Syndemic conditions and quality of life in the PISCIS Cohort of people living with HIV in Catalonia and the Balearic Islands : a cross sectional study
© 2023. The Author(s)..
BACKGROUND: People living with HIV (PLWH) face structural and psychosocial factors that affect health-related quality of life (HRQoL). We aimed to evaluate how syndemic conditions affected HRQoL in PLWH.
METHODS: A cross-sectional survey was conducted among 861 PLWH, to determine whether syndemic conditions (monthly income; sexual satisfaction; depressive symptoms; social role satisfaction; social isolation; cognitive function; nicotine dependence; perception of stigma) have an effect on HRQoL. A linear regression model and measures of Additive Interaction (AI) were used to determine the effects of syndemic conditions on HRQoL, controlling for other risk factors.
RESULTS: Overall, the most frequently observed were stigma perception (56.9%), poor cognitive function (50.6%) and the perception of social isolation (51.6%). The presence of depressive symptoms was the risk factor most associated with worse Physical Health (PH) (B 3.93, 2.71-5.15) and Mental Health (MH) (B 5.08, 3.81-6.34) in linear regression model. Specifically, an interaction was observed between poor cognitive function and poor satisfaction with social role on worse PH and MH (AI 2.08, 0.14-4.02; AI 2.69, 0.15-5.22, respectively); and low income and perception of stigma (AI 2.98, 0.26-5.71), low income and perception of social isolation (AI 2.79, 0.27-5.32), and low income and poor satisfaction with social role (AI 3.45, 0.99-5.91) on MH.
CONCLUSION: These findings provide evidence that syndemic factors impact HRQoL. HIV prevention programs should screen and address co-occurring health problems to improve patient-centered health care and outcomes.
| Errataetall: |
ErratumIn: Health Qual Life Outcomes. 2023 May 30;21(1):53. - PMID 37254155 |
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| Medienart: |
E-Artikel |
| Erscheinungsjahr: |
2023 |
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| Erschienen: |
2023 |
| Enthalten in: |
Zur Gesamtaufnahme - volume:21 |
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| Enthalten in: |
Health and quality of life outcomes - 21(2023), 1 vom: 10. Mai, Seite 42 |
| Sprache: |
Englisch |
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| Beteiligte Personen: |
Mesías-Gazmuri, Jocelyn [VerfasserIn] |
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| Links: |
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| Themen: |
HIV |
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| Anmerkungen: |
Date Completed 12.05.2023 Date Revised 30.05.2023 published: Electronic ErratumIn: Health Qual Life Outcomes. 2023 May 30;21(1):53. - PMID 37254155 Citation Status MEDLINE |
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| doi: |
10.1186/s12955-023-02120-2 |
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| funding: |
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| Förderinstitution / Projekttitel: |
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| PPN (Katalog-ID): |
NLM356682749 |
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| 100 | 1 | |a Mesías-Gazmuri, Jocelyn |e verfasserin |4 aut | |
| 245 | 1 | 0 | |a Syndemic conditions and quality of life in the PISCIS Cohort of people living with HIV in Catalonia and the Balearic Islands |b a cross sectional study |
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| 500 | |a published: Electronic | ||
| 500 | |a ErratumIn: Health Qual Life Outcomes. 2023 May 30;21(1):53. - PMID 37254155 | ||
| 500 | |a Citation Status MEDLINE | ||
| 520 | |a © 2023. The Author(s). | ||
| 520 | |a BACKGROUND: People living with HIV (PLWH) face structural and psychosocial factors that affect health-related quality of life (HRQoL). We aimed to evaluate how syndemic conditions affected HRQoL in PLWH | ||
| 520 | |a METHODS: A cross-sectional survey was conducted among 861 PLWH, to determine whether syndemic conditions (monthly income; sexual satisfaction; depressive symptoms; social role satisfaction; social isolation; cognitive function; nicotine dependence; perception of stigma) have an effect on HRQoL. A linear regression model and measures of Additive Interaction (AI) were used to determine the effects of syndemic conditions on HRQoL, controlling for other risk factors | ||
| 520 | |a RESULTS: Overall, the most frequently observed were stigma perception (56.9%), poor cognitive function (50.6%) and the perception of social isolation (51.6%). The presence of depressive symptoms was the risk factor most associated with worse Physical Health (PH) (B 3.93, 2.71-5.15) and Mental Health (MH) (B 5.08, 3.81-6.34) in linear regression model. Specifically, an interaction was observed between poor cognitive function and poor satisfaction with social role on worse PH and MH (AI 2.08, 0.14-4.02; AI 2.69, 0.15-5.22, respectively); and low income and perception of stigma (AI 2.98, 0.26-5.71), low income and perception of social isolation (AI 2.79, 0.27-5.32), and low income and poor satisfaction with social role (AI 3.45, 0.99-5.91) on MH | ||
| 520 | |a CONCLUSION: These findings provide evidence that syndemic factors impact HRQoL. HIV prevention programs should screen and address co-occurring health problems to improve patient-centered health care and outcomes | ||
| 650 | 4 | |a Journal Article | |
| 650 | 4 | |a HIV | |
| 650 | 4 | |a People living with HIV, health-related quality of life | |
| 650 | 4 | |a Syndemic | |
| 700 | 1 | |a Folch, Cinta |e verfasserin |4 aut | |
| 700 | 1 | |a Palacio-Vieira, Jorge |e verfasserin |4 aut | |
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| 700 | 1 | |a Egea-Cortés, Laia |e verfasserin |4 aut | |
| 700 | 1 | |a Forero, Carlos G |e verfasserin |4 aut | |
| 700 | 1 | |a Hernández, Juan |e verfasserin |4 aut | |
| 700 | 1 | |a Miró, José M |e verfasserin |4 aut | |
| 700 | 1 | |a Navarro, Jordi |e verfasserin |4 aut | |
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| 700 | 1 | |a Casabona, Jordi |e verfasserin |4 aut | |
| 700 | 1 | |a Reyes-Urueña, Juliana |e verfasserin |4 aut | |
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