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Publication Details
AFRICAN RESEARCH NEXUS
SHINING A SPOTLIGHT ON AFRICAN RESEARCH
medicine
The impact of HIV on maternal quality of life in Uganda
AIDS Care - Psychological and Socio-Medical Aspects of AIDS/HIV, Volume 18, No. 6, Year 2006
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Description
To study the effect of HIV infection on quality of life (QOL) during pregnancy and puerperium, QOL was measured in a cohort study at St. Francis Hospital Nsambya, Kampala, Uganda. Dartmouth COOP charts were administered to 132 HIV-positive and 399 HIV-negative women at 36 weeks of pregnancy and six weeks post-partum. Responses were coded from 0 = best health-status to 4 = worst health-status and scores of 3-4 defined as poor. Odds ratios (OR) (95% confidence intervals(CI)) for poor scores were calculated and independent predictors of poor QOL examined using logistic regression. In pregnancy, HIV-positive women were more likely to have poor scores in feelings: OR = 3.2(1.9-5.3), daily activities: OR = 2.8(1.4-5.5), pain: OR = 2.1(1.3-3.5), overall health: OR = 1.7(1.1-2.7) and QOL: OR = 7.2(3.6-14.7), all p = ≤ 0.01. Differences in physical fitness, change in health, social activities and social support were not statistically significant (all p >0.2). HIV infection was independently associated with poor QOL: OR = 8.5(3.8-19). Findings in puerperium were similar to those in pregnancy except more HIV-positive women had poor scores in social activities: OR = 2.5(1.4-4.7) and change in health: OR = 5.4(2-14.5) and infant death also predicted poor QOL: OR = 6.7(2.4-18.5). The findings reflect HIV's adverse impact on maternal QOL and the need for interventions to alleviate this infection's social and emotional effects. © 2006 Taylor & Francis.
Authors & Co-Authors
Nuwagaba-Biribonwoha, Harriet
United Kingdom, London
Medical Research Council
Mayon-White, Richard T.
United Kingdom, Oxford
University of Oxford
Okong, P.
Uganda, Kampala
St. Francis Hospital Uganda
Carpenter, Lucy J.
United Kingdom, Oxford
University of Oxford
Jenkinson, Crispin M.
United Kingdom, Oxford
University of Oxford
Statistics
Citations: 25
Authors: 5
Affiliations: 3
Identifiers
Doi:
10.1080/09540120500359298
ISSN:
09540121
e-ISSN:
13600451
Research Areas
Disability
Health System And Policy
Infectious Diseases
Maternal And Child Health
Sexual And Reproductive Health
Study Design
Cohort Study
Study Approach
Quantitative
Study Locations
Uganda
Participants Gender
Female