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Quality of Life and Associated Factors in HIV-infected Adults Undergoing Antiretroviral Treatment at CHUD-Borgou

Received: 3 March 2022     Accepted: 12 April 2022     Published: 20 April 2022
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Abstract

Introduction: Antiretrovirals have improved the life expectancy of people living with HIV (PLHIV). The evaluation of quality of life and its improvement is now an important element of care. The current study assessed the quality of life and identified associated factors with adults living with HIV who were followed at the CHUD Borgou. Methods: A case-control study was conducted from August to October 2018. Cases of PLHIV aged 15 years and older, were recruited through systematic sampling with steps equal to 2 based on the order of arrival of patients at the site. The controls were composed of apparently healthy, HIV-negative individuals recruited in the community in 10 neighborhoods selected at random out of 58 in the city of Parakou. A pen rotation was used to choose the direction to follow and households were selected with a step size of 4. Each PLHIV is associated with two HIV-negative respondents matched on age, sex, and average monthly income. The generic score composed of 36 questions "SF-36" was used to assess the quality of life of the participants. These questions are grouped into three categories exploring physical, mental, and self-perceived health changes, respectively. Respondents gave oral consent. The favorable opinion of the ethics committee for Biomedical research of the University of Parakou was obtained. Data were entered and analyzed using Epi-Info 7.2.2 software. The general linear regression model was used to identify independent factors associated with quality of life. Results: There were 222 PLHIV and 444 HIV-negative subjects. The mean quality of life score of PLHIV was higher than that of HIV-negative subjects in all dimensions: physical health (56.04 vs. 50.52; p ˂ 0.000), mental health (40.15 vs. 35.16; p ˂ 0.000), and perceived health (67.00 vs. 59.40; p < 0.000). PLHIV had a low vitality score compared with controls (53.67 vs 54.85; p = 0.215). Independent factors associated with quality of life were: age < 40 years (p=0.001), male gender (p=0.046), shared HIV status with spouse (p=0.045), existence of psychological support (p=0.026), length of time since testing (p=0.041), last CD4 ≥ 500 (p=0.025). Conclusion: Several factors contribute to a better quality of life for PLHIV compared to the community. The impact of free care in Benin on the quality of life of PLHIV deserves to be evaluated in the long term.

Published in International Journal of Infectious Diseases and Therapy (Volume 7, Issue 2)
DOI 10.11648/j.ijidt.20220702.12
Page(s) 29-34
Creative Commons

This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited.

Copyright

Copyright © The Author(s), 2022. Published by Science Publishing Group

Keywords

Antiretrovirals, Associated Factors, Benin, PLHIV, Quality of Life

References
[1] World Health Organization Quality of Life Group. The World Health Organization Quality of Life Assessment: Position paper from the World Health Organization. Social Science and Medicine 1995; 41 (10): 1403 – 09.
[2] WHOQOLGroup. (1994a). the development of the World Health Organization Quality of Life Assessment Instrument (the WHOQOL). In J. Orley and W. Kuyken (Eds). Quality of Life Assessment: International Perspectives. Heidleberg: Springer-Verlag.
[3] Bourgoyne R, Renwick R. Social support and quality of life over time among adults living with HIV in the HAART era. Social Science & Medicine 2004; 58: 1353-66130.
[4] Wilson IB, Clearly PD. Linking clinical outcomes with health related QoL: A conceptual model of patient outcomes. JAMA 1995; 4 (273): 59-65.
[5] Conseil National de Lutte contre le VIH/SIDA (CNLS). Politique, Normes et Procédure pour la prise en charge des personnes vivant avec le VIH. CNLS, Bénin, 2016.
[6] John E Ware, Snow KK, Kosinski M, Gandek B. SF-36 Health Survey: Manual & Interpretation Guide, The health Institute, New England Medical Center, Boston, Massachusetts: 316p.
[7] Miners A, Phillips A, Kreif N, Rodger A, Speakman A, Fisher M, et al. Health-related quality-of-life of people with HIV in the era of combination antiretroviral treatment: a cross-sectional comparison with the general population. The Lancet HIV 2014; 1: 32–40.
[8] Josevânia DS, Francisca MSF, Michael ASL, Jéssica OG. Quality of life in the context of HIV/AIDS: A comparative study with the general population. Doenças Sex Transm 2013; 25: 88–92.
[9] Marih Beidi C. Évaluation de la qualité de vie chez les personnes vivant avec le VIH suivies au Centre de Traitement Agréé de l'Hôpital Jamot de Yaoundé. Département de Médecine interne, Faculté de Médecine et des Sciences Biomédicales - Université de Yaoundé 1 June, 2015.
[10] Nyirenda M, Chatterji S, Falkingham J, Mutevedzi P, Hosegood V, Evandrou M, et al. An investigation of factors associated with the health and well-being of HIV-infected or HIV-affected older people in rural South Africa. BMC Public Health 2012; 12: 259.
[11] Folasire OF, Irabor AE, Folasire AM. Quality of life of People living with HIV and AIDS attending the Antiretroviral Clinic, University College Hospital, Nigeria. African Journal of Primary Health Care & Family Medicine [Internet]. 2012; 4 (1). Available from: http://www.phcfm.org/index.php/phcfm/article/view/294.
[12] Murri R, Fantoni M, Del Borgo C, Visona R, Barracco A, Zambelli A, et al. Determinants of health-related quality of life in HIV-infected patients. AIDS Care 2003; 15: 581–590.
[13] Liu C, Johnson L, Ostrow D, Silvestre A, Visscher B, Jacobson LP. Predictors for lower quality of life in the HAART era among HIV-infected men. J Acquir Immune Defic Syndr 2006; 42: 470–477.
[14] Degroote S, Vogelaers D, Vandijck DM. What determines health-related quality of life among people living with HIV: an updated review of the literature? Archives of Public Health 2014; 72: 40.
[15] Nojomi M, Anbary K, Ranjbar M. Health-related quality of life in patients with HIV/AIDS. Arch Iran Med 2008; 11: 608–612.
[16] Rodriguez-Penney AT, Iudicello JE, Riggs PK, Doyle K, Ellis RJ, Letendre SL, et al. Co-morbidities in persons infected with HIV: increased burden with older age and negative effects on health-related quality of life. AIDS Patient Care STDS 2013; 27: 5–16.
[17] Carrieri P, Spire B, Duran S, Katlama C, Peyramond D, François C, et al. Health-related quality of life after 1 year of highly active antiretroviral therapy. J Acquir Immune Defic Syndr 2003; 32: 38–47.
[18] Mannheimer SB, Matts J, Telzak E, Chesney M, Child C, Wu AW, et al. Quality of life in HIV-infected individuals receiving antiretroviral therapy is related to adherence. AIDS Care 2005; 17: 10–22.
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  • APA Style

    Attinsounon Cossi Angelo, Wanvoegbe Armand, Agbodandé Anthelme, Alassani Adebayo, Fandohan Wilfried, et al. (2022). Quality of Life and Associated Factors in HIV-infected Adults Undergoing Antiretroviral Treatment at CHUD-Borgou. International Journal of Infectious Diseases and Therapy, 7(2), 29-34. https://doi.org/10.11648/j.ijidt.20220702.12

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    ACS Style

    Attinsounon Cossi Angelo; Wanvoegbe Armand; Agbodandé Anthelme; Alassani Adebayo; Fandohan Wilfried, et al. Quality of Life and Associated Factors in HIV-infected Adults Undergoing Antiretroviral Treatment at CHUD-Borgou. Int. J. Infect. Dis. Ther. 2022, 7(2), 29-34. doi: 10.11648/j.ijidt.20220702.12

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    AMA Style

    Attinsounon Cossi Angelo, Wanvoegbe Armand, Agbodandé Anthelme, Alassani Adebayo, Fandohan Wilfried, et al. Quality of Life and Associated Factors in HIV-infected Adults Undergoing Antiretroviral Treatment at CHUD-Borgou. Int J Infect Dis Ther. 2022;7(2):29-34. doi: 10.11648/j.ijidt.20220702.12

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  • @article{10.11648/j.ijidt.20220702.12,
      author = {Attinsounon Cossi Angelo and Wanvoegbe Armand and Agbodandé Anthelme and Alassani Adebayo and Fandohan Wilfried and Tognon Francis},
      title = {Quality of Life and Associated Factors in HIV-infected Adults Undergoing Antiretroviral Treatment at CHUD-Borgou},
      journal = {International Journal of Infectious Diseases and Therapy},
      volume = {7},
      number = {2},
      pages = {29-34},
      doi = {10.11648/j.ijidt.20220702.12},
      url = {https://doi.org/10.11648/j.ijidt.20220702.12},
      eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.ijidt.20220702.12},
      abstract = {Introduction: Antiretrovirals have improved the life expectancy of people living with HIV (PLHIV). The evaluation of quality of life and its improvement is now an important element of care. The current study assessed the quality of life and identified associated factors with adults living with HIV who were followed at the CHUD Borgou. Methods: A case-control study was conducted from August to October 2018. Cases of PLHIV aged 15 years and older, were recruited through systematic sampling with steps equal to 2 based on the order of arrival of patients at the site. The controls were composed of apparently healthy, HIV-negative individuals recruited in the community in 10 neighborhoods selected at random out of 58 in the city of Parakou. A pen rotation was used to choose the direction to follow and households were selected with a step size of 4. Each PLHIV is associated with two HIV-negative respondents matched on age, sex, and average monthly income. The generic score composed of 36 questions "SF-36" was used to assess the quality of life of the participants. These questions are grouped into three categories exploring physical, mental, and self-perceived health changes, respectively. Respondents gave oral consent. The favorable opinion of the ethics committee for Biomedical research of the University of Parakou was obtained. Data were entered and analyzed using Epi-Info 7.2.2 software. The general linear regression model was used to identify independent factors associated with quality of life. Results: There were 222 PLHIV and 444 HIV-negative subjects. The mean quality of life score of PLHIV was higher than that of HIV-negative subjects in all dimensions: physical health (56.04 vs. 50.52; p ˂ 0.000), mental health (40.15 vs. 35.16; p ˂ 0.000), and perceived health (67.00 vs. 59.40; p Conclusion: Several factors contribute to a better quality of life for PLHIV compared to the community. The impact of free care in Benin on the quality of life of PLHIV deserves to be evaluated in the long term.},
     year = {2022}
    }
    

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  • TY  - JOUR
    T1  - Quality of Life and Associated Factors in HIV-infected Adults Undergoing Antiretroviral Treatment at CHUD-Borgou
    AU  - Attinsounon Cossi Angelo
    AU  - Wanvoegbe Armand
    AU  - Agbodandé Anthelme
    AU  - Alassani Adebayo
    AU  - Fandohan Wilfried
    AU  - Tognon Francis
    Y1  - 2022/04/20
    PY  - 2022
    N1  - https://doi.org/10.11648/j.ijidt.20220702.12
    DO  - 10.11648/j.ijidt.20220702.12
    T2  - International Journal of Infectious Diseases and Therapy
    JF  - International Journal of Infectious Diseases and Therapy
    JO  - International Journal of Infectious Diseases and Therapy
    SP  - 29
    EP  - 34
    PB  - Science Publishing Group
    SN  - 2578-966X
    UR  - https://doi.org/10.11648/j.ijidt.20220702.12
    AB  - Introduction: Antiretrovirals have improved the life expectancy of people living with HIV (PLHIV). The evaluation of quality of life and its improvement is now an important element of care. The current study assessed the quality of life and identified associated factors with adults living with HIV who were followed at the CHUD Borgou. Methods: A case-control study was conducted from August to October 2018. Cases of PLHIV aged 15 years and older, were recruited through systematic sampling with steps equal to 2 based on the order of arrival of patients at the site. The controls were composed of apparently healthy, HIV-negative individuals recruited in the community in 10 neighborhoods selected at random out of 58 in the city of Parakou. A pen rotation was used to choose the direction to follow and households were selected with a step size of 4. Each PLHIV is associated with two HIV-negative respondents matched on age, sex, and average monthly income. The generic score composed of 36 questions "SF-36" was used to assess the quality of life of the participants. These questions are grouped into three categories exploring physical, mental, and self-perceived health changes, respectively. Respondents gave oral consent. The favorable opinion of the ethics committee for Biomedical research of the University of Parakou was obtained. Data were entered and analyzed using Epi-Info 7.2.2 software. The general linear regression model was used to identify independent factors associated with quality of life. Results: There were 222 PLHIV and 444 HIV-negative subjects. The mean quality of life score of PLHIV was higher than that of HIV-negative subjects in all dimensions: physical health (56.04 vs. 50.52; p ˂ 0.000), mental health (40.15 vs. 35.16; p ˂ 0.000), and perceived health (67.00 vs. 59.40; p Conclusion: Several factors contribute to a better quality of life for PLHIV compared to the community. The impact of free care in Benin on the quality of life of PLHIV deserves to be evaluated in the long term.
    VL  - 7
    IS  - 2
    ER  - 

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Author Information
  • Department of Medicine and Medical Specialties, Regional and Teaching Hospital of Borgou, Faculty of Medicine, University of Parakou, Parakou, Republic of Benin

  • Department of Medicine and Medical Specialties, National and Teaching Hospital of Cotonou, Faculty of Health Sciences, University of Abomey-Calavi, Cotonou, Republic of Benin

  • Department of Medicine and Medical Specialties, National and Teaching Hospital of Cotonou, Faculty of Health Sciences, University of Abomey-Calavi, Cotonou, Republic of Benin

  • Department of Medicine and Medical Specialties, Regional and Teaching Hospital of Borgou, Faculty of Medicine, University of Parakou, Parakou, Republic of Benin

  • Department of Medicine and Medical Specialties, Regional and Teaching Hospital of Borgou, Faculty of Medicine, University of Parakou, Parakou, Republic of Benin

  • Department of Medicine and Medical Specialties, Regional and Teaching Hospital of Borgou, Faculty of Medicine, University of Parakou, Parakou, Republic of Benin

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