Determinants of health-related quality of life in young adults living with perinatally acquired HIV infection in Botswana

Southern African Journal of HIV Medicine

 
 
Field Value
 
Title Determinants of health-related quality of life in young adults living with perinatally acquired HIV infection in Botswana
 
Creator Karugaba, Grace Thupayagale-Tshweneagae, Gloria Moleki, Mary M. Mabikwa, Onkabetse V. Matshaba, Mogomotsi
 
Subject Health; Psychology; Education perinatal HIV; young adulthood; health-related quality of life; ART; Botswana
Description Background: Due to the successful antiretroviral therapy (ART) programme in Botswana, large numbers of perinatally HIV-infected adolescents are emerging into young adulthood. Young adulthood is a critical period of human development. However, there is lack of information on the factors affecting the health-related quality of life (HRQOL) of young adults living with perinatally acquired HIV (YALPH) in Botswana.Objectives: The objective of this study was to assess the HRQOL and its determinants among YALPH who were enrolled on ART at Botswana-Baylor Children’s Clinical Centre of Excellence in Gaborone, Botswana.Method: A cross-sectional study assessed the HRQOL of 509 YALPH aged 18–30 years using the WHOQOL-HIV BREF. Data about other variables of interest were abstracted from medical records. Bivariate analyses were performed using t and Chi-square tests to determine the associations between demographic and clinical variables and general HRQOL. The variables that were associated with the general HRQOL at P-value 0.1 were included in the multivariable analysis using the logistic regression approach.Results: The majority of participants had good general HRQOL (78.4%). The highest mean HRQOL score was in the Physical domain (5.4 [± 2.9]) and the lowest in the Environment domain (13.8 [± 2.7]). The factors that were significantly associated with the general HRQOL included: level of education attained (P = 0.012), employment status (P = 0.069), viral load suppression (P = 0.073) and self-reported illness (P = 0.001).Conclusion: Interventions that effectively increase educational attainment, employment opportunities, ART adherence, and prevention or management of illness are needed to promote good HRQOL among YALPH in Botswana.
 
Publisher AOSIS
 
Contributor
Date 2022-04-29
 
Type info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion — survey
Format text/html application/epub+zip text/xml application/pdf
Identifier 10.4102/sajhivmed.v23i1.1362
 
Source Southern African Journal of HIV Medicine; Vol 23, No 1 (2022); 10 pages 2078-6751 1608-9693
 
Language eng
 
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https://sajhivmed.org.za/index.php/hivmed/article/view/1362/2770 https://sajhivmed.org.za/index.php/hivmed/article/view/1362/2771 https://sajhivmed.org.za/index.php/hivmed/article/view/1362/2772 https://sajhivmed.org.za/index.php/hivmed/article/view/1362/2773
 
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Rights Copyright (c) 2022 Grace Karugaba, Gloria Thupayagale-Tshweneagae, Mary M. Moleki, Onkabetse V. Mabikwa, Mogomotsi Matshaba https://creativecommons.org/licenses/by/4.0
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