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The impact of HIV on maternal quality of life in Uganda.
- Source :
- AIDS Care; Aug2006, Vol. 18 Issue 6, p614-620, 7p, 6 Charts
- Publication Year :
- 2006
-
Abstract
- 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. [ABSTRACT FROM AUTHOR]
Details
- Language :
- English
- ISSN :
- 09540121
- Volume :
- 18
- Issue :
- 6
- Database :
- Complementary Index
- Journal :
- AIDS Care
- Publication Type :
- Academic Journal
- Accession number :
- 22254971
- Full Text :
- https://doi.org/10.1080/09540120500359298