The health-related quality of life of people living with HIV/AIDS
The health-related quality of life of people living with HIV/AIDS
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DOI:
10.1080/09638280410001662932
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发表时间:
2004-03-18
影响因子:
2.2
通讯作者:
Tinise, X
中科院分区:
文献类型:
--
作者:
Hughes, J;Jelsma, J;Tinise, X
Purpose: The prevalence of people living with HIV/ AIDS (PLWA) in South Africa is estimated to be approximately 14.2% of the total population. In the absence of anti-retroviral therapy, PLWA are likely to experience a steady decline in function, as their immune systems become increasingly compromised. However, there is limited information available to determine the potential role of rehabilitation interventions in the management of PLWA in a resource-poor community.Subjects: Subjects were recruited from the population of beneficiaries of HIV/ AIDS clinics run by Medecins Sans Frontieres, which provides anti-retroviral therapy to PLWA within a resource poor community. The subjects, who were either in WHO Stage 3 or 4 of the disease and/or had a CD4 count of less than 200, were interviewed after enrolment on the anti-retroviral programme and before treatment was initiated. They were therefore not yet receiving anti-retroviral therapy. The control group consisted of a community sample randomly selected from the same area and who were in the same age range.Methods: As all participants were Xhosa speaking, the Xhosa version of the EQ-5D measure of HRQoL was utilized. Analysis: The Mann - Whitney U-test was used to determine whether there was a difference in the rank ordering of responses to the five different domains of the EQ-5D and the Visual Analogue Scale of Health Status scores. Results: There were 123 and 108 subjects in the experimental and control groups, respectively. In the domain of mobility 30.9% of the subjects reported some or severe problems, compared to 14.8% of the control group (p