HIV symptom severity and associated factors among young people with HIV in Ghana.

IF 1.2 4区 医学 Q4 HEALTH POLICY & SERVICES Aids Care-Psychological and Socio-Medical Aspects of Aids/hiv Pub Date : 2024-10-01 Epub Date: 2024-01-07 DOI:10.1080/09540121.2023.2299332
Nicholas Tarantino, Betty Norman, Anthony Enimil, Shadrack Osei Asibey, Charles Martyn-Dickens, Kate Guthrie, Awewura Kwara, Beth Bock, Matthew J Mimiaga, Larry Brown
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Abstract

ABSTRACTAdolescents and young adults (young people) with HIV (YPWH) often struggle with treatment self-management. Many have symptoms due to HIV disease, medication side-effects, or comorbid conditions. Our study investigated the severity of HIV-related symptoms among YPWH aged 18-24 with detectable viral loads from an HIV clinic in Ghana (N = 60) and potential correlates of severity across a range of factors. Results indicated that YPWH currently experienced, on average, 13 symptoms (SD = 12.33). Six of the 10 most common symptoms were from two domains: fatigue and psychological. The most common symptoms were headaches (62%), weakness (53%), and fear/worries (52%). No differences were observed in number or severity of symptoms between youth based on HIV transmission status. Bivariate correlates of symptom severity were found with six that remained significant or approached significance in a multivariate model predicting severity: living with a parent/guardian, higher perceived access to HIV care, and higher treatment readiness were associated with lower severity while greater travel time to the HIV clinic, psychological distress, and more missed clinic appointments were associated with higher severity. Our findings suggest that interventions to address symptoms among YPWH should be multilevel and include strategies (e.g., telehealth, home care) to increase access to care.

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加纳感染艾滋病毒的年轻人中艾滋病毒症状的严重程度及相关因素。
摘要青少年和年轻成人(年轻人)艾滋病病毒感染者(YPWH)常常在治疗的自我管理方面遇到困难。许多人因艾滋病、药物副作用或合并症而出现症状。我们的研究调查了加纳一家艾滋病诊所中可检测到病毒载量的 18-24 岁青年艾滋病病毒感染者(N = 60)的艾滋病相关症状的严重程度,以及一系列因素与症状严重程度的潜在相关性。结果显示,目前青年妇女平均有 13 种症状(SD = 12.33)。在 10 个最常见的症状中,有 6 个来自两个领域:疲劳和心理。最常见的症状是头痛(62%)、乏力(53%)和恐惧/忧虑(52%)。在症状的数量和严重程度方面,没有观察到青少年因艾滋病毒传播状况而存在差异。在预测症状严重程度的多变量模型中,发现了症状严重程度的二元相关因素,其中六项仍然显著或接近显著:与父母/监护人同住、认为获得 HIV 护理的机会较多、治疗准备程度较高与症状严重程度较低相关,而前往 HIV 诊所的交通时间较长、心理困扰、错过诊所预约次数较多与症状严重程度较高相关。我们的研究结果表明,针对青壮年女性艾滋病患者症状的干预措施应该是多层次的,并应包括增加获得护理机会的策略(如远程医疗、家庭护理)。
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来源期刊
CiteScore
3.50
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0.00%
发文量
172
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