Gruszczyńska Ewa, Rzeszutek Marcin
Faculty of Psychology, SWPS University of Social Sciences and Humanities, Warsaw, Poland.
Faculty of Psychology, University of Warsaw, Warsaw, Poland.
Front Psychol. 2019 Jul 23;10:1664. doi: 10.3389/fpsyg.2019.01664. eCollection 2019.
The study examined the trajectories of health-related quality of life (HRQoL) and perceived social support (PSS) among people living with HIV (PLWH), with a special focus on gender differences. The participants included 252 PLWH (18% female) undergoing antiretroviral therapy. HRQoL (WHO Quality of Life-BREF; WHOQOL Group, 1998) and PSS (Berlin Social Support Scales; Schulz and Schwarzer, 2003) were measured three times at six-month intervals. Using a univariate approach, three trajectories of HRQoL and four trajectories of PSS were identified. Gender and relationship status were significant covariates for PSS only, with overrepresentation of single women in the increasing trajectory. The dual trajectory approach revealed a match in the decrease of HRQoL and PSS, but only for 31% of the sample. In fact, decreasing PSS co-occurred with increasing as well as stable HRQoL. There was no significant gender effect in this regard. Although a clear correspondence for decreasing trajectories exists, the findings also highlight a discrepancy between HRQoL and PSS changes that are unrelated to gender.
该研究调查了艾滋病毒感染者（PLWH）的健康相关生活质量（HRQoL）轨迹和感知社会支持（PSS），特别关注性别差异。参与者包括252名正在接受抗逆转录病毒治疗的PLWH（18%为女性）。采用世界卫生组织生活质量简表（WHOQoL简表；世界卫生组织生活质量研究组，1998年）和柏林社会支持量表（Schulz和Schwarzer，2003年），每隔六个月测量一次，共测量三次。采用单变量方法，确定了HRQoL的三种轨迹和PSS的四种轨迹。性别和恋爱状况仅是PSS的显著协变量，单身女性在上升轨迹中占比过高。双轨迹方法显示HRQoL和PSS的下降存在匹配，但仅适用于31%的样本。事实上，PSS下降与HRQoL上升以及稳定同时出现。在这方面没有显著的性别效应。虽然下降轨迹存在明显对应关系，但研究结果也凸显了HRQoL和PSS变化之间与性别无关的差异。
