Prevalence and predictors of HIV-related disability among people living with HIV in Nigeria.

IF 1 Q4 REHABILITATION
South African Journal of Physiotherapy Pub Date : 2024-07-30 eCollection Date: 2024-01-01 DOI:10.4102/sajp.v80i1.2001
Temitope S Oladejo, Hellen Myezwa, Adedayo T Ajidahun, Sam Ibeneme
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Abstract

Background: People living with human immunodeficiency virus (PLWH) live longer, but experience human immunodeficiency virus (HIV)-related comorbidities and disabilities that lower their quality of life. Understanding the prevalence, risk factors, and disability patterns is crucial for tailored interventions.

Objectives: To explore the prevalence and predictors of HIV-related disability among PLWH in Nigeria.

Method: This cross-sectional survey involved 385 PLWH, exploring demographic data, HIV history, recent symptoms, disability (measured by the WHO Disability Assessment Schedule-WHODAS 2.0). Descriptive statistics summarised the data, all variables were entered into univariate and multivariate regression models. IBM SPSS 25® was used for all analyses at a 95% confidence level.

Results: The prevalence of disability among PLWH was 39.5%, the mean age was 42.2 ± 10.43 years, and 73% of the participants were females. Factors significantly associated with disability were marital status (p = 0.009) and level of education (p = 0.001).

Conclusion: The study reveals a prevalence of disability (39.5%) among PLWH on antiretroviral therapy (ART), emphasising the need for tailored interventions considering socio-demographic factors. Continuous screening, risk identification, and effective management strategies are imperative, recognising disability as an indicator of health and quality of life.

Clinical implications: With PLWH experiencing increased life expectancy, the study underscores the need for an informed patient-centred approach to care, recognising the specific challenges faced by PLWH in Nigeria and guiding the development of targeted interventions to enhance both functional outcomes and overall well-being.

尼日利亚艾滋病毒感染者中与艾滋病毒有关的残疾的发生率和预测因素。
背景:人类免疫缺陷病毒感染者(PLWH)的寿命较长,但却会出现与人类免疫缺陷病毒(HIV)相关的合并症和残疾,从而降低他们的生活质量。了解发病率、风险因素和残疾模式对于采取有针对性的干预措施至关重要:探讨尼日利亚 PLWH 中与 HIV 相关的残疾发生率和预测因素:这项横断面调查涉及 385 名艾滋病毒感染者,调查内容包括人口统计学数据、艾滋病毒感染史、近期症状、残疾情况(通过世界卫生组织残疾评估表-WHODAS 2.0 进行测量)。描述性统计对数据进行了总结,并将所有变量输入单变量和多变量回归模型。所有分析均采用 IBM SPSS 25®,置信度为 95%:PLWH 的残疾发生率为 39.5%,平均年龄为(42.2 ± 10.43)岁,73% 的参与者为女性。婚姻状况(p = 0.009)和受教育程度(p = 0.001)是与残疾明显相关的因素:这项研究揭示了接受抗逆转录病毒疗法(ART)的 PLWH 中残疾的普遍程度(39.5%),强调有必要考虑社会人口因素采取有针对性的干预措施。持续筛查、风险识别和有效的管理策略势在必行,同时要认识到残疾是健康和生活质量的一个指标:随着 PLWH 预期寿命的延长,该研究强调了以患者为中心的知情护理方法的必要性,同时认识到尼日利亚 PLWH 所面临的特殊挑战,并指导制定有针对性的干预措施,以提高功能结果和整体福祉。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
CiteScore
1.70
自引率
9.10%
发文量
35
审稿时长
30 weeks
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