Psychosocial determinants of health-related quality of life of people living with HIV/AIDS on antiretroviral therapy at Udupi District, Southern India

Emanuel Peter, Ramachandra Kamath, Teddy Andrews, Belle Monappa Hegde

Research output: Contribution to journalArticle

17 Citations (Scopus)

Abstract

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.

Original languageEnglish
Pages (from-to)203-209
Number of pages7
JournalInternational Journal of Preventive Medicine
Volume5
Issue number2
Publication statusPublished - 01-02-2014

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Spirituality
India
Acquired Immunodeficiency Syndrome
Quality of Life
HIV
Psychology
Anxiety
Therapeutics
Depression
Social Support
District Hospitals
Life Expectancy
Analysis of Variance
Cross-Sectional Studies
Demography

All Science Journal Classification (ASJC) codes

  • Public Health, Environmental and Occupational Health

Cite this

@article{148c8b4976484353a29a7164af789215,
title = "Psychosocial determinants of health-related quality of life of people living with HIV/AIDS on antiretroviral therapy at Udupi District, Southern India",
abstract = "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.",
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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.

In: International Journal of Preventive Medicine, Vol. 5, No. 2, 01.02.2014, p. 203-209.

Research output: Contribution to journalArticle

TY - JOUR

T1 - Psychosocial determinants of health-related quality of life of people living with HIV/AIDS on antiretroviral therapy at Udupi District, Southern India

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N2 - 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.

AB - 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.

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