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1259. Household Income and Its Relationship with Patient-Reported Outcomes Among Older People Living with HIV

BACKGROUND: Socioeconomic factors have been identified as a root cause of a wide range of health outcomes. However, there are no studies that describe the impact of these factors on patient-reported outcomes (PROs) among older (age 50+) people living with HIV (PLWH). This study examines the relation...

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Autores principales: Mazonson, Peter, Berko, Jeff, Loo, Theoren, MacLaren, Lynsay, Lowman, Erik S
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Oxford University Press 2019
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6808807/
http://dx.doi.org/10.1093/ofid/ofz360.1122
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author Mazonson, Peter
Berko, Jeff
Loo, Theoren
MacLaren, Lynsay
Lowman, Erik S
author_facet Mazonson, Peter
Berko, Jeff
Loo, Theoren
MacLaren, Lynsay
Lowman, Erik S
author_sort Mazonson, Peter
collection PubMed
description BACKGROUND: Socioeconomic factors have been identified as a root cause of a wide range of health outcomes. However, there are no studies that describe the impact of these factors on patient-reported outcomes (PROs) among older (age 50+) people living with HIV (PLWH). This study examines the relationship between annual household income, sociodemographic factors, and several PROs among older PLWH. METHODS: A cross-sectional analysis examined the relationships between self-reported annual household income, sociodemographic information, and validated PROs. Statistical differences within sociodemographic groups were determined using chi-squared tests, and within PROs using bivariate risk ratios. RESULTS: Of 922 participants, the median age was 58 years (range: 50–88). The majority of participants were male (89%), gay (79%), and white (70%). Fifty-five percent reported an annual household income of less than $50,000 per year and 45% reported a household income of $50,000 or greater. Among people in the lower-income group, 33% were working full or part time, 24% were retired, and 43% were disabled, whereas among people in the higher income group, 76% were working full or part time, 19% were retired, and 5% were disabled (Table 1). Bivariate analysis showed that while there was not a significant relationship between age and income, income was significantly associated with work status, race, gender, education, relationship status, sexual orientation, and having enough money to meet basic needs. People with lower household income were significantly more likely to be depressed, anxious, and lonely, and to have 4 or more comorbid conditions (Table 2). They were also less likely to have high resilience, high social well-being, and high quality of life. CONCLUSION: To the best of our knowledge, this is the first examination of the relationship between self-reported annual household income and PROs among older PLWH. In these bivariate analyses, income was positively associated with desirable PROs, and negatively associated with undesirable PROs. To be successful, programs designed to improve health outcomes for older PLWH must take into account the economic challenges faced by many in this group. [Image: see text] [Image: see text] DISCLOSURES: All authors: No reported disclosures.
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spelling pubmed-68088072019-10-28 1259. Household Income and Its Relationship with Patient-Reported Outcomes Among Older People Living with HIV Mazonson, Peter Berko, Jeff Loo, Theoren MacLaren, Lynsay Lowman, Erik S Open Forum Infect Dis Abstracts BACKGROUND: Socioeconomic factors have been identified as a root cause of a wide range of health outcomes. However, there are no studies that describe the impact of these factors on patient-reported outcomes (PROs) among older (age 50+) people living with HIV (PLWH). This study examines the relationship between annual household income, sociodemographic factors, and several PROs among older PLWH. METHODS: A cross-sectional analysis examined the relationships between self-reported annual household income, sociodemographic information, and validated PROs. Statistical differences within sociodemographic groups were determined using chi-squared tests, and within PROs using bivariate risk ratios. RESULTS: Of 922 participants, the median age was 58 years (range: 50–88). The majority of participants were male (89%), gay (79%), and white (70%). Fifty-five percent reported an annual household income of less than $50,000 per year and 45% reported a household income of $50,000 or greater. Among people in the lower-income group, 33% were working full or part time, 24% were retired, and 43% were disabled, whereas among people in the higher income group, 76% were working full or part time, 19% were retired, and 5% were disabled (Table 1). Bivariate analysis showed that while there was not a significant relationship between age and income, income was significantly associated with work status, race, gender, education, relationship status, sexual orientation, and having enough money to meet basic needs. People with lower household income were significantly more likely to be depressed, anxious, and lonely, and to have 4 or more comorbid conditions (Table 2). They were also less likely to have high resilience, high social well-being, and high quality of life. CONCLUSION: To the best of our knowledge, this is the first examination of the relationship between self-reported annual household income and PROs among older PLWH. In these bivariate analyses, income was positively associated with desirable PROs, and negatively associated with undesirable PROs. To be successful, programs designed to improve health outcomes for older PLWH must take into account the economic challenges faced by many in this group. [Image: see text] [Image: see text] DISCLOSURES: All authors: No reported disclosures. Oxford University Press 2019-10-23 /pmc/articles/PMC6808807/ http://dx.doi.org/10.1093/ofid/ofz360.1122 Text en © The Author(s) 2019. Published by Oxford University Press on behalf of Infectious Diseases Society of America. http://creativecommons.org/licenses/by-nc-nd/4.0/ This is an Open Access article distributed under the terms of the Creative Commons Attribution-NonCommercial-NoDerivs licence (http://creativecommons.org/licenses/by-nc-nd/4.0/), which permits non-commercial reproduction and distribution of the work, in any medium, provided the original work is not altered or transformed in any way, and that the work is properly cited. For commercial re-use, please contact journals.permissions@oup.com
spellingShingle Abstracts
Mazonson, Peter
Berko, Jeff
Loo, Theoren
MacLaren, Lynsay
Lowman, Erik S
1259. Household Income and Its Relationship with Patient-Reported Outcomes Among Older People Living with HIV
title 1259. Household Income and Its Relationship with Patient-Reported Outcomes Among Older People Living with HIV
title_full 1259. Household Income and Its Relationship with Patient-Reported Outcomes Among Older People Living with HIV
title_fullStr 1259. Household Income and Its Relationship with Patient-Reported Outcomes Among Older People Living with HIV
title_full_unstemmed 1259. Household Income and Its Relationship with Patient-Reported Outcomes Among Older People Living with HIV
title_short 1259. Household Income and Its Relationship with Patient-Reported Outcomes Among Older People Living with HIV
title_sort 1259. household income and its relationship with patient-reported outcomes among older people living with hiv
topic Abstracts
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6808807/
http://dx.doi.org/10.1093/ofid/ofz360.1122
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