Health-related quality of life and social support among women treated for abortion complications in western Uganda
While the impact of abortion complications on clinical outcomes and healthcare costs has been reported, we found no reports of their impact on Health-Related Quality of Life (HRQoL), nor the role of social support in moderating such outcomes. In this study, we performed an assessment of the relation...
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| creator | Lubinga, Solomon J Levine, Gillian A Jenny, Alisa M Ngonzi, Joseph Mukasa-Kivunike, Peter Stergachis, Andy Babigumira, Joseph B |
| description | While the impact of abortion complications on clinical outcomes and healthcare costs has been reported, we found no reports of their impact on Health-Related Quality of Life (HRQoL), nor the role of social support in moderating such outcomes. In this study, we performed an assessment of the relationship between abortion complications, HRQoL and social support among women in Uganda.
We interviewed women who were discharged after treatment for abortion complications and, as a comparison, women visiting a regional referral hospital for routine obstetric care. We administered the EuroQol instrument and the Social Support Questionnaire Short-Form, and collected demographic and socioeconomic data. We performed descriptive analyses using t-tests, Wilcoxon rank-sum tests and chi-square tests, and multivariable linear regressions with interaction effects to examine the associations between abortion complications, EQ-5D utility scores and social support.
Our study included 139 women (70 with abortion complications, and 69 receiving routine obstetric care). In four out of the 5 dimensions of the EQ-5D, a larger proportion of women with abortion complications reported "some or severe" problems than women receiving routine obstetric care (self-care: 42% v 24%, p=0.033; usual activities: 49% v 16%, p |
| doi_str_mv | 10.1186/1477-7525-11-118 |
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We interviewed women who were discharged after treatment for abortion complications and, as a comparison, women visiting a regional referral hospital for routine obstetric care. We administered the EuroQol instrument and the Social Support Questionnaire Short-Form, and collected demographic and socioeconomic data. We performed descriptive analyses using t-tests, Wilcoxon rank-sum tests and chi-square tests, and multivariable linear regressions with interaction effects to examine the associations between abortion complications, EQ-5D utility scores and social support.
Our study included 139 women (70 with abortion complications, and 69 receiving routine obstetric care). In four out of the 5 dimensions of the EQ-5D, a larger proportion of women with abortion complications reported "some or severe" problems than women receiving routine obstetric care (self-care: 42% v 24%, p=0.033; usual activities: 49% v 16%, p<0.001; pain/discomfort: 68% v 25%, p<0.001; and anxiety/depression: 60% v 22%, p<0.001). After adjusting for age, social support, wealth tertile, employment status, marital status, and HIV status, women with abortion complications had a 0.12 (95% CI: 0.07, 0.18, p < 0.001) lower mean EQ-5D utility score than those receiving routine obstetric care. An analysis of the modifying effect of social support showed that a one-unit higher average number of people providing social support was associated with larger mean difference in EQ-5D utility score when comparing the two groups, while a one unit higher average satisfaction score with social support was associated with smaller mean differences in EQ-5D utility score.
Our study suggests that abortion complications are associated with diminished HRQoL and the magnitude of the association depends on social support. However, the mediating role of social support in a setting of social and legal proscriptions to induced abortion is complex.</description><identifier>ISSN: 1477-7525</identifier><identifier>EISSN: 1477-7525</identifier><identifier>DOI: 10.1186/1477-7525-11-118</identifier><identifier>PMID: 23855524</identifier><language>eng</language><publisher>England: BioMed Central Ltd</publisher><subject>Abortion ; Abortion, Induced - adverse effects ; Abortion, Induced - psychology ; Adaptation, Psychological ; Adult ; Contraception Behavior - psychology ; Contraception Behavior - statistics & numerical data ; Female ; Health aspects ; Health Status ; Health Status Indicators ; Humans ; Pregnancy ; Quality of Life ; Self Report ; Social aspects ; Social Class ; Social Support ; Studies ; Uganda - epidemiology ; Women ; Young Adult</subject><ispartof>Health and quality of life outcomes, 2013-07, Vol.11 (1), p.118-118</ispartof><rights>COPYRIGHT 2013 BioMed Central Ltd.</rights><rights>2013 Lubinga et al.; licensee BioMed Central Ltd. This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/2.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.</rights><rights>Copyright © 2013 Lubinga et al.; licensee BioMed Central Ltd. 2013 Lubinga et al.; licensee BioMed Central Ltd.</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-b585t-9c7d3eaf87dff5b5f7e0118a6eb48bf886d0adee0c695d7e79d49169ceaba7363</citedby><cites>FETCH-LOGICAL-b585t-9c7d3eaf87dff5b5f7e0118a6eb48bf886d0adee0c695d7e79d49169ceaba7363</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC3718758/pdf/$$EPDF$$P50$$Gpubmedcentral$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC3718758/$$EHTML$$P50$$Gpubmedcentral$$Hfree_for_read</linktohtml><link.rule.ids>230,314,724,777,781,861,882,27905,27906,53772,53774</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/23855524$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Lubinga, Solomon J</creatorcontrib><creatorcontrib>Levine, Gillian A</creatorcontrib><creatorcontrib>Jenny, Alisa M</creatorcontrib><creatorcontrib>Ngonzi, Joseph</creatorcontrib><creatorcontrib>Mukasa-Kivunike, Peter</creatorcontrib><creatorcontrib>Stergachis, Andy</creatorcontrib><creatorcontrib>Babigumira, Joseph B</creatorcontrib><title>Health-related quality of life and social support among women treated for abortion complications in western Uganda</title><title>Health and quality of life outcomes</title><addtitle>Health Qual Life Outcomes</addtitle><description>While the impact of abortion complications on clinical outcomes and healthcare costs has been reported, we found no reports of their impact on Health-Related Quality of Life (HRQoL), nor the role of social support in moderating such outcomes. In this study, we performed an assessment of the relationship between abortion complications, HRQoL and social support among women in Uganda.
We interviewed women who were discharged after treatment for abortion complications and, as a comparison, women visiting a regional referral hospital for routine obstetric care. We administered the EuroQol instrument and the Social Support Questionnaire Short-Form, and collected demographic and socioeconomic data. We performed descriptive analyses using t-tests, Wilcoxon rank-sum tests and chi-square tests, and multivariable linear regressions with interaction effects to examine the associations between abortion complications, EQ-5D utility scores and social support.
Our study included 139 women (70 with abortion complications, and 69 receiving routine obstetric care). In four out of the 5 dimensions of the EQ-5D, a larger proportion of women with abortion complications reported "some or severe" problems than women receiving routine obstetric care (self-care: 42% v 24%, p=0.033; usual activities: 49% v 16%, p<0.001; pain/discomfort: 68% v 25%, p<0.001; and anxiety/depression: 60% v 22%, p<0.001). After adjusting for age, social support, wealth tertile, employment status, marital status, and HIV status, women with abortion complications had a 0.12 (95% CI: 0.07, 0.18, p < 0.001) lower mean EQ-5D utility score than those receiving routine obstetric care. An analysis of the modifying effect of social support showed that a one-unit higher average number of people providing social support was associated with larger mean difference in EQ-5D utility score when comparing the two groups, while a one unit higher average satisfaction score with social support was associated with smaller mean differences in EQ-5D utility score.
Our study suggests that abortion complications are associated with diminished HRQoL and the magnitude of the association depends on social support. However, the mediating role of social support in a setting of social and legal proscriptions to induced abortion is complex.</description><subject>Abortion</subject><subject>Abortion, Induced - adverse effects</subject><subject>Abortion, Induced - psychology</subject><subject>Adaptation, Psychological</subject><subject>Adult</subject><subject>Contraception Behavior - psychology</subject><subject>Contraception Behavior - statistics & numerical data</subject><subject>Female</subject><subject>Health aspects</subject><subject>Health Status</subject><subject>Health Status Indicators</subject><subject>Humans</subject><subject>Pregnancy</subject><subject>Quality of Life</subject><subject>Self Report</subject><subject>Social aspects</subject><subject>Social Class</subject><subject>Social Support</subject><subject>Studies</subject><subject>Uganda - epidemiology</subject><subject>Women</subject><subject>Young Adult</subject><issn>1477-7525</issn><issn>1477-7525</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2013</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>AZQEC</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><sourceid>DWQXO</sourceid><sourceid>GNUQQ</sourceid><recordid>eNp1kt1r1TAYxosobk7vvZKAN3rR2TTNR2-EcVA3GAjqrkOavuky0uQsaZ3770135nGVSQJJ8_6ep32fpihe4-oYY8E-4IbzktOalhjnKZ4Uh_ujpw_2B8WLlK6qqiZ1TZ8XBzURlNK6OSziKSg3XZYRnJqgR9ezcna6RcEgZw0g5XuUgrbKoTRvtyFOSI3BD-gmjODRFOFOZkJEqstVGzzSYdw6q9XykJD16AbSBNGjiyHbqZfFM6Ncglf361Fx8fnTj81pef71y9nm5LzsqKBT2WreE1BG8N4Y2lHDocotKgZdIzojBOsr1QNUmrW058DbvmkxazWoTnHCyFHxcee7nbsReg1-isrJbbSjircyKCvXFW8v5RB-SsKx4FRkg83OoLPhPwbrSm5cLpnLJXOJcZ6Ly7v7z4jhes5JyNEmDc4pD2FOWYBrTEnFSUbf_oNehTn6HNIdJThnrPlLDcqBtN6E_HK9mMoTShrGeEtwpo4fofLoYbQ6eDA2n68E71eCzEzwaxrUnJI8-_5tzVY7VseQUgSzDwVXS9PssRjePPwbe8Gfq0h-AyxW37k</recordid><startdate>20130715</startdate><enddate>20130715</enddate><creator>Lubinga, Solomon J</creator><creator>Levine, Gillian A</creator><creator>Jenny, Alisa M</creator><creator>Ngonzi, Joseph</creator><creator>Mukasa-Kivunike, Peter</creator><creator>Stergachis, Andy</creator><creator>Babigumira, Joseph B</creator><general>BioMed Central Ltd</general><general>BioMed Central</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>ISR</scope><scope>3V.</scope><scope>7T2</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8C1</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AEUYN</scope><scope>AFKRA</scope><scope>ATCPS</scope><scope>AZQEC</scope><scope>BENPR</scope><scope>BHPHI</scope><scope>C1K</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>GNUQQ</scope><scope>HCIFZ</scope><scope>K9.</scope><scope>M0S</scope><scope>M1P</scope><scope>PATMY</scope><scope>PIMPY</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>PYCSY</scope><scope>7X8</scope><scope>5PM</scope></search><sort><creationdate>20130715</creationdate><title>Health-related quality of life and social support among women treated for abortion complications in western Uganda</title><author>Lubinga, Solomon J ; Levine, Gillian A ; Jenny, Alisa M ; Ngonzi, Joseph ; Mukasa-Kivunike, Peter ; Stergachis, Andy ; Babigumira, Joseph B</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-b585t-9c7d3eaf87dff5b5f7e0118a6eb48bf886d0adee0c695d7e79d49169ceaba7363</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2013</creationdate><topic>Abortion</topic><topic>Abortion, Induced - adverse effects</topic><topic>Abortion, Induced - psychology</topic><topic>Adaptation, Psychological</topic><topic>Adult</topic><topic>Contraception Behavior - psychology</topic><topic>Contraception Behavior - statistics & numerical data</topic><topic>Female</topic><topic>Health aspects</topic><topic>Health Status</topic><topic>Health Status Indicators</topic><topic>Humans</topic><topic>Pregnancy</topic><topic>Quality of Life</topic><topic>Self Report</topic><topic>Social aspects</topic><topic>Social Class</topic><topic>Social Support</topic><topic>Studies</topic><topic>Uganda - epidemiology</topic><topic>Women</topic><topic>Young Adult</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Lubinga, Solomon J</creatorcontrib><creatorcontrib>Levine, Gillian A</creatorcontrib><creatorcontrib>Jenny, Alisa M</creatorcontrib><creatorcontrib>Ngonzi, Joseph</creatorcontrib><creatorcontrib>Mukasa-Kivunike, Peter</creatorcontrib><creatorcontrib>Stergachis, Andy</creatorcontrib><creatorcontrib>Babigumira, Joseph B</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>Gale In Context: Science</collection><collection>ProQuest Central (Corporate)</collection><collection>Health and Safety Science Abstracts (Full archive)</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>Public Health Database</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest One Sustainability</collection><collection>ProQuest Central UK/Ireland</collection><collection>Agricultural & Environmental Science Collection</collection><collection>ProQuest Central Essentials</collection><collection>ProQuest Central</collection><collection>Natural Science Collection</collection><collection>Environmental Sciences and Pollution Management</collection><collection>ProQuest One Community College</collection><collection>ProQuest Central Korea</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Central Student</collection><collection>SciTech Premium Collection</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>Environmental Science Database</collection><collection>Publicly Available Content Database</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>Environmental Science Collection</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>Health and quality of life outcomes</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Lubinga, Solomon J</au><au>Levine, Gillian A</au><au>Jenny, Alisa M</au><au>Ngonzi, Joseph</au><au>Mukasa-Kivunike, Peter</au><au>Stergachis, Andy</au><au>Babigumira, Joseph B</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Health-related quality of life and social support among women treated for abortion complications in western Uganda</atitle><jtitle>Health and quality of life outcomes</jtitle><addtitle>Health Qual Life Outcomes</addtitle><date>2013-07-15</date><risdate>2013</risdate><volume>11</volume><issue>1</issue><spage>118</spage><epage>118</epage><pages>118-118</pages><issn>1477-7525</issn><eissn>1477-7525</eissn><abstract>While the impact of abortion complications on clinical outcomes and healthcare costs has been reported, we found no reports of their impact on Health-Related Quality of Life (HRQoL), nor the role of social support in moderating such outcomes. In this study, we performed an assessment of the relationship between abortion complications, HRQoL and social support among women in Uganda.
We interviewed women who were discharged after treatment for abortion complications and, as a comparison, women visiting a regional referral hospital for routine obstetric care. We administered the EuroQol instrument and the Social Support Questionnaire Short-Form, and collected demographic and socioeconomic data. We performed descriptive analyses using t-tests, Wilcoxon rank-sum tests and chi-square tests, and multivariable linear regressions with interaction effects to examine the associations between abortion complications, EQ-5D utility scores and social support.
Our study included 139 women (70 with abortion complications, and 69 receiving routine obstetric care). In four out of the 5 dimensions of the EQ-5D, a larger proportion of women with abortion complications reported "some or severe" problems than women receiving routine obstetric care (self-care: 42% v 24%, p=0.033; usual activities: 49% v 16%, p<0.001; pain/discomfort: 68% v 25%, p<0.001; and anxiety/depression: 60% v 22%, p<0.001). After adjusting for age, social support, wealth tertile, employment status, marital status, and HIV status, women with abortion complications had a 0.12 (95% CI: 0.07, 0.18, p < 0.001) lower mean EQ-5D utility score than those receiving routine obstetric care. An analysis of the modifying effect of social support showed that a one-unit higher average number of people providing social support was associated with larger mean difference in EQ-5D utility score when comparing the two groups, while a one unit higher average satisfaction score with social support was associated with smaller mean differences in EQ-5D utility score.
Our study suggests that abortion complications are associated with diminished HRQoL and the magnitude of the association depends on social support. However, the mediating role of social support in a setting of social and legal proscriptions to induced abortion is complex.</abstract><cop>England</cop><pub>BioMed Central Ltd</pub><pmid>23855524</pmid><doi>10.1186/1477-7525-11-118</doi><tpages>1</tpages><oa>free_for_read</oa></addata></record> |
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| subjects | Abortion Abortion, Induced - adverse effects Abortion, Induced - psychology Adaptation, Psychological Adult Contraception Behavior - psychology Contraception Behavior - statistics & numerical data Female Health aspects Health Status Health Status Indicators Humans Pregnancy Quality of Life Self Report Social aspects Social Class Social Support Studies Uganda - epidemiology Women Young Adult |
| title | Health-related quality of life and social support among women treated for abortion complications in western Uganda |
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