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Quality of life and wellbeing among HIV outpatients in East Africa: a multicentre observational study

Overview of attention for article published in BMC Infectious Diseases, November 2014
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2 X users

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18 Dimensions

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113 Mendeley
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Title
Quality of life and wellbeing among HIV outpatients in East Africa: a multicentre observational study
Published in
BMC Infectious Diseases, November 2014
DOI 10.1186/s12879-014-0613-1
Pubmed ID
Authors

Richard Harding, Victoria Simms, Suzanne Penfold, Julia Downing, Eve Namisango, Richard A Powell, Faith Mwangi-Powell, Scott Moreland, Nancy Gikaara, Mackuline Atieno, Irene J Higginson

Abstract

BackgroundGlobal health investment has reduced HIV mortality and transmission. However, little is known of patient-reported outcomes alongside ART rollout. This study aimed to measure wellbeing using patient-reported outcome measures (PROMS) among outpatients at PEPFAR-funded facilities.MethodsIn a multicentre 2 country cross-sectional study, adults attending 12 facilities in Kenya and Uganda gave self-reported data on quality of life (physical and mental wellbeing dimensions), functional and a measure of multidimensional problems (physical, psychological, social and spiritual).ResultsAmong the 1,337 participants, multidimensional problems were more common in psychological, spiritual and social domains than in physical. In multivariable analysis using GEE to adjust for facility effect, the mental health subscale of quality of life was lower for people with limited functional status (B¿=¿¿5.27, 95% CI ¿5.99, 1. ¿4.56 p¿<¿0.001) and higher for wealthier people (B¿=¿0.91, 95% CI 0.48, 1.33, p¿<¿0.001). The physical health subscale of quality of life was lower for those with limited functional status (B¿=¿¿8.58, 95% CI ¿9.46 to ¿7.70, p¿<¿0.001) and those who had a caregiver present (B¿=¿¿1.97, 95% CI ¿3.72 to ¿0.23, p¿=¿0.027), higher for wealthier people (B¿=¿1.14, 95% CI 0.65, 1.64, p¿<¿0.001), and positively associated with CD4 count (B¿=¿1.61, 95% CI 1.08¿2.14, p¿<¿0.001). Multidimensional problems were more burdensome for people with limited functional status (B¿=¿¿2.06, 95% CI ¿2.46 to ¿1.66, p¿<¿0.001), and less burdensome with more education (B¿=¿0.63, 95% CI 0.25¿1.00, p¿=¿0.001) or ART use (B¿=¿0.94, 95% CI 0.34¿1.53, p¿=¿0.002).ConclusionsMultidimensional problems are highly prevalent, and worse with declining function. Importantly, ART use does not appear to be protective for self-reported physical and mental dimensions of quality of life. Assessment and management of self-reported wellbeing must form part of HIV care and treatment services to ensure maximum benefit from ART investment.

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The data shown below were collected from the profiles of 2 X users who shared this research output. Click here to find out more about how the information was compiled.
Mendeley readers

Mendeley readers

The data shown below were compiled from readership statistics for 113 Mendeley readers of this research output. Click here to see the associated Mendeley record.

Geographical breakdown

Country Count As %
Ethiopia 1 <1%
Unknown 112 99%

Demographic breakdown

Readers by professional status Count As %
Student > Master 18 16%
Student > Doctoral Student 11 10%
Student > Ph. D. Student 10 9%
Student > Bachelor 10 9%
Other 7 6%
Other 23 20%
Unknown 34 30%
Readers by discipline Count As %
Medicine and Dentistry 22 19%
Nursing and Health Professions 17 15%
Psychology 13 12%
Social Sciences 10 9%
Agricultural and Biological Sciences 4 4%
Other 9 8%
Unknown 38 34%
Attention Score in Context

Attention Score in Context

This research output has an Altmetric Attention Score of 1. This is our high-level measure of the quality and quantity of online attention that it has received. This Attention Score, as well as the ranking and number of research outputs shown below, was calculated when the research output was last mentioned on 21 November 2014.
All research outputs
#17,732,540
of 22,771,140 outputs
Outputs from BMC Infectious Diseases
#5,092
of 7,668 outputs
Outputs of similar age
#248,077
of 362,492 outputs
Outputs of similar age from BMC Infectious Diseases
#120
of 198 outputs
Altmetric has tracked 22,771,140 research outputs across all sources so far. This one is in the 19th percentile – i.e., 19% of other outputs scored the same or lower than it.
So far Altmetric has tracked 7,668 research outputs from this source. They typically receive more attention than average, with a mean Attention Score of 9.6. This one is in the 27th percentile – i.e., 27% of its peers scored the same or lower than it.
Older research outputs will score higher simply because they've had more time to accumulate mentions. To account for age we can compare this Altmetric Attention Score to the 362,492 tracked outputs that were published within six weeks on either side of this one in any source. This one is in the 27th percentile – i.e., 27% of its contemporaries scored the same or lower than it.
We're also able to compare this research output to 198 others from the same source and published within six weeks on either side of this one. This one is in the 31st percentile – i.e., 31% of its contemporaries scored the same or lower than it.