Psychosocial Determinants of Health-Related Quality of Life of People Living with HIV/AIDS on Antiretroviral Therapy at Udupi District, Southern India
BACKGROUND: Life expectancy of people living with HIV/AIDS (PLHA) on antiretroviral therapy has appreciably increased. However, psychosocial challenges pose a great threat to their health-related quality of life (HRQOL). The aim of this study was to determine psychosocial factors influencing health-...
Autores principales: | , , , |
---|---|
Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Medknow Publications & Media Pvt Ltd
2014
|
Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3950744/ https://www.ncbi.nlm.nih.gov/pubmed/24627748 |
_version_ | 1782307044773068800 |
---|---|
author | Peter, Emanuel Kamath, Ramachandra Andrews, Teddy Hegde, Belle Monappa |
author_facet | Peter, Emanuel Kamath, Ramachandra Andrews, Teddy Hegde, Belle Monappa |
author_sort | Peter, Emanuel |
collection | PubMed |
description | BACKGROUND: Life expectancy of people living with HIV/AIDS (PLHA) on antiretroviral therapy has appreciably increased. However, psychosocial challenges pose a great threat to their health-related quality of life (HRQOL). The aim of this study was to determine psychosocial factors influencing health-related quality of life of PLHA on antiretroviral therapy. METHODS: A cross-sectional study was conducted using convenience sampling to select 226 PLHA at District hospital. Demographic information was collected using a semistructured questionnaire. HRQOL was assessed using WHOQOL-HIV Bref. The Hospital Anxiety and Depression Scale, CAGE scale, and Multidimensional Scale of Perceived Social Support were used. One-way ANOVA was applied. RESULTS: There was a significant difference in mean quality of life score with respect to level of anxiety in the physical (P < 0.001), psychological (P < 0.001), level of independence (P < 0.001), social relationships (P = 0.047), environment (P < 0.001), and spirituality domain (P < 0.001). Significant difference in mean quality of life score was observed with respect to level of depression in physical (P = 0.003), psychological (P = 0.036), level of independence (P = 0.017), social relationships (P = 0.019), and spirituality (P = 0.001). Friend support was positively associated with HRQOL in physical (P < 0.001), psychological (P < 0.001), level of independence (P = 0.013), social relationships (P < 0.001), environment (0.001), and spirituality domain (0.026). Family support was positively associated with HRQOL in physical (P = 0.001), psychological (P = 0.001), level of independence (P = 0.040), social relationships (P = 0.008), environment (0.001), and spirituality domain (0.026). A significant difference was observed with respect to affiliation to social organization in social relationships domain (P = 0.044). CONCLUSIONS: Psychosocial challenges including anxiety, depression, and social support impact upon all domains of HRQOL of PLHA. |
format | Online Article Text |
id | pubmed-3950744 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2014 |
publisher | Medknow Publications & Media Pvt Ltd |
record_format | MEDLINE/PubMed |
spelling | pubmed-39507442014-03-13 Psychosocial Determinants of Health-Related Quality of Life of People Living with HIV/AIDS on Antiretroviral Therapy at Udupi District, Southern India Peter, Emanuel Kamath, Ramachandra Andrews, Teddy Hegde, Belle Monappa Int J Prev Med Original Article BACKGROUND: Life expectancy of people living with HIV/AIDS (PLHA) on antiretroviral therapy has appreciably increased. However, psychosocial challenges pose a great threat to their health-related quality of life (HRQOL). The aim of this study was to determine psychosocial factors influencing health-related quality of life of PLHA on antiretroviral therapy. METHODS: A cross-sectional study was conducted using convenience sampling to select 226 PLHA at District hospital. Demographic information was collected using a semistructured questionnaire. HRQOL was assessed using WHOQOL-HIV Bref. The Hospital Anxiety and Depression Scale, CAGE scale, and Multidimensional Scale of Perceived Social Support were used. One-way ANOVA was applied. RESULTS: There was a significant difference in mean quality of life score with respect to level of anxiety in the physical (P < 0.001), psychological (P < 0.001), level of independence (P < 0.001), social relationships (P = 0.047), environment (P < 0.001), and spirituality domain (P < 0.001). Significant difference in mean quality of life score was observed with respect to level of depression in physical (P = 0.003), psychological (P = 0.036), level of independence (P = 0.017), social relationships (P = 0.019), and spirituality (P = 0.001). Friend support was positively associated with HRQOL in physical (P < 0.001), psychological (P < 0.001), level of independence (P = 0.013), social relationships (P < 0.001), environment (0.001), and spirituality domain (0.026). Family support was positively associated with HRQOL in physical (P = 0.001), psychological (P = 0.001), level of independence (P = 0.040), social relationships (P = 0.008), environment (0.001), and spirituality domain (0.026). A significant difference was observed with respect to affiliation to social organization in social relationships domain (P = 0.044). CONCLUSIONS: Psychosocial challenges including anxiety, depression, and social support impact upon all domains of HRQOL of PLHA. Medknow Publications & Media Pvt Ltd 2014-02 /pmc/articles/PMC3950744/ /pubmed/24627748 Text en Copyright: © International Journal of Preventive Medicine http://creativecommons.org/licenses/by-nc-sa/3.0 This is an open-access article distributed under the terms of the Creative Commons Attribution-Noncommercial-Share Alike 3.0 Unported, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. |
spellingShingle | Original Article Peter, Emanuel Kamath, Ramachandra Andrews, Teddy Hegde, Belle Monappa Psychosocial Determinants of Health-Related Quality of Life of People Living with HIV/AIDS on Antiretroviral Therapy at Udupi District, Southern India |
title | Psychosocial Determinants of Health-Related Quality of Life of People Living with HIV/AIDS on Antiretroviral Therapy at Udupi District, Southern India |
title_full | Psychosocial Determinants of Health-Related Quality of Life of People Living with HIV/AIDS on Antiretroviral Therapy at Udupi District, Southern India |
title_fullStr | Psychosocial Determinants of Health-Related Quality of Life of People Living with HIV/AIDS on Antiretroviral Therapy at Udupi District, Southern India |
title_full_unstemmed | Psychosocial Determinants of Health-Related Quality of Life of People Living with HIV/AIDS on Antiretroviral Therapy at Udupi District, Southern India |
title_short | Psychosocial Determinants of Health-Related Quality of Life of People Living with HIV/AIDS on Antiretroviral Therapy at Udupi District, Southern India |
title_sort | psychosocial determinants of health-related quality of life of people living with hiv/aids on antiretroviral therapy at udupi district, southern india |
topic | Original Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3950744/ https://www.ncbi.nlm.nih.gov/pubmed/24627748 |
work_keys_str_mv | AT peteremanuel psychosocialdeterminantsofhealthrelatedqualityoflifeofpeoplelivingwithhivaidsonantiretroviraltherapyatudupidistrictsouthernindia AT kamathramachandra psychosocialdeterminantsofhealthrelatedqualityoflifeofpeoplelivingwithhivaidsonantiretroviraltherapyatudupidistrictsouthernindia AT andrewsteddy psychosocialdeterminantsofhealthrelatedqualityoflifeofpeoplelivingwithhivaidsonantiretroviraltherapyatudupidistrictsouthernindia AT hegdebellemonappa psychosocialdeterminantsofhealthrelatedqualityoflifeofpeoplelivingwithhivaidsonantiretroviraltherapyatudupidistrictsouthernindia |