Demographic Factors Associated with Health-Related Quality of Life Among Urban and Rural Tuberculosis Patients in Kenya
Source: By:Humphrey Mbuti, Elizabeth Mwaniki, Peter Warutere, Francis Oguya, Ronnie Midigo
DOI: https://doi.org/10.30564/jhp.v1i2.1502
Abstract:Background: Tuberculosis is one of the deadliest and disabling diseases in the world today. The infection exacts its greatest toll on individuals during their most productive years. TB patients record different perceived health related qualities of life(PHRQoL) which could be attributed to certain environmental, social and physical factors. The objective of the study was to determine the demographic factors associated with the PHRQoL among urban and rural Tuberculosis patients in Kenya. Cross sectional design was adopted. The study applied the multi-stage sampling technique. Random sampling method was used to select the TB clinics that participated in the study. Simple random sampling according to probability proportionate to TB patient’s population was preferred to select the study participants. Chi-square test determined association between the various demographic factors and the PHRQoL while ANOVA tests demonstrated the overall association of demographic factors and PHRQoL. Statistical Significance was evaluated at p<0.05. Descriptive statistics summarized and described the data. The study established that demographic factors are associated with PHRQoL (p=0.008). Specifically, age, levels of education, marital status and house hold size (P<0.05). Gender and Household head were not significantly associated with the PHRQoL (p>0.05). These findings will persuade the TB management policy towards developing an intervention programs directed at the social-demographic characteristics of the TB patients for improved treatment outcomes.
References:[1] World Health Organization. Tuberculosis Report, 2019. Retrieved 2019, from: https://www.who.int/news-room/fact-sheets/detail/tuberculosis [2] World Health Organization. Global tuberculosis report 2013. [3] Salehitali, S., Noorian, K., Hafizi, M., & Dehkordi, A. H.. Quality of life and its effective factors in tuberculosis patients receiving directly observed treatment short-course (DOTS). Journal of Clinical Tuberculosis and Other Mycobacterial Diseases, 2019, 15: 100093. [4] Martz, E. (Ed.). Promoting self-Management of chronic health conditions: theories and practice. Oxford University Press, 2017. [5] Ramos-Goñi, J. M., Pinto-Prades, J. L., Oppe, M., Cabasés, J. M., Serrano-Aguilar, P., & Rivero-Arias, O.. Valuation and modeling of EQ-5D-5L health states using a hybrid approach. Medical care, 2017, 55(7): e51-e58. [6] Haghi, H. B., Hakimi, S., Mirghafourvand, M., Mohammad-Alizadeh, S., & Charandabi, M. F.. Comparison of Quality of Life Between Urban and Rural Menopause Women and its Predictors: A Population Base Study. International Journal OF Women Health and Reproduction Sciences, 2017, 5(2): 137-142. [7] Zhang, L., Xia, Y., Zhang, Q., Fu, T., Yin, R., Guo, G., ... & Gu, Z.. The correlations of socioeconomic status, disease activity, quality of life, and depression/anxiety in Chinese patients with rheumatoid arthritis. Psychology, health & medicine, 2017, 22(1): 28-36. [8] Juni, M. H., & Syafiq, S. S.. Systematic Review of Determinants of Health-Related Quality of Life (HRQoL) Affecting Well-being of Pulmonary Tuberculosis (PTB) Patients. International Journal of Public Health and Clinical Sciences, 2019, 6(4): 1-17. [9] Louw, J., Peltzer, K., Naidoo, P., Matseke, G., Mchunu, G., & Tutshana, B.. Quality of life among tuberculosis (TB), TB retreatment and/or TB-HIV co-infected primary public health care patients in three districts in South Africa. Health and quality of life outcomes, 2012, 10(1): 77. [10] Genga, E. K., Otieno, C. F., Ogola, E. N., & Maritim, M. C.. Assessment of the perceived quality of life of non insulin dependent diabetic patients attending the Diabetes Clinic in Kenyatta National Hospital. IOSR J Pharm, 2014, 4(3): 15-21 [11] Adeyeye, O. O., Ogunleye, O. O., Coker, A., Kuyinu, Y., Bamisile, R. T., Ekrikpo, U., & Onadeko, B.. Factors influencing quality of life and predictors of low quality of life scores in patients on treatment for pulmonary tuberculosis: a cross sectional study. Journal of public health in Africa, 2014, 5(2). [12] Duyan, V., Kurt, B., Aktas, Z., Duyan, G. C., & Kulkul, D. O.. Relationship between quality of life and characteristics of patients hospitalised with tuberculosis. The International Journal of Tuberculosis and Lung Disease, 2005, 9(12): 1361-1366. [13] Muhammed, S., Nagla, S., & Morten, S.. Illness perceptions and quality of life among tuberculosis patients in Gezira, Sudan. African health sciences, 2015, 15(2): 385-393.