HEALTH-RELATED SOCIAL NEEDS AND QUALITY OF LIFE IN ADOLESCENTS AND YOUNG ADULTS ON MAINTENANCE HAEMODIALYSIS IN CAMEROON

 

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https://storage.unitedwebnetwork.com/files/1099/60642b01072d847b679297b2f4a38487.pdf
HEALTH-RELATED SOCIAL NEEDS AND QUALITY OF LIFE IN ADOLESCENTS AND YOUNG ADULTS ON MAINTENANCE HAEMODIALYSIS IN CAMEROON

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Meriki
Emeli
Meriki Emeli camegbrenda18@gmail.com Faculty of Health Sciences University of Bamenda Doctor of Medicine Bamenda Cameroon *
Alex Tatang tatangalex1984@gmail.com Faculty of Health Sciences University of Bamenda Clinical Sciences Bamenda Cameroon -
Victorine Nzana-Forkwa vickybandolo@yahoo.fr Faculty of Medicine and Biomedical Sciences, University of Yaounde I Clinical sciences Yaoundé Cameroon -
Maimouna Mahamat Alamine m_mahamat@yahoo.fr Faculty of Medicine and Biomedical Sciences, University of Yaounde I Clinical sciences Yaoundé Cameroon -
François Kaze Folefack f_kaze@yahoo.fr Faculty of Medicine and Biomedical Sciences, University of Yaounde I Clinical sciences Yaoundé Cameroon -
Marie-Patrice Halle patricehalle@yahoo.fr. Faculty of Medicine and Pharmaceutical Sciences, University of Douala Clinical sciences Douala Cameroon -
Martial Tsiazok tsmarcelo@yahoo.fr Regional Hospital Bafoussam Nephrology Bafoussam Cameroon -
Denis Teuwafeu d.teuwafeu@yahoo.com Faculty of Health Sciences, University of Buea Clinical sciences Buea Cameroon -
Jean-Yves Balepna jybalepna@gmail.com Faculty of Medicine and Pharmaceutical Sciences, University of Dschang Clinical sciences Douala Cameroon -
Gloria E Ashuntantang Gloria.ash60@gmail.com Faculty of Health Sciences University of Bamenda Clinical sciences Yaoundé Cameroon -
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Maintenance haemodialysis(MHD) is costly, time consuming, lifestyle-modifying and requires a lot of discipline, which is an uphill task for the young with challenges of puberty. In low-and middle-income countries, there is growing evidence that health-related social needs are prominent among patients on maintenance haemodialysis, which affects their quality of life. However, there is paucity of data in Africa which has many young children and adolescents on maintenance haemodialysis. We aimed to assess the health-related social needs and quality of life in adolescents and young adults on maintenance haemodialysis in Cameroon.

This was a cross-sectional study conducted in seven hemodialysis centers across five regions in Cameroon (Littoral, Centre, West, Northwest and Southwest). We included consenting adolescents and young adults on MHD, collected relevant sociodemographic and clinical data, assessed the health-related social needs of the study population using the health-related social needs screening tool by the joint commission and, quality of life was assessed using the Peds QOL 3.0 end stage renal disease module. Data were entered using CSPro 8.0.and analyzed using R programming. Ethical clearance was issued by Institutional review board of the University of Bamenda, identification number 2025/0015H/UBa/IRB.

In all, 89(41 females) participants were included with a median age of 19[15-21.5] years. The most common health-related social needs were; income (67.0%), transportation (66.2%), education and literacy (52.1%). Food insecurity and housing instability were identified by a smaller proportion of the population as a need (35.8% and 10.6% respectively). The overall quality of life was decreased with 66.3%(n=59) having a score <50%. Lower scores (<50%) were recorded for; family and peer interaction (69.7%), worry (59.6%), perceived physical appearance (55.1%), and about my kidney disease (53.9%).There was no significant association between attending school and quality of life (aOR=0.45, 95%CI: 0.15-1.491 p value=0.165) and skipping medications to save money on quality of life (aOR: 2.19, 95%CI: 0.84- 11, p value=0.10).

Adolescents and young adults on maintenance haemodialysis in Cameroon have health-related social needs especially in the sectors of income, transportation, and education and literacy, with an overall decrease in quality of life among this population. These health-related social needs have no significant influence on quality of life.

Kewords