Health-Related Quality of Life of Tuberculosis Patients and the Role of Socioeconomic Factors: A Mixed-Method Study.
Journal
The American journal of tropical medicine and hygiene
ISSN: 1476-1645
Titre abrégé: Am J Trop Med Hyg
Pays: United States
ID NLM: 0370507
Informations de publication
Date de publication:
04 10 2021
04 10 2021
Historique:
received:
03
05
2021
accepted:
21
08
2021
pubmed:
5
10
2021
medline:
22
2
2022
entrez:
4
10
2021
Statut:
epublish
Résumé
This study aims to assess tuberculosis (TB) patients' health-related quality of life (HRQoL) and to determine the relationship between HRQoL and the socioeconomic and health characteristics of patients. A mixed-method approach of explanatory sequential design is used in this study. Data were collected at 11 TB centers and two private clinics in Khyber Pakhtunkhwa, Pakistan. Quantitative data were collected through a standardized questionnaire (SF-36) of RAND organization from 269 pulmonary TB patients. Qualitative data were collected through 20 in-depth interviews, 15 Key Informant interviews, and a focus group discussion. The maximum score of SF-36 is 100, however, different aspects of HRQoL indicated that patients scored lowest in the role limitation physical (10.3) and emotional (11.2) categories, while the highest remained in the mental health (45.3) category. Patients of higher age, being female, low household income, and comorbidity decreased the HRQoL. Qualitative findings show that TB affected the patients' social functioning, vitality, and emotions. Moreover, poverty and low income, people living in Kacha Houses, family support, and the hate from family members and community are related to low HRQoL. In summary, TB has affected the Patients' HRQoL. TB program managers should pay attention to the nonmedication aspects of TB management. Financial support should be extended TB patients. This study calls for the urgent attention of the National Tuberculosis Program and policymakers, for an increased focus on patients' welfare programs.
Identifiants
pubmed: 34607302
doi: 10.4269/ajtmh.21-0494
pmc: PMC8733497
doi:
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
80-87Références
J Clin Tuberc Other Mycobact Dis. 2019 Sep 20;17:100121
pubmed: 31788563
Qual Life Res. 2020 Jun;29(6):1549-1557
pubmed: 31912356
Acta Med Iran. 2014;52(6):448-53
pubmed: 25130152
Bull World Health Organ. 2018 Apr 01;96(4):243-255
pubmed: 29695881
Indian J Tuberc. 2008 Jul;55(3):127-37
pubmed: 18807744
PLoS One. 2015 Nov 12;10(11):e0142384
pubmed: 26562787
Health Qual Life Outcomes. 2004 Oct 20;2:58
pubmed: 15496227
PLoS One. 2018 Oct 15;13(10):e0204697
pubmed: 30321189
Fam Med Community Health. 2019 Nov 03;7(4):e000044
pubmed: 32148723
Fam Med Community Health. 2019 Mar 28;7(2):e000086
pubmed: 32148709
Oman Med J. 2014 Mar;29(2):102-5
pubmed: 24715935
Ann Fam Med. 2015 Nov;13(6):554-61
pubmed: 26553895
J Trop Med. 2018 Feb 12;2018:2538532
pubmed: 29623094
Fam Med Community Health. 2019 Oct 30;7(4):e000121
pubmed: 32148725
Cent European J Urol. 2017 Jun 30;70(2):206-211
pubmed: 28721291
Clin Respir J. 2010 Jul;4(3):157-61
pubmed: 20565494
Ann Fam Med. 2006 Jul-Aug;4(4):292-4
pubmed: 16868231
Indian J Community Med. 2013 Jan;38(1):22-6
pubmed: 23559699
Saudi J Anaesth. 2017 May;11(Suppl 1):S80-S89
pubmed: 28616007
BMC Public Health. 2019 Jun 13;19(Suppl 4):551
pubmed: 31196024
Health Policy Plan. 2014 May;29(3):323-7
pubmed: 23564372
Qual Life Res. 2018 Dec;27(12):3137-3143
pubmed: 30073472
Am J Community Psychol. 1977 Mar;5(1):85-97
pubmed: 857650
Health Qual Life Outcomes. 2017 Nov 16;15(1):222
pubmed: 29145869
Int J Tuberc Lung Dis. 2019 Jan 1;23(1):73-81
pubmed: 30674378
Qual Quant. 2018;52(4):1893-1907
pubmed: 29937585
Int J Tuberc Lung Dis. 2005 Dec;9(12):1361-6
pubmed: 16466059
BMC Health Serv Res. 2011 Oct 13;11:270
pubmed: 21995329
Qual Life Res. 2015 Jan;24(1):147-51
pubmed: 25008261
Trop Med Infect Dis. 2020 Jun 10;5(2):
pubmed: 32532101
Health Serv Res. 2013 Dec;48(6 Pt 2):2134-56
pubmed: 24279835
J Health Soc Behav. 1992 Dec;33(4):299-315
pubmed: 1464716