Abboud Sarah, Noureddine Samar, Huijer Huda Abu-Saad, DeJong Jocelyn, Mokhbat Jacques
American University of Beirut, Lebanon.
AIDS Care. 2010 Jun;22(6):687-96. doi: 10.1080/09540120903334658.
The aim of the study was to determine the impact of HIV/AIDS on the quality of life (QoL) in Lebanese adult patients living with HIV/AIDS. The study design was a cross-sectional descriptive survey, using self-administered questionnaires. A convenience sample of 41 Lebanese adults (aged 18 years and above) living with HIV/AIDS was recruited from outpatient departments at two major medical centers in Lebanon. The instruments included the Multidimensional Quality of Life HIV (MQoL-HIV), the HIV Symptom Index and a stigma scale, and a demographic section. The majority of the sample were male and single. The mean age was 38 years (SD=9.93). The mean MQoL-HIV score was 176.85, with the highest scores for the cognitive functioning, social functioning, and medical care; the lowest domain scores were for financial status, sexual functioning, and mental health. A single item measuring overall QoL was rated by 47.5% as neither poor nor good. Mean stigma score was 2.05 (SD=0.62) and mean HIV Symptom Index score was 0.6. Prevalence of symptoms and perceived stigma were negative predictors of QoL, being married was a positive predictor of QoL. The results of this study, which is the first to look at the QoL in people living with HIV/AIDS in Lebanon and the Middle East and North Africa region, showed that these mostly asymptomatic well-functioning individuals reported a fair level of QoL. The strongest determinants of QoL revolved around psychosocial aspects of life, namely social relationships, mental health, and medical care.
该研究的目的是确定艾滋病毒/艾滋病对黎巴嫩成年艾滋病毒/艾滋病患者生活质量（QoL）的影响。研究设计为横断面描述性调查，采用自填式问卷。从黎巴嫩两个主要医疗中心的门诊部招募了41名黎巴嫩成年艾滋病毒/艾滋病患者（年龄在18岁及以上）作为便利样本。所使用的工具包括多维艾滋病毒生活质量量表（MQoL-HIV）、艾滋病毒症状指数和耻辱感量表，以及一个人口统计学部分。样本中的大多数为男性且未婚。平均年龄为38岁（标准差=9.93）。MQoL-HIV的平均得分是176.85，认知功能、社会功能和医疗护理方面得分最高；得分最低的领域是财务状况、性功能和心理健康。一项衡量总体生活质量的单项指标中，47.5%的人将其评为既不差也不好。耻辱感平均得分是2.05（标准差=0.62），艾滋病毒症状指数平均得分是0.6。症状的患病率和感知到的耻辱感是生活质量的负向预测因素，已婚是生活质量的正向预测因素。这项研究是首次针对黎巴嫩以及中东和北非地区艾滋病毒/艾滋病患者的生活质量进行调查，其结果表明，这些大多无症状且功能良好的个体报告的生活质量处于中等水平。生活质量的最强决定因素围绕生活的心理社会方面，即社会关系、心理健康和医疗护理。
