title: Quality of life in people living with HIV: a cross-sectional study in Ouagadougou, Burkina Faso.
abstract: HIV/AIDS is a leading cause of death in most of sub-Saharan countries. HIV/AIDS impact on the quality of life of persons living with HIV in Burkina Faso hasn't been well documented. The aim of the study was to assess the quality of life in persons living with HIV and its associated factors. A cross-sectional study was conducted in Ouagadougou. 424 persons living with HIV were included in the study according to their status with regard to Highly Active Anti Retroviral Treatment: 115 were not yet under treatment, 21 started the treatment within the three months preceding the enrolment and 288 were under treatment for at least 12 months. The quality of life was assessed through the WHOQOL HIV-BREF. Statistical comparisons were made using Mann Whitney U test, Kruskal-Wallis H test, Pearson's khi2 or Fisher's exact test. Correlations were appreciated using Spearman's rho. Logistic regression was used to examine associations between the quality of life scores and sociodemographic or clinical variables. The mean global score of quality of life in all patients was 82.4. Better scores were recorded in the spiritual domain and worst scores in the environmental domain. Men had a higher global score than women (p < 0.001). Illiteracy was significantly associated with a lower quality of life (p = 0.001). Patients having support for medical treatment had a significantly better quality of life (p < 0.01). In multivariate analysis, being a man, having a support for medical care, getting older and self-perceived as healthy, were associated with a global score of quality of life higher than 77, that corresponds to the mid-range of the score in our data. These findings suggest the importance of the socio-psychological support and of a good environment in order to improve the quality of life of people living with HIV, especially in women, in younger and in those having no support for medical care. In the environmental domain, actions of HIV services providers should focus on better accessibility to social and health care, promotion of income-generating activities especially for women and youth living with HIV.
authors.affiliation: Pôle Epidémiologie et Biostatistique, Institut de Recherche Expérimentale et Clinique (IREC), Faculté de Santé Publique, Université catholique de Louvain, Clos Chapelle-aux-Champs 30, Brussels, 1200 Belgium.
authors.forename: Fidèle
authors.initials: F
authors.lastname: Bakiono
authors.affiliation: Unité de Formation et de Recherche en Sciences de la santé, Université de Ouagadougou, Ouagadougou 03, 03 BP 7021 Kragujevac, Burkina Faso ; Institut Régional de Santé Publique de Ouidah, Ouidah, BP 384 Bénin.
authors.forename: Laurent
authors.initials: L
authors.lastname: Ouédraogo
authors.affiliation: Unité de Formation et de Recherche en Sciences de la santé, Université de Ouagadougou, Ouagadougou 03, 03 BP 7021 Kragujevac, Burkina Faso.
authors.forename: Mahamoudou
authors.initials: M
authors.lastname: Sanou
authors.affiliation: Pôle Epidémiologie et Biostatistique, Institut de Recherche Expérimentale et Clinique (IREC), Faculté de Santé Publique, Université catholique de Louvain, Clos Chapelle-aux-Champs 30, Brussels, 1200 Belgium.
authors.forename: Sékou
authors.initials: S
authors.lastname: Samadoulougou
authors.affiliation: Unité de Formation et de Recherche en Sciences de la santé, Université de Ouagadougou, Ouagadougou 03, 03 BP 7021 Kragujevac, Burkina Faso.
authors.forename: Patrice Wendpouiré Laurent
authors.initials: PW
authors.lastname: Guiguemdé
authors.affiliation: Pôle Epidémiologie et Biostatistique, Institut de Recherche Expérimentale et Clinique (IREC), Faculté de Santé Publique, Université catholique de Louvain, Clos Chapelle-aux-Champs 30, Brussels, 1200 Belgium.
authors.forename: Fati
authors.initials: F
authors.lastname: Kirakoya-Samadoulougou
authors.affiliation: Pôle Epidémiologie et Biostatistique, Institut de Recherche Expérimentale et Clinique (IREC), Faculté de Santé Publique, Université catholique de Louvain, Clos Chapelle-aux-Champs 30, Brussels, 1200 Belgium.
authors.forename: Annie
authors.initials: A
authors.lastname: Robert
keywords: Burkina Faso; HIV/AIDS; Quality of life; WHOQOL HIV-BREF
references.citation: AIDS Educ Prev. 2009 Apr;21(2):104-12
references.pmid: 19397433
references.citation: Int J Psychiatry Med. 2008;38(1):43-51
references.pmid: 18624016
references.citation: AIDS Behav. 2009 Feb;13(1):110-7
references.pmid: 18654846
references.citation: Int J STD AIDS. 2013 Aug;24(8):651-9
references.pmid: 23970579
references.citation: Drugs. 2013 May;73(7):651-72
references.pmid: 23591907
references.citation: AIDS Care. 2012;24(10):1187-96
references.pmid: 22375681
references.citation: AIDS Care. 2007 May;19(5):626-36
references.pmid: 17505923
references.citation: Acta Med Indones. 2012 Oct;44(4):310-6
references.pmid: 23314972
references.citation: BMC Public Health. 2013 Apr 29;13:408
references.pmid: 23627925
references.citation: AIDS Care. 2010 Sep;22(9):1146-52
references.pmid: 20824567
references.citation: Lancet Infect Dis. 2013 Aug;13(8):659
references.pmid: 24049781
references.citation: Health Qual Life Outcomes. 2009 Dec 29;7:105
references.pmid: 20040090
references.citation: AIDS Care. 2009 Mar;21(3):271-9
references.pmid: 19280404
references.citation: HIV Clin Trials. 2007 Sep-Oct;8(5):320-7
references.pmid: 17956833
references.citation: AIDS Care. 2012;24(10):1219-25
references.pmid: 22428745
references.citation: Lancet. 2006 May 27;367(9524):1747-57
references.pmid: 16731270
references.citation: AIDS. 2001 Dec 7;15(18):2441-4
references.pmid: 11740195
references.citation: AIDS Care. 2005 Jul;17(5):579-88
references.pmid: 16036244
references.citation: Afr J Med Med Sci. 2010 Jun;39(2):127-35
references.pmid: 21117409
references.citation: J Int AIDS Soc. 2013 Dec 18;16:18867
references.pmid: 24369739
references.citation: AIDS Care. 2007 Apr;19(4):449-58
references.pmid: 17453582
references.citation: Bull Soc Pathol Exot. 2013 Feb;106(1):43-7
references.pmid: 23315272
references.citation: Qual Life Res. 2012 Nov;21(9):1655-63
references.pmid: 22198741
references.citation: Epidemiol Infect. 2014 Mar;142(3):662-70
references.pmid: 23759388