Classification and description of chronic pain among HIV positive patients in Uganda.

Journal: African health sciences

Volume: 19

Issue: 2

Year of Publication: 2019

Affiliated Institutions:  Makerere University, College of Health Sciences, Kampala, Uganda emwesiga@chs.mak.ac.ug. Makerere University, College of Health Sciences, Kampala, Uganda kaddumark@yahoo.co.uk. Infectious Disease Research Collaboration, Mulago Hill Road, MUJHU Building. P.O. Box Kampala, Uganda. lmugenyi@gmail.com. Makerere University, College of Health Sciences, Kampala, Uganda. drnoeline@yahoo.com.

Abstract summary 

Chronic pain classification in HIV positive patients is essential for diagnosis and treatment. However, this is rarely done despite association with poor outcomes.A cross-sectional survey of 345 consented patients at a specialized HIV care center in Uganda was conducted. Chronic pain was defined as pain of more than two weeks duration. Data was collected using a socio-demographic questionnaire, the IASP classification of chronic pain; the StEP; Mini Mental Status Examination, Patient Health Questionnaire, Mini International Neuropsychiatric Interview and the World Health Organization quality of life instrument brief version. Chi-square, Fisher's exact, t-test and logistic regression analyses were carried out to determine factors associated with chronic pain.Description of pain aetiology was difficult. Chronic pain was reported in 21.5% of the participants. Non-neuropathic (92.0%) was more common than neuropathic pain (8.0%). Chronic pain was found to be associated with feeling ill [OR=6.57 (3.48 - 12.39)], and worse scores in the quality of life domain for physical health [OR=0.71 (0.60 - 0.83)].People living with HIV/AIDS commonly have chronic pain that is associated with poor quality of life. More sensitive tools are needed to accurately describe chronic pain in resource limited settings.

Authors & Co-authors:  Mwesiga Emmanuel K EK Kaddumukasa Mark M Mugenyi Levicatus L Nakasujja Noeline N

Study Outcome 

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Statistics
Citations :  Merskey H, Bogduk N. Classification of chronic pain, IASP Task Force on Taxonomy. Seattle, WA: International Association for the Study of Pain Press; 1994. (Also available online at www iasp-painorg)
Authors :  4
Identifiers
Doi : 10.4314/ahs.v19i2.20
SSN : 1729-0503
Study Population
Male,Female
Mesh Terms
Adult
Other Terms
Chronic pain;HIV/AIDS;classification
Study Design
Cross Sectional Study
Study Approach
Country of Study
Uganda
Publication Country
Uganda