Carter Allison, Loutfy Mona, de Pokomandy Alexandra, Colley Guillaume, Zhang Wendy, Sereda Paul, O'Brien Nadia, Proulx-Boucher Karène, Nicholson Valerie, Beaver Kerrigan, Kaida Angela
a Faculty of Health Sciences , Simon Fraser University , Burnaby , British Columbia , Canada.
b BC Centre for Excellence in HIV/AIDS , Vancouver , British Columbia , Canada.
Women Health. 2018 May-Jun;58(5):498-518. doi: 10.1080/03630242.2017.1316346. Epub 2017 Apr 28.
We measured health-related quality of life (HRQOL) using the SF-12 among women living with HIV (WLWH) in Canada between August 2013 and May 2015. We investigated differences by perceived receipt of women-centered HIV care (WCHC), assessed using an evidence-based definition with a 5-point Likert item: "Overall, I think that the care I have received from my HIV clinic in the last year has been women-centered" (dichotomized into agree vs. disagree/neutral). Of 1308 participants, 26.3 percent were from British Columbia, 48.2 percent from Ontario, and 25.5 percent from Québec. The median age was 43 years (interquartile range = 36-51). Most (42.2 percent) were White, 29.4 percent African/Caribbean/Black, and 21.0 percent Indigenous. Overall, 53.4 percent perceived having received WCHC. Mean physical and mental HRQOL scores were 43.8 (standard deviation [SD] = 14.4) and 41.7 (SD = 14.2), respectively. Women perceiving having received WCHC had higher mean physical (44.7; SD = 14.0) and mental (43.7; SD = 14.1) HRQOL scores than those not perceiving having received WCHC (42.9; SD = 14.8 and 39.5; SD = 14.0, respectively; p < .001). In multivariable linear regression, perceived WCHC was associated with higher mental (β = 3.48; 95 percent confidence interval: 1.90, 5.06) but not physical HRQOL. Improving HRQOL among Canadian WLWH, which was lower than general population estimates, is needed, including examining the potential of WCHC as an effective model of clinical care.
2013年8月至2015年5月期间，我们在加拿大对感染艾滋病毒的女性（WLWH）使用SF-12量表测量了健康相关生活质量（HRQOL）。我们通过感知是否接受以女性为中心的艾滋病毒护理（WCHC）来调查差异，使用基于证据的定义和一个5点李克特量表项目进行评估：“总体而言，我认为我去年从艾滋病毒诊所接受的护理是以女性为中心的”（分为同意与不同意/中立）。在1308名参与者中，26.3%来自不列颠哥伦比亚省，48.2%来自安大略省，25.5%来自魁北克省。年龄中位数为43岁（四分位间距=36-51）。大多数（42.2%）为白人，29.4%为非洲/加勒比/黑人，21.0%为原住民。总体而言，53.4%的人认为接受了WCHC。身体和精神HRQOL的平均得分分别为43.8（标准差[SD]=14.4）和41.7（SD=14.2）。认为接受了WCHC的女性的身体（44.7；SD=14.0）和精神（43.7；SD=14.1）HRQOL平均得分高于那些认为未接受WCHC的女性（分别为42.9；SD=14.8和39.5；SD=14.0；p<0.001）。在多变量线性回归中，感知到的WCHC与较高的精神（β=3.48；95%置信区间：1.90，5.06）而非身体HRQOL相关。需要提高加拿大WLWH的HRQOL（其低于一般人群估计值），包括研究WCHC作为一种有效临床护理模式的潜力。
