Classification and description of chronic pain among HIV positive patients in Uganda.

Abstract:

Introduction:Chronic pain classification in HIV positive patients is essential for diagnosis and treatment. However, this is rarely done despite association with poor outcomes. Methods:A cross-sectional survey of 345 consented patients at a specialized HIV care center in Uganda was conducted. Chronic pain was defined as pain of more than two weeks duration. Data was collected using a socio-demographic questionnaire, the IASP classification of chronic pain; the StEP; Mini Mental Status Examination, Patient Health Questionnaire, Mini International Neuropsychiatric Interview and the World Health Organization quality of life instrument brief version. Chi-square, Fisher's exact, t-test and logistic regression analyses were carried out to determine factors associated with chronic pain. Results:Description of pain aetiology was difficult. Chronic pain was reported in 21.5% of the participants. Non-neuropathic (92.0%) was more common than neuropathic pain (8.0%). Chronic pain was found to be associated with feeling ill [OR=6.57 (3.48 - 12.39)], and worse scores in the quality of life domain for physical health [OR=0.71 (0.60 - 0.83)]. Conclusion:People living with HIV/AIDS commonly have chronic pain that is associated with poor quality of life. More sensitive tools are needed to accurately describe chronic pain in resource limited settings.

journal_name

Afr Health Sci

journal_title

African health sciences

authors

Mwesiga EK,Kaddumukasa M,Mugenyi L,Nakasujja N

doi

10.4314/ahs.v19i2.20

subject

Has Abstract

pub_date

2019-06-01 00:00:00

pages

1978-1987

issue

2

eissn

1680-6905

issn

1729-0503

pii

jAFHS.v19.i2.pg1978

journal_volume

19

pub_type

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