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Change in Health-Related Quality of Life among Pulmonary Tuberculosis Patients at Primary Health Care Settings in South Africa: A Prospective Cohort Study

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  • Julia S Louw
  • Musawenkosi Mabaso
  • Karl Peltzer

Abstract

Introduction: Pulmonary tuberculosis (TB) remains a major public health challenge in South Africa. However, little attention is paid to the impact of health related quality of life (HRQL) among TB patients at the beginning and at the end of TB treatment. This study assesses factors associated with HRQL among tuberculosis patients in three high risk provinces in South Africa. Methods: A prospective cohort study was conducted at primary health care settings. Patients completed the HRQL social functioning (SF)-12 health survey. Comparison of Physical Health Summary Score (PCS) and Mental Health Summary Score (MCS) was assessed at 6 months after treatment. Generalized estimating equations (GEEs) were used to examine the factors associated with changes in HRQL. Results: In all patients, after 6 months of treatment there was a significant improvement in HRQL with the biggest increase in the PCS. A higher educational qualification had a strong significant positive effect on the mental HRQL. Psychological distress showed a significant negative association with physical and mental HRQL after six months. Permanent residence showed a significant positive association with mental HRQL among TB patients compared to those living in shack/traditional dwellings. Rating ones health as being good and fair/poor was significantly associated with poor physical HRQL. Twenty drinks or more in the past month had a significant negative effect on the physical HRQL. Conclusion: The findings suggest that programmes targeted at improving TB treatment success should have specific interventions for patients with low educational background, impoverished households/communities and those with hazardous or harmful alcohol use.

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  • Julia S Louw & Musawenkosi Mabaso & Karl Peltzer, 2016. "Change in Health-Related Quality of Life among Pulmonary Tuberculosis Patients at Primary Health Care Settings in South Africa: A Prospective Cohort Study," PLOS ONE, Public Library of Science, vol. 11(5), pages 1-13, May.
    • Handle: RePEc:plo:pone00:0151892
    DOI: 10.1371/journal.pone.0151892
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    1. Thaddeus L Miller & Scott J N McNabb & Peter Hilsenrath & Jotam Pasipanodya & Stephen E Weis, 2009. "Personal and Societal Health Quality Lost to Tuberculosis," PLOS ONE, Public Library of Science, vol. 4(4), pages 1-7, April.
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    1. Shilanthi Seneviratne & Samitha Ginige & Sanjeewa Kularatna & Nalika Gunawardena, 2022. "Cultural Adaptation, Translation and Validation of Tuberculosis Specific Health Related Quality of Life Measuring Functional Assessment of Chronic Illness Therapy Tuberculosis (FACIT-TB) Scale in Sri ," Applied Research in Quality of Life, Springer;International Society for Quality-of-Life Studies, vol. 17(2), pages 579-592, April.
    2. Maria Y. Charumbira & Karina Berner & Quinette A. Louw, 2022. "Functioning Problems Associated with Health Conditions with Greatest Disease Burden in South Africa: A Scoping Review," IJERPH, MDPI, vol. 19(23), pages 1-30, November.

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