Faraji Azam, Namazi Niloofar, Doryanizadeh Leila, Raeisi Shahraki Hadi
Department of Obstetrics and Gynecology, School of Medicine, Shiraz University of Medical Sciences, Shiraz, Iran.
Maternal-Fetal Medicine Research Center, Shiraz University of Medical Sciences, Shiraz, Iran.
Int J Community Based Nurs Midwifery. 2021 Jul;9(3):251-264. doi: 10.30476/ijcbnm.2021.87420.1430.
Quality of life (QOL) and marital contentment, especially marital satisfaction, are important aspects of life. These items are more important in couples involved in HIV due to the present social stigma among this population considering women more vulnerable. The aim of this study was to determine the QOL and marital contentment status among seroconcordant and serodiscordant HIV couples compared to non-HIV ones.
In this cross-sectional study, 66 serodiscordant, 74 seroconcordant, and 70 non-HIV couples who referred to Lavan High-risk Behavior Counseling Center, Shiraz during September 2017 and December 2019 were studied. QOL and marital contentment were assessed by World Health Organization Quality of Life-BRIEF (WHOQOL BREF) and ENRICH questionnaire, respectively. Chi-square test for qualitative variables, independent T-test and ANOVA followed by LSD post hoc test for quantitative variables were performed. All statistical analyses were performed using SPSS 19.0, and P<0.05 was set as the significant level.
The score of QOL questionnaire was significantly higher in non-HIV couples than serodiscordant and seroconcordant groups (P<0.001). There was no significant difference among seroconcordant and serodiscordant groups (P=0.99), and infected males vs. females (P=0.13). Non-HIV couples had significantly higher marital contentment in comparison to serodiscordant and seroconcordant groups (P<0.001). No difference was detected among seroconcordant and serodiscordant groups (P=0.81) although more contentment was observed among the males (P=0.01).
Our study revealed that QOL and marital contentment were different among non-HIV and HIV infected couples. Besides, marital contentment was higher among males than female's in infected patients.
生活质量（QOL）和婚姻满意度，尤其是婚姻幸福感，是生活的重要方面。由于目前这一人群中存在社会耻辱感，且女性更为脆弱，这些方面在感染艾滋病毒的夫妇中更为重要。本研究的目的是确定与未感染艾滋病毒的夫妇相比，血清学一致和血清学不一致的艾滋病毒夫妇的生活质量和婚姻满意度状况。
在这项横断面研究中，对2017年9月至2019年12月期间转诊至设拉子拉万高危行为咨询中心的66对血清学不一致、74对血清学一致和70对未感染艾滋病毒的夫妇进行了研究。生活质量和婚姻满意度分别通过世界卫生组织生活质量简表（WHOQOL BREF）和ENRICH问卷进行评估。对定性变量进行卡方检验，对定量变量进行独立T检验和方差分析，随后进行LSD事后检验。所有统计分析均使用SPSS 19.0进行，以P<0.05为显著性水平。
未感染艾滋病毒的夫妇的生活质量问卷得分显著高于血清学不一致和血清学一致的组（P<0.001）。血清学一致和血清学不一致的组之间（P=0.99）以及感染男性与女性之间（P=0.13）没有显著差异。与血清学不一致和血清学一致的组相比，未感染艾滋病毒的夫妇的婚姻满意度显著更高（P<0.001）。血清学一致和血清学不一致的组之间未检测到差异（P=0.81），尽管男性的满意度更高（P=0.01）。
我们的研究表明，未感染艾滋病毒和感染艾滋病毒的夫妇在生活质量和婚姻满意度方面存在差异。此外，感染患者中男性的婚姻满意度高于女性。
