Stigmas, symptom severity and perceived social support predict quality of life for PLHIV in urban Indian context

Garrido‐Hernansaiz, Helena; Heylen, Elsa; Bharat, Shalini; Ramakrishna, Jayashree; Ekstrand, Maria

doi:10.1186/s12955-016-0556-x

Cited by 33 publications

(20 citation statements)

References 43 publications

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“…Consistent with the previous studies,65,66 each domain of the stigma scale was significantly correlated with each domain of QOL in PLWHA, and the mean score of QOL domains was negatively correlated with the mean score of stigma domains. This suggests that the HIV-related stigma has a major influence on all QOL domains in PLWHA.…”

Section: Discussionsupporting

confidence: 90%

<p>Quality Of Life And Stigma Among People Living With HIV/AIDS In Iran</p>

Kalan

Han

Taleb

et al. 2019

HIV

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BackgroundStigma against HIV profoundly affects the quality of life (QOL) of people living with HIV/AIDS (PLWHA). We aimed to assess the factors associated with QOL in PLWHA in Iran, specifically HIV-related stigma, sociodemographic and clinical characteristics.MethodsTwo hundred PLWHA participated in this cross-sectional study. Data were collected using sociodemographic, stigma, and WHO-QOL-BREF questionnaires. Correlations, ANOVAs, and Student’s t-distribution tests were performed as bivariate analyses. We employed stepwise multiple linear regression analysis to explore the main factors associated with QOL domains.ResultsSix domains of QOL were negatively correlated with three domains of stigma (p<0.001 for all). Stepwise multiple linear regression revealed that, after adjusting for confounders, lack of healthcare insurance, having no basic knowledge of HIV/AIDs prior to diagnosis, low monthly income of participants and family, and stigma (blaming and distancing, discrimination, and fear) were associated with low mean score of different domains of QOL.ConclusionOur findings indicated that increasing HIV/AIDS-related stigma decreases QOL in PLWHA in Iran. Attention toward decreasing stigma, improving healthcare plan, and cultivating economic condition should be given high priority to ensure improvement in total QOL and corresponding domains in PLWHA’s life.

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Section: Discussionsupporting

confidence: 90%

<p>Quality Of Life And Stigma Among People Living With HIV/AIDS In Iran</p>

Kalan

Han

Taleb

et al. 2019

HIV

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“…Under this rationale, particular caution is warranted for PLHIV with low CD4 cell count, advanced disease, high viral load, and those not taking antiretroviral treatment (ART). As PLHIV are living longer with ART, many will also have chronic conditions associated with severe COVID-19 disease [7]. However, there have not been large observational studies specifically measuring symptoms, disease severity, complications, multimorbidity, and the proportion of death in reported COVID-19-HIV co-infected patients.…”

Section: Introductionmentioning

confidence: 99%

COVID-19 Among People Living with HIV: A Systematic Review

et al. 2020

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This systematic review summarizes the evidence on the earliest patients with COVID-19-HIV co-infection. We searched PubMed, Scopus, Web of Science, Embase, preprint databases, and Google Scholar from December 01, 2019, to June 1, 2020. From an initial 547 publications and 75 reports, 25 studies provided specific information on COVID-19 patients living with HIV. Studies described 252 patients, 80.9% were male, the mean age was 52.7 years, and 98% were on antiretroviral treatment (ART). Co-morbidities in addition to HIV and COVID-19 (multimorbidity) included hypertension (39.3%), obesity or hyperlipidemia (19.3%), chronic obstructive pulmonary disease (18.0%), and diabetes (17.2%). Two-thirds (66.5%) had mild to moderate symptoms, the most common being fever (74.0%) and cough (58.3%). Among patients who died, the majority (90.5%) were over 50 years old, male (85.7%), and had multimorbidity (64.3%). Our findings highlight the importance of identifying co-infections, addressing co-morbidities, and ensuring a secure supply of ART for PLHIV during the COVID-19 pandemic.

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“…Hence, people living with HIV (PLHIV) have longer life spans, which create new challenges for health care systems. [4] A PLHIV has to cope up with a range of HIV-related symptoms for their entire life. Symptoms may be related to the infection itself, comorbid illnesses, or iatrogenic effects from HIV-related medications.…”

Section: Introductionmentioning

confidence: 99%

Quality of life among people living with HIV/AIDS and its predictors: A cross-sectional study at ART center, Bagalkot, Karnataka

Shriharsha¹,

Rentala

2019

J Family Med Prim Care

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Background: Human immunodeficiency virus (HIV)/acquired immunodeficiency syndrome (AIDS) emerged as one of the most important public health issues of the late twentieth and early twenty- first centuries. Quality of life (QoL) of people living with HIV/AIDS (PLHIV) is affected by multiple variables including depression as a major predictor of QoL. Aims: To assess the QoL of PLHIV and its predictors. Settings and Design: This cross-sectional study included a sample of 450 PLHIV attending the ART center, District Government Hospital, Bagalkot. Methods and Materials: Data were collected using self-report method and Hospital's records. Tools used for data collection included sociodemographic questionnaire, WHOQOLHIV-BREF scale, and Centre for Epidemiologic Studies Depression Scale (CES-D Scale). Bivariate associations were observed through Pearson's correlations, analysis of variance (ANOVA), and t -tests. Multiple linear regression analysis was performed to find the significant predictors of QoL. Results: Findings revealed a significant negative correlation between the QoL and depression (r = –0.751, P < 0.001). A significant regression equation was found (F 14, 435 = 57.76, P < 0.001, adjusted R 2 = 0.64) when all the variables are considered together for finding the significant predictors of the QoL. Male gender, being graduated, not knowing the mode of transmission have positively predicted the QoL. On the other hand, having primary education, being in nuclear family, having HIV-positive wife, having HIV-positive children, HIV infection through homosexual relationships, history of suicidal attempts, and history of alcohol intake negatively predicted the QoL of PLHIV. Depression was the strongest negative predictor of the QoL of PLHIV (β = –0.672, P < 0.001). Conclusions: Interventions aimed at management of depression among PLHIV attending the ART centers would result in enhancing their QoL.

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Stigmas, symptom severity and perceived social support predict quality of life for PLHIV in urban Indian context

Cited by 33 publications

References 43 publications

<p>Quality Of Life And Stigma Among People Living With HIV/AIDS In Iran</p>

<p>Quality Of Life And Stigma Among People Living With HIV/AIDS In Iran</p>

COVID-19 Among People Living with HIV: A Systematic Review

Quality of life among people living with HIV/AIDS and its predictors: A cross-sectional study at ART center, Bagalkot, Karnataka

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