An Analysis of Post-Traumatic Stress Disorder and Quality of Life Among Adults Living with HIV in Western Uganda.

Journal: HIV/AIDS (Auckland, N.Z.)

Volume: 16

Issue: 

Year of Publication: 

Affiliated Institutions:  Department of Mental Health, Makerere University, Kampala City, Uganda. Department of Education Psychology, Moi University, Eldoret City, Kenya. Department of Community Health, Faculty of Public Health, Lira University, Lira City, Uganda. Department of Psychiatry, Faculty of Medicine, Lira University, Lira City, Uganda. Department of Environmental Health and Disease Control, Faculty of Public Health, Lira University, Lira City, Uganda. Department of Midwifery, Faculty of Nursing and Midwifery, Lira University, Lira City, Uganda.

Abstract summary 

HIV/AIDS remains a significant global public health issue, profoundly impacting infected individuals. Living with HIV involves complex mental health dynamics, with post-traumatic stress disorder (PTSD) being a prevalent challenge. This study aims to examine the correlation between PTSD and quality of life among HIV-positive individuals in western Uganda.Conducted between May and July 2023, this facility-based cross-sectional study surveyed 439 participants from four HIV clinics in southwestern Uganda. Data were collected through interviewer-administered questionnaires, analyzed using descriptive statistics, simple linear regression, and multiple linear regression (p<0.05).Respondents had a mean age of 40.6 years, with 68.3% female, 54.9% married, and 55.1% lacking formal education. The reported PTSD prevalence among HIV-positive individuals was 33.7%, significantly correlating with reduced overall quality of life (β = -4.52; p<0.001). The social quality of life had the highest mean score of 14.24 (±3.45) while the environmental quality of life had the lowest mean score 11.89 (±2.68).Our study reveals a concerning prevalence of PTSD, affecting 1 in 3 individuals, emphasizing the pressing need for comprehensive mental health support within HIV care settings. We observed a significant negative impact of PTSD on overall quality of life, particularly in physical and social aspects. Integrating mental health screening into routine HIV care is crucial, using validated tools like the PSTD Checklist Civilian Version, alongside training for healthcare providers to recognize PTSD symptoms in the context of HIV diagnosis and treatment.

Authors & Co-authors:  Halima Mwirotsi Shikanga Nabaziwa Okalo Acup Ruth Akello Musinguzi Tumwesigye Auma Udho Kigongo Kabunga

Study Outcome 

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Statistics
Citations :  Bekker L-G, Beyrer C, Mgodi N, et al. HIV infection. Nat Rev Dis Primers. 2023;9(1):42. doi:10.1038/s41572-023-00452-3
Authors :  12
Identifiers
Doi : 10.2147/HIV.S449298
SSN : 1179-1373
Study Population
Male,Female
Mesh Terms
Other Terms
HIV;mental health;post-traumatic stress disorder;quality of life
Study Design
Study Approach
Country of Study
Uganda
Publication Country
New Zealand