Quality of Life and Bariatric Surgery: Cross-Sectional Study and Analysis of Factors Influencing Outcome

Abstract Better understanding of atopic dermatitis’ effect on quality of life could enhance current management and therapeutic strategies. Studies investigating factors related to the health-related quality of life (HRQOL) of children with atopic dermatitis and their caregivers are limited. This cross-sectional study included 559 children (<16 years) with atopic dermatitis and their caregivers. Disease severity was associated with infants’ HRQOL (moderate: IRR: 1.42, 95% CI 1.20–1.67; severe: IRR: 1.72, 95% CI 1.32–2.24). Age and disease severity were associated with children’s HRQOL (age: IRR: 0.99, 95% CI 0.98–1.00; moderate: IRR: 1.08, 95% CI 1.02–1.14). Quality of life subdomains itching/scratching, emotional distress and sleep disturbance were most reported and increased with higher disease severity. Both caregivers’ mental and physical health were negatively affected by children’s HRQOL (physical: IRR: 0.99, 95% CI 0.99–1.00; mental: IRR: 0.98, 95% CI 0.97–0.99). Sociodemographic characteristics (gender, ethnicity, educational attainment of carers, number of children) did not demonstrate significance in children’s HRQOL model. In conclusion, current atopic dermatitis diagnostics and treatment have to be extended to the factors influencing both children’ as their caregivers’ quality of life and adapting management accordingly. Itching/scratching, emotional distress and sleep disturbance deserve attention. Sociodemographic characteristics in children’s HRQOL models also merit attention in further research.

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Quality of life of the HIV patients in Agra: a cross sectional study

International Journal of Community Medicine and Public Health ◽

10.18203/2394-6040.ijcmph20181690 ◽

2018 ◽

Vol 5 (5) ◽

pp. 1869

Author(s):

Sunil K. Meena ◽

Sunil K. Misra ◽

Shailendra S. Chaudhary

Keyword(s):

Quality Of Life ◽

Cross Sectional Study ◽

Categorical Variables ◽

People Living With Hiv ◽

Sectional Study ◽

Hiv Patients ◽

Cross Sectional ◽

Factors Influencing ◽

Modifiable Factors

Background: With antiretroviral therapy (ART) for human immunodeficiency virus infection (HIV) coming into picture, quality of life (QOL) has gained importance. Knowledge on the factors affecting QOL would be helpful in making important policy decisions and health care interventions. The aim of this study is to assess the quality of life of people living with HIV and to identify the factors influencing their QOL.Methods: The Cross-sectional study was done among 160 HIV patients registered with ART Centre, at SNMC Agra (UP), India. QOL was assessed using HIV specific WHOQOLHIV-BREF questionnaire which has six domains. Association were find out by using chi square test for categorical variables and ANOVA were used for comparisons means scores among continuous variables. Correlation between continuous quantitative variables was found out by Pearson correlation coefficient.Results: Mean age of the study subjects was 37.89 years and 61.2% of the participants were males. Quality of life score was highest in level of independence domain (12.79±2.28) and lowest in SRPB domain (10.51±3.63). A significant negative correlation (-0.49) was observed between age and physical domain. Male Subjects had significant better mean score in social and environmental domain. Family support associated with social relationship and psychological domain. Higher CD4 count is associated with better in psychological and SRPB domain. Younger age, female gender, rural background, shorter duration of HIV, non-intake of ART were the high risk factors of poor QOL.Conclusions: Interventions such as ART, family, vocational and peer counselling would address these modifiable factors influencing QOL, thereby improving the QOL of PLWH.

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