Quality of life of people with HIV/AIDS - the influence of social determinants and disease-related factors

Miyada, Simone; Garbín, Artênio José Ísper; Wakayama, Bruno; Saliba, Tânia Adas; Garbín, Cléa Adas Saliba

doi:10.1590/0037-8682-0157-2018

Cited by 7 publications

(5 citation statements)

References 14 publications

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“…These findings are consistent with the findings of studies conducted in Brazil in northwestern Sao Paulo (2018), southwestern Minas Gerais (2018), and Pelotas (2017), in which the lowest scores were related to the domains of financial and confidentiality concerns and the highest scores were related to provider trust and drug concerns (Caliari et al, 2018;Miyada et al, 2019;Silveira et al, 2016). These findings are comparable to studies in other international settings.…”

Section: Discussionsupporting

confidence: 90%

Quality of Life and Its Association With HIV-Related Stigma Among People Living With HIV in Kerman, Iran: A Cross-Sectional Study

Malekmohammadi

Khezri

Rad

et al. 2022

J Assoc Nurses AIDS Care

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This study aimed to evaluate the quality of life (QoL) and its association with HIV-related stigma among people living with HIV (PLHIV) in Kerman province, southeast Iran. A convenience sample of 104 PLHIV was recruited. Data on QoL were collected using the HIV/AIDS-Targeted QoL instrument. Internal and external stigma were measured using an instrument developed by UNAIDS. The average QoL score was 52.5 (SD =13.9). In multivariable model, PLHIV who experienced higher external stigma score (B = −1.9; 95% confidence interval [CI]: −2.6 to −1.1) and higher internal stigma score (B = −1.1; 95% CI: −1.5 to −0.6) had lower level of QoL. The low level of QoL among PLHIV in Iran indicates the need for initiatives to increase QoL among this population. Our data suggest that QoL in PLHIV could be improved by interventions aimed at reducing stigma in both community and health care settings.

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Section: Discussionsupporting

confidence: 90%

Quality of Life and Its Association With HIV-Related Stigma Among People Living With HIV in Kerman, Iran: A Cross-Sectional Study

Malekmohammadi

Khezri

Rad

et al. 2022

J Assoc Nurses AIDS Care

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“…In assessing the QoL dimensions, the lowest mean scores were related to the dimensions of nancial worries, health worries and disclosure worries while the highest mean scores were related to the dimensions of provider trust and medication concerns. These ndings are consistent with the ndings of studies conducted in northwestern Sao Paulo (2018), southwest of Minas Gerais (2018) and Pelotas (Brazil 2017) in which the lowest scores were related to the domains of nancial and con dential concerns and the highest scores were related to physician trust and drug concerns (10)(11)(12).…”

Section: Discussionsupporting

confidence: 89%

Quality of Life and its Associated Factors among People Living with HIV/AIDS in Southeast of Iran (2018-2019)

Malekmohammadi¹,

Rad²,

Iranpour³

et al. 2020

Preprint

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Aim: This study aimed to evaluate the quality of life (QoL) and its associated factors among people living with HIV referring to two referral centers for HIV infected people in the southeast of Iran.Methods: Using a convenience sampling, 104 HIV-infected people were recruited. Data were collected using the HIV/AIDS-Targeted Quality of Life (HAT-QoL) instrument with 42 items divided into 9 fields: overall activity, sexual activity, disclosure worries, health worries, financial worries, HIV mastery, life satisfaction, and medication concerns and provider trust. The higher score indicated the higher QoL. Bivariable and multivariable linear regressions were performed to analysis the data.Results: The average QoL score was 52.5 (standard deviation [SD] 13.9) (range 0 to 100). In the multivariable regression model, those who experienced higher external stigma score (B= -1.9; 95% CI-2.6; -1.1) and higher internal stigma score (B=-1.1; 95%CI=-1.5; -0.6) and those who were emplyed (B=-5.9; 95% CI=-9.7; -2.1) reported lesser QoL. However, divorced or widowed people versus single people (B=6.9; 95% CI=0.7; 13.1) reported a higher QoL.Conclusions: Studying the QoL among HIV infected patients and its correlated factors and trying to improve that could reduce the problems of HIV infected patients. This study showed, QoL among this population is a multidimensional and several factors (internal and external stigma, job and marital status) could affect it.

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“…The fact that HIV infected patients with low nancial status face insecurities and this could be a barrier to afford the basic expense [34]. Overall function, nancial concern, sexual function, and HIV mastery were signi cantly lower in females than males; indicating that gender is negatively associated with an individual's HRQoL and these results were similar to other studies [30,33]. In addition, women worry more about their health conditions than males, which is possibly associated with lower HRQoL [35].…”

Section: Discussionsupporting

confidence: 84%

“…This study illustrated that sociodemographic characterstics notably affects the different HAT-QoL domains. Low household income was associated with high nancial worries, in accordance with other ndings that low income had a negative impact on patient HRQoL [27,28,33]. The fact that HIV infected patients with low nancial status face insecurities and this could be a barrier to afford the basic expense [34].…”

Section: Discussionsupporting

confidence: 77%

Health-Related Quality of Life and Associated Factors Among People Living with HIV Infection at a Comprehensive Hospital in Ethiopia

Gebremariam

Bitew

Weldeyes

et al. 2020

Preprint

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Background: Antiretroviral therapy (ART) has significantly reduced mortality and morbidity of people living with HIV/AIDS (PLWHA); however, the nature of infection and treatment associated with adverse drug reactions often adversely affect patient's health-related quality of life (HRQoL). The purpose of this study was to assess the HRQoL and its associated factors among PLWHA in Ethiopia.Methods: A hospital-based cross-sectional study was conducted among patients taking HAART at Zewditu Memorial General Hospital in Addis Ababa. A face-to-face interview was performed using the HIV/AIDS targeted quality of Life (HAT-QoL) instrument. Patients who met eligibility criteria were approached consecutively while they came to the pharmacy for a medication refill. Descriptive statistics were used to present patient characteristics and HRQoL profiles. Independent t-test and one-way ANOVA were carried out to identify predictors for HRQoL. All statistical tests considered significant at p-value < 0.05.Results: A total of 300 participants were interviewed. The mean age of patients was 41.47 ± 9.45 years and the majority (63.13% ) were females. More than two-thirds (69.7%) of patients were adherents to their medication. The highest HAT-QoL mean score was observed in the overall function domain (84.96±19.87) followed by life satisfaction (83.02±14.61) and physician trust (80.53±20.79). Moderate mean scores were reported in the domains of health worries (71.90±27.00), medication worries (69.44±21.53) and disclosure worries (63.65±30.94) had moderate mean scores, while HIV mastery (56.94±32.52), financial worries (48.81±44.64), and sexual function (12.57±45.56) recorded lower mean scores. Being female, higher educational status, older age, low household income, taking prophylactic therapy, low CD4+ count, and non-adherence were significantly associated with HAT-QoL domains.Conclusions: Overall, HIV/AIDS patients in Addis Ababa had an average level of HRQoL. This study demonstrated that several sociodemographic and clinical variables contribute to reduced HRQoL. Hence, healthcare providers should be paid attention to associated factors that contributed to reduced HRQoL.

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Quality of life of people with HIV/AIDS - the influence of social determinants and disease-related factors

Cited by 7 publications

References 14 publications

Quality of Life and Its Association With HIV-Related Stigma Among People Living With HIV in Kerman, Iran: A Cross-Sectional Study

Quality of Life and Its Association With HIV-Related Stigma Among People Living With HIV in Kerman, Iran: A Cross-Sectional Study

Quality of Life and its Associated Factors among People Living with HIV/AIDS in Southeast of Iran (2018-2019)

Health-Related Quality of Life and Associated Factors Among People Living with HIV Infection at a Comprehensive Hospital in Ethiopia

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