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AIDS Care
Psychological and Socio-medical Aspects of AIDS/HIV
Volume 31, 2019 - Issue 12
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Articles

Is symptom prevalence and burden associated with HIV treatment status and disease stage among adult HIV outpatients in Kenya? A cross-sectional self-report study

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Pages 1461-1470 | Received 20 Jun 2018, Accepted 20 Feb 2019, Published online: 27 Mar 2019

References

  • Altman, D. G. (1991). Practical statistics for medical research. London: Chapman and Hall.
  • Aouizerat, B. E., Miaskowski, C. A., Gay, C., Portillo, C. J., Coggins, T., Davis, H., … Lee, K. A. (2010). Risk factors and symptoms associated with pain in HIV-infected adults. Journal of the Association of Nurses in AIDS Care, 21, 125–133. doi: 10.1016/j.jana.2009.10.003
  • Brechtl, J. R., Breitbart, W., Galietta, M., Krivo, S., & Rosenfeld, B. (2001). The use of highly active antiretroviral therapy (HAART) in patients with advanced HIV infection: Impact on medical, palliative care, and quality of life outcomes. Journal of Pain and Symptom Management, 21, 41–51. doi: 10.1016/S0885-3924(00)00245-1
  • Bursac, Z., C, G. A. U. S. S., Williams, H., & Hosmer, D. K., & W, D. (2008). Purposeful selection of variables in logistic regression. Source Code for Biology and Medicine, 3, 17. doi: 10.1186/1751-0473-3-17
  • Chang, V. T., Hwang, S. S., Feuerman, M., Kasimis, B. S., & Thaler, H. T. (2000). The memorial symptom assessment scale short form (MSAS-SF). Cancer, 89, 1162–1171. doi: 10.1002/1097-0142(20000901)89:5<1162::AID-CNCR26>3.0.CO;2-Y
  • Chen, H., Clifford, D. B., Deng, L., K, W. U., Lee, A. J., Bosch, R. J., … Evans, S. R. (2013). Peripheral neuropathy in ART-experienced patients: Prevalence and risk factors. Journal of Neurovirology, 19, 557–564. doi: 10.1007/s13365-013-0216-4
  • Cox, J., Hamelin, A.-M., Moodie, E. E. M., Anema, A., Klein, M. B., & Brassard, P. (2018). Association between depressive symptoms, CD4 count and HIV viral suppression among HIV-HCV co-infected people AU - Aibibula, Wusiman. AIDS Care, 30, 643–649. doi: 10.1080/09540121.2018.1431385
  • Damtie, D., Yismaw, G., Woldeyohannes, D., & Anagaw, B. (2013). Common opportunistic infections and their CD4 cell correlates among HIV-infected patients attending at antiretroviral therapy clinic of Gondar University Hospital, Northwest Ethiopia. BMC Research Notes, 6, 534–534. doi: 10.1186/1756-0500-6-534
  • Dawson, J., Doll, H., Fitzpatrick, R., Jenkinson, C., & Carr, A. J. (2010). The routine use of patient reported outcome measures in healthcare settings. BMJ, 340, c186. doi: 10.1136/bmj.c186
  • Dobalian, A., Tsao, J. C., & Duncan, R. P. (2004). Pain and the use of outpatient services among persons with HIV: Results from a nationally representative survey. Medical Care, 42(2), 129–138. doi: 10.1097/01.mlr.0000108744.45327.d4
  • Ellis, R. J., Rosario, D., Clifford, D. B., Mcarthur, J. C., Simpson, D., Alexander, T., … Marra, C. M. (2010). Continued high prevalence and adverse clinical impact of human immunodeficiency virus–associated sensory neuropathy in the era of combination antiretroviral therapy: The CHARTER study. Archives of Neurology, 67, 552–558. doi: 10.1001/archneurol.2010.76
  • Evans, S. R., Ellis, R. J., Chen, H., Yeh, T.-M., Lee, A. J., Schifitto, G., … Clifford, D. B. (2011). Peripheral neuropathy in HIV: Prevalence and risk factors. AIDS (London, England), 25, 919–928. doi: 10.1097/QAD.0b013e328345889d
  • Farrant, L., Gwyther, L., Dinat, N., Mmoledi, K., Hatta, N., & Harding, R. (2012). The prevalence and burden of pain and other symptoms among South Africans attending highly active antiretroviral therapy (HAART) clinics. South African Medical Journal, 102, 499–500. doi: 10.7196/SAMJ.5481
  • Gwatkin, D. R., Rutstein, S., Johnson, K., Suliman, E., Wagstaff, A., & Amouzou, A. (2007). Socio-economic differences in health, nutrition, and population. Ghana: World Bank.
  • Harding, R., Clucas, C., Lampe, F. C., Date, H. L., Fisher, M., Johnson, M., … Sherr, L. (2012). What factors are associated with patient self-reported health status among HIV outpatients? A multi-centre UK study of biomedical and psychosocial factors. AIDS Care, 24, 963. doi: 10.1080/09540121.2012.668175
  • Harding, R., Clucas, C., Lampe, F. C., Norwood, S., Leake Date, H., Fisher, M., … Sherr, L. (2012). Behavioral surveillance study: Sexual risk taking behaviour in UK HIV outpatient attendees. AIDS and Behavior, 16, 1708–1715. doi: 10.1007/s10461-011-0023-y
  • Harding, R., Lampe, F. C., Norwood, S., Date, H. L., Clucas, C., Fisher, M., … Sherr, L. (2010). Symptoms are highly prevalent among HIV outpatients and associated with poor adherence and unprotected sexual intercourse. Sexually Transmitted Infections. doi: 10.1136/sti.2009.038505
  • Harding, R., Molloy, T., Easterbrook, P., Frame, K., & Higginson, I. J. (2006). Is antiretroviral therapy associated with symptom prevalence and burden? International Journal of STD & AIDS, 17, 400–405. doi: 10.1258/095646206777323409
  • Harding, R., Simms, V., Penfold, S., Downing, J., Namisango, E., Powell, R. A., … Higginson, I. J. (2014). Quality of life and wellbeing among HIV outpatients in East Africa: A multicentre observational study. BMC Infectious Diseases, 14(613).
  • Hardon, A. P., Akurut, D., Comoro, C., Ekezie, C., Irunde, H. F., Gerrits, T., … Laing, R. (2007). Hunger, waiting time and transport costs: Time to confront challenges to ART adherence in Africa. AIDS Care, 19, 658. doi: 10.1080/09540120701244943
  • Huang, K. T., Owino, C., Gramelspacher, G. P., Monahan, P. O., Tabbey, R., Hagembe, M., … Vreeman, R. C. (2013). Prevalence and correlates of pain and pain treatment in a western Kenya referral hospital. Journal of Palliative Medicine, 16, 1260–1267. doi: 10.1089/jpm.2013.0080
  • Hughes, J., Jelsma, J., Maclean, E., Darder, M., & Tinise, X. (2004). The health-related quality of life of people living with HIV/AIDS. Disability and Rehabilitation, 26, 371–376. doi: 10.1080/09638280410001662932
  • Kimball, L. R., & Mccormick, W. C. (1996). The pharmacologic management of pain and discomfort in persons with AIDS near the end of life: Use of opioid analgesia in the hospice setting. Journal of Pain and Symptom Management, 11, 88–94. doi: 10.1016/0885-3924(95)00156-5
  • Kolawole Wasiu, W., & Alakija Kazeem, S. (2011). Pain as a symptom in patients living with HIV/AIDS seen at the outpatient clinic of a Nigerian Tertiary Hospital. JIAPAC: Journal of the International Association of Physicians in AIDS Care, 10, 35–39.
  • Koole, O., Denison, J. A., Menten, J., Tsui, S., Wabwire-Mangen, F., Kwesigabo, G., … Colebunders, R. (2016). Reasons for missing antiretroviral therapy: Results from a multi-country study in Tanzania, Uganda, and Zambia. PLOS ONE, 11, e0147309. doi: 10.1371/journal.pone.0147309
  • Lampe, F. C., Harding, R., Smith, C. J., Phillips, A. N., Johnson, M., & Sherr, L. (2010). Physical and psychological symptoms and risk of virologic rebound among patients with virologic suppression on antiretroviral therapy. JAIDS Journal of Acquired Immune Deficiency Syndromes, 54, 500–505. doi: 10.1097/QAI.0b013e3181ce6afe
  • Lazarus, J. V., Safreed-Harmon, K., Barton, S. E., Costagliola, D., Dedes, N., Del Amo Valero, J., … Rockstroh, J. K. (2016). Beyond viral suppression of HIV - the new quality of life frontier. BMC Medicine, 14, 94. doi: 10.1186/s12916-016-0640-4
  • Logie, D. E., & Harding, R. (2005). An evaluation of a morphine public health programme for cancer and AIDS pain relief in Sub-Saharan Africa. BMC Public Health, 5, 82. doi: 10.1186/1471-2458-5-82
  • Lowther, K., Harding, R., Ahmed, A., Gikaara, N., Ali, Z., Kariuki, H., … Selman, L. (2016). Conducting experimental research in marginalised populations: Clinical and methodological implications from a mixed-methods randomised controlled trial in Kenya. AIDS Care, 28(Suppl 1), 60–63. doi: 10.1080/09540121.2016.1146214
  • Lowther, K., Harding, R., Simms, V., Ahmed, A., Ali, Z., Gikaara, N., … Selman, L. E. (2018). Active ingredients of a person-centred intervention for people on HIV treatment: Analysis of mixed methods trial data. BMC Infectious Diseases, 18, 27. doi: 10.1186/s12879-017-2900-0
  • Lowther, K., Harding, R., Simms, V., Gikaara, N., Ahmed, A., Ali, Z., … Selman, L. (2018). Effect of participation in a randomised controlled trial of an integrated palliative care intervention on HIV-associated stigma. AIDS Care, 30(9), 1180–1188. doi: 10.1080/09540121.2018.1465176
  • Lowther, K., Selman, L., Harding, R., & Higginson, I. J. (2014). Experience of persistent psychological symptoms and perceived stigma among people with HIV on antiretroviral therapy (ART): A systematic review. International Journal of Nursing Studies, 51, 1171–1189. doi: 10.1016/j.ijnurstu.2014.01.015
  • Lowther, K., Selman, L., Simms, V., Gikaara, N., Ahmed, A., Ali, Z., … Harding, R. (2015). Nurse-led palliative care for HIV-positive patients taking antiretroviral therapy in Kenya: A randomised controlled trial. The Lancet HIV, 2, e328–e334. doi: 10.1016/S2352-3018(15)00111-3
  • Lowther, K., Simms, V., Selman, L., Sherr, L., Gwyther, L., Kariuki, H., … Harding, R. (2012). Treatment outcomes in palliative care: The TOPCare study. A mixed methods phase III randomised controlled trial to assess the effectiveness of a nurse-led palliative care intervention for HIV positive patients on antiretroviral therapy. BMC Infectious Diseases, 12, 288. doi: 10.1186/1471-2334-12-288
  • Marcus, K. S., Kerns, R. D., Rosenfeld, B., & Breitbart, W. (2000). HIV/AIDS-related pain as a chronic pain condition: Implications of a Biopsychosocial model for comprehensive assessment and effective management. Pain Medicine, 1, 260–273. doi: 10.1046/j.1526-4637.2000.00033.x
  • Martin, C., Pehrsson, P., Österberg, A., Sönnerborg, A., & Hansson, P. (1999). Pain in ambulatory HIV-infected patients with and without intravenous drug use. European Journal of Pain, 3, 157–164. doi: 10.1053/eujp.1999.0111
  • Moens, K., Siegert, R. J., Taylor, S., Namisango, E., Harding, R., Encompass, & Euro, I. (2015). . Symptom clusters in people living with HIV attending five palliative care facilities in two Sub-Saharan African countries: A hierarchical cluster analysis. PLoS ONE, 10, e0126554. doi: 10.1371/journal.pone.0126554
  • Mor, V., Laliberte, L., Morris, J. N., & Wiemann, M. (1984). The Karnofsky performance status scale. An examination of its reliability and validity in a research setting. Cancer, 53, 2002–2007. doi: 10.1002/1097-0142(19840501)53:9<2002::AID-CNCR2820530933>3.0.CO;2-W
  • Nair, S. N., Mary, T. R., Prarthana, S., & Harrison, P. (2009). Prevalence of pain in patients with HIV/AIDS: A cross-sectional survey in a South Indian state. Indian Journal of Palliative Care, 15, 67–70. doi: 10.4103/0973-1075.53550
  • Namisango, E., Harding, R., Atuhaire, L., Ddungu, H., Katabira, E., Muwanika, F. R., & Powell, R. A. (2012). Pain among ambulatory HIV/AIDS patients: Multicenter study of prevalence, intensity, associated factors, and effect. The Journal of Pain, 13, 704–713. doi: 10.1016/j.jpain.2012.04.007
  • Namisango, E., Harding, R., Katabira, E. T., Siegert, R. J., Powell, R. A., Atuhaire, L., … Taylor, S. (2015). A novel symptom cluster analysis among ambulatory HIV/AIDS patients in Uganda. AIDS Care, 27, 954–963. doi: 10.1080/09540121.2015.1020749
  • Namisango, E., Powell, R. A., Atuhaire, L., Katabira, E. T., Mwangi-Powell, F., & Harding, R. (2014). Is symptom burden associated with treatment status and disease stage among adult HIV outpatients in East Africa? Journal of Palliative Medicine, 17, 304–312. doi: 10.1089/jpm.2013.0291
  • Nieves-Lugo, K., Del Rio-Gonzalez, A. M., Reisen, C., Poppen, P., Oursler, K. K., & Zea, M. C. (2017). Greater depressive symptoms and higher viral load are associated with poor physical function among Latino Men living with HIV. Journal of the International Association of Providers of AIDS Care, 16, 30–36. doi: 10.1177/2325957416640363
  • Nkhoma, K., Norton, C., Sabin, C., Winston, A., Merlin, J., & Harding, R. (2018). Self-management interventions for pain and physical symptoms among people living with HIV: A systematic review of the evidence. JAIDS Journal of Acquired Immune Deficiency Syndromes, 79, 206–225. doi: 10.1097/QAI.0000000000001785
  • Nkhoma, K., Seymour, J., & Arthur, A. (2015). An educational intervention to reduce pain and improve pain management for Malawian people living with HIV/AIDS and their family carers: A randomized controlled trial. Journal of Pain and Symptom Management, 50, 80–90.e4. doi: 10.1016/j.jpainsymman.2015.01.011
  • Peltzer, K., & Phaswana-Mafuya, N. (2008). The symptom experience of people living with HIV and AIDS in the Eastern Cape, South Africa. BMC Health Services Research, 8, 271. doi: 10.1186/1472-6963-8-271
  • Péus, D., Newcomb, N., & Hofer, S. (2013). Appraisal of the Karnofsky Performance status and proposal of a simple algorithmic system for its evaluation. BMC Medical Informatics and Decision Making, 13, 72–72. doi: 10.1186/1472-6947-13-72
  • Potter, J., Hami, F., Bryan, T., & Quigley, C. (2003). Symptoms in 400 patients referred to palliative care services: Prevalence and patterns. Palliative Medicine, 17, 310. doi: 10.1191/0269216303pm760oa
  • Richardson, B. A., Baeten, J. M., Kreiss, J. K., Lavreys, L., Panteleeff, D. D., Overbaugh, J., … Mandaliya, K. (2002). Virus load during primary human immunodeficiency virus (HIV) Type 1 infection is related to the severity of acute HIV illness in Kenyan women. Clinical Infectious Diseases, 35, 77–81. doi: 10.1086/340862
  • Richardson, J. L., Heikes, B., Karim, R., Weber, K., Anastos, K., & Young, M. (2009). Experience of pain among women with advanced HIV disease. AIDS Patient Care and STDs, 23(7), 503–511. doi: 10.1089/apc.2008.0128
  • Rosenfeld, B., Breitbart, W., McDonald, M. V., Passik, S. D., Thaler, H., & Portenoy, R. K. (1996). Pain in ambulatory AIDS patients. II: Impact of pain on psychological functioning and quality of life. Pain, 68, 323–328. doi: 10.1016/S0304-3959(96)03220-4
  • Sabin, C. A., Harding, R., Bagkeris, E., Nkhoma, K., Post, F. A., Sachikonye, M., … Winston, A. (2018). Pain in people living with HIV and its association with healthcare resource use, well being and functional status. Aids (London, England), 32, 2697–2706. doi: 10.1097/QAD.0000000000002021
  • Sherr, L., Lampe, F., Norwood, S., Leake Date, H., Harding, R., Johnson, M., … Anderson, J. (2008). Adherence to antiretroviral treatment in patients with HIV in the UK: A study of complexity. AIDS Care, 20, 442–448. doi: 10.1080/09540120701867032
  • Simms, V., Gikaara, N., Munene, G., Atieno, M., Kataike, J., Nsubuga, C., … Harding, R. (2013). Multidimensional patient-reported problems within two weeks of HIV diagnosis in East Africa: A multicentre observational study. PLoS One, 8, e57203. doi: 10.1371/journal.pone.0057203
  • Simms, V., Higginson, I., & Harding, R. (2011). What palliative care-related problems do patients experience at HIV diagnosis? A systematic review of the evidence. Journal of Pain and Symptom Management, 42, 734–753. doi: 10.1016/j.jpainsymman.2011.02.014
  • Singer, A. W., Weiser, S. D., & Mccoy, S. I. (2015). Does food insecurity undermine adherence to antiretroviral therapy? A systematic review. AIDS and Behavior, 19, 1510–1526. doi: 10.1007/s10461-014-0873-1
  • Solano, J., Gomes, B., & Higginson, I. (2006). A comparison of symptom prevalence in far advanced cancer, AIDS, heart disease, chronic obstructive pulmonary disease and renal disease. Journal of Pain and Symptom Management, 31, 58–69. doi: 10.1016/j.jpainsymman.2005.06.007
  • Statacorp. (2015). Stata Statistical Software. Release 14 ed. College Station, TX: StataCorp LP.
  • Vogl, D., Rosenfeld, B., Breitbart, W., Thaler, H., Passik, S., McDonald, M., & Portenoy, R. K. (1999). Symptom prevalence, characteristics, and distress in AIDS outpatients. Journal of Pain and Symptom Management, 18, 253–262. doi: 10.1016/S0885-3924(99)00066-4
  • Wakeham, K., Harding, R., Bamukama-Namakoola, D., Levin, J., Kissa, J., Parkes-Ratanshi, R., … Lalloo, D. G. (2010). Symptom burden in HIV-infected adults at time of HIV diagnosis in rural Uganda. Journal of Palliative Medicine, 13, 375–380. doi: 10.1089/jpm.2009.0259
  • Wakeham, K., Harding, R., Levin, J., Parkes-Ratanshi, R., Kamali, A., & Lalloo, D. G. (2018). The impact of antiretroviral therapy on symptom burden among HIV outpatients with low CD4 count in rural Uganda: Nested longitudinal cohort study. BMC Palliative Care, 17, 8. doi: 10.1186/s12904-017-0215-y
  • WHO. (2011). Palliative care. Retrieved from http://www.who.int/hiv/topics/palliative/PalliativeCare/en/
  • WHO/UNAIDS. (2015). Global AIDS response progress reporting 2015. Retrieved from http://www.unaids.org/sites/default/files/media_asset/JC2702_GARPR2015guidelines_en.pdf
  • Willard, S., Holzemer, W. L., Wantland, D. J., Cuca, Y. P., Kirksey, K. M., Portillo, C. J., … Lindgren, T. (2009). Does “asymptomatic” mean without symptoms for those living with HIV infection? AIDS Care, 21, 322–328. doi: 10.1080/09540120802183511

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