Mina Benaddi, Abdelhafid Benksim, Touria Fatihi, Sanaa Sabour Alaoui
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引用次数: 0
摘要
背景:如今,艾滋病病毒感染者(PLHIV)的目标是在感染后长期健康生活,而不是存活下来。本研究评估了摩洛哥贝尼-梅拉尔市艾滋病病毒感染者与健康相关的生活质量(HRQoL)以及影响 HRQoL 的因素:本研究对在摩洛哥贝尼-梅拉勒地区医院就诊的 160 名艾滋病毒感染者进行了横断面研究。HRQoL 采用 EQ-5D 问卷(EuroQol-5D)进行评估。采用非概率χ2检验来确定与PLHIV HRQoL相关的因素。采用多变量二项逻辑回归模型确定影响 HRQoL 的潜在因素:结果:HRQoL良好(EuroQol-5D评分≥0.59)的PLHIV比例为64.4%。190)、HIV 代表(p=0.01)(OR:7.923;95% CI 1.65 至 38.04)、与医疗团队的良好关系(p=0.002)(OR:5.771;95% CI 1.0 至 12.135)和低病毒载量(p=0.001)(OR:0.180;95% CI 0.063 至 0.514):心理支持和挑战污名化是改善艾滋病毒感染者 HRQoL 的健康策略的关键。
Health-related quality of life of people living with HIV in Beni-Mellal City, Morocco.
Background: Nowadays, the objective for people living with HIV (PLHIV) is living well and long with the infection rather than surviving it. This study assesses health-related quality of life (HRQoL) of PLHIV in Beni-Mellal City, Morocco, and the factors influencing HRQoL.
Methods: A cross-sectional study was conducted on 160 PLHIV attending the regional hospital of Beni-Mellal, Morocco. HRQoL was assessed using the EQ-5D Questionnaire (EuroQol-5D). A non-probabilistic χ2 test was used to determine factors associated with HRQoL of PLHIV. A multivariate binomial logistic regression model was applied to determine potential factors influencing HRQoL.
Results: The rate of PLHIV with good HRQoL (≥0.59 EuroQol-5D score) was 64.4%. The factors associated with good HRQoL were male gender (p=0.026) (OR: 3.69; 95% CI 1.0 to 12.135), side effects (p= 0.006) (OR: 3.655; 95% CI 1.446 to 9.239), high CD4 count (p=0.001) (OR: 0.77; 95% CI 0.061 to 0.190), HIV representation (p=0.01) (OR: 7.923; 95% CI 1.65 to 38.04), good relationship with the healthcare team (p=0.002) (OR 5.771; 95% CI 1.0 to 12.135) and low viral load (p=0.001) (OR: 0.180; 95% CI 0.063 to 0.514).
Conclusions: Psychological support and challenging stigma are key in health strategies to improve the HRQoL of PLHIV.
期刊介绍:
International Health is an official journal of the Royal Society of Tropical Medicine and Hygiene. It publishes original, peer-reviewed articles and reviews on all aspects of global health including the social and economic aspects of communicable and non-communicable diseases, health systems research, policy and implementation, and the evaluation of disease control programmes and healthcare delivery solutions.
It aims to stimulate scientific and policy debate and provide a forum for analysis and opinion sharing for individuals and organisations engaged in all areas of global health.