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Family APGAR and treatment outcomes among HIV patients at two ART Centers in Kumasi, Ghana
Ayisi-Boateng, Nana K; Enimil, Anthony; Essuman, Akye; Lawson, Henry; Mohammed, Aliyu; Aninng, Douglas O; Fordjour, Emmanuel A; Spangenberg, Kathryn.
Affiliation
  • Ayisi-Boateng, Nana K; Department of Medicine, School of Medicine and Dentistry, Kwame Nkrumah University of Science and Technology, Kumasi, Ghana. University Hospital, Kwame Nkrumah University of Science and Technology, Kumasi, Ghana. Kumasi. GH
  • Enimil, Anthony; Department of Child Health, School of Medicine and Dentistry, Kwame Nkrumah University of Science and Technology, Kumasi, Ghana. Kumasi. GH
  • Essuman, Akye; Family Medicine Unit, Department of Community Health, University of Ghana Medical School, Accra, Ghana. Accra. GH
  • Lawson, Henry; Family Medicine Unit, Department of Community Health, University of Ghana Medical School, Accra, Ghana. Accra. GH
  • Mohammed, Aliyu; Department of Epidemiology and Biostatistics, School of Public Health, Kwame Nkrumah University of Science and Technology, Kumasi, Ghana. Kumasi. GH
  • Aninng, Douglas O; Department of Epidemiology and Biostatistics, School of Public Health, Kwame Nkrumah University of Science and Technology, Kumasi, Ghana. Kumasi. GH
  • Fordjour, Emmanuel A; Department of Modern Languages, Kwame Nkrumah University of Science and Technology, Kumasi, Ghana. Kumasi. GH
  • Spangenberg, Kathryn; Family Medicine Directorate, Komfo Anokye Teaching Hospital, Kumasi, Ghana. Kumasi. GH
Ghana Medical Journal ; 56(3): 160-168, )2022. Tables
Article in En | AIM | ID: biblio-1398767
Responsible library: CG1.1
ABSTRACT

objectives:

This study aimed to examine the association between Family Adaptability, Partnership, Growth, Affection and Resolve (Family APGAR) and HIV treatment outcomes.

Design:

A cross-sectional study using the Family APGAR questionnaire

Setting:

The study was conducted in Kumasi, Ghana, at the Komfo Anokye Teaching Hospital and the Kwame Nkrumah University of Science and Technology Hospital

Participants:

Consenting HIV-positive patients who had been on treatment for at least 12 months were recruited. Main outcome

measures:

The Family APGAR questionnaire was administered, and relevant data were extracted from hospital records and analysed using STATA® software. The relationship between Family APGAR and treatment outcomes was determined using Chi-squared tests or Fisher's exact test.

Results:

Approximately 70.1% of 304 participants were females with a mean age of 41.8 years (±9.9). At treatment initiation, 47.4% of the patients presented at World Health Organisation (WHO) clinical stages I and II and had a CD4 count ≥ 200 cells/mm3 . Females were less likely (Odds Ratio= 0.52; 95% CI=0.31 ­ 0.90, p = 0.018) to report late for treatment compared with the males. After 12 months of treatment, approximately 70% recorded undetectable viral load. Patients with functional families constituted 70.4%, which had a statistically significant relationship with viral load (p = 0.041).

Conclusion:

HIV care providers should incorporate family functionality evaluation into clinical practice and provide early essential support to enhance treatment

outcomes:

Subject(s)
Key words
Full text: 1 Main subject: Family / HIV / Adaptation to Disasters / Anti-Retroviral Agents / Sustained Virologic Response / Health Services Accessibility Type of study: Observational_studies / Risk_factors_studies Language: En Journal: Ghana Medical Journal Year: 2022 type: Article
Full text: 1 Main subject: Family / HIV / Adaptation to Disasters / Anti-Retroviral Agents / Sustained Virologic Response / Health Services Accessibility Type of study: Observational_studies / Risk_factors_studies Language: En Journal: Ghana Medical Journal Year: 2022 type: Article