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Periodical article Periodical article Leiden University catalogue Leiden University catalogue WorldCat catalogue WorldCat
Title:Health-related quality of life in a sample of HIV-infected South Africans
Authors:Peltzer, KarlISNI
Phaswana-Mafuya, Nancy
Periodical:African Journal of AIDS Research
Geographic term:South Africa
social welfare
External link:https://www.tandfonline.com/doi/abs/10.2989/AJAR.2008.
Abstract:The authors assess the health-related quality of life and HIV symptoms of a sample of people living with HIV (PLHIV) in South Africa. The sample included 607 PLHIV from all districts of the Eastern Cape Province, recruited either through a health facility, from the community through key informants, or through support groups. At the time of the study, 66 percent of the respondents reported having been given an AIDS diagnosis; 48 percent were on antiretroviral therapy (ART), and 35 percent were receiving a disability grant. The findings indicate a low degree of overall quality of life, with a mean score of 13.4 on the World Health Organization Quality of Life (WHOQOL)-HIV measure. Among the WHOQOL-HIV BREF subscales, logistic regression identified spirituality, environment, psychological health, and level of independence as predictors for overall quality of life. Among medical variables and HIV symptoms, CD4 cell count and having fewer HIV symptoms but not an AIDS diagnosis were identified as predictors for overall quality of life; among socioeconomic variables, having sufficient food and a higher educational level were identified as predictors. The results highlight the need for better access to psychosocial support and medical services for PLHIV in South Africa, as well as the need to consider a patient's general health perceptions during the course of ART. Bibliogr., sum. [Journal abstract]