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Influencing Factors of Mortality Among Adult HIV Patients Under Antiretroviral Therapy: The Case of Hossana Queen Elleni Mohammad Memorial Hospital, Ethiopia

Received: 31 July 2021    Accepted: 16 August 2021    Published: 24 August 2021
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Abstract

Even though the use of ART has brought a significant reduction in the mortality and morbidity of patients living with HIV/AIDS globally, still a number of patients die after the start of Antiretroviral Therapy. This study aimed at identifying influencing factors of mortality among adult HIV infected patients who are on ART in Hossana Queen Elleni Mohammad Memorial Hospital. The data for the study were obtained from Hossana Queen Elleni Mohammad Memorial Hospital Antiretroviral Therapy clinic. The HIV infected patients ≥ 15 years of age. Binary logistic regression model was applied to analyze the data so as to identify the influencing factors associated with mortality of HIV infected patients. A total of 400 adult HIV infected patients who were under ART were included in the study. Of 400 patients, 18.75% of them died. Age of the patients 40 or above (OR=1.73, 95% CI: 1.13–1.92), primary education (OR=0.29, 95% CI: 0.030–0.71), secondary or above education (OR=0.13, 95% CI: 0.03–0.16), alcohol (OR=3.35, 95% CI: 1.79– 6.27), baseline weight 50 kg or above (OR=0.42, 95% CI: 0.23–0.77), TB positive (OR=3.76, 95% CI: 2.06–6.83), and baseline CD4 200 or above (OR=0.24, 95% CI: 0.19–0.50) were significantly associated with mortality among HIV patients under Antiretroviral Therapy. Health workers need to support those patients with no or little education by continuous awareness creation of taking care of themselves and knowing what factors facilitate death. Furthermore, patients who drink alcohol need to reduce excessive drinking.

Published in Science Journal of Clinical Medicine (Volume 10, Issue 3)
DOI 10.11648/j.sjcm.20211003.11
Page(s) 72-77
Creative Commons

This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited.

Copyright

Copyright © The Author(s), 2024. Published by Science Publishing Group

Keywords

Mortality, HIV, Binary Logistic Regression Model

References
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[11] Lawn, S. D., Little, F., Bekker, L. G., Kaplan, R., Campbel, E., Orrell, C., & Wood, R. (2009). Changing mortality risk associated with CD4 cell response to antiretroviral therapy in South Africa. AIDS (London, England), 23 (3), 335.
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[17] Moh, R., Danel, C., Messou, E., Ouassa, T., Gabillard, D., Anzian, A.,... & Eholié, S. (2007). Incidence and determinants of mortality and morbidity following early antiretroviral therapy initiation in HIV-infected adults in West Africa. Aids, 21 (18), 2483-2491.
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    Gizachew Gobebo, Alemayehu Siffir, Belema Hailu, Birhanu Woldeyohannes, Bizunesh Kefale, et al. (2021). Influencing Factors of Mortality Among Adult HIV Patients Under Antiretroviral Therapy: The Case of Hossana Queen Elleni Mohammad Memorial Hospital, Ethiopia. Science Journal of Clinical Medicine, 10(3), 72-77. https://doi.org/10.11648/j.sjcm.20211003.11

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    ACS Style

    Gizachew Gobebo; Alemayehu Siffir; Belema Hailu; Birhanu Woldeyohannes; Bizunesh Kefale, et al. Influencing Factors of Mortality Among Adult HIV Patients Under Antiretroviral Therapy: The Case of Hossana Queen Elleni Mohammad Memorial Hospital, Ethiopia. Sci. J. Clin. Med. 2021, 10(3), 72-77. doi: 10.11648/j.sjcm.20211003.11

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    AMA Style

    Gizachew Gobebo, Alemayehu Siffir, Belema Hailu, Birhanu Woldeyohannes, Bizunesh Kefale, et al. Influencing Factors of Mortality Among Adult HIV Patients Under Antiretroviral Therapy: The Case of Hossana Queen Elleni Mohammad Memorial Hospital, Ethiopia. Sci J Clin Med. 2021;10(3):72-77. doi: 10.11648/j.sjcm.20211003.11

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  • @article{10.11648/j.sjcm.20211003.11,
      author = {Gizachew Gobebo and Alemayehu Siffir and Belema Hailu and Birhanu Woldeyohannes and Bizunesh Kefale and Temesgen Senbeto and Adinew Handiso and O. Chandrasekhara Reddy},
      title = {Influencing Factors of Mortality Among Adult HIV Patients Under Antiretroviral Therapy: The Case of Hossana Queen Elleni Mohammad Memorial Hospital, Ethiopia},
      journal = {Science Journal of Clinical Medicine},
      volume = {10},
      number = {3},
      pages = {72-77},
      doi = {10.11648/j.sjcm.20211003.11},
      url = {https://doi.org/10.11648/j.sjcm.20211003.11},
      eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.sjcm.20211003.11},
      abstract = {Even though the use of ART has brought a significant reduction in the mortality and morbidity of patients living with HIV/AIDS globally, still a number of patients die after the start of Antiretroviral Therapy. This study aimed at identifying influencing factors of mortality among adult HIV infected patients who are on ART in Hossana Queen Elleni Mohammad Memorial Hospital. The data for the study were obtained from Hossana Queen Elleni Mohammad Memorial Hospital Antiretroviral Therapy clinic. The HIV infected patients ≥ 15 years of age. Binary logistic regression model was applied to analyze the data so as to identify the influencing factors associated with mortality of HIV infected patients. A total of 400 adult HIV infected patients who were under ART were included in the study. Of 400 patients, 18.75% of them died. Age of the patients 40 or above (OR=1.73, 95% CI: 1.13–1.92), primary education (OR=0.29, 95% CI: 0.030–0.71), secondary or above education (OR=0.13, 95% CI: 0.03–0.16), alcohol (OR=3.35, 95% CI: 1.79– 6.27), baseline weight 50 kg or above (OR=0.42, 95% CI: 0.23–0.77), TB positive (OR=3.76, 95% CI: 2.06–6.83), and baseline CD4 200 or above (OR=0.24, 95% CI: 0.19–0.50) were significantly associated with mortality among HIV patients under Antiretroviral Therapy. Health workers need to support those patients with no or little education by continuous awareness creation of taking care of themselves and knowing what factors facilitate death. Furthermore, patients who drink alcohol need to reduce excessive drinking.},
     year = {2021}
    }
    

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  • TY  - JOUR
    T1  - Influencing Factors of Mortality Among Adult HIV Patients Under Antiretroviral Therapy: The Case of Hossana Queen Elleni Mohammad Memorial Hospital, Ethiopia
    AU  - Gizachew Gobebo
    AU  - Alemayehu Siffir
    AU  - Belema Hailu
    AU  - Birhanu Woldeyohannes
    AU  - Bizunesh Kefale
    AU  - Temesgen Senbeto
    AU  - Adinew Handiso
    AU  - O. Chandrasekhara Reddy
    Y1  - 2021/08/24
    PY  - 2021
    N1  - https://doi.org/10.11648/j.sjcm.20211003.11
    DO  - 10.11648/j.sjcm.20211003.11
    T2  - Science Journal of Clinical Medicine
    JF  - Science Journal of Clinical Medicine
    JO  - Science Journal of Clinical Medicine
    SP  - 72
    EP  - 77
    PB  - Science Publishing Group
    SN  - 2327-2732
    UR  - https://doi.org/10.11648/j.sjcm.20211003.11
    AB  - Even though the use of ART has brought a significant reduction in the mortality and morbidity of patients living with HIV/AIDS globally, still a number of patients die after the start of Antiretroviral Therapy. This study aimed at identifying influencing factors of mortality among adult HIV infected patients who are on ART in Hossana Queen Elleni Mohammad Memorial Hospital. The data for the study were obtained from Hossana Queen Elleni Mohammad Memorial Hospital Antiretroviral Therapy clinic. The HIV infected patients ≥ 15 years of age. Binary logistic regression model was applied to analyze the data so as to identify the influencing factors associated with mortality of HIV infected patients. A total of 400 adult HIV infected patients who were under ART were included in the study. Of 400 patients, 18.75% of them died. Age of the patients 40 or above (OR=1.73, 95% CI: 1.13–1.92), primary education (OR=0.29, 95% CI: 0.030–0.71), secondary or above education (OR=0.13, 95% CI: 0.03–0.16), alcohol (OR=3.35, 95% CI: 1.79– 6.27), baseline weight 50 kg or above (OR=0.42, 95% CI: 0.23–0.77), TB positive (OR=3.76, 95% CI: 2.06–6.83), and baseline CD4 200 or above (OR=0.24, 95% CI: 0.19–0.50) were significantly associated with mortality among HIV patients under Antiretroviral Therapy. Health workers need to support those patients with no or little education by continuous awareness creation of taking care of themselves and knowing what factors facilitate death. Furthermore, patients who drink alcohol need to reduce excessive drinking.
    VL  - 10
    IS  - 3
    ER  - 

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Author Information
  • Department of Statistics, Ambo University, Ambo, Ethiopia

  • Department of Statistics, Ambo University, Ambo, Ethiopia

  • Department of Statistics, Ambo University, Ambo, Ethiopia

  • Technical and Financial Capacity Building Department, Addis Ababa Transport Bureau, Addis Ababa, Ethiopia

  • Department of Statistics, Ambo University, Ambo, Ethiopia

  • Department of Statistics, Ambo University, Ambo, Ethiopia

  • Department of Statistics, Wachamo University, Durame, Ethiopia

  • Department of Statistics, Eritrean Institute of Technology, Asmara, Eritrea

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