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Submitted: 18 January 2019 Modified: 25 April 2019
HERDIN Record #: R07-CIM-19011817190375

Quality of life of patients with HIV/AIDS enrolled at Vicente Sotto Memorial Medical Center (VSMMC-CECAP) in Cebu.

Janica S. Alguire,
Mark Gavin C. Dinsay,
Kenn Carlson M. Dy,
Juan Bernardo J. Lava,
Esther Ann B. Nacita,
Doucel L. Oliver,
Emma Angeli T. Pableo,
Trisha Vera B. Paler,
Justine Mae  J. Rondina

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Background: As of March 2016, 32, 647 cases of HIV have been  reported in the Philippines. Among all cities in the country, Cebu City ranked number one in the prevalence of HIV. Various research shows that HIV infection, currently an incurable, lifelong disease, affects multiple dimensions of a person's well-being: physical, mental, social and economic.The World Health Organization (WHO) has formulated a tool to assess a person's well-being in the context of Quality of Life (QOL) defined by the WHO as "individuals' perceptions of their position in life in the context of the culture and value systems in which they live and in relation to their goals, standards, expectations and concerns.'' Assessment of QOL has increasingly been used to: (1) determine the readiness of a population to accept innovative approaches to reducing infection rate, transmission, and the associated underlying  morbidities of the disease process, (2) determine the perceived burdens of chronic disease, (3) track changes in health over time, (4) evaluate the effects of treatment and, (5) quantify the return of health care investments. General Objective: To evaluate the quality of life of HIV positive (HIV+) patients using the WHO Quality of Life Questionnaire (WHOQOL-HIV-BREF tool). Study Design: Descriptive, cross-sectional study. Study Population: HIV+ patients enrolled at the VSMMC-CECAP program, HIV treatment Hub in Cebu. Maneuvers: HIV+ patients were selected through convenience sampling. All patients who visited the HIV treatment hub during the study period were invited to participate. Sociodemographic and behavioral data were collected through separate forms, and the WHOQOL-HIV-BREF tool was administered. Results: Chi-square statistics indicated that the demographic variables had no significant relationships with the QOL of respondents. Most of the HIV (+) patients surveyed were males  (82.5%), the most common route of transmission was having sex with a man (72.5%), and most did not consider themselves to be ill (87.5%). Results of one-way repeated measures ANOVA indicated that there were significant differences (F=213.21, p<.001)in the domains of QOL. Bonferroni pairwise comparison indicates that among the domains of quality of life of the respondents, psychological domain (M=18.52, SD= 3.02) is higher than physical domain (M=15.23, SD=2.98), physical domain (M=15.23, SD=2.98) is higher than social relationships (M=13.58, SD=3.46), and physical domain (M=15.23, SD=2.98) is higher than spirituality (M=13.18, SD=3.77). Conclusion: QoL assessment is a vital part in a HIV+ patient's overall care and the results of this study may aid in addressing specific patient issues and formulating solutions in relation to different QoL domains.

Publication Type
Thesis/Dissertations
Thesis Degree
MD
Specialization
Medicine
Publication Date
2016
LocationLocation CodeAvailable FormatAvailability
Cebu Institute of Medicine Abstract Print Format
1. (2015, November 30). Newly diagnosed HIV cases in the Philippines . Department of Health Epidemiology Bureau. . Retrieved from: http://www.doh.gov.ph/sites/default/files/statistics/EB_HIV_Mar-AIDSreg2016.pdf
2. (). HIV and AIDS. . Retrieved from: http;//www.unicef.org/philippines/hivaids.html
3. Moinpour, C. M.. (). Measuring quality of life: an emerging science. . Retrieved from: http://europepmc.org/abstract/med/7973770
4. Oguntibeju, O. . (2011, November 30). Quality of life of people living with HIV and AIDS and antiretroviral therapy. HIV AIDS. . Retrieved from: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3418767/
5. Kasper , D. L., Hauser, S. L., Jameson, J. L., Fauci, A. S., Longo, D. L., Loscalzo, J. . Harrison New York: McGraw-Hill, 2015.
6. (2015, November 30). How do you get HIV or AIDS?. . Retrieved from: https://www.aids.gov/hiv-aids-basics/hiv-aids-101/how-you-get-hiv-aids/
7. Akinbami, A. , Dosunmu, A. , Adediran, A. , Ajibola, S. , Oshinaike, O. , Wright, K. , Arogundade, O. . "CD4 Count pattern and demographic distribution of treatment -naive HIV patients in Lagos, Nigeria" AIDS Research and Treatment , 1-6, 2012
8. Fasakin, K. , Omisakin, C. , Esan, A. , Adebara, I. , Owoseni, I., Omoniyi, D. , Moronkeji, M. . "Total and CD4 T-lymphocyte count correlation in newly diagnosed HIV patients in resource-limited setting" Journal of Medical Laboratory and Diagnosis 5(2): 22-28, 2014
9. Aina, O. , Dadik, J. , Charurat, M. , Amangaman, P. , Gurumdi, S. , Mang, E. , Abimiku, A. . "Reference values of CD4 T lymphocytes in human immunodeficiency virus-negative adult Nigerians" Clinical and Vaccine Immunology 12(4): 525-530, 2005
10. Basavaraj, K. , Navya, M. , Rashmi, R. . "Quality of life in HIV/AIDS" Indian Journal of Sexually Transmitted Diseases and AIDS. 31(2): 75, 2010
11. "Changes in depressive symptoms as AIDS develops. The multicenter AIDS cohort study" American Journal of Psychiatry 153(11): 1430-1437, 1996
12. Mekuria, L. A., Sprangers, M. A., Prins, J. M., Yalew, A. W., Nieuwkerk, P. T.. "Health-related quality of life of HIV-infected adults receiving combination antiretroviral therapy in Addis Ababa" AIDS Care 27(8): 934-945, 2015
13. Silveira, M. , Mulller, C. . "Quality of Life of Pregnant Women Living with HIV/AIDS" Revista Brasileira de Ginecologia e Obstetricia/ RBGO Gynecology and Obstetrics 38(5): 246-252,
14. "Development of the World Health Organization WHOQOL-BREF Quality of Life Assessment." 28(3): 551-558, 1998
15. Degroote, S. , Vogelaers, D. , Vandjick, D. M.. "What determines health-related quality of life among people living with HIV: an updated review of the literature" Archives of Public Health 72(1): 2014
16. Douaihy, A. , Singh, N. . "Factors affecting quality of life in patients with HIV infection" AIDS Read 11(9): 450-454, 4, 2001
17. Grossman, H. A., Sullivan, P. S., Wu, A. W.. "Quality of life and HIV: current assessment tools and future directions for clinical practice" AIDS Read 13(12): 583-590, 5, 2003
18. Pedroso, B. , Luis, G. , Duterte, E. , Alberto, L. , Tania, C. . "Quality of life assessment in people living with HIV/AIDS: Clarifying the WHOQOL-HIV and WHOQOL-HIV BREF intruments" Global View of HIV Infection , 2011
19. Wilson, I. B., Cleary, P. D.. "Linking clinical variables with health-related quality of life" JAMA 273, 59-65, 1995
20. Capsmith, M. L., Nakashima, A. K., Davidson, A. J.. "Health and quality of life outcomes" Biomed Central 1(12): 2003
21. Goodman, L. S., Brunton, L. , Chabner, B. , Knollmann, B. C.. Goodman & Gilman New York: McGraw-Hill, 2011.
22. Estaquier, J. , Lelievre, J. , Petit, F. , Brunner, T. , de parseval, L. M., Richman, D. , Ameisen, J. C., Corbeil, J. . "Effects of antiretroviral drugs on Human Immunodeficiency Virus type 1-induced CD4+ t-cell death. " Journal of Virology 76(12): 5966-5973, 2002
23. Sethi, A. K., Celentano, D. D., Gange, S. J., Moore, R. D., Gallant, J. E.. "Association between adherence to antiretroviral therapy and Human Immunoideficiency Virus Drug Resistance" Clinical Infectious Diseases 37, 1112-1118, 2003
24. Mao, Y. , Li, X. , Qiao, S. , Zhou, Y. , Zhao, Q. . "Ethnicity, stigma and adherence of Antiretroviral Therapy (ART) among people living with HIV/AIDS in Guangxi, China" Journal of AIDS and Clinical Research 8, 652, 2017
25. Okoror, T. A., Falade, C. O., Olorunlana, A. , Walker, E. M., Okareh, O. T.. "Exploring the cultural context of HIV stigma on antiretroviral therapy adherence among people living with HIV/AIDS in Southwest Nigeria" AIDS Patient Care STDS 27, 55-64, 2013
26. Nomoto, S.H. , Longhi, R. M., de Barros, B. P., Croda, J. , Ziff, E. B.. "Socio-economic disadvantage increasing risk for depression among recently diagnosed HIV patients in an urban area in Brazil: cross-sectional study " AIDS Care 27, 979-985, 2015
27. Hanass-Hancock, J. , Regondi, I. , Egaraat, L. , Nixon, S. . "HIV-related disability in HIV hyper-endemic: A scoping review" Journal of AIDS 3, 257-279, 2013
28. Myezwa, H. , Hanass-Hacock, J. , Pautz, N. , Smith, R. , Carpenter, B. . "Investigating the interaction between disability and depressive symptoms in the era of widespread access to ART" Journal of AIDS and Clinical Research 7, 584, 2016
29. Akinsegun, Akinbami , Adedoyin, Dosunmu , Adediran, Adewumi . "CD4 Count Pattern and demographic distribution of treatment-naive HIV patients in Lagos, Nigeria" AIDS Research and Treatment , 6, 2012
30. Cofey, S. . (2013, November 30). Guide for HIV/AIDS clinical care. U.S. Department of Health and Human Services Health Resources and Services Administration HIV/AIDS Bureau. . Retrieved from: https://aidsetc.org/sites/default/files/resources files/Clinical Manual 4-30-2014 o.pdf
31. Fasakin, K. , Omisakin, C. , Esan, A. , Owoseni, I. S., Adebara, I. O., Ojayi, O. D., Ogundare, R. . "Total and CD4+ T-lymphocyte count correlation in newly diagnosed HIV patients in resource-limited setting" Journal of Medical Laboratory and Diagnosis 5(2): 22-28, 2014
32. Williams, B. G., Korenromp, E. L., Gouws, E. , Schmid, G. P., Auvert , B. , Dye, C. . "HIV infection, antiretroviral therapy, and CD4+ cell count distributions in African populations" Journal of Infectious Diseases 194(10): 1450-1458, 2006
33. (2015, November 30). The World Health Organization Quality of Life (WHOQOL). . Retrieved from: http://www.who.int/mental_health/publications/whoqol/en/

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