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Gendered differences in perceptions and reports of wellbeing: A cross-sectional survey of adults on ART in Malawi.

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Title: Gendered differences in perceptions and reports of wellbeing: A cross-sectional survey of adults on ART in Malawi.
Authors: Moucheraud, Corrina, Paul-Schultz, Jenna, Mphande, Misheck, Banda, Ben Allan, Sigauke, Hitler, Kumwenda, Verwoed, Dovel, Kathryn, Moses, Agnes, Gupta, Sundeep, Hoffman, Risa M.
Source: AIDS Care. Dec2022, Vol. 34 Issue 12, p1602-1609. 8p. 3 Charts.
Subjects: Well-being, HIV infections, Friendship, Obesity, Self-evaluation, Cross-sectional method, Viral load, Health status indicators, Patients' attitudes, Sex distribution, Highly active antiretroviral therapy, Health attitudes, Descriptive statistics, Alcohol drinking, Sociodemographic factors, Family relations, Psychology of HIV-positive persons
Geographic Terms: Malawi
Abstract: Few studies have examined gender differences in reported quality of life among persons living with HIV (PLWH) in low-income countries. We conducted a cross-sectional survey of adults on antiretroviral therapy in Malawi, including questions focused on wellbeing, and collected clinical data on these respondents. We compared men's and women's self-reported health and wellbeing using Poisson models that included socio-demographic covariates. Approximately 20% of respondents reported at least one physical functioning problem. In multiple variable models, men were significantly more likely to have a high viral load (≥200 copies/mL; aIRR 2.57), consume alcohol (aIRR 12.58), receive no help from family or friends (aIRR 2.18), and to feel worthless due to their HIV status (aIRR 2.40). Men were significantly less likely to be overweight or obese (aIRR 0.31), or report poor health (health today is not "very good;" aIRR 0.41). Taken together, despite higher prevalence of poor self-rated health, women were healthier across a range of objective dimensions, with better viral suppression, less alcohol use, and less social isolation (although they were more likely to have an unhealthy BMI). Research that includes multi-dimensional and gender-specific measurement of physical, mental and social health is important for improving our understanding of well-being of PLWH. [ABSTRACT FROM AUTHOR]
Copyright of AIDS Care is the property of Taylor & Francis Ltd and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
Database: Psychology and Behavioral Sciences Collection
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  Data: Gendered differences in perceptions and reports of wellbeing: A cross-sectional survey of adults on ART in Malawi.
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  Data: <searchLink fieldCode="AR" term="%22Moucheraud%2C+Corrina%22">Moucheraud, Corrina</searchLink><br /><searchLink fieldCode="AR" term="%22Paul-Schultz%2C+Jenna%22">Paul-Schultz, Jenna</searchLink><br /><searchLink fieldCode="AR" term="%22Mphande%2C+Misheck%22">Mphande, Misheck</searchLink><br /><searchLink fieldCode="AR" term="%22Banda%2C+Ben+Allan%22">Banda, Ben Allan</searchLink><br /><searchLink fieldCode="AR" term="%22Sigauke%2C+Hitler%22">Sigauke, Hitler</searchLink><br /><searchLink fieldCode="AR" term="%22Kumwenda%2C+Verwoed%22">Kumwenda, Verwoed</searchLink><br /><searchLink fieldCode="AR" term="%22Dovel%2C+Kathryn%22">Dovel, Kathryn</searchLink><br /><searchLink fieldCode="AR" term="%22Moses%2C+Agnes%22">Moses, Agnes</searchLink><br /><searchLink fieldCode="AR" term="%22Gupta%2C+Sundeep%22">Gupta, Sundeep</searchLink><br /><searchLink fieldCode="AR" term="%22Hoffman%2C+Risa+M%2E%22">Hoffman, Risa M.</searchLink>
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  Data: <searchLink fieldCode="JN" term="%22AIDS+Care%22">AIDS Care</searchLink>. Dec2022, Vol. 34 Issue 12, p1602-1609. 8p. 3 Charts.
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  Data: <searchLink fieldCode="DE" term="%22Malawi%22">Malawi</searchLink>
– Name: Abstract
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  Data: Few studies have examined gender differences in reported quality of life among persons living with HIV (PLWH) in low-income countries. We conducted a cross-sectional survey of adults on antiretroviral therapy in Malawi, including questions focused on wellbeing, and collected clinical data on these respondents. We compared men's and women's self-reported health and wellbeing using Poisson models that included socio-demographic covariates. Approximately 20% of respondents reported at least one physical functioning problem. In multiple variable models, men were significantly more likely to have a high viral load (≥200 copies/mL; aIRR 2.57), consume alcohol (aIRR 12.58), receive no help from family or friends (aIRR 2.18), and to feel worthless due to their HIV status (aIRR 2.40). Men were significantly less likely to be overweight or obese (aIRR 0.31), or report poor health (health today is not "very good;" aIRR 0.41). Taken together, despite higher prevalence of poor self-rated health, women were healthier across a range of objective dimensions, with better viral suppression, less alcohol use, and less social isolation (although they were more likely to have an unhealthy BMI). Research that includes multi-dimensional and gender-specific measurement of physical, mental and social health is important for improving our understanding of well-being of PLWH. [ABSTRACT FROM AUTHOR]
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  Data: <i>Copyright of AIDS Care is the property of Taylor & Francis Ltd and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract.</i> (Copyright applies to all Abstracts.)
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RecordInfo BibRecord:
  BibEntity:
    Identifiers:
      – Type: doi
        Value: 10.1080/09540121.2021.2014778
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      – Code: eng
        Text: English
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        PageCount: 8
        StartPage: 1602
    Subjects:
      – SubjectFull: Well-being
        Type: general
      – SubjectFull: HIV infections
        Type: general
      – SubjectFull: Friendship
        Type: general
      – SubjectFull: Obesity
        Type: general
      – SubjectFull: Self-evaluation
        Type: general
      – SubjectFull: Cross-sectional method
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      – SubjectFull: Viral load
        Type: general
      – SubjectFull: Health status indicators
        Type: general
      – SubjectFull: Patients' attitudes
        Type: general
      – SubjectFull: Sex distribution
        Type: general
      – SubjectFull: Highly active antiretroviral therapy
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      – SubjectFull: Health attitudes
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      – SubjectFull: Descriptive statistics
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      – SubjectFull: Alcohol drinking
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      – SubjectFull: Family relations
        Type: general
      – SubjectFull: Psychology of HIV-positive persons
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      – SubjectFull: Malawi
        Type: general
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      – TitleFull: Gendered differences in perceptions and reports of wellbeing: A cross-sectional survey of adults on ART in Malawi.
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              Text: Dec2022
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