Conference abstract

Health-related quality of life of HIV patients with and without TB registered in a tertiary hospital in Port-Harcourt, Nigeria, 2017

Pan African Medical Journal - Conference Proceedings. 2018:8(67).09 Apr 2018.
doi: 10.11604/pamj-cp.2018.8.67.649
Archived on: 09 Apr 2018
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Keywords: Health-related quality of life, HIV, HIV/TB, Port-Harcourt, Nigeria
Opening ceremony

Health-related quality of life of HIV patients with and without TB registered in a tertiary hospital in Port-Harcourt, Nigeria, 2017

Njideka Esther Kanu1,&, Charles Ibiene Tobin-West2

1Department of Community Medicine, University of Medical Sciences, Ondo, Nigeria, 2College of Health Sciences, University of Port Harcourt, Port Harcourt, Nigeria

&Corresponding author
Njideka Kanu, Department of Community Medicine, University of Medical Sciences, Ondo, Nigeria

Abstract

Introduction: little is known about the health-related quality of life (HRQOL) of patients who suffer from HIV and TB in Nigeria. This study was carried out to measure and compare the HRQOL of HIV patients with and without TB at the Anti-retroviral Clinic of the University of Port Harcourt Teaching Hospital, south-south, Nigeria.

Methods: a comparative cross-sectional study design and a simple random sampling method was used to recruit 144 HIV patients with TB and 144 HIV patients without TB. Information was collected on socio-demographic and socioeconomic variables, while their HRQOL was measured using the 26-item WHO Quality of Life instrument. Data was analyzed in Epi-info version 7 with frequencies, t-test and chi-square tests conducted.

Results: in all, 144 HIV/AIDS patients with TB and 144 HIV/AIDS without TB participated. Females constituted 52% and 56% of HIV-only and HIV/TB co-infected groups respectively. Their mean ages were 36.03 ± 10.92 and 35.69 ± 10.28 years, respectively (p = 0.532). There were no significant differences in their demographic characteristic. HRQOL score ranged from 61.9 to 78.5 for HIV patients and 61.6 to 75.8 for the co-infected patients. The Global mean rating of QOL: HIV patients with TB (64.74 ± 14.36) had lower QOL than those without TB (68.27 ± 12.99) (t-test = 2.19; p = 0.029). Co-infected patients specifically had lower QOL in the physical (p = 0.016), psychological (p = 0.006) and global (p = 0.029) domains of QOL than HIV-only patients. The two groups did not differ significantly in the social and environmental domains (P > 0.05).

Conclusion: the co-morbid condition of HIV/TB significantly lowers the quality of life of sufferers. Attention should be focused on the medical and psycho-social management of HIV/TB co-infected patients in order to enhance their QOL.