Disability and health outcomes - from a cohort of people on long-term anti-retroviral therapy.

Journal: SAHARA J : journal of Social Aspects of HIV/AIDS Research Alliance

Volume: 15

Issue: 1

Year of Publication: 2018

Affiliated Institutions:  a Department of Physiotherapy, Faculty of Health Sciences , University of the Witwatersrand , York Road, Parktown , Johannesburg , South Africa. b School of Health Science, Westville Campus , University of KwaZulu-Natal , Durban , South Africa.

Abstract summary 

Human-immunodeficiency virus (HIV)/Acquired immunodeficiency Syndrome (AIDS) remains a major health problem in South Africa - even after two decades since the introduction of antiretroviral therapy (ART). Long-term survival with HIV is associated with new health-related issues and a risk of functional limitation/disability. The aim of this study was to assess functional limitation associated with HIV/AIDS among people living with HIV (PLHIV) in South Africa. This study is a cross-sectional survey using a cohort in an urban area in Gauteng province, South Africa. Data were collected using questionnaires through an interview process. The information collected included aspects such as demographics, livelihood, the state of mental and physical health, adherence and disability. A total of 1044 participants with an average age of 42 ± 12 years were included in the study, with 51.9% of the participants reporting functional limitations (WHODAS ≥ 2). These were reported mainly in the domains of participation (40.2%) and mobility (38.7%). In addition, adherence to ART, symptoms of poor physical health and depression were strongly associated with their functional limitations/disability. HIV as a chronic disease is associated with functional limitations that are not adequately addressed and pose a risk of long-term disability and negative adherence outcomes. Therefore, wellness for PLHIV/AIDS needs to include interventions that can prevent and manage disability.

Authors & Co-authors:  Myezwa Hellen H Hanass-Hancock Jill J Ajidahun Adedayo Tunde AT Carpenter Bradley B

Study Outcome 

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Statistics
Citations :  Banks L. M., Zuurmond M., Ferrand R., & Kuper H. (2015). The relationship between HIV and prevalence of disabilities in sub-Saharan Africa: Systematic review (FA). Tropical Medicine & International Health, 20(4), 411–429.
Authors :  4
Identifiers
Doi : 10.1080/17290376.2018.1459813
SSN : 1813-4424
Study Population
Male,Female
Mesh Terms
Adult
Other Terms
HIV;South Africa;adherence;antiretroviral;depression;disability
Study Design
Cohort Study,Cross Sectional Study
Study Approach
Country of Study
South Africa
Publication Country
South Africa