HIV infection disclosure, treatment self-efficacy and quality of life in HIV-infected MSM receiving antiretroviral therapy

Abstract

Background Research on the relationship between disclosure of HIV status to male sexual partners (HIV disclosure) and quality of life (QOL) revealed complex and even contradictory results. The impact of HIV disclosure on various domains of QOL and the mediation effect between them are unclear. The purposes of this study were to explore the impact of HIV disclosure on QOL among men who have sex with men (MSM), and whether HIV treatment self-efficacy mediated these relationships. Methods The data came from a baseline survey on the design of a randomized control trial conducted in Shandong, China. A total of 579 MSM patients were included. SPSS 24.0 was used to conduct independent samples t test, one-way analysis of variance and nonparametric tests and the PROCESS macro was used to conduct mediation analysis. Results Among 579 participants, 16.06% disclosed their HIV infection status to their male sexual partners. The effect of HIV disclosure on QOL was mediated by treatment self-efficacy. Self-efficacy played partial mediating role in social relationships, meaning that HIV disclosure had both direct and indirect effects on this factor. In the overall QOL and domains of physical, psychological, independence, and environment, HIV disclosure had an indirect effect only through self-efficacy and no significant effect on the spirituality domain. Conclusions The results emphasize the importance of HIV disclosure and self-efficacy on the QOL of MSM patients and suggest that health care providers should assist MSM patients in deciding whether to disclose their HIV status during daily medical services.

Factors associated with health-related quality of life among people living with HIV in South Korea: Tobit regression analysis

“…Previous studies using the same self-efficacy measurement as this study also reported positive correlations between QoL of PLWH and self-efficacy for managing symptoms, getting support/help, and managing fatigue [ 24 ], confirming that self-efficacy is a significant predictor of QoL [ 25 ]. Self-efficacy was associated with better QoL in social relationships and physical and psychological independence, and overall social environment domain [ 40 ], suggesting that self-efficacy can directly influence health promotion behavior. PLWH could experience a range of symptoms owing to HIV infection, medication side effects, and medical complications [ 41 ], and fatigue are a pervasive symptom among PLWH [ 42 ].…”

Chất lượng cuộc sống của nhóm nam quan hệ tình dục đồng giới đang điều trị ARV tại Hà Nội

“…19 Một số yếu tố có khả năng tác động tiêu cực đến chất lượng cuộc sống: người nhiễm HIV/ AIDS bị kỳ thị có điểm chất lượng cuộc sống thấp hơn so với những người nhiễm HIV/AIDS không gặp sự kỳ thị. Kết quả này tương đồng với nhiều nghiên cứu trước đó về vấn đề này.…”