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Sociodemographic and Psychological Determinants of Neurocognitive Disorders in People Living with HIV on TARVs in Kinshasa: Cross-sectional Study

Received: 6 July 2021    Accepted: 21 July 2021    Published: 6 August 2021
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Abstract

Background and aim: Neurocognitive disorders are described in people living with HIV (PLWH) on therapeutic anti-retroviral (TARVs), but their determinants are not known. The aim of this study is to determine the determinants of neurocognitive disorders in PLHIV on TARVs. Methods: 45 PLWH on ARVs were analyzed in a cross-sectional study conducted in 2 ARV distribution centers in Kinshasa from August to October 2020. Sociodemographic variables, perceived stress score and neurocognitive disorders were the parameters of interest. A logistic regression made it possible to identify the determinants. The threshold of statistical significance was p <0.05. Results: We recorded 45 patients who met our inclusion criteria. The female sex was the majority (71.1%), the mean age was (50.6 plus or minus 9.1 years) with a sex ratio 3F: 1H, asymptomatic neurocognitive disorders (AND) was more noted in our patients and they was more in the attention and calculation component (60%). All of our patients were under stress, 58% of whom were under high stress; there has been a clear correlation between stress and AND, age> 60 years [aOR: 4.09, 95% CI: 1.63), p = 0.022), unmarried status [aOR: 4.40, 95% CI: 1.79-6.63), p = 0.017) and high perceived stress [aOR: 4.97, 95% CI: 2.72-9.85, p = 0.008) were independent risk factors associated with cognitive impairment in the population of study. Conclusion: The prevalence of neurocognitive disorders was high in PLWH on TARVs and these disorders concerned adults, educated, living alone with a predominance of women. Their determinants were age> 60, loneliness and high stress level.

Published in International Journal of HIV/AIDS Prevention, Education and Behavioural Science (Volume 7, Issue 2)
DOI 10.11648/j.ijhpebs.20210702.12
Page(s) 61-65
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

Asymptomatic Neurocognitive Disorders, Age> 60 Years, Female Sex, High Stress, PLWH on TARVs

References
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[3] Gen RD, Mangland P. You this and HIV/AIDS. Psychiatry’s role in a changing epidemic. J. am. Acad. Child Adolesc. 2005: 44: 728-47.
[4] Mussa M, Mananga Lelo G, Tshala K, Nkodila A. Neurocognitive desorders and HIV/AIDS: a review of the literature. OALIB Journal 2021.
[5] Montel S, Paquet C. troubles congnitifs et infection au VIH, Neuropsychologie et santé; 2014; 359-371. Jean-Christophe Marot, Revue des Maladies infectieuses, Juin 2017, p. 336.
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[7] Les déterminants de l’épidémie du VIH/SIDA en Afrique Sub-saharienne. Chrystelle Tsafack Terriah dans revue d’économie de développement 2009; 1-2 (17): 73-106.
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[18] Patrick L. Vieillissement cognitif. Encyclopedia Universalis. 2021 (on line).
[19] Vieillissement pathologique: Comment diminuer les risques de dépendance? Interview du Dr Trivalle, Avril 2014.
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Cite This Article
  • APA Style

    Robert Mahamudi Mussa, Aliocha Natuhoyila Nkodila, Naomi Asani Kiala, Justin Mpila Muilu, Gilbert Lelo Mananga. (2021). Sociodemographic and Psychological Determinants of Neurocognitive Disorders in People Living with HIV on TARVs in Kinshasa: Cross-sectional Study. International Journal of HIV/AIDS Prevention, Education and Behavioural Science, 7(2), 61-65. https://doi.org/10.11648/j.ijhpebs.20210702.12

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    ACS Style

    Robert Mahamudi Mussa; Aliocha Natuhoyila Nkodila; Naomi Asani Kiala; Justin Mpila Muilu; Gilbert Lelo Mananga. Sociodemographic and Psychological Determinants of Neurocognitive Disorders in People Living with HIV on TARVs in Kinshasa: Cross-sectional Study. Int. J. HIV/AIDS Prev. Educ. Behav. Sci. 2021, 7(2), 61-65. doi: 10.11648/j.ijhpebs.20210702.12

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    AMA Style

    Robert Mahamudi Mussa, Aliocha Natuhoyila Nkodila, Naomi Asani Kiala, Justin Mpila Muilu, Gilbert Lelo Mananga. Sociodemographic and Psychological Determinants of Neurocognitive Disorders in People Living with HIV on TARVs in Kinshasa: Cross-sectional Study. Int J HIV/AIDS Prev Educ Behav Sci. 2021;7(2):61-65. doi: 10.11648/j.ijhpebs.20210702.12

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  • @article{10.11648/j.ijhpebs.20210702.12,
      author = {Robert Mahamudi Mussa and Aliocha Natuhoyila Nkodila and Naomi Asani Kiala and Justin Mpila Muilu and Gilbert Lelo Mananga},
      title = {Sociodemographic and Psychological Determinants of Neurocognitive Disorders in People Living with HIV on TARVs in Kinshasa: Cross-sectional Study},
      journal = {International Journal of HIV/AIDS Prevention, Education and Behavioural Science},
      volume = {7},
      number = {2},
      pages = {61-65},
      doi = {10.11648/j.ijhpebs.20210702.12},
      url = {https://doi.org/10.11648/j.ijhpebs.20210702.12},
      eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.ijhpebs.20210702.12},
      abstract = {Background and aim: Neurocognitive disorders are described in people living with HIV (PLWH) on therapeutic anti-retroviral (TARVs), but their determinants are not known. The aim of this study is to determine the determinants of neurocognitive disorders in PLHIV on TARVs. Methods: 45 PLWH on ARVs were analyzed in a cross-sectional study conducted in 2 ARV distribution centers in Kinshasa from August to October 2020. Sociodemographic variables, perceived stress score and neurocognitive disorders were the parameters of interest. A logistic regression made it possible to identify the determinants. The threshold of statistical significance was p Results: We recorded 45 patients who met our inclusion criteria. The female sex was the majority (71.1%), the mean age was (50.6 plus or minus 9.1 years) with a sex ratio 3F: 1H, asymptomatic neurocognitive disorders (AND) was more noted in our patients and they was more in the attention and calculation component (60%). All of our patients were under stress, 58% of whom were under high stress; there has been a clear correlation between stress and AND, age> 60 years [aOR: 4.09, 95% CI: 1.63), p = 0.022), unmarried status [aOR: 4.40, 95% CI: 1.79-6.63), p = 0.017) and high perceived stress [aOR: 4.97, 95% CI: 2.72-9.85, p = 0.008) were independent risk factors associated with cognitive impairment in the population of study. Conclusion: The prevalence of neurocognitive disorders was high in PLWH on TARVs and these disorders concerned adults, educated, living alone with a predominance of women. Their determinants were age> 60, loneliness and high stress level.},
     year = {2021}
    }
    

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  • TY  - JOUR
    T1  - Sociodemographic and Psychological Determinants of Neurocognitive Disorders in People Living with HIV on TARVs in Kinshasa: Cross-sectional Study
    AU  - Robert Mahamudi Mussa
    AU  - Aliocha Natuhoyila Nkodila
    AU  - Naomi Asani Kiala
    AU  - Justin Mpila Muilu
    AU  - Gilbert Lelo Mananga
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    PY  - 2021
    N1  - https://doi.org/10.11648/j.ijhpebs.20210702.12
    DO  - 10.11648/j.ijhpebs.20210702.12
    T2  - International Journal of HIV/AIDS Prevention, Education and Behavioural Science
    JF  - International Journal of HIV/AIDS Prevention, Education and Behavioural Science
    JO  - International Journal of HIV/AIDS Prevention, Education and Behavioural Science
    SP  - 61
    EP  - 65
    PB  - Science Publishing Group
    SN  - 2575-5765
    UR  - https://doi.org/10.11648/j.ijhpebs.20210702.12
    AB  - Background and aim: Neurocognitive disorders are described in people living with HIV (PLWH) on therapeutic anti-retroviral (TARVs), but their determinants are not known. The aim of this study is to determine the determinants of neurocognitive disorders in PLHIV on TARVs. Methods: 45 PLWH on ARVs were analyzed in a cross-sectional study conducted in 2 ARV distribution centers in Kinshasa from August to October 2020. Sociodemographic variables, perceived stress score and neurocognitive disorders were the parameters of interest. A logistic regression made it possible to identify the determinants. The threshold of statistical significance was p Results: We recorded 45 patients who met our inclusion criteria. The female sex was the majority (71.1%), the mean age was (50.6 plus or minus 9.1 years) with a sex ratio 3F: 1H, asymptomatic neurocognitive disorders (AND) was more noted in our patients and they was more in the attention and calculation component (60%). All of our patients were under stress, 58% of whom were under high stress; there has been a clear correlation between stress and AND, age> 60 years [aOR: 4.09, 95% CI: 1.63), p = 0.022), unmarried status [aOR: 4.40, 95% CI: 1.79-6.63), p = 0.017) and high perceived stress [aOR: 4.97, 95% CI: 2.72-9.85, p = 0.008) were independent risk factors associated with cognitive impairment in the population of study. Conclusion: The prevalence of neurocognitive disorders was high in PLWH on TARVs and these disorders concerned adults, educated, living alone with a predominance of women. Their determinants were age> 60, loneliness and high stress level.
    VL  - 7
    IS  - 2
    ER  - 

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Author Information
  • Neuropsychopathological Center, University of Kinshasa, Kinshasa, Democratic Republic of the Congo

  • Faculty of Family Medicine, Protestant University in Congo, Kinshasa, Democratic Republic of the Congo

  • Neuropsychopathological Center, University of Kinshasa, Kinshasa, Democratic Republic of the Congo

  • Neuropsychopathological Center, University of Kinshasa, Kinshasa, Democratic Republic of the Congo

  • Neuropsychopathological Center, University of Kinshasa, Kinshasa, Democratic Republic of the Congo

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