Nobre Nuno, Pereira Marco, Roine Risto P, Sintonen Harri, Sutinen Jussi
a Department of Public Health, Faculty of Medicine , University of Helsinki , Helsinki , Finland.
b Faculty of Psychology and Educational Sciences , University of Coimbra , Coimbra , Portugal.
AIDS Care. 2017 Aug;29(8):1074-1078. doi: 10.1080/09540121.2017.1281879. Epub 2017 Jan 23.
In recent years, the concept of quality of life (QoL) has received significant attention in the HIV/AIDS literature. In Finland, however, the factors associated with the QoL of people living with HIV/AIDS (PLWHA) still remain unknown. The aim of this study was to identify the sociodemographic and HIV-related factors associated with the different domains of QoL of PLWHA in Finland. The sample of this cross-sectional study consisted of 453 HIV-infected patients (Mean age = 46.5 years; 76.5% male) followed at the Infectious Disease Clinic of Helsinki University Hospital. Participants completed a self-reported questionnaire covering sociodemographic and HIV-related information, and the Finnish version of the WHOQOL-HIV-Bref questionnaire. Participants reported rather high scores in the six QoL domains, which ranged between 68.48 (Social relationships) and 78.05 (Environment) on a 0-100 scale. Multiple regression analyses revealed that male gender, being married or living in a partnered relationship, being employed, having fewer financial concerns, and not having depression and other medical comorbidities were the main factors positively and consistently associated with higher scores in the different domains of the QoL. HIV-related variables were not significantly associated with QoL ratings. Sociodemographic factors were independently associated with the QoL of PLWHA in Finland. Psychosocial support should reflect these factors in order to improve the health status and well-being of PLWHA.
近年来,生活质量(QoL)的概念在艾滋病毒/艾滋病文献中受到了广泛关注。然而,在芬兰,与艾滋病毒/艾滋病感染者(PLWHA)生活质量相关的因素仍然不明。本研究的目的是确定与芬兰PLWHA生活质量不同领域相关的社会人口统计学和艾滋病毒相关因素。这项横断面研究的样本包括在赫尔辛基大学医院传染病诊所接受随访的453名艾滋病毒感染患者(平均年龄 = 46.5岁;76.5%为男性)。参与者完成了一份自我报告问卷,内容涵盖社会人口统计学和艾滋病毒相关信息,以及芬兰版的WHOQOL-HIV-Bref问卷。参与者在六个生活质量领域的得分相当高,在0-100分的量表上,得分在68.48(社会关系)至78.05(环境)之间。多元回归分析显示,男性、已婚或处于伴侣关系、就业、经济担忧较少、没有抑郁症和其他合并症是与生活质量不同领域得分较高呈正相关且一致的主要因素。与艾滋病毒相关的变量与生活质量评分没有显著关联。社会人口统计学因素与芬兰PLWHA的生活质量独立相关。心理社会支持应反映这些因素,以改善PLWHA的健康状况和福祉。