DOI: http://dx.doi.org/10.18203/2394-6040.ijcmph20202449

Comparative analysis of quality of life of HIV positive support group and non-support group members in a tertiary hospital in Anambra State, Nigeria

Adaeze O. Okonkwo, Benjamin S. C. Uzochukwu, Chinomnso C. Nnebue

Abstract


Background: Peer support as a component of chronic disease management strategy is fast gaining prominence especially in resource poor settings. It is apt to X-ray the effects if any, of support group memberships on the quality of life (QoL) of HIV positive clients in our clime. This study aims to determine and compare the QoL of HIV positive support group and non-support group members in a tertiary hospital in Anambra state, Nigeria.

Methods: This was an institution based comparative study of 482 HIV positive clients selected using a two-stage sampling. Data were collected by interview using WHOQOLHIV-Bref and semi-structured questionnaire, while data were analysed with statistical package for social sciences version 22.0. Chi square, Pearson chi square and t-test were applied as appropriate to determine statistically significant associations between variables. Level of statistical significance was set at p value of <0.05.

Results: Differences between the two comparison groups include: duration of HAART treatment (p=0.003), in the physical domain (p=0.043), psychological domain (p≤0.001), and the level of independence domain (p≤0.001). More of support group members had good QoL in the physical domain (p=0.04,), psychological domain (p=0.001), level of independence domain (p≤0.001) and reported satisfaction with their perceived health status (p=0.000). Clients who were members of support group and those that reported high level of satisfaction with their perceived health status in most domains had higher QoL scores.

Conclusions: We recommend continued counselling and health education on the effect of participation in support group and positive perception cum positive living on QoL.


Keywords


HIV, Nigeria, Peer support group, Quality of life

Full Text:

PDF

References


The World Health Organization Quality of Life (WHOQOL) Group. Development of the WHOQOL-BREF quality of life assessment. Psychol Med. 1998;28(3):551-8.

Fallowfield L. What is.? Series, Health Economics: What is quality of life? 2nd ed. Hayward Medical Communications; 2009. Available at: http://www. bandolier.org.uk/painres/download/whatis%20copy/WhatisQOL.pdf. Accessed on April 30 2014.

Hays RD, Cunningham WE, Sherbourne CD, Wilson IB, Wu AW, Cleary PD, et al. Health related quality of life in patients with human immunodeficiecy virus infection in the United States: Results from the HIV cost and utilization Study. Am J Med. 2000;108(9):714-22.

International Society for Quality of Life Research (ISOQOL). About ISOQOL. 2014. Available at: http//www.isoqol.org/about-isoqol/. Accessed on April 30 2014.

Clayson DJ, Wild DJ, Quarterman P, Duprat-Lomon I, Kubin M, Coons SJ. A comparative review of health realted quality of life measures for use in HIV/AIDS clinical trials. Pharmacoeconomics. 2006;24(8):751-65.

World Health Organization. Global Health Observatory-AIDS. Available at: http://www.who. int/gho/hiv/en/. Accessed on April 19 2014.

United Nations Programme on HIV/AIDS (UNAIDS). HIV and AIDS Estimates 2012. Available at: http://www.unaids.org/en/regions countries/countries/nigeria. Accessed on April 19 2014.

United Nations Programme on HIV/AIDS (UNAIDS). Federal Republic of Nigeria: Global AIDS Response country progress report. NACA; 2012.

National Population Commission (NPC) (Nigeria) and ICF, International: Nigeria Demographic and Health Survey 2013. Abuja, Nigeria and Rockville, Maryland, USA: NPC and ICF International. 2014:203-32.

Adedimeji AA, Odutolu O. Care support and quality of life outcomes among persons living with HIV in the HAART era: findings from south west Nigeria. 2012. Available at: http://www.hsph.harvard.edu/ takemi/files/2012/10/RP227.pdf. Accessed on April 17 2014.

Aranda-Naranjo B. Quality of life in HIV positive patients: implications and consequences. J Assoc Nurses AIDS Care. 2004;15(5):20s-7s.

Amare A, Ameiro Y, Amsalu F, Solomon M. Health Related Quality of Life Assessment and Associated Factors Among People on Highly Active Antiretroviral Therapy at Felege Hiwot Referral Hospital, Bahir Dar, North West Ethiopia. J AIDS Clin Res. 2013;5:1000272.

Basavarajaiah DM, Murthy BN, Leelavathy B, Maheshappa K. Assessment of Quality of Life of People Living With HIV/AIDS In Karnataka State. Int J Sci Tech. 2012;1:38-47.

Saunders DS, Burgoyne RW. Evaluating health related well-being outcomes among outpatient adults with HIV infection in the HAART era. Int J STD AIDS. 2002;13(10):683-90.

Doull M, O'Connor OM, Weich V, Tugwell P, Wells GA. Peer support strategies for improving the health and well-being of individuals with chronic diseases (Protocol). Cochrane Database Syst Rev. 2005;(3):1-8.

Van Tam V, Larsson M, Pharris A, Diedrichs B, Nguyen HP, Nguyen CT, et al A. Peer support and improved quality of life among persons living with HIV on antiretroviral treatment: a randomised controlled trial from north-eastern Vietnam. Health Quality Life Outcomes. 2012;10(1):53.

Gillet HJ, Parr J. Disclosure among HIV positive women: The role of HIV/AIDS support groups in Kenya. Afri J AIDS Res. 2010;9(4):337-44.

Parry M, Watt-Watson J. Peer support intervention trials for individuals with heart disease: a systematic review. Eur J Cardiovasc Nurs. 2010;9(1):57-67.

Weis J. Support groups for cancer patients. Support Cancer Care. 2003;11(12):763-8.

Madiba S, Canti-Sigaqua V. Barriers to participate in support groups for people living with HIV: A qualitative study with men receiving ART in a HIV clinic in Mthatha South Africa. Global J Heath Sci. 2012;4(6):119-28.

Carter M. Study identifies issues affecting the quality of life of patients living with HIV. AIDSMAP. 2012. Available at: http://www.aids map.com/news/jan-2012/study-identifies-issues-affecting-quality-life-patients-living-hiv. Accessed on April 21 2014.

Campbell HS, Phaneuf MR, Deane K. Cancer peer support programs-Do they work? Patient Educ Couns. 2004;55(1):3-15.

World Health Organisation. WHOQOL-HIV Bref. 2002. Available at: www.who.int/./whoqol_ hiv_bref.pdf. Accessed on June 7 2014.

Kirkwood BR, Sterne JAC. Essential medical statistics. 2nd ed. Massachusettes: Blackwell Science; 2003: 420.

Walters SJ. Sample size and power estimation for studies with health related quality of life outcomes: a comparison of four methods using the SF-36. Health Quality Life Outcomes. 2004;2:26

Adeolu OA, Suliat OA, Peter BO, Ajani AR, Adetoun AP, Opayemi RA, et al. Quality of life of Nigerians living with human immunodeficiency virus. Pan African Med J. 2014;18:231.

Samson-Akpan PE, Ojong IN, Ella R, Edet OB. Quality of life of people living with HIV/AIDS in CrossRiver Nigeria. Int J Med Biomed Res. 2013;2(3):207-12

Statistical Package for Social Sciences (IBM SPSS) 22.0 version. Armonk NY: IBM United States. IBM Corp. 2013.

Pedroso B, Gutierrez GL, Duarte E, Pilatti LA, Picinin CT. Quality of life assessment in people living with HIV/AIDS: clarifying the WHOQOL-HIV and WHOQOLHIV-Bref instruments. Global view of HIV infection. 2011:163.

World Health Organization. WHO. Programme on Mental Health. WHOQOL User Manual. 2004.

Mbakwem AC, Aina FO, Amadi CE, Akinbode AA, Mokwunyei J. Comparative analysis of the quality of life of heart failure patients in South Western Nigeria. World J Cardiovasc Dis. 2013;3:146-53.

Bello KB, Bello SI. Quality of life in HIV/AIDS patients in a secondary health care facility Ilorin, Nigeria. Proc Bayl Univ Med Cent. 2013;26(2):116-9.

Odili VU, Isibhakhomhem BI, Usifoh SF, Oparah AC. Determinats of quality of life in HIV/AIDs patients. West Afr J Pharm. 2011;22(1):42-8.

Folarise OF, Irabor AE, Folarise AM. Quality of life of people living with HIV and AIDS attending the retroviral clinic university college hospital Nigeria. Afr J Primary Health Care Family Med. 2012;4(1):8.

Imam MH, Karim MR, Ferdous C, Akhter S. Health related quality of life among people living with HIV. Bangladesh Med Council Res Bull. 2011;37(1):1-6.

Swindells C, Susan S, Mohr J, Justis JC, Berman S, Squier C, et al. QOL in patients with human immunodeficiency virus infection: impact of social support, coping style and hopelesness. Int J STD/AIDS. 1999;10(6):383-91.

Yadav S. Percieved social supoort, hope, and quality of life of persons living with HIV/AIDS: A case study from Nepal. Qual life Res. 2010;19(2):157-66.

Khamarko K, Myers JJ, World Health Organization. The influence of social support on the lives of HIV-infected individuals in low-and middle-income countries. World Health Organization; 2013.

Ndu AC, Arinze-Onyia SU, Aguwa E, Obi IE. Prevalence of depression and role of support groups in its management: A study of adult HIV/AIDS patients attending HIV/AIDS clinic in a tertiary health facility in South Eastern Nigeria. J Public Health Epidemiol. 2011;3(4):182-6.

Munsawaengsub C, Khair BBEM, Nanthamongkolchai S. People living with HIV/AIDS in the city of Bangkok: quality of life and related factors. J Med Assoc Thai. 2012;95(6):5127-34.