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尼日利亚拉各斯地区艾滋病毒/艾滋病患者的健康相关生活质量及其相关因素。

Health-related quality of life and associated factors among people living with HIV/AIDS in Lagos, Nigeria.

机构信息

Department of Physiotherapy, Faculty of Health Sciences, University of the Witwatersrand, Johannesburg.

出版信息

Afr J Prim Health Care Fam Med. 2024 Aug 30;16(1):e1-e8. doi: 10.4102/phcfm.v16i1.4519.

Abstract

BACKGROUND

Although people living with HIV (PLWH) now have a longer life expectancy due to antiretroviral therapy, several factors impact their health-related quality of life (HRQoL). Understanding the dimensions and determinants of HRQoL among PLWH is crucial to developing solutions to improve their overall wellbeing.

AIM

This research aimed to explore the HRQoL and its associated factors among PLWH in Lagos, Nigeria.

SETTING

Seven HIV testing and treatment centres in Lagos.

METHODS

A cross-sectional survey was conducted with 385 participants. Socio-demographic and HRQoL data were obtained using questionnaires and the Medical Outcomes Study HIV Health Survey (MOS-HIV). Logistic regression models were used to identify variables that were associated with quality of life.

RESULTS

The physical health summary and mental health summary scores measured by the MOS-HIV were 54.2 ± 5.3 and 56.3 ± 6.7, respectively. Being married, having higher levels of education, shorter duration of HIV and higher income levels were significantly associated with better HRQoL. The duration of HIV was found to have an inversely proportional influence on the quality of life of PLWH, both in physical health (χ2 = 9.477, p = 0.009) and mental health (χ2 = 11.88, p = 0.004) dimensions.

CONCLUSION

The HRQoL of PLWH in Lagos, Nigeria was relatively low. Education, duration of HIV, marital status and income level are predictors of HRQoL.Contribution: This study is valuable for healthcare professionals and policymakers, providing them with essential information to tailor interventions and allocate resources effectively to improve the overall wellbeing of PLWH in Nigeria.

摘要

背景

尽管抗逆转录病毒疗法的应用使艾滋病毒感染者(PLWH)的预期寿命延长,但仍有几个因素会影响他们的健康相关生活质量(HRQoL)。了解 PLWH 的 HRQoL 及其决定因素对于制定解决方案以改善他们的整体幸福感至关重要。

目的

本研究旨在探讨尼日利亚拉各斯的 PLWH 的 HRQoL 及其相关因素。

地点

拉各斯的 7 个艾滋病毒检测和治疗中心。

方法

对 385 名参与者进行了横断面调查。使用问卷和医疗结局研究艾滋病毒健康调查(MOS-HIV)获得社会人口统计学和 HRQoL 数据。使用逻辑回归模型确定与生活质量相关的变量。

结果

MOS-HIV 测量的生理健康综合评分和心理健康综合评分分别为 54.2±5.3 和 56.3±6.7。已婚、受教育程度较高、HIV 持续时间较短和收入水平较高与更好的 HRQoL 显著相关。HIV 持续时间与 PLWH 的生活质量呈反比关系,无论是在生理健康(χ2=9.477,p=0.009)还是心理健康(χ2=11.88,p=0.004)维度上。

结论

尼日利亚拉各斯的 PLWH 的 HRQoL 相对较低。教育、HIV 持续时间、婚姻状况和收入水平是 HRQoL 的预测因素。

贡献

这项研究为医疗保健专业人员和政策制定者提供了有价值的信息,使他们能够针对干预措施进行调整,并有效地分配资源,以改善尼日利亚 PLWH 的整体幸福感。

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