View in EDS HTML Full Text PDF Full Text

Association of syndemic conditions and quality of life among people living with HIV/AIDS.

Saved in:
Bibliographic Details
Title: Association of syndemic conditions and quality of life among people living with HIV/AIDS.
Authors: de Oliveira Gomes, Mariana, Castro, Rodolfo, Corrêa da Mota, Jurema, De Boni, Raquel B.
Source: AIDS Care. Oct2023, Vol. 35 Issue 10, p1508-1517. 10p. 3 Charts.
Subjects: HIV infections, Well-being, Statistics, Analysis of variance, Syndemics, Cross-sectional method, Multivariate analysis, Chronic diseases, Regression analysis, Mental health, Binge drinking, Patient-centered care, T-test (Statistics), Quality of life, Questionnaires, Descriptive statistics, Research funding, Psychology of HIV-positive persons, AIDS patients, Secondary analysis, Comorbidity, AIDS
Geographic Terms: Brazil
Abstract: The syndemics theory seeks to understand the effect of multiple synergic problems in promoting poor health outcomes. To disentangle which and how syndemic conditions affect the quality of life (QoL) may be important to improve well-being of people living with HIV/AIDS (PLWHA). This study evaluates the association between syndemic conditions and QoL among PLWHA. We performed a secondary analysis using data obtained between 2014 and 2017 among PLWHA under care in Rio de Janeiro, Brazil. The outcomes were the six QoL domains (physical, psychological, level of independence, social relationships, environmental, and spirituality) measured through the World Health Organization Quality of Life in HIV infection scale, abbreviated version (WHOQOL-HIV-BREF). The independent variables were demographic and clinical characteristics, syndemic conditions (binge drinking, compulsive sexual behavior, polysubstance use, intimate partner violence, and depression), and syndemics (two or more syndemic conditions simultaneously). Bivariate analysis (t-test and ANOVA) and linear regressions were performed for each quality-of-life domain. The analytical sample comprised 1530 participants, mostly male at birth (64%) and with median age of 43 years. The syndemic conditions most frequently observed were binge drinking (56%), IPV (13%), and depression (9%). Both individual syndemic conditions and syndemics were associated with worse QoL. In the multivariate analysis, positive screening for depression was associated with worse QoL in all domains. Polysubstance users presented worse QoL at social and environmental domains. Intimate partner violence was associated with worse QoL at environment domain while binge drinking was associated with worse scores in the physical domain. The presence of syndemics increased the likelihood of worse scores in the psychological, social, and environment domains. Our study expands the understanding of QoL in PLWHA, as it considers a holistic/integral, multifactorial, and synergistic approach to the determinants of QoL. Seeking strategies that target syndemics may be important to improve patient-centered outcomes in health. Abbreviations: HIV/AIDS: human immunodeficiency virus/acquired immunodeficiency syndrome WHO: World Health Organization QoL: quality of life HRQoL: health-related quality of life PLWHA: people living with HIV/AIDS cART: combined antiretroviral therapy IPV: intimate partner violence INI/FIOCRUZ: Evandro Chagas National Institute of Infectious Diseases Oswaldo Cruz Foundation SRH: self-rated health VL: viral load CD4: CD4 cell count NIAAA: National Institute on Alcohol Abuse and Alcoholism CSB compulsive sexual behavior WHO-ASSIST: alcohol smoking and substance involvement screening test developed by the World Health Organization PHQ-2: Patient Health Questionnaire-2 [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
Full text is not displayed to guests.
FullText Links:
  – Type: pdflink
Text:
  Availability: 1
Header DbId: pbh
DbLabel: Psychology and Behavioral Sciences Collection
An: 169833582
AccessLevel: 6
PubType: Academic Journal
PubTypeId: academicJournal
PreciseRelevancyScore: 0
IllustrationInfo
Items – Name: Title
  Label: Title
  Group: Ti
  Data: Association of syndemic conditions and quality of life among people living with HIV/AIDS.
– Name: Author
  Label: Authors
  Group: Au
  Data: <searchLink fieldCode="AR" term="%22de+Oliveira+Gomes%2C+Mariana%22">de Oliveira Gomes, Mariana</searchLink><br /><searchLink fieldCode="AR" term="%22Castro%2C+Rodolfo%22">Castro, Rodolfo</searchLink><br /><searchLink fieldCode="AR" term="%22Corrêa+da+Mota%2C+Jurema%22">Corrêa da Mota, Jurema</searchLink><br /><searchLink fieldCode="AR" term="%22De+Boni%2C+Raquel+B%2E%22">De Boni, Raquel B.</searchLink>
– Name: TitleSource
  Label: Source
  Group: Src
  Data: <searchLink fieldCode="JN" term="%22AIDS+Care%22">AIDS Care</searchLink>. Oct2023, Vol. 35 Issue 10, p1508-1517. 10p. 3 Charts.
– Name: Subject
  Label: Subjects
  Group: Su
  Data: <searchLink fieldCode="DE" term="%22HIV+infections%22">HIV infections</searchLink><br /><searchLink fieldCode="DE" term="%22Well-being%22">Well-being</searchLink><br /><searchLink fieldCode="DE" term="%22Statistics%22">Statistics</searchLink><br /><searchLink fieldCode="DE" term="%22Analysis+of+variance%22">Analysis of variance</searchLink><br /><searchLink fieldCode="DE" term="%22Syndemics%22">Syndemics</searchLink><br /><searchLink fieldCode="DE" term="%22Cross-sectional+method%22">Cross-sectional method</searchLink><br /><searchLink fieldCode="DE" term="%22Multivariate+analysis%22">Multivariate analysis</searchLink><br /><searchLink fieldCode="DE" term="%22Chronic+diseases%22">Chronic diseases</searchLink><br /><searchLink fieldCode="DE" term="%22Regression+analysis%22">Regression analysis</searchLink><br /><searchLink fieldCode="DE" term="%22Mental+health%22">Mental health</searchLink><br /><searchLink fieldCode="DE" term="%22Binge+drinking%22">Binge drinking</searchLink><br /><searchLink fieldCode="DE" term="%22Patient-centered+care%22">Patient-centered care</searchLink><br /><searchLink fieldCode="DE" term="%22T-test+%28Statistics%29%22">T-test (Statistics)</searchLink><br /><searchLink fieldCode="DE" term="%22Quality+of+life%22">Quality of life</searchLink><br /><searchLink fieldCode="DE" term="%22Questionnaires%22">Questionnaires</searchLink><br /><searchLink fieldCode="DE" term="%22Descriptive+statistics%22">Descriptive statistics</searchLink><br /><searchLink fieldCode="DE" term="%22Research+funding%22">Research funding</searchLink><br /><searchLink fieldCode="DE" term="%22Psychology+of+HIV-positive+persons%22">Psychology of HIV-positive persons</searchLink><br /><searchLink fieldCode="DE" term="%22AIDS+patients%22">AIDS patients</searchLink><br /><searchLink fieldCode="DE" term="%22Secondary+analysis%22">Secondary analysis</searchLink><br /><searchLink fieldCode="DE" term="%22Comorbidity%22">Comorbidity</searchLink><br /><searchLink fieldCode="DE" term="%22AIDS%22">AIDS</searchLink>
– Name: SubjectGeographic
  Label: Geographic Terms
  Group: Su
  Data: <searchLink fieldCode="DE" term="%22Brazil%22">Brazil</searchLink>
– Name: Abstract
  Label: Abstract
  Group: Ab
  Data: The syndemics theory seeks to understand the effect of multiple synergic problems in promoting poor health outcomes. To disentangle which and how syndemic conditions affect the quality of life (QoL) may be important to improve well-being of people living with HIV/AIDS (PLWHA). This study evaluates the association between syndemic conditions and QoL among PLWHA. We performed a secondary analysis using data obtained between 2014 and 2017 among PLWHA under care in Rio de Janeiro, Brazil. The outcomes were the six QoL domains (physical, psychological, level of independence, social relationships, environmental, and spirituality) measured through the World Health Organization Quality of Life in HIV infection scale, abbreviated version (WHOQOL-HIV-BREF). The independent variables were demographic and clinical characteristics, syndemic conditions (binge drinking, compulsive sexual behavior, polysubstance use, intimate partner violence, and depression), and syndemics (two or more syndemic conditions simultaneously). Bivariate analysis (t-test and ANOVA) and linear regressions were performed for each quality-of-life domain. The analytical sample comprised 1530 participants, mostly male at birth (64%) and with median age of 43 years. The syndemic conditions most frequently observed were binge drinking (56%), IPV (13%), and depression (9%). Both individual syndemic conditions and syndemics were associated with worse QoL. In the multivariate analysis, positive screening for depression was associated with worse QoL in all domains. Polysubstance users presented worse QoL at social and environmental domains. Intimate partner violence was associated with worse QoL at environment domain while binge drinking was associated with worse scores in the physical domain. The presence of syndemics increased the likelihood of worse scores in the psychological, social, and environment domains. Our study expands the understanding of QoL in PLWHA, as it considers a holistic/integral, multifactorial, and synergistic approach to the determinants of QoL. Seeking strategies that target syndemics may be important to improve patient-centered outcomes in health. Abbreviations: HIV/AIDS: human immunodeficiency virus/acquired immunodeficiency syndrome WHO: World Health Organization QoL: quality of life HRQoL: health-related quality of life PLWHA: people living with HIV/AIDS cART: combined antiretroviral therapy IPV: intimate partner violence INI/FIOCRUZ: Evandro Chagas National Institute of Infectious Diseases Oswaldo Cruz Foundation SRH: self-rated health VL: viral load CD4: CD4 cell count NIAAA: National Institute on Alcohol Abuse and Alcoholism CSB compulsive sexual behavior WHO-ASSIST: alcohol smoking and substance involvement screening test developed by the World Health Organization PHQ-2: Patient Health Questionnaire-2 [ABSTRACT FROM AUTHOR]
– Name: AbstractSuppliedCopyright
  Label:
  Group: Ab
  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.)
PLink https://search.ebscohost.com/login.aspx?direct=true&site=eds-live&db=pbh&AN=169833582
RecordInfo BibRecord:
  BibEntity:
    Identifiers:
      – Type: doi
        Value: 10.1080/09540121.2022.2080801
    Languages:
      – Code: eng
        Text: English
    PhysicalDescription:
      Pagination:
        PageCount: 10
        StartPage: 1508
    Subjects:
      – SubjectFull: HIV infections
        Type: general
      – SubjectFull: Well-being
        Type: general
      – SubjectFull: Statistics
        Type: general
      – SubjectFull: Analysis of variance
        Type: general
      – SubjectFull: Syndemics
        Type: general
      – SubjectFull: Cross-sectional method
        Type: general
      – SubjectFull: Multivariate analysis
        Type: general
      – SubjectFull: Chronic diseases
        Type: general
      – SubjectFull: Regression analysis
        Type: general
      – SubjectFull: Mental health
        Type: general
      – SubjectFull: Binge drinking
        Type: general
      – SubjectFull: Patient-centered care
        Type: general
      – SubjectFull: T-test (Statistics)
        Type: general
      – SubjectFull: Quality of life
        Type: general
      – SubjectFull: Questionnaires
        Type: general
      – SubjectFull: Descriptive statistics
        Type: general
      – SubjectFull: Research funding
        Type: general
      – SubjectFull: Psychology of HIV-positive persons
        Type: general
      – SubjectFull: AIDS patients
        Type: general
      – SubjectFull: Secondary analysis
        Type: general
      – SubjectFull: Comorbidity
        Type: general
      – SubjectFull: AIDS
        Type: general
      – SubjectFull: Brazil
        Type: general
    Titles:
      – TitleFull: Association of syndemic conditions and quality of life among people living with HIV/AIDS.
        Type: main
  BibRelationships:
    HasContributorRelationships:
      – PersonEntity:
          Name:
            NameFull: de Oliveira Gomes, Mariana
      – PersonEntity:
          Name:
            NameFull: Castro, Rodolfo
      – PersonEntity:
          Name:
            NameFull: Corrêa da Mota, Jurema
      – PersonEntity:
          Name:
            NameFull: De Boni, Raquel B.
    IsPartOfRelationships:
      – BibEntity:
          Dates:
            – D: 01
              M: 10
              Text: Oct2023
              Type: published
              Y: 2023
          Identifiers:
            – Type: issn-print
              Value: 09540121
          Numbering:
            – Type: volume
              Value: 35
            – Type: issue
              Value: 10
          Titles:
            – TitleFull: AIDS Care
              Type: main
ResultId 1