In Burkina Faso, very little is known about the quality of
life of persons living with HIV through their routine follow- up. This study
aimed to assess the quality of life of persons living with HIV, and its change
over a 1-year period.
Four hundred and twenty four (424) persons living with HIV
were monitored during twelve (12) months from September 2012 to September 2013
in Ouagadougou, the capital city of Burkina Faso. Three interviews were
conducted in order to assess the quality of life of patients and its change
over time, using the World Health Organization Quality of Life assessment brief
scale in patients with Human Immunodeficiency Virus infection (WHOQOL
HIV-BREF). The Friedman test was used to assess significant differences in quantitative
variables at each of the three follow-up interviews. Groups at baseline, at
6 months and at 12 months were compared using Wilcoxon signed rank
test for quantitative data and McNemar test for qualitative variables. Pearson
Chi 2was used when
needed. Multivariable logistic regression models were fit to estimate adjusted
odds ratio (OR) and 95 % confidence intervals (95 % CI). Trends in
global quality of life score and subgroups (status related to Highly Active
Anti Retroviral Treatment (HAART) using univariate repeated measures analysis
of variance were assessed. A p-value less than 0.05 was considered significant.
At baseline, quality of life scores were highest in the
domain of spirituality, religion and personal beliefs (SRPB) and lowest in the
environmental domain. This trend was maintained during the 12-month follow-up.
The global score increased significantly from the beginning up to the twelfth
month of follow-up. Over the 12 months, the baseline factors that were
likely to predict an increase in the global quality of life score were: not
having support from relatives for medical care (P = 0.04), being under HAART (P = 0.001), being
self-perceived as healthy (P = 0.03), and
having a global quality of life score under 77 (P < 0.001).
Our findings suggest the need to promote interventions to
empower people living with HIV/AIDS through income generating activities. Such
activities will enhance the quality of life of persons living with HIV in
Burkina Faso. This could focus mostly on treatment-naïve HIV patients, lacking
support from relatives and those who perceive themselves as ill.
Below: Cumulative frequency polygon of quality of life domain scores at baseline. *SRPB: Spirituality, Religion and Personal Beliefs
Below: Trends of global score of quality of life over 12 months by treatment group. *HAART: Highly Active Anti Retroviral Treatment
Full article at: http://goo.gl/jstTgY
By:
1Pôle Epidémiologie et Biostatistique,
Institut de Recherche Expérimentale et Clinique (IREC), Faculté de Santé
Publique, Université catholique de Louvain, Clos Chapelle-aux-Champs 30,
Brussels, 1200, Belgium
2Unité de Formation et de Recherche en
Sciences de la santé, Université de Ouagadougou, Ouagadougou, Burkina Faso
3Institut Régional de Santé Publique de
Ouidah, Ouidah, Bénin
More at: https://twitter.com/hiv_insight
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