Impairments, activity limitations and participation restrictions: Prevalence and associations among persons living with
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Impairments, activity limitations and participation restrictions: Prevalence and associations among persons living with HIV/AIDS in British Columbia Melanie Rusch*1,2, Stephanie Nixon3, Arn Schilder1,4, Paula Braitstein1,2,4, Keith Chan1 and Robert S Hogg1,2 Address: 1Department of Population Health, British Columbia Centre for Excellence in HIV/AIDS, St. Paul's Hospital, Vancouver, Canada, 2Department of Health Care and Epidemiology, University of British Columbia, Vancouver, Canada, 3Department of Physical Therapy, University of Toronto, Toronto, Canada and 4British Columbia Persons with AIDS (BCPWA) Society, Vancouver, Canada Email: Melanie Rusch* - [email protected]; Stephanie Nixon - [email protected]; Arn Schilder - [email protected]; Paula Braitstein - [email protected]; Keith Chan - [email protected]; Robert S Hogg - [email protected] * Corresponding author
Published: 06 September 2004 Health and Quality of Life Outcomes 2004, 2:46
doi:10.1186/1477-7525-2-46
Received: 11 June 2004 Accepted: 06 September 2004
This article is available from: http://www.hqlo.com/content/2/1/46 © 2004 Rusch 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.
disablementimpairmentsactivity limitationsparticipation restrictionsdisabilityHIV/AIDS
Abstract Background: To measure the prevalence of and associations among impairments, activity limitations and participation restrictions in persons living with HIV in British Columbia to inform support and care programs, policy and research. Methods: A cross-sectional population-based sample of persons living with HIV in British Columbia was obtained through an anonymous survey sent to members of the British Columbia Persons With AIDS Society. The survey addressed the experience of physical and mental impairments, and the experience and level of activity limitations and participation restrictions. Associations were measured in three ways: 1) impact of types of impairment on social restriction; 2) impact of specific limitations on social restriction; and 3) independent association of overall impairments and limitations on restriction levels. Logistic regression was used to measure associations with social restriction, while ordinal logistic regression was used to measure associations with a three-category measure of restriction level. Results: The survey was returned by 762 (50.5%) of the BCPWA participants. Over ninety percent of the population experienced one or more impairments, with one-third reporting over ten. Prevalence of activity limitations and participation restrictions was 80.4% and 93.2%, respectively. The presence of social restrictions was most closely associated with mental function impairments (OR: 7.0 for impairment vs. no impairment; 95% CI: 4.7 – 10.4). All
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