Quality of life, socioeconomic and clinical factors, and physical exercise in persons living with HIV/AIDS

Abstract

OBJECTIVE To analyze whether socioeconomic and clinical aspects and the aspects of healthy life habits are associated with the quality of life of persons living with HIV/AIDS.METHODS This is a cross-sectional exploratory quantitative research, with 227 persons living with HIV/AIDS, treated at two hospitals of reference between April 2012 and June 2014. We used structured questionnaires to assess socioeconomic aspects (gender, age, education level, marital status, race, socioeconomic status, dependents on family income, employment relationship), clinical parameters (time of disease diagnosis, use and time of medication, CD4 T-cell count, and viral load), and practice of physical exercise. To assess quality of life, we used the Quality of Life questionnaire (HAT-QoL). For characterization of the socioeconomic and clinical data and domains of quality of life, we conducted a descriptive analysis (simple frequency, averages, and standard deviations). We applied linear regression, following a hierarchical model for each domain of quality of life.RESULTS The domains that presented lower averages for quality of life were financial concern, concern with confidentiality, general function, and satisfaction with life. We found associations with the variables of socioeconomic status and physical exercise, therapy, and physical exercise for the last two domains, consecutively.CONCLUSIONS The quality of life of persons living with HIV/AIDS shows losses, especially in the financial and confidentiality areas, followed by general function of the body and satisfaction with life, in which socioeconomic and clinical aspects and healthy living habits, such as the practice of physical exercise, are determining factors for this reality.

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

“…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]. On the other hand, a signi cant positive association between being married and health worries as well as sexual function was observed; this illustrates that patients might be discuss and solve sexual related problems with partner.…”

Global Research on Quality of Life of Patients with HIV/AIDS: Is It Socio-Culturally Addressed? (GAPRESEARCH)

“…This finding suggests that topics on the mental health consequences of HIV infection and its treatments, barriers to treatment due to stigmatization and social-related issues like reluctance to disclosure have been covered in the existing literature. The focus on single domains of QOL, such as physical [14,49,50], psychological [49,[51][52][53], social [50,[52][53][54], and environmental [55,56] can be said to be common in research concerning QOL among PLWHA. However, given the complex, multi-dimensional nature of the QOL construct, the lack of contextualized factors (sociological perspective, culture, religion for instance) in the titles and abstracts of published papers, as our results reveal, can undermine the power and scope of impact of QOL on PLWHA and the effectiveness of treatments.…”

Fatores associados à qualidade de vida de mulheres a partir de 50 anos com HIV/AIDS

“…No estudo de Galvão et al (2015), realizado em Fortaleza/CE, que teve como objetivo avaliar a QV e a adesão ao tratamento antirretroviral em pessoas com HIV em acompanhamento ambulatorial, e no estudo de Medeiros et al (2017), realizado nos municípios de Natal e Mossoró, cujo objetivo foi analisar se aspectos socioeconômicos, clínicos e de hábitos de vida saudável estão associados à QV em pessoas vivendo com HIV/AIDS, foram encontrados resultados semelhantes ao do presente estudo. Os autores também identificaram pior QVRS nos domínios Preocupações com o sigilo e Preocupações financeiras, e melhor QVRS nos domínios Confiança no profissional e Preocupações com a medicação.…”

“…Na literatura, a abordagem de gênero mostra que as mulheres que vivem com HIV/AIDS apresentam maiores prejuízos na QVRS quando comparadas aos homens (MEDEIROS et al, 2017;PASSOS;SOUZA, 2015). Tal fato pode ser justificado pela diferença do papel social entre homens e mulheres, visto que estas desempenham maior papel de cuidadores, o que pode influenciar negativamente a QV, principalmente daquelas que vivem com HIV/AIDS.…”