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  11. Exploring Factors Associated With Quality Of Life In Caregivers Of Children And Adolescents With Sickle Cell Disease And Hiv: A Comparative Analysis

Exploring Factors Associated with Quality of Life in Caregivers of Children and Adolescents with Sickle Cell Disease and HIV: A Comparative Analysis

Charlotte Eposse Ekoube1,2, Dora Mbonjo Bitsie1, Erero F Njiengwe3

  • 1Faculty of Medicine and Pharmaceutical Sciences, University of Douala, Douala, Cameroon.

Anemia
|March 15, 2024

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View abstract on PubMed

Summary
This summary is machine-generated.

Caregivers of children with sickle cell disease (SCD) experience lower quality of life (QoL) than those caring for children with HIV. Interventions to reduce depression, anxiety, and medication costs for SCD caregivers are recommended.

Area of Science:

  • Pediatric Health
  • Public Health
  • Chronic Disease Management

Background:

  • Paediatric HIV and sickle cell disease (SCD) present significant burdens on families.
  • Cameroon's established free HIV care program may positively impact HIV caregivers' quality of life (QoL).
  • A comparative analysis of QoL between caregivers of children with SCD and HIV is warranted.

Purpose of the Study:

  • To compare the QoL of caregivers for children with SCD versus HIV in Cameroon.
  • To identify factors associated with QoL among these caregivers.

Main Methods:

  • A cross-sectional study was conducted at Douala Laquintinie Hospital.
  • 199 caregivers of pediatric patients (≤18 years) with SCD or HIV were surveyed.
  • Validated tools measured QoL (PedsQL FIM), anxiety (GAD-7), and depression (PHQ-9); multivariable regression analyzed associations.

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Main Results:

  • HIV caregivers reported significantly better QoL (93.01) than SCD caregivers (64.86).
  • Lower QoL was associated with higher depression (PHQ-9) and anxiety (GAD-7) scores.
  • Higher monthly medication expenses and being an SCD caregiver were independently linked to lower QoL.

Conclusions:

  • Caregivers of children with SCD have a poorer QoL compared to those caring for children with HIV.
  • Strategies to mitigate depression, anxiety, and medication costs are crucial for improving SCD caregiver QoL.
  • Advocating for a national SCD program to subsidize medications could enhance caregiver well-being.