Abstract
Quality of life is an important component in the evaluation of the well-being of HIV-infected patients. In the present study, an attempt has been made to compare HIV-infected patients across the three stages namely, asymptomatic, symptomatic, and AIDS-related conditions. This is a cross-sectional study. For this study, a total number of 90 subjects, 30 each in asymptomatic, symptomatic, and AIDS-related conditions, were taken. The study population consisted of HIV positive individual already enrolled in Voluntary Counseling and Testing Center, Institute of Medical Science, Banaras Hindu University, Varanasi, India. The WHOQOL-HIV BREF was used to assess quality of life across the group of patients. One-way analysis of variance was performed to find out significant difference between the clinical categories. On average AIDS patients experienced significantly poorer quality of life in all the six domains, namely physical (M = 7.87, SD = 1.83), psychological (M = 8.50, SD = 1.54), level of independence (M = 8.57, SD = 1.59), social relation (M = 9.17, SD = 2.59), environment (M = 8.78, SD = 1.50), and spirituality/religion/personal belief (M = 6.93, SD = 1.26) to symptomatic and asymptomatic HIV-infected people (p = .000). Result suggested that there is an inverse relationship between quality of life and different stages of HIV infection.
Similar content being viewed by others
Abbreviations
- HIV:
-
Human Immunodeficiency Virus
- AIDS:
-
Acquired immunodeficiency syndrome
References
Bing, E. G., Hays, R. D., Jacobson, L. P., Chen, B., Gange, S. J., Kass, N. E., et al. (2000). Health-related quality of life among people with HIV disease: Results from the multicenter AIDS cohort study. Quality of Life Research, 9, 55–63.
Burgoyne, W., & Saunders, D. S. (2001). Quality of life among urban Canadian HIV/AIDS clinic outpatients. International Journal of STD and AIDS, 12(8), 505–512.
Catolico, O. (1997). Psychological well-being of the Combodian women in resettlement. Advances in Nursing Science, 19(4), 75–84.
Cederfjall, C., Langius-Eklof, A., Lidman, K., & Wredling, R. (2001). Gender differences in perceived health-related quality of life among patients with HIV infection. AIDS Patients Care and STDs, 15(1), 31–39.
Cunningham, W. E., Bozzette, S. A., Hays, R. D., Kanouse, D. E., & Shapiro, M. F. (1995). Comparison of health related quality of life in clinical trail human immunodeficiency virus-infected cohorts. Medical Care, 33(4), AS15–AS25.
Cunningham, W. E., Shapiro, M. F., Hays, R. D., Dixon, W. J., Visscher, B. R., George, W. L., et al. (1998). Constitutional symptoms and health-related quality f life in patients with symptomatic HIV disease. American Journal of Medicine, 104, 129–136.
Fanning, M. (1994). Validation of a quality of life instrument for patients with HIV infection. Canada: Health and Welfare. NHRDP 6606-4334-AIDS.
Franchi, D., & Wenzel, R. P. (1998). Measuring health related quality of life among patients infected with human immunodeficiency virus. Clinical Infectious Diseases, 26, 25–26.
Fryback, P. B., & Reinert, B. R. (1999). Spirituality and people with potentially fatal diagnoses. Nursing forum, 34(1), 13–22.
Globe, D. R., Hays, R. D., & Cunningham, W. E. (1999). Association of clinical parameters with health related quality of life in hospitalized persons with HIV disease. AIDS Care, 11, 71–86.
Grant, D. E. (Ed.). (1993). A global agenda of caring. New York: National League for Nursing Press.
Grant, A. D., & De Cock, K. M. (2001). HIV infection and AIDS in developing world. British Medical Journal, 322, 1457–1478.
Green, L. (1998). Lived lives and social suffering: Problems and concerns in medical anthropology. Medical Anthropology Quarterly, 12(1), 3–7.
Hays, R. D., Cunningham, W. E., Sherbourne, C. D., Wilson, I., Wu, A., Cleary, P. D., et al. (2000). Health related quality of life in patients with human immuno-deficiency virus infection in the United States: Results from the HIV cost and services utilization study. The American Journal of Medicine, 108(9), 714–722.
Heckman, T. C., Somlai, A. M., Kalichman, S. C., Franzai, S. I., & Kelly, J. A. (1998). Psychological difference between urban and rural people living with HIV/AIDWS. Journal of rural health, 14, 138–145.
Kramer, I. (1998). A better life and death. AIDS Action, Jun–Aug(41), 2–3.
Leminger, M. (Ed). (1991). Culture care diversity and universality: A theory of nursing. New York, National League for Nursing Press.
Lorenz, K. A., Sharpio, M. F., Asch, S. M., Bozzett, S. A., & Hays, R. D. (2001). Associations of symptoms and health related quality of life: Findings from a national study of person of HIV infection. Annals of Internal Medicine, 134(9), 854–860.
Lubeck, D. P., & Fries, J. F. (1993). Health status among persons infected with human immunodeficiency virus: A community based study. Medical Care, 31(3), 269–276.
Mahendra, V. S., Gilborn, L., George, B., Samson, L., Mudoi, R., Jadav, S., et al. (2006). Reducing AIDS related stigma and discrimination in Indian hospitals. Horizons Final Report, New Delhi, Population Council.
Martin, M. E., & Henery, M. (1989). Culture relativity and poverty. Public Health Nursing, 6(1), 28–34.
National AIDS Control Organization (NACO). (2004). State-wise HIV prevalence (1998–2003). New Delhi: NACO, Ministry of Health and Family Welfare, Government of India. http://www.nacoonline.org/facts.htm.
National Center for Infectious Diseases Division of HIV/AIDS. (1993). Revised classification system for HIV infection and expanded surveillance case definition for AIDS among adolescents and adults. http://www.cdc.gov/MMWR/preview/mmwrhtml/00018871.htm.
O’Keefe, E. A., & Wood, R. (1996). The impact of human immunodeficiency virus (HIV) infection on quality of life in a multiracial South African population. Quality of Life Research, 5(2), 275–280.
Phan, H., & Patterson, L. (1994). Men are gold and women are cloth. A report on the potential for HIV/AIDS spread in Combodia and implications for HIV/AIDS education. Care International, 56.
Revicki, D. A., Wu, A. W., & Murray, M. I. (1995). Change in clinical status, health status and health utility outcomes in HIV-infected patients. Medical Care, 33(4), AS173–AS182.
Riedinger, M. S., Dracup, K. A., Brecht, M. L., Padilla, G., Sarana, L., & Ganz, P. (2001). Quaqlity of life in patients: Do gender differences exist? Heart & Lung: The Journal of Acute and Critical Care, 30(2), 105–116.
Roach, S. S. (1991). The call to consciousness: Comparison in today’s health world. In D. A. Gaut & M. M. Leininger (Eds.), Caring; The Compassionate healer (pp. 7–17). New York: National League for Nursing Press.
Rosenfeld, B., Breitbart, W., McDonald, M. V., Passik, S. D., Thaler, H., & Portenoy, R. K. (1996). Pain in ambulatory AIDS patients. II: Impact of pain on psychological functioning and quality of life. Pain, 68(2–3), 323–328.
Saxena, S., O’Connell, K., & Underwood, L. (2002). A commentary: Cross-cultural quality-of-life assessment at the end of life. Gerontologist, 42, 81–85.
Starace, F., Cafaro, L., Abrescia, N., Chirianni, A., Izzo, C., Rucci, P., et al. (2002). Quality of life assessment in HIV-positive persons: Application and validation of the WHOQOL-HIV, Italian version. AIDS Care, 14(3), 405–415.
Swindells, S., Mohr, J., Justice, J. C., Berman, S., Squier, C., Wagener, M. M., et al. (1999). Quality of life in patients with Human Immunodeficiency Virus Infection Impact of social support, coping style and hopelessness. International Journal of STD and AIDS, 10(6), 383–391.
UNAIDS/WHO AIDS Epidemic update. (December, 2005). Global summary of AIDS epidemic. http://www.unaids.org/epi/2005/doc/EPIupdate2005_pdf_en/epiupdate2005_en.pdf.
Vogl, D., Rosenfeld, B., Breitbart, W., Thaler, H., Passik, S., Mc Donald, M., et al. (1999). Symptoms prevalence, characteristics, and distress in AIDS outpatients. Journal of Pain and Symptom Management, 18(4), 253–262.
Wachtel, T., Piette, J., Mor, V., Stein, M., Fleishman, J., & Crapenter, J. (1992). Quality of life in persons with human immunodeficiency virus infection: Measurement by the medical outcomes study instrument. Annals of Internal Medicine, 116(22), 129–137.
WHOQOL-HIV Group. (2004). WHOQOL-HIV for quality of life assessment among people living with HIV and AIDS: Results from the field test. AIDS Care, 16(7), 882–889.
WHO. (1995). WHOQOL-100. Facet definitions and questions (WHO Division of Mental Health and Prevention of Substance Abuse, Geneva, Switzerland). http://www.who.int/msa/qol.
WHO. (2007). 60 pc HIV-infected living in rural India: WHO. Press trust of India, Posted Online, Thursday, April 26, 2007.
Wig, N., Lekshmi, R., Pal, H., Ahuja, V., Mittal, C. M., & Agarwal, S. (2006). The impact of HIV/AIDS on the quality of life: A cross sectional study in north India. Indian Journal of Medical Science, 60(1), 3–12.
Wu, A. W., Hays, R. D., Kelly, S., Malitz, F., & Bozzette, S. A. (1997). Application of the medical outcomes study health-related quality of life measures in HIV/AIDS. Quality of Life Research, 6(6), 531–554.
Wu, A. W., Mattews, W. C., & Brysk, L. T. (1990). Quality of life in a placebo-controlled trail of zidvovudine in patient’s with AIDS and AIDS-related complex. Journal of Acquired Immuno Deficiency Syndromes, 5, 452–458.
Yaman, G., Karan, M. A., Erten, V., & Aksoy, C. (2003). Quality of life perception of Hospitalized patients. Annals of Saudi Medicine, 23, 399–401.
Zimpel, R. R., & Fleck, M. P. (2007). Quality of life in HIV-positive Brazilian: Application and validation of the WHOQOL-HIV, Brazilian version. AIDS Care, 19(7), 923–930.
Author information
Authors and Affiliations
Corresponding author
Rights and permissions
About this article
Cite this article
Rai, Y., Dutta, T. & Gulati, A.K. Quality of Life of HIV-Infected People Across Different Stages of Infection. J Happiness Stud 11, 61–69 (2010). https://doi.org/10.1007/s10902-008-9122-5
Received:
Accepted:
Published:
Issue Date:
DOI: https://doi.org/10.1007/s10902-008-9122-5