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Gender difference in health related quality of life and associated factors among people living with HIV/AIDS attending anti-retroviral therapy at public health facilities, western Ethiopia: comparative cross sectional study

机译:健康相关质量的性别差异与艾滋病毒/艾滋病患者患者艾滋病毒/艾滋病的相关因素在公共卫生设施,西埃塞俄比亚:比较横断面研究中的抗逆转录病毒治疗

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Though HIV/AIDS has multidimensional consequences on quality of life, there is a gap in measuring and monitoring health related quality of life of HIV/AIDS patients. Hence, this study intended to measure health related quality of life domains and associated determinants among people living with HIV/AIDS in western Ethiopia. A comparative cross-sectional study was conducted among 520 HIV/AIDS patients on anti-retroviral therapy in public health facilities in West Shoa Zone, Western Ethiopia from April to May, 2016. Participants were selected using simple random sampling method. Quality of life was measured using WHOQOL-HIV BREF and depression was assessed using Beck Depression Inventory, Second Edition (BDI-II). Data were analyzed using SPSS version 22. An independent sample t-test was used to compare quality of life domains between men and women and logistic regression analysis was used to determine independent predictors. Females had significantly lower quality of life in physical, psychological, independence and environmental domains as compared with males except social relationship and spiritual domains. Depressed HIV patients had significantly lower quality of life in all domains as compared with HIV infected patients without depression in both genders. Malnutrition and anemia were significantly associated with poor physical, psychological, independence and environmental domains. Anemic women had 1.9 times lower independence quality of life compared with women who had no anemia (AOR?=?1.9, 95%CI: 1.4, 3.5). Tuberculosis was also predictor of physical, psychological, independence and social domains in both genders. TB/HIV co-infected females had 2.0 times poorer environmental health compared to only HIV infected females (AOR?=?2.0, 95%CI: 1.2, 3.5). Family support, education and occupation were also independent significant predictors of QOL domains in both genders. In females, residence was significantly associated with independence (AOR?=?1.8, 95%CI: 1.2–3.8) and environmental (AOR?=?1.5, 95%CI: 1.1–3.2) domains. Females had significantly lower quality of life compared with males. The findings indicted poor socio-economic status and co-infections significantly associated with poor quality of life among HIV/AIDS patients. So, due emphasis should be given to improve socio-economic status and enhance integrated early detection and management of malnutrition, depression, tuberculosis and anemia among HIV/AIDS patients in Ethiopia.
机译:虽然艾滋病毒/艾滋病对生活质量的多维后果,但艾滋病毒/艾滋病患者的衡量和监测健康生活质量存在差距。因此,该研究旨在测量与西埃塞俄比亚西部艾滋病毒/艾滋病的人们生活域的健康相关质量和相关的决定因素。 2016年4月至5月至5月至5月至5月,西埃塞俄比亚西部埃塞俄比亚的公共卫生设施的520艾滋病毒治疗患者的比较横截面研究。参与者使用简单的随机抽样方法选择。使用BECK抑郁症库存,第二版(BDI-II)评估使用WHO QOL-HIV BREF和抑郁症测量寿命的质量。使用SPSS版本22进行分析数据。使用独立的样本T检验来比较男性和女性之间的生活域,并且使用逻辑回归分析来确定独立预测因子。除社会关系和精神域外外,女性在物理,心理,独立和环境域中的生活质量显着降低了生活质量,心理学,独立和环境域。抑郁的艾滋病毒患者在所有域中的生活质量明显较低,而无菌感染的患者则在没有抑郁症中的患者。营养不良和贫血与差的物理,心理,独立和环境域有关。与没有贫血的女性相比,贫血女性的独立性较低的1.9倍(aor?=?1.9,95%ci:1.4,3.5)。结核病也预测了两种性别的身体,心理,独立和社会域名。与只有艾滋病毒感染的女性相比,TB / HIV共同感染的女性较差2.0倍较差的环境健康(AOR?=?2.0,95%CI:1.2,3.5)。家庭支持,教育和职业也是双重的QOL领域的独立预测因素。在女性中,居住与独立性有关(AOR?=?1.8,95%CI:1.2-3.8)和环境(AOR?=?1.5,95%CI:1.1-3.2)域。与男性相比,女性的生活质量明显较低。调查结果征用了贫困社会经济地位,与艾滋病毒/艾滋病患者的生活质量差显着相关。因此,应强调改善社会经济地位,并加强埃塞俄比亚艾滋病毒/艾滋病患者中营养不良,抑郁,结核病和贫血的综合早期检测和管理。

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