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dc.contributor.author Voss, J.
dc.contributor.author Sukati, N.
dc.contributor.author Seboni, N.
dc.contributor.author Makoae, L.
dc.contributor.author Moleko, M.
dc.contributor.author Human, S.
dc.contributor.author Molosiwa, K.
dc.contributor.author Holzemer, W.
dc.date.accessioned 2008-10-30T10:48:34Z
dc.date.available 2008-10-30T10:48:34Z
dc.date.issued 2007
dc.identifier.citation Voss, J.G. et al (2007) Symptom Burden of Fatigue in Men and Women Living With HIV/AIDS in Southern Africa, Journal of the Association of Nurses in AIDS Care, Vol. 18, No. 4, July/August, pp. 22-31 en
dc.identifier.issn 1055-3290
dc.identifier.uri http://hdl.handle.net/10311/263
dc.description.abstract HIV-related fatigue is a debilitating and disabling symptom that persists for months and years. In 743 HIV/AIDS patients from Southern Africa, the authors found ratings of HIV-related fatigue to be highly prevalent. The authors conducted a secondary data analysis within the theoretical context of the University of California, San Francisco Symptom Management Model. The analysis focused on 538 patients who reported fatigue to investigate correlates and predictors of fatigue severity in relationship to demographic and HIV/AIDS illness indicators, as well as HIV-specific physical and psychological symptoms. A hierarchical regression model explored the contributions of those five blocks on fatigue severity. Of the 47% of the total variance in fatigue severity, a combination of variables within the health and illness block (6%), the physical symptoms block (7%) and the psychological symptom block (2%) contributed significantly to the increase in fatigue severity scores. Fatigue severity in Southern Africa was moderate, and the factors contributing to the perceived fatigue were most likely related to symptoms of acute HIV disease (such as fever and gastrointestinal problems). In conclusion, fatigue severity is less impacted by demographic or environmental variables but much more by co-occurring symptoms and HIV disease severity. The results of this study imply the need for more research to understand if improvements in water quality and access to food would prevent infection and diarrhea and whether sufficient access to antiretroviral treatments to manage the HIV infection would improve fatigue and co-occurring symptom profiles. en
dc.language.iso en en
dc.publisher Elsevier; http://www.elsevier.com/wps/find/journaldescription.cws_home/704632/description#description; Association of Nurses in AIDS Care. http://www.nursesinaidscare.org/i4a/pages/index.cfm?pageid=3277 en
dc.subject HIV/AIDS en
dc.subject Fatigue en
dc.subject Symptoms en
dc.subject Southern Africa en
dc.title Symptom Burden of Fatigue in Men and Women Living With HIV/AIDS in Southern Africa en
dc.type Article en


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