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Health-Related Quality of Life of HIV Positive Patients with Hypertension: Is There an Association with Blood
Idongesit L Jackson1, Chioma N Igwe2, Daniel E Effiong3
1Department of Clinical Pharmacy and Biopharmacy, University of Uyo, Uyo, 520103, Akwa Ibom, Nigeria. idongesitjackson@uniuyo.edu.ng.
Insights
People living with HIV (PLHIV) and hypertension in Nigeria reported high health-related quality of life (HRQoL). Psychological support and employment opportunities can further enhance HRQoL for this population.
Area of Science:
- Public Health
- Epidemiology
- Clinical Medicine
Background:
- Comorbidities, such as hypertension, can impact the health-related quality of life (HRQoL) of people living with HIV (PLHIV).
- Understanding HRQoL in PLHIV with hypertension is crucial for comprehensive care and support.
Purpose of the Study:
- To assess the HRQoL of PLHIV with hypertension.
- To investigate the association between blood pressure (BP) control and HRQoL in this population.
Main Methods:
- A cross-sectional study involving 201 PLHIV with hypertension was conducted in Nigeria.
- The EQ-5D-5L questionnaire was used to measure HRQoL.
- Blood pressure was measured, and clinical data were collected.
Main Results:
- The majority of participants were female, with a mean age of 49.59 years.
- High EQ-VAS and EQ-5D index scores indicated generally good HRQoL.
- No significant difference in HRQoL was found between participants with controlled and uncontrolled BP.
Conclusions:
- PL PLHIV with hypertension in this Nigerian setting reported a high HRQoL, regardless of BP control.
- Employment status and duration on antihypertensive medication were associated with aspects of HRQoL.
- Providing psychological support and employment opportunities is recommended to maximize HRQoL.
Introduction:
The presence of comorbidities could affect the health-related quality of life (HRQoL) of people living with HIV (PLHIV).
Aim:
To assess the HRQoL of PLHIV and Hypertension, as well as its association with blood pressure (BP) control.
Methods:
This cross-sectional study was conducted in the HIV clinic of the University of Uyo Teaching Hospial in Akwa Ibom State, Nigeria, between August and October 2018. The EQ-5D-5L was administered to 201 eligible outpatients in the waiting area of the clinic before consulting the physician. Patients' socio-demographic and clinical data were obtained from the medical records. Blood pressure was measured using an automatic BP monitor. Data were analyzed with SPSS version 20.0.
Results:
Majority (58.6%) of the respondents were females; mean age was 49.59 ± 8.97 years; mean systolic and diastolic BP were 152.77 ± 19.38 mmHg and 90.28 ± 11.33 mmHg, respectively. EQ-VAS and EQ-5D index scores were 80.99 ± 15.97 and 0.86 ± 0.05, respectively. There were no significant differences in EQ-VAS score (z = - 0.113, p = 0.910) or EQ-5D utility (z = - 0.523, p = 0.601) between participants with controlled and uncontrolled BP. Duration on antihypertensive drugs was associated with EQ-VAS score (χ2(2) = 6.558, p = 0.038), while employment status was associated with EQ-5D utility (z = - 2.661, p = 0.008).
Conclusions:
PLHIV and hypertension accessing care at a Nigerian hospital reported a high HRQoL, irrespective of BP control status. Nevertheless, there is a need to provide psychological support and employment for this population to maximise their HRQoL.
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