Exploring the quality of life and its determinants among caregivers of patients with tuberculosis: a cross-sectional study

Abstract Background Assessing quality of life (QoL) of caregivers of patients with tuberculosis (TB) highlights their unseen sacrifices. This study aimed to address the domains of QoL of TB caregivers and to estimate their possible determinants in Alexandria, Egypt. Methods This cross-sectional surv...

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Main Authors: Esraa Abdellatif Hammouda, Rasha Ashmawy, Mahmoud A. Hassan, Ramy Mohamed Ghazy
Format: Article
Language:English
Published: BMC 2025-08-01
Series:BMC Public Health
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Online Access:https://doi.org/10.1186/s12889-025-23854-2
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author Esraa Abdellatif Hammouda
Rasha Ashmawy
Mahmoud A. Hassan
Ramy Mohamed Ghazy
author_facet Esraa Abdellatif Hammouda
Rasha Ashmawy
Mahmoud A. Hassan
Ramy Mohamed Ghazy
author_sort Esraa Abdellatif Hammouda
collection DOAJ
description Abstract Background Assessing quality of life (QoL) of caregivers of patients with tuberculosis (TB) highlights their unseen sacrifices. This study aimed to address the domains of QoL of TB caregivers and to estimate their possible determinants in Alexandria, Egypt. Methods This cross-sectional survey was conducted in the chest clinics and the main chest hospital in Alexandria, Egypt. From May to September 2023, data were collected through structured, face-to-face interviews using the World Health Organization Quality of Life– BREF (WHOQOL-BREF) questionnaire. The findings were compared to those of published results from tuberculosis patients and the general population. Multivariate regression analysis was conducted to identify the key predictors influencing the QoL of TB caregivers. Results In total, 149 caregivers participated in the study; 83.9% of them were females, and 76.5% were married. Caregivers showed QoL scores similar to TB patients in most domains (p > 0.05), except for the social domain, where they scored significantly lower (39.7 ± 20.2 vs. 50.3 ± 20.6; p < 0.001). Compared to the general population, caregivers had significantly lower QoL across all domains. In the physical domain, older age (≥ 65 years) predicted lower QoL (β = −16.45, p = 0.022), while male gender and the absence of chronic disease were associated with higher scores (β = 10.48, p = 0.022 and β = 15.51, p < 0.001, respectively). The psychological domain was positively affected by the absence of chronic disease (β = 8.23, p = 0.015). For social relations, single and widowed/divorced individuals reported markedly lower QoL than married participants (β = −20.96, p = 0.003 and β = −20.18, p < 0.001, respectively). Lastly, in the environmental domain, receiving additional caregiving support predicted improved QoL (β = 5.42, p = 0.039). Conclusion TB significantly impaired the QoL of the caregivers. These findings highlight the need for the targeted interventions to improve their well-being.
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spelling doaj-art-f73f0c1119234d33adfcc881343f5fc52025-08-24T11:56:11ZengBMCBMC Public Health1471-24582025-08-0125111010.1186/s12889-025-23854-2Exploring the quality of life and its determinants among caregivers of patients with tuberculosis: a cross-sectional studyEsraa Abdellatif Hammouda0Rasha Ashmawy1Mahmoud A. Hassan2Ramy Mohamed Ghazy3Medical Research Institute, Alexandria UniversityMedical Research Institute, Alexandria UniversityInstitute of Graduate Studies and Research, Alexandria UniversityFamily and Community Medicine Department, College of Medicine, King Khalid UniversityAbstract Background Assessing quality of life (QoL) of caregivers of patients with tuberculosis (TB) highlights their unseen sacrifices. This study aimed to address the domains of QoL of TB caregivers and to estimate their possible determinants in Alexandria, Egypt. Methods This cross-sectional survey was conducted in the chest clinics and the main chest hospital in Alexandria, Egypt. From May to September 2023, data were collected through structured, face-to-face interviews using the World Health Organization Quality of Life– BREF (WHOQOL-BREF) questionnaire. The findings were compared to those of published results from tuberculosis patients and the general population. Multivariate regression analysis was conducted to identify the key predictors influencing the QoL of TB caregivers. Results In total, 149 caregivers participated in the study; 83.9% of them were females, and 76.5% were married. Caregivers showed QoL scores similar to TB patients in most domains (p > 0.05), except for the social domain, where they scored significantly lower (39.7 ± 20.2 vs. 50.3 ± 20.6; p < 0.001). Compared to the general population, caregivers had significantly lower QoL across all domains. In the physical domain, older age (≥ 65 years) predicted lower QoL (β = −16.45, p = 0.022), while male gender and the absence of chronic disease were associated with higher scores (β = 10.48, p = 0.022 and β = 15.51, p < 0.001, respectively). The psychological domain was positively affected by the absence of chronic disease (β = 8.23, p = 0.015). For social relations, single and widowed/divorced individuals reported markedly lower QoL than married participants (β = −20.96, p = 0.003 and β = −20.18, p < 0.001, respectively). Lastly, in the environmental domain, receiving additional caregiving support predicted improved QoL (β = 5.42, p = 0.039). Conclusion TB significantly impaired the QoL of the caregivers. These findings highlight the need for the targeted interventions to improve their well-being.https://doi.org/10.1186/s12889-025-23854-2Quality of lifeTuberculosisCaregiversBurden of disease
spellingShingle Esraa Abdellatif Hammouda
Rasha Ashmawy
Mahmoud A. Hassan
Ramy Mohamed Ghazy
Exploring the quality of life and its determinants among caregivers of patients with tuberculosis: a cross-sectional study
BMC Public Health
Quality of life
Tuberculosis
Caregivers
Burden of disease
title Exploring the quality of life and its determinants among caregivers of patients with tuberculosis: a cross-sectional study
title_full Exploring the quality of life and its determinants among caregivers of patients with tuberculosis: a cross-sectional study
title_fullStr Exploring the quality of life and its determinants among caregivers of patients with tuberculosis: a cross-sectional study
title_full_unstemmed Exploring the quality of life and its determinants among caregivers of patients with tuberculosis: a cross-sectional study
title_short Exploring the quality of life and its determinants among caregivers of patients with tuberculosis: a cross-sectional study
title_sort exploring the quality of life and its determinants among caregivers of patients with tuberculosis a cross sectional study
topic Quality of life
Tuberculosis
Caregivers
Burden of disease
url https://doi.org/10.1186/s12889-025-23854-2
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