Skip to main content
Mijn bibliotheek
Shop
Nieuws Boeken Tijdschriften E-learning Web-tv Video Audio
Tips voor Mijn BSL
UITGEBREID ZOEKEN
Inloggen
Top
Quality of Life Research
Gepubliceerd in: Quality of Life Research 4/2024

17-01-2024

Psychosocial predictors of quality of life among women living with HIV/AIDS: a cross-sectional study in a VCT centre in Shiraz, Iran

Auteurs: Zohre Foroozanfar, Dariush Hooshyar, Hassan Joulaei

Gepubliceerd in: Quality of Life Research | Uitgave 4/2024

Log in om toegang te krijgen
share
DELEN

Deel dit onderdeel of sectie (kopieer de link)

  • Optie A:
    Klik op de rechtermuisknop op de link en selecteer de optie “linkadres kopiëren”
  • Optie B:
    Deel de link per e-mail
    Link delen
publish
Publiceer nu

Abstract

Purpose

We aimed to assess psychosocial predictors of quality of life (QOL) among women living with HIV/AIDS (WLHIV). QOL has been considered as an important indicator in evaluating the outcome of psychological and physical healthcare in people living with HIV (PLHIV).

Methods

This cross-sectional study was carried out from October 2021 to April 2022 at the Voluntary, Counselling, and Testing (VCT) center in Shiraz, Iran. A total of 452 WLHIV were included in this study. Socio-demographic and clinical data, social support (MSPSS questionnaire), food insecurity (HFIAS questionnaire), resilience (CD-RISC questionnaire), mental health status (DASS questionnaire), and QOL (WHOQOL-BREF questionnaire) were collected through direct interviews and patients' files at Shiraz VCT.

Results

Physical and social relationships domains of QOL had the highest (60.48 ± 18.00) and lowest (36.76 ± 23.88) scores, respectively. Higher clinical stage, psychotropic substances use, having a husband infected with HIV, history of hypertension, and higher socioeconomic status had a significant relationship with some domains of QOL. The score of social support, food insecurity, resilience, and mental health status had a significant relationship with all domains of QOL.

Conclusion

Social relationships domain of QOL had the lowest scores in WLHIV. Also, the mental health status of WLHIV was more related to their QOL than the physical status related to HIV/AIDS. Interventions such as improving the mental health care and resilience skills of WLHIV, including their social network in counseling services to promote their social support, could help them to improve their QOL.
vorige artikel Is well-becoming important for children and young people? Evidence from in-depth interviews with children and young people and their parents
volgende artikel Administering selected subscales of patient-reported outcome questionnaires to reduce patient burden and increase relevance: a position statement on a modular approach
Literatuur
1.
Sohrabi, C., et al. (2020). World Health Organization declares global emergency: A review of the 2019 novel coronavirus (COVID-19). International Journal of Surgery, 76, 71–76.PubMedCrossRef
2.
Kemppainen, J. K. (2001). Predictors of quality of life in AIDS patients. Journal of the Association of Nurses in AIDS Care, 12(1), 61–70.CrossRef
3.
Charkhian, A., et al. (2014). Relationship between health-related quality of life and social support in HIV-infected people in Tehran. Iran. Iran J Public Health, 43(1), 100–106.PubMed
4.
Jin, Y., et al. (2014). A systematic review of cohort studies of the quality of life in HIV/AIDS patients after antiretroviral therapy. International Journal of STD and AIDS, 25(11), 771–777.PubMedCrossRef
5.
Degroote, S., Vogelaers, D., & Vandijck, D. M. (2014). What determines health-related quality of life among people living with HIV: An updated review of the literature. Arch Public Health, 72(1), 40.PubMedPubMedCentralCrossRef
6.
Rao, D., et al. (2007). The health related quality of life outcomes of English and Spanish speaking persons living with HIV/AIDS from the continental United States and Puerto Rico. AIDS Patient Care and STDs, 21(5), 339–346.PubMedCrossRef
7.
8.
Degroote, S., et al. (2013). Socio-economic, behavioural, (neuro)psychological and clinical determinants of HRQoL in people living with HIV in Belgium: A pilot study. Journal of the International AIDS Society, 16(1), 18643.PubMedPubMedCentralCrossRef
9.
Armon, C., & Lichtenstein, K. (2012). The associations among coping, nadir CD4+ T-cell count, and non-HIV-related variables with health-related quality of life among an ambulatory HIV-positive patient population. Quality of Life Research, 21(6), 993–1003.PubMedCrossRef
10.
Briongos Figuero, L. S., et al. (2011). Assessment of factors influencing health-related quality of life in HIV-infected patients. HIV Medicine, 12(1), 22–30.PubMedCrossRef
11.
Mielck, A., Vogelmann, M., & Leidl, R. (2014). Health-related quality of life and socioeconomic status: Inequalities among adults with a chronic disease. Health and Quality of Life Outcomes, 12, 58.PubMedPubMedCentralCrossRef
12.
Gakhar, H., Kamali, A., & Holodniy, M. (2013). Health-related quality of life assessment after antiretroviral therapy: A review of the literature. Drugs, 73(7), 651–672.PubMedPubMedCentralCrossRef
13.
Langius-Eklöf, A., Lidman, K., & Wredling, R. (2009). Health-related quality of life in relation to sense of coherence in a Swedish group of HIV-infected patients over a two-year follow-up. AIDS Patient Care and STDs, 23(1), 59–64.PubMedCrossRef
14.
Charles, B., et al. (2012). Association between stigma, depression and quality of life of people living with HIV/AIDS (PLHA) in South India-a community based cross sectional study. BMC Public Health, 12, 463.PubMedPubMedCentralCrossRef
15.
Parcesepe, A. M., et al. (2018). Screening and management of mental health and substance use disorders in HIV treatment settings in low- and middle-income countries within the global IeDEA consortium. Journal of the International AIDS Society, 21(3), e25101.PubMedPubMedCentralCrossRef
16.
Sohn, A. H., Ross, J., & Wainberg, M. L. (2018). Barriers to mental healthcare and treatment for people living with HIV in the Asia-Pacific. Journal of the International AIDS Society, 21(10), e25189.PubMedPubMedCentralCrossRef
17.
Hough, E. S., et al. (2005). Social network structure and social support in HIV-positive inner city mothers. Journal of the Association of Nurses in AIDS Care, 16(4), 14–24.CrossRef
18.
Adamu, A., McHunu, G., & Naidoo, J. R. (2019). Stress and resilience among women living with HIV in Nigeria. African Journal of Primary Health Care & Family Medicine, 11(1), e1–e6.CrossRef
19.
20.
Rzeszutek, M., Oniszczenko, W., & Firląg-Burkacka, E. (2017). Gender differences in posttraumatic stress symptoms and social support in a sample of HIV-positive individuals. Women & Health, 57(7), 792–803.CrossRef
21.
Fekete, E. M., et al. (2016). Gender differences in disclosure concerns and HIV-related quality of life. AIDS Care, 28(4), 450–454.PubMedCrossRef
22.
Tran, B. X., et al. (2012). Gender differences in quality of life outcomes of HIV/AIDS treatment in the latent feminization of HIV epidemics in Vietnam. AIDS Care, 24(10), 1187–1196.PubMedCrossRef
23.
Organization, W.H., (1996). WHOQOL-BREF: introduction, administration, scoring and generic version of the assessment: field trial version, World Health Organization.
24.
Nejat, S., et al. (2006). The World Health Organization quality of Life (WHOQOL-BREF) questionnaire: Translation and validation study of the Iranian version. Journal of School of Public Health and Institute of Public Health Research, 4(4), 1–12.
25.
Sartipi, M., et al., Assets as a socioeconomic status index: categorical principal components analysis vs. latent class analysis. Archives of Iranian Medicine, 2016. 19(11), 0–0.
26.
Lovibond, S. H. (1995). Manual for the depression anxiety stress scales. Sydney psychology foundation.
27.
Sahebi, A., Asghari, M.J., & Salari, R.S. (2005). Validation of depression anxiety and stress scale (DASS-21) for an Iranian population.
28.
Coates, J., Swindale, A., & Bilinsky, P., (2007). Household Food Insecurity Access Scale (HFIAS) for measurement of food access: indicator guide: version 3.
29.
Salarkia, N., et al. (2014). An adapted household food insecurity access scale is a valid tool as a proxy measure of food access for use in urban Iran. Food Security, 6(2), 275–282.CrossRef
30.
Connor, K. M., & Davidson, J. R. (2003). Development of a new resilience scale: The Connor-Davidson resilience scale (CD-RISC). Depression and anxiety, 18(2), 76–82.PubMedCrossRef
31.
Jowkar, B., Friborg, O., & Hjemdal, O. (2010). Cross-cultural validation of the resilience scale for adults (RSA) in Iran. Scandinavian journal of psychology, 51(5), 418–425.PubMed
32.
Zimet, G. D., et al. (1988). The multidimensional scale of perceived social support. Journal of Personality Assessment, 52(1), 30–41.CrossRef
33.
Bagherian-Sararoudi, R., et al. (2013). Psychometric properties of the Persian version of the multidimensional scale of perceived social support in Iran. International Journal of Preventive Medicine, 4(11), 1277.PubMedPubMedCentral
34.
Ebrahimi Kalan, M., et al. (2019). Quality of life and stigma among people living with HIV/AIDS in Iran. HIV/AIDS-Research and Palliative Care, 11, 287–298.PubMedCrossRef
35.
Charkhian, A., et al. (2014). Relationship between health-related quality of life and social support in HIV-infected people in Tehran, Iran. Iranian Journal of Public Health, 43(1), 100.PubMedPubMedCentral
36.
Joulaei, H., et al. (2021). Health-related quality of life in people living with HIV in Southwest Iran in 2018: A cross-sectional study. BioMed Research International, 2021, 9935175.PubMedPubMedCentralCrossRef
37.
Medeiros, R.C.S.C., et al. (2017). Quality of life, socioeconomic and clinical factors, and physical exercise in persons living with HIV/AIDS. Revista de saude publica, 51.
38.
Mwesigire, D. M., et al. (2015). Relationship between CD4 count and quality of life over time among HIV patients in Uganda: A cohort study. Health and Quality of life Outcomes, 13(1), 1–14.CrossRef
39.
Manuel, F. M., et al. (2020). Assessment of the quality of life of people living with HIV/AIDS in the city of Lubumbashi, the Democratic Republic of the Congo. African Journal of Medical and Health Sciences, 19(7), 110–119.
40.
Pereira, M., & Canavarro, M. C. (2011). Gender and age differences in quality of life and the impact of psychopathological symptoms among HIV-infected patients. AIDS and Behavior, 15, 1857–1869.PubMedCrossRef
41.
Khademi, N., et al. (2021). Quality of life of HIV-infected individuals: Insights from a study of patients in Kermanshah, Iran. BMC Infectious Diseases, 21(1), 1–12.CrossRef
42.
Nyamathi, A. M., et al. (2017). Quality of life among women living with HIV in rural India. Journal of the Association of Nurses in AIDS Care, 28(4), 575–586.CrossRef
43.
Millar, B. M., et al. (2017). The impact of comorbidities, depression, and substance use problems on quality of life among older adults living with HIV. AIDS and Behavior, 21, 1684–1690.PubMedPubMedCentralCrossRef
44.
Ratajska, A., et al. (2020). Social support in multiple sclerosis: Associations with quality of life, depression, and anxiety. Journal of Psychosomatic Research, 138, 110252.PubMedCrossRef
45.
Zhang, Y., et al. (2020). Effects of stigma, hope and social support on quality of life among Chinese patients diagnosed with oral cancer: A cross-sectional study. Health and Quality of Life Outcomes, 18(1), 1–8.CrossRef
46.
Rueda, S., et al. (2016). Examining the associations between HIV-related stigma and health outcomes in people living with HIV/AIDS: A series of meta-analyses. British Medical Journal Open, 6(7), e011453.
47.
Rasoolinajad, M., et al. (2018). Relationship among HIV-related stigma, mental health and quality of life for HIV-positive patients in Tehran. AIDS and Behavior, 22(12), 3773–3782.PubMedCrossRef
48.
Ballester-Arnal, R., et al. (2016). A Spanish study on psychological predictors of quality of life in people with HIV. AIDS and Behavior, 20(2), 281–291.PubMedCrossRef
49.
Tran, B. X., et al. (2018). Depression and quality of life among patients living with HIV/AIDS in the era of universal treatment access in Vietnam. International Journal of Environmental Research and Public Health, 15(12), 2888.PubMedPubMedCentralCrossRef
50.
Logie, C. H., et al. (2018). Exploring social ecological pathways from resilience to quality of life among women living with HIV in Canada. AIDS Care, 30(sup5), S67–S75.PubMedCrossRef
51.
Xu, Y., et al. (2018). Ageism, resilience, coping, family support, and quality of life among older people living with HIV/AIDS in Nanning, China. Global Public Health, 13(5), 612–625.PubMedCrossRef
52.
Tesfaye, M., et al. (2016). Food insecurity, mental health and quality of life among people living with HIV commencing antiretroviral treatment in Ethiopia: A cross-sectional study. Health and Quality of Life Outcomes, 14(1), 1–8.CrossRef
53.
Hatsu, I., Hade, E., & Campa, A. (2017). Food security status is related to mental health quality of life among persons living with HIV. AIDS and Behavior, 21(3), 745–753.PubMedPubMedCentralCrossRef
54.
Palermo, T., et al. (2013). Food access and diet quality are associated with quality of life outcomes among HIV-infected individuals in Uganda. PLoS ONE, 8(4), e62353.PubMedPubMedCentralCrossRef
55.
Moafi, F., et al. (2018). The relationship between food security and quality of life among pregnant women. BMC Pregnancy and Childbirth, 18(1), 1–9.CrossRef
56.
Langebeek, N., et al. (2017). Impact of comorbidity and ageing on health-related quality of life in HIV-positive and HIV-negative individuals. AIDS, 31(10), 1471–1481.PubMedCrossRef
57.
Hatsu, I., Hade, E., & Campa, A. (2017). Food security status is related to mental health quality of life among persons living with HIV. AIDS and Behavior, 21, 745–753.PubMedPubMedCentralCrossRef
58.
Guest, G., et al. (2005). Fear, hope and social desirability bias among women at high risk for HIV in West Africa. BMJ Sexual & Reproductive Health, 31(4), 285–287.
59.
Oori, M. J., et al. (2019). Prevalence of HTN in Iran: Meta-analysis of published studies in 2004–2018. Current Hypertension Reviews, 15(2), 113–122.PubMedPubMedCentralCrossRef
60.
Hejazi, N., et al. (2014). Hypertension among HIV-infected adults receiving highly active antiretroviral therapy (HAART) in Malaysia. Global Journal of health Science, 6(2), 58.
61.
Jackson, I. L., et al. (2022). Health-related quality of Life of HIV positive patients with hypertension: Is there an association with blood pressure control? High Blood Pressure & Cardiovascular Prevention, 29(4), 393–400.CrossRef
62.
Biraguma, J., Mutimura, E., & Frantz, J. M. (2018). Health-related quality of life and associated factors in adults living with HIV in Rwanda. SAHARA: Journal of Social Aspects of HIV/AIDS Research Alliance, 15(1), 110–120.CrossRef
63.
64.
Liping, M., et al. (2015). Quality of life of people living with HIV/AIDS: A cross-sectional study in Zhejiang Province, China. PLoS ONE, 10(8), e0135705.PubMedPubMedCentralCrossRef
65.
Sarkar, T., et al. (2019). Quality of life of people living with HIV/AIDS attending antiretroviral clinic in the center of excellence in HIV care in India. Journal of Education and Health Promotion, 8, 226.PubMedPubMedCentral
66.
Adong, J., et al. (2019). Social desirability bias impacts self-reported alcohol use among persons with HIV in Uganda. Alcoholism: Clinical and Experimental Research, 43(12), 2591–2598.PubMedCrossRef
Metagegevens
Titel
Psychosocial predictors of quality of life among women living with HIV/AIDS: a cross-sectional study in a VCT centre in Shiraz, Iran
Auteurs
Zohre Foroozanfar
Dariush Hooshyar
Hassan Joulaei
Publicatiedatum
17-01-2024
Uitgeverij
Springer International Publishing
Gepubliceerd in
Quality of Life Research / Uitgave 4/2024
Print ISSN: 0962-9343
Elektronisch ISSN: 1573-2649
DOI
https://doi.org/10.1007/s11136-023-03586-9

Andere artikelen Uitgave 4/2024

Quality of Life Research 4/2024 Naar de uitgave

OriginalPaper

Factors associated with improved health-related quality of life due to improvements in physical function and dialysis-related symptoms following intradialytic exercise in outpatients undergoing haemodialysis

OriginalPaper

Dynamic changes and lifetime effect of functional disability profiles for stroke patients: real-world evidence from South Korea

OriginalPaper

The association between BMI and self-reported health among a Brazilian sample: a cross-sectional study

Correction

Correction: Understanding experiences of cancer-related fatigue in patients with lung cancer after their cancer treatment: a qualitative content analysis

Review

Chronic cough: more than just a persistent cough: a systematic literature review to understand the impact of chronic cough on quality of life

OriginalPaper

Assessing health-related quality of life and clinical outcomes of patients with diabetes accessing healthcare in two public hospitals in south-eastern Ghana: a cross-sectional descriptive study