Health-related quality of life among Ebola survivors in Sierra Leone: the role of socio-demographic, health-related and psycho-social factors
Abstract Background Evidence of how social factors affect the health-related quality of life (HRQoL) of Ebola virus disease (EVD) survivors is limited. Our study explores the association between socio-demographic, health-related and psycho-social (stigma) factors and EVD survivors' health-relat...
| Main Authors: | , , , , , , , , |
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| Format: | Article |
| Language: | English |
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BMC
2022-01-01
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| Series: | Health and Quality of Life Outcomes |
| Subjects: | |
| Online Access: | https://doi.org/10.1186/s12955-022-01916-y |
| _version_ | 1819008635204796416 |
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| author | Peter Bai James Jon Wardle Razak M. Gyasi Amie Steel Jon Adams John Alimamy Kabba Abdulai Jawo Bah Michael Lahai Eugene B. Conteh |
| author_facet | Peter Bai James Jon Wardle Razak M. Gyasi Amie Steel Jon Adams John Alimamy Kabba Abdulai Jawo Bah Michael Lahai Eugene B. Conteh |
| author_sort | Peter Bai James |
| collection | DOAJ |
| description | Abstract Background Evidence of how social factors affect the health-related quality of life (HRQoL) of Ebola virus disease (EVD) survivors is limited. Our study explores the association between socio-demographic, health-related and psycho-social (stigma) factors and EVD survivors' health-related quality of life (HRQoL) in Sierra Leone. Methods We conducted a nationwide cross-sectional study among 358 EVD survivors between January and August 2018. We used a multistage sampling method to recruit EVD survivors, and the RAND 36-Item Health Survey item was used to assess the HRQoL. Data were analysed using descriptive statistics and multiple linear regression. Results When comparing by each dimension in relation to their respective summary scores, role limitation physical [0.00 (50.00)] and role limitation emotional [0.00 (33.33)] were the most affected physical health and mental health domains among EVD survivors respectively. EVD survivors who were older (β = − 3.90, 95% CI − 6.47 to − 1.32, p = 0.003), had no formal education (β = − 2.80, 95% CI − 5.16 to − 0.43, p = 0.021), experienced a unit increase in the number of post-Ebola symptoms (β = − 1.08, 95% CI − 1.74 to − 0.43, p < 0.001) and experienced a unit increase in enacted stigma (β = − 2.61, 95% CI − 4.02 to − 1.20, p < 0.001) were more likely to report a decreased level of physical health. EVD survivors who experienced a unit increase in the time spent in the Ebola treatment centre (β = − 0.60, 95% CI − 0.103 to − 0.18, p = 0.006) and those who experienced a unit increase in enacted Stigma were more likely to report decreased levels of mental health (β = − 1.50, 95% CI − 2.67 to − 0.33, p = 0.012). Conclusion Sociodemographic, health-related, and psycho-social factors were significantly associated with decrease levels of HRQoL. Our findings improve our understanding of the factors that might influence the HRQoL and suggest the need for EVD survivors to be provided with a comprehensive healthcare package that caters for their physical and mental health needs. |
| first_indexed | 2024-12-21T00:43:36Z |
| format | Article |
| id | doaj.art-152a617a6cfb40e28eba89031485f18a |
| institution | Directory Open Access Journal |
| issn | 1477-7525 |
| language | English |
| last_indexed | 2024-12-21T00:43:36Z |
| publishDate | 2022-01-01 |
| publisher | BMC |
| record_format | Article |
| series | Health and Quality of Life Outcomes |
| spelling | doaj.art-152a617a6cfb40e28eba89031485f18a2022-12-21T19:21:35ZengBMCHealth and Quality of Life Outcomes1477-75252022-01-0120111410.1186/s12955-022-01916-yHealth-related quality of life among Ebola survivors in Sierra Leone: the role of socio-demographic, health-related and psycho-social factorsPeter Bai James0Jon Wardle1Razak M. Gyasi2Amie Steel3Jon Adams4John Alimamy Kabba5Abdulai Jawo Bah6Michael Lahai7Eugene B. Conteh8National Centre for Naturopathic Medicine, Faculty of Health, Southern Cross UniversityNational Centre for Naturopathic Medicine, Faculty of Health, Southern Cross UniversityAfrican Population and Health Research Center (APHRC)Australian Research Centre in Complementary and Integrative Medicine, Faculty of Health, University of Technology SydneyAustralian Research Centre in Complementary and Integrative Medicine, Faculty of Health, University of Technology SydneyDepartment of Pharmacy Administration and Clinical Pharmacy, School of Pharmacy, Xi’an Jiaotong UniversityFaculty of Pharmaceutical Sciences, College of Medicine and Allied Health Sciences, University of Sierra LeoneFaculty of Pharmaceutical Sciences, College of Medicine and Allied Health Sciences, University of Sierra LeoneFaculty of Pharmaceutical Sciences, College of Medicine and Allied Health Sciences, University of Sierra LeoneAbstract Background Evidence of how social factors affect the health-related quality of life (HRQoL) of Ebola virus disease (EVD) survivors is limited. Our study explores the association between socio-demographic, health-related and psycho-social (stigma) factors and EVD survivors' health-related quality of life (HRQoL) in Sierra Leone. Methods We conducted a nationwide cross-sectional study among 358 EVD survivors between January and August 2018. We used a multistage sampling method to recruit EVD survivors, and the RAND 36-Item Health Survey item was used to assess the HRQoL. Data were analysed using descriptive statistics and multiple linear regression. Results When comparing by each dimension in relation to their respective summary scores, role limitation physical [0.00 (50.00)] and role limitation emotional [0.00 (33.33)] were the most affected physical health and mental health domains among EVD survivors respectively. EVD survivors who were older (β = − 3.90, 95% CI − 6.47 to − 1.32, p = 0.003), had no formal education (β = − 2.80, 95% CI − 5.16 to − 0.43, p = 0.021), experienced a unit increase in the number of post-Ebola symptoms (β = − 1.08, 95% CI − 1.74 to − 0.43, p < 0.001) and experienced a unit increase in enacted stigma (β = − 2.61, 95% CI − 4.02 to − 1.20, p < 0.001) were more likely to report a decreased level of physical health. EVD survivors who experienced a unit increase in the time spent in the Ebola treatment centre (β = − 0.60, 95% CI − 0.103 to − 0.18, p = 0.006) and those who experienced a unit increase in enacted Stigma were more likely to report decreased levels of mental health (β = − 1.50, 95% CI − 2.67 to − 0.33, p = 0.012). Conclusion Sociodemographic, health-related, and psycho-social factors were significantly associated with decrease levels of HRQoL. Our findings improve our understanding of the factors that might influence the HRQoL and suggest the need for EVD survivors to be provided with a comprehensive healthcare package that caters for their physical and mental health needs.https://doi.org/10.1186/s12955-022-01916-yEbolaEbola survivorsHealth-related quality of lifeSF-36Physical heathMental health |
| spellingShingle | Peter Bai James Jon Wardle Razak M. Gyasi Amie Steel Jon Adams John Alimamy Kabba Abdulai Jawo Bah Michael Lahai Eugene B. Conteh Health-related quality of life among Ebola survivors in Sierra Leone: the role of socio-demographic, health-related and psycho-social factors Health and Quality of Life Outcomes Ebola Ebola survivors Health-related quality of life SF-36 Physical heath Mental health |
| title | Health-related quality of life among Ebola survivors in Sierra Leone: the role of socio-demographic, health-related and psycho-social factors |
| title_full | Health-related quality of life among Ebola survivors in Sierra Leone: the role of socio-demographic, health-related and psycho-social factors |
| title_fullStr | Health-related quality of life among Ebola survivors in Sierra Leone: the role of socio-demographic, health-related and psycho-social factors |
| title_full_unstemmed | Health-related quality of life among Ebola survivors in Sierra Leone: the role of socio-demographic, health-related and psycho-social factors |
| title_short | Health-related quality of life among Ebola survivors in Sierra Leone: the role of socio-demographic, health-related and psycho-social factors |
| title_sort | health related quality of life among ebola survivors in sierra leone the role of socio demographic health related and psycho social factors |
| topic | Ebola Ebola survivors Health-related quality of life SF-36 Physical heath Mental health |
| url | https://doi.org/10.1186/s12955-022-01916-y |
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