Health-related quality of life of people with HIV
Autor: | Esther A. N. Engelhard, Peter R. van Dijk, Pythia T. Nieuwkerk, Kees Brinkman, Colette Smit, Michiel R. de Boer, T. Martijn Kuijper, Angelique E. A. M. Weel, Paulien R. Wermeling, Suzanne E. Geerlings |
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Přispěvatelé: | Methodology and Applied Biostatistics, APH - Methodology, Rheumatology, Graduate School, APH - Quality of Care, Infectious diseases, APH - Aging & Later Life, APH - Personalized Medicine, Medical Psychology, APH - Mental Health |
Jazyk: | angličtina |
Rok vydání: | 2018 |
Předmět: |
Male
rheumatoid arthritis IMPACT HIV Infections Disease Logistic regression Arthritis Rheumatoid 0302 clinical medicine Quality of life ANTIRETROVIRAL THERAPY Immunology and Allergy Prospective Studies 030212 general & internal medicine POPULATION Netherlands Aged 80 and over education.field_of_study INFECTED PATIENTS Middle Aged humanities health-related quality of life Infectious Diseases diabetes mellitus Female 1-YEAR 0305 other medical science Adult medicine.medical_specialty Adolescent Immunology Population Young Adult 03 medical and health sciences Acquired immunodeficiency syndrome (AIDS) SDG 3 - Good Health and Well-being Diabetes mellitus Internal medicine medicine Humans education COMBINATION Aged 030505 public health business.industry STIGMA HIV DIABETES-MELLITUS CARE medicine.disease Mental health Comorbidity RHEUMATOID-ARTHRITIS Cross-Sectional Studies Diabetes Mellitus Type 1 Diabetes Mellitus Type 2 Quality of Life Physical therapy business chronic disease |
Zdroj: | AIDS, 32(1), 103-112. Lippincott Williams and Wilkins AIDS, 32(1), 103-112. Lippincott Williams & Wilkins Aids, 32(1), 103-112. LIPPINCOTT WILLIAMS & WILKINS AIDS (London, England), 32(1), 103-112. Lippincott Williams and Wilkins Engelhard, E A N, Smit, C, Van Dijk, P R, Kuijper, T M, Wermeling, P R, Weel, A E, De Boer, M R, Brinkman, K, Geerlings, S E & Nieuwkerk, P T 2018, ' Health-related quality of life of people with HIV : An assessment of patient related factors and comparison with other chronic diseases ', AIDS, vol. 32, no. 1, pp. 103-112 . https://doi.org/10.1097/QAD.0000000000001672 |
ISSN: | 0269-9370 |
DOI: | 10.1097/qad.0000000000001672 |
Popis: | Objectives: The health-related quality of life (HRQOL) of people with HIV is lower than in the general population, but it is unknown how it compares with that of persons with other chronic medical conditions. We compared HRQOL in HIV with HRQOL in diabetes mellitus type 1, diabetes mellitus type 2 and rheumatoid arthritis (RA). In addition, we investigated factors associated with HRQOL in HIV.Design: Cross-sectional study.Methods: HRQOL was measured with the Medical Outcomes Study Short Form 36-item Health Survey in a nationwide sample of people with HIV in care in the Netherlands and on combination antiretroviral therapy for at least 6 months. We added data from studies in diabetes mellitus types 1 and 2, and RA. Logistic regression analysis was used to examine: the association between disease group and a poor HRQOL, and patient factors associated with poor HRQOL in HIV.Results: The odds of a poor physical HRQOL in the HIV group were comparable with the odds in diabetes mellitus types 1 and 2, but lower than in RA patients. The odds of a poor mental HRQOL in HIV were higher than in the other groups. In HIV, a history of AIDS, longer duration of combination antiretroviral therapy and severe comorbidity were associated with a poor physical HRQOL. Sub-Saharan African descent and CD4(+) cell count of less than 350 cells/ml were associated with poor mental HRQOL.Conclusion: People with HIV were more likely to have a poor mental HRQOL than patients with other chronic conditions. Addressing mental health should be an integral part of outpatient HIV care. Copyright (C) 2017 Wolters Kluwer Health, Inc. All rights reserved. |
Databáze: | OpenAIRE |
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