Psychosocial Determinants of Health‑Related Quality of Life of People Living with HIV/AIDS on Antiretroviral Therapy at Udupi District, Southern India

Peter, Emanuel and Kamath, Ramachandra and Andrews, Teddy (2014) Psychosocial Determinants of Health‑Related Quality of Life of People Living with HIV/AIDS on Antiretroviral Therapy at Udupi District, Southern India. International Journal of Preventive Medicine, 5 (2). pp. 203-209.

[img] PDF
Peter_Paper_IJPM.pdf - Published Version
Restricted to Registered users only

Download (607kB) | Request a copy

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.

Item Type: Article
Uncontrolled Keywords: Antiretroviral therapy; Health‑related quality of life; One way ANOVA; People living with HIV/AIDS; Psychosocial
Subjects: Departments at MU > Public Health
Depositing User: KMC Library
Date Deposited: 15 Jul 2016 16:18
Last Modified: 15 Jul 2016 16:18
URI: http://eprints.manipal.edu/id/eprint/146600

Actions (login required)

View Item View Item