Heckman Timothy G
Department of Psychology, Ohio University and Medical College of Wisconsin, Athens 45701, USA.
Health Psychol. 2003 Mar;22(2):140-7. doi: 10.1037//0278-6133.22.2.140.
The chronic illness quality of life (CIQOL) model theorizes that life satisfaction in persons living with a chronic illness such as HIV disease is a function of illness-related discrimination, barriers to health care and social services, physical well-being, social support, and coping. The CIQOL model was evaluated using data from 275 persons living with HIV disease. Women reported less life satisfaction and confronted more barriers to health care and social services than men, and White participants reported higher perceptions of AIDS-related discrimination than non-White participants. The CIQOL model provided an excellent fit to study data (root-mean-square error of approximation = .03) and accounted for almost a third of the variance in life satisfaction scores. Barriers to health care and social services played a particularly prominent role in the model.
慢性病生活质量(CIQOL)模型提出理论,认为诸如感染艾滋病毒疾病等慢性病患者的生活满意度是与疾病相关的歧视、获得医疗保健和社会服务的障碍、身体健康、社会支持以及应对方式的函数。使用来自275名艾滋病毒感染者的数据对CIQOL模型进行了评估。女性报告的生活满意度低于男性,并且比男性面临更多获得医疗保健和社会服务的障碍,白人参与者报告的与艾滋病相关的歧视感高于非白人参与者。CIQOL模型与研究数据拟合度极佳(近似均方根误差 = 0.03),并解释了生活满意度得分中近三分之一的方差。在该模型中,获得医疗保健和社会服务的障碍发挥了特别突出的作用。