Quality of life in persons living with HIV in Burkina Faso: a follow-up over 12 months

Abstract

BackgroundIn 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.MethodsFour 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 Chi2 was 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.ResultsAt 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).ConclusionsOur 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.

Health-related quality of life among people living with HIV/AIDS in Togo: individuals and contextual effects

“…To assess QOL, we used the specific instrument developed by WHO, the WHOQOL-HIV BREF [ 2 ] which includes 31 items. This instrument, used in other studies in West Africa [ 8 , 11 ], produces six domain scores: physical, psychological, level of independence, social relationships, environment and spirituality/religion/personal beliefs. All domain scores ranged from 4 to 20.…”

“…We found in our study that, HIV-positive patients who were on ART reported better global QOL, whatever the duration of the ART. The effect of the ART on the health of PLWHA and their well-being is well documented in low-income countries [ 4 , 11 , 12 ]. The effect of ART is expressed in PLWHA by the suppression of the HIV replication, and subsequently AIDS-related mortality, morbidity and symptoms are reduced in these patients [ 12 ].…”

“…Similar findings were reported in previous studies. In Burkina Faso, in both in a cross-sectional and longitudinal studies, Bakiono et al [ 4 , 11 ] showed that HIV-positive patients on ART were more susceptible to report better score of QOL, even after 1 year of follow-up. In another study conducted in Vietnam, Tran et al [ 13 ] assessed the HRQOL of 1016 HIV-positive patients, using the Vietnamese version of the WHOQOL-HIV BREF and evidenced that patients on ART for more than 1 year were more susceptible to report higher scores of HRQOL.…”

The Prevalence of Depression Associated with the Infection Status and Sexual Behaviors among Men Who Have Sex with Men in Shenzhen, China: A Cross-Sectional Study

“…For the individuals who took the serological test and had a positive result in the investigation, these serological results were not clear while filling out the questionnaires. Previous studies [26][27][28][29] paid much attention to the quality of life among people living with HIV (PLHIV). The frequency of major depressive disorder was nearly two times higher among HIV-positive subjects than among HIV-negative comparison subjects [30].…”

The quality of life and coping skills of patients with human immunodeficiency virus among different occupation

“…According to occupational status in the current study, 36% of HIV patients were housewives and 26% were drivers by profession. Similarly, Bakiono et al in a study reported that 23.6% were housewives and 50% were traders 11. Whereas Munsawaengsub et al reported that 57.2% patients were labourer and 7.3% remained unemployed 12.…”