lang="en"><title>Keywords</title><kwd>HIV</kwd><kwd>Health related quality of life</kwd><kwd>Sexual and reproductive health</kwd><kwd>Adolescents</kwd></kwd-group><custom-meta-group><custom-meta><meta-name>issue-copyright-statement</meta-name><meta-value>© The Author(s) 2015</meta-value></custom-meta></custom-meta-group></article-meta></front></pmc><affiliations><list><country><li>Ouganda</li><li>Royaume-Uni</li><li>Suède</li></country><region><li>Angleterre</li><li>Grand Londres</li><li>Svealand</li></region><settlement><li>Londres</li><li>Stockholm</li></settlement></list><tree><country name="Ouganda"><noRegion><name sortKey="Mbalinda, Scovia Nalugo" sort="Mbalinda, Scovia Nalugo" uniqKey="Mbalinda S" first="Scovia Nalugo" last="Mbalinda">Scovia Nalugo Mbalinda</name></noRegion><name sortKey="Kaye, Dan K" sort="Kaye, Dan K" uniqKey="Kaye D" first="Dan K." last="Kaye">Dan K. Kaye</name><name sortKey="Kiwanuka, Noah" sort="Kiwanuka, Noah" uniqKey="Kiwanuka N" first="Noah" last="Kiwanuka">Noah Kiwanuka</name></country><country name="Suède"><noRegion><name sortKey="Eriksson, Lars E" sort="Eriksson, Lars E" uniqKey="Eriksson L" first="Lars E." last="Eriksson">Lars E. Eriksson</name></noRegion><name sortKey="Eriksson, Lars E" sort="Eriksson, Lars E" uniqKey="Eriksson L" first="Lars E." last="Eriksson">Lars E. Eriksson</name></country><country name="Royaume-Uni"><region name="Angleterre"><name sortKey="Eriksson, Lars E" sort="Eriksson, Lars E" uniqKey="Eriksson L" first="Lars E." last="Eriksson">Lars E. Eriksson</name></region></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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