Relationship between HIV stage and psychomotor speed neurocognitive score at a Kenyan sub-county hospital

African Journal of Primary Health Care & Family Medicine

 
 
Field Value
 
Title Relationship between HIV stage and psychomotor speed neurocognitive score at a Kenyan sub-county hospital
 
Creator Kinuthia, Rachael N. Thigiti, Joseph M. Gakinya, Benson N.
 
Subject Family medicine psychomotor speed; asymptomatic or early HIV; symptomatic or late HIV; grooved pegboard test; initiation of care
Description Background: Human immunodeficiency virus (HIV) and acquired immunodeficiency syndrome (AIDS) is associated with cognitive impairment which affects psychomotor speed. Psychomotor slowing is a predictor of dementia and death in people living with HIV and AIDS. The purpose of this study was to assess the relationship between HIV disease stage and psychomotor speed neurocognitive score which will add to the body of knowledge required to manage patients with HIV and AIDS. Objective: To determine the relationship between psychomotor speed neurocognitive score and the HIV disease stage in adults at initiation of care. Setting: This study was conducted at Kangundo Sub-county hospital comprehensive care centre. Methods: This was a cross-sectional study. All HIV seropositive patients aged 18 to 50 years recently initiated into care were studied. A pretested questionnaire was used to collect data. The World Health Organization (WHO) stage was used during data collection to classify study participants into asymptomatic and symptomatic groups. The grooved pegboard test was used to obtain psychomotor speed neurocognitive scores. Descriptive statistics were used to summarise data. Mann–Whitney U test, Spearman’s rho and multiple linear regression were employed in the analysis; p-value of 0.05 was considered significant. Results: The WHO stage did not have a significant effect on the psychomotor speed neurocognitive score (p ≥ 0.05). The CD4 count had a significant effect on psychomotor speed neurocognitive score (p = 0.001). Conclusions: There was a significant correlation between CD4 counts and psychomotor speed neurocognitive score. Efforts should be made to ensure that the CD4 counts of people living with HIV and AIDS do not continue to fall after initiation into care in order to preserve psychomotor function.
 
Publisher AOSIS
 
Contributor none
Date 2016-08-31
 
Type info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion — cross-sectional study
Format text/html application/octet-stream text/xml application/pdf
Identifier 10.4102/phcfm.v8i1.1061
 
Source African Journal of Primary Health Care & Family Medicine; Vol 8, No 1 (2016); 8 pages 2071-2936 2071-2928
 
Language eng
 
Relation
The following web links (URLs) may trigger a file download or direct you to an alternative webpage to gain access to a publication file format of the published article:

https://phcfm.org/index.php/phcfm/article/view/1061/1830 https://phcfm.org/index.php/phcfm/article/view/1061/1831 https://phcfm.org/index.php/phcfm/article/view/1061/1832 https://phcfm.org/index.php/phcfm/article/view/1061/1802
 
Coverage Africa 2013-2014 newly diagnosed patients with HIV and AIDS
Rights Copyright (c) 2016 Rachael N. Kinuthia, Joseph M. Thigiti, Benson N. Gakinya https://creativecommons.org/licenses/by/4.0
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