Experience of fatigue and associated factors among adult people living with HIV attending ART clinic: a hospital-based cross-sectional study in Ethiopia

Objective This study aimed to determine the prevalence of fatigue and the factors associated among adult people living with HIV attending antiretroviral therapy clinic in Gondar town, Ethiopia.Design Cross-sectional.Setting Governmental health facility that provides HIV care in Gondar town.Outcome m...

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Main Authors: Moges Baye, Berihu Fisseha, Mulugeta Bayisa, Solomon Mekonnen Abebe, Balamurugan Janakiraman
Format: Article
Language:English
Published: BMJ Publishing Group 2020-10-01
Series:BMJ Open
Online Access:https://bmjopen.bmj.com/content/10/10/e042029.full
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author Moges Baye
Berihu Fisseha
Mulugeta Bayisa
Solomon Mekonnen Abebe
Balamurugan Janakiraman
author_facet Moges Baye
Berihu Fisseha
Mulugeta Bayisa
Solomon Mekonnen Abebe
Balamurugan Janakiraman
author_sort Moges Baye
collection DOAJ
description Objective This study aimed to determine the prevalence of fatigue and the factors associated among adult people living with HIV attending antiretroviral therapy clinic in Gondar town, Ethiopia.Design Cross-sectional.Setting Governmental health facility that provides HIV care in Gondar town.Outcome measure Fatigue is defined by nine items version Fatigue Severity Scale.Participants Adult (aged 18 and above) people living with HIV in Gondar town (n=392).Result A total of 408 HIV seropositive adults were approached for consent, among which 392 participants consented to participate in this study, with a response rate of 96.1%. The mean age of the participants was 40.5±8.5 years. The prevalence of HIV-related fatigue was 53.3% and about 66% of women living with HIV experienced fatigue. The factors associated with fatigue experience were; female gender (adjusted OR (AOR): 2.61, 95% CI 1.01 to 5.3), being married (AOR: 0.18, 95% CI 0.10 to 0.9), low income (AOR: 7.1, 95% CI 4.6 to 22.15), unemployed (AOR: 2.79, 95% CI 1.19 to 9.84), parity (AOR: 4.87, 95% CI 2.18 to 17.9), being anaemic (AOR: 12.45, 95% CI 5.6 to 41.01), depression (AOR: 4.51, 95% CI 1.91 to 11.20), mild weight loss (AOR: 4.2 95% CI 2.56 to 13.9) and moderate weight loss (AOR: 5.1, 95% CI 1.85 to 16.12), respectively.Conclusion The findings of this study revealed that experiencing fatigue is quite common among adult people living with HIV. It is important for the healthcare professionals and people living with HIV to understand; the possible causes of fatigue, remedies and ways to reclaim energy. The predisposing factors and complications that cause fatigue should be aggressively diagnosed and treated by the clinicians. Further qualitative studies exploring the reasons for experiencing HIV-related fatigue might help designing interventions.
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spelling doaj-art-57f5e542815b4563958c1e78fdb136582024-11-17T00:15:08ZengBMJ Publishing GroupBMJ Open2044-60552020-10-01101010.1136/bmjopen-2020-042029Experience of fatigue and associated factors among adult people living with HIV attending ART clinic: a hospital-based cross-sectional study in EthiopiaMoges Baye0Berihu Fisseha1Mulugeta Bayisa2Solomon Mekonnen Abebe3Balamurugan Janakiraman4Department of Physiotherapy, School of Medicine, College of Medicine and Health Sciences, and Specialized Hospital, Gondar, Amhara, EthiopiaDepartment of Physiotherapy, School of Medicine, College of Health Sciences and Ayder Comprehensive Specialized Hospital, Mekelle University, Mekelle, Tigray, EthiopiaDepartment of Physiotherapy, School of Medicine, College of Medicine and Health Sciences, and Specialized Hospital, Gondar, Amhara, EthiopiaInstitute of Public Health, College of Medicine and Health Science, University of Gondar, Gondar, EthiopiaDepartment of Physiotherapy, School of Medicine, College of Health Sciences and Ayder Comprehensive Specialized Hospital, Mekelle University, Mekelle, Tigray, EthiopiaObjective This study aimed to determine the prevalence of fatigue and the factors associated among adult people living with HIV attending antiretroviral therapy clinic in Gondar town, Ethiopia.Design Cross-sectional.Setting Governmental health facility that provides HIV care in Gondar town.Outcome measure Fatigue is defined by nine items version Fatigue Severity Scale.Participants Adult (aged 18 and above) people living with HIV in Gondar town (n=392).Result A total of 408 HIV seropositive adults were approached for consent, among which 392 participants consented to participate in this study, with a response rate of 96.1%. The mean age of the participants was 40.5±8.5 years. The prevalence of HIV-related fatigue was 53.3% and about 66% of women living with HIV experienced fatigue. The factors associated with fatigue experience were; female gender (adjusted OR (AOR): 2.61, 95% CI 1.01 to 5.3), being married (AOR: 0.18, 95% CI 0.10 to 0.9), low income (AOR: 7.1, 95% CI 4.6 to 22.15), unemployed (AOR: 2.79, 95% CI 1.19 to 9.84), parity (AOR: 4.87, 95% CI 2.18 to 17.9), being anaemic (AOR: 12.45, 95% CI 5.6 to 41.01), depression (AOR: 4.51, 95% CI 1.91 to 11.20), mild weight loss (AOR: 4.2 95% CI 2.56 to 13.9) and moderate weight loss (AOR: 5.1, 95% CI 1.85 to 16.12), respectively.Conclusion The findings of this study revealed that experiencing fatigue is quite common among adult people living with HIV. It is important for the healthcare professionals and people living with HIV to understand; the possible causes of fatigue, remedies and ways to reclaim energy. The predisposing factors and complications that cause fatigue should be aggressively diagnosed and treated by the clinicians. Further qualitative studies exploring the reasons for experiencing HIV-related fatigue might help designing interventions.https://bmjopen.bmj.com/content/10/10/e042029.full
spellingShingle Moges Baye
Berihu Fisseha
Mulugeta Bayisa
Solomon Mekonnen Abebe
Balamurugan Janakiraman
Experience of fatigue and associated factors among adult people living with HIV attending ART clinic: a hospital-based cross-sectional study in Ethiopia
BMJ Open
title Experience of fatigue and associated factors among adult people living with HIV attending ART clinic: a hospital-based cross-sectional study in Ethiopia
title_full Experience of fatigue and associated factors among adult people living with HIV attending ART clinic: a hospital-based cross-sectional study in Ethiopia
title_fullStr Experience of fatigue and associated factors among adult people living with HIV attending ART clinic: a hospital-based cross-sectional study in Ethiopia
title_full_unstemmed Experience of fatigue and associated factors among adult people living with HIV attending ART clinic: a hospital-based cross-sectional study in Ethiopia
title_short Experience of fatigue and associated factors among adult people living with HIV attending ART clinic: a hospital-based cross-sectional study in Ethiopia
title_sort experience of fatigue and associated factors among adult people living with hiv attending art clinic a hospital based cross sectional study in ethiopia
url https://bmjopen.bmj.com/content/10/10/e042029.full
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