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Quality of Life Research
Gepubliceerd in: Quality of Life Research 9/2010

01-11-2010

HIV and COPD: impact of risk behaviors and diseases on quality of life

Auteurs: M. Bradley Drummond, Gregory D. Kirk, Meredith C. McCormack, Mariah M. Marshall, Erin P. Ricketts, Shruti H. Mehta, Robert A. Wise, Christian A. Merlo

Gepubliceerd in: Quality of Life Research | Uitgave 9/2010

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Abstract

Purpose

Smoking worsens quality of life among HIV-infected individuals, but it remains unclear if this association is related simply to smoking or to chronic obstructive pulmonary disease (COPD), the end-organ disease caused by smoking.

Methods

Using cross-sectional data from the AIDS Linked to the Intravenous Experience study, we determined the independent effects of smoking, HIV and COPD assessed using the Medical Outcome Studies-HIV questionnaire.

Results

Of 973 participants, 287 (29.5%) were HIV infected and 151 (15.5%) had spirometry-defined obstruction. Eight hundred and thirty-four (85.7%) were current smokers with 23.3 mean pack-years history. HIV infection was independently associated with reduced physical and mental health. COPD was associated with a trend toward worse physical health (−1.48 units; 95%CI −3.33 to 0.38; p = 0.12) and was independently associated with worse mental health (−2.43 units; 95%CI −4.22 to −0.64; p < 0.01). After accounting for COPD and other covariates, smoking was not associated with changes in physical or mental health.

Conclusions

The presence of COPD, rather than smoking, is associated with worse quality of life independent of HIV infection. Diagnosis and management of COPD in former or current smokers with or at risk for HIV may further improve quality of life.
vorige artikel Patient treatment satisfaction after switching to NovoMix® 30 (BIAsp 30) in the IMPROVE™ study: an analysis of the influence of prior and current treatment factors
volgende artikel Physical activity in different domains and health-related quality of life: a population-based study
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Metagegevens
Titel
HIV and COPD: impact of risk behaviors and diseases on quality of life
Auteurs
M. Bradley Drummond
Gregory D. Kirk
Meredith C. McCormack
Mariah M. Marshall
Erin P. Ricketts
Shruti H. Mehta
Robert A. Wise
Christian A. Merlo
Publicatiedatum
01-11-2010
Uitgeverij
Springer Netherlands
Gepubliceerd in
Quality of Life Research / Uitgave 9/2010
Print ISSN: 0962-9343
Elektronisch ISSN: 1573-2649
DOI
https://doi.org/10.1007/s11136-010-9701-x

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