Social Development & Health Promotion Research Center, Health Institute, Kermanshah University of Medical Sciences, Kermanshah, Iran.
Department of Medical Ethics, School of Medicine, Tehran University of Medical Sciences, Tehran, Iran.
Inquiry. 2023 Jan-Dec;60:469580221150567. doi: 10.1177/00469580221150567.
There is limited research on the role of lifestyle in people living with HIV (PLWH). This study investigated the health-promoting lifestyle among PLWH in Kermanshah-Iran. This cross-sectional study was conducted in 321 PLWH patients referred to the Kermanshah Behavioral Diseases counseling Center between 2017 and 2018. Patients were selected using the convenience sampling method. Data was collected using a standard health promotion lifestyle profile (HPLP-II) questionnaire. Regression and -tests were used in SPSS 21 and Stata software to analyze the data. The mean age of patients was 41.07 ± 9.14 years. The mean HPLP score of patients in stress management had the lowest mean score (19.44 ± 4.22), and health responsibility had the highest mean score (22.22 ± 4.57). Comparisons between women and men also showed that women had a lower mean score than men in stress management. In addition, significant differences in their HPLP were observed only in the area of physical activity. The final model had significant influence on the PLWH ( < .001), in which the main predictors were housing status, family members, and feelings of happiness. These variables had a negative effect on HPLP in PLWH's. An appropriate education and training has improved the PLWH health-oriented lifestyle. Given that the housing situation affected health responsibility, nutrition, spiritual growth, interpersonal relationships, and stress management, may have caused severe anxiety and confusion in PLWH. Addiction also had a negative effect on patients' spiritual growth. Relatively simple lifestyle changes such as nutrition and stress management can significantly improve PLWH.
针对艾滋病毒感染者(PLWH)生活方式作用的研究有限。本研究调查了伊朗克尔曼沙阿 PLWH 的健康促进生活方式。这项横断面研究于 2017 年至 2018 年期间在克尔曼沙阿行为疾病咨询中心对 321 名 PLWH 患者进行。采用便利抽样法选取患者。使用标准健康促进生活方式量表(HPLP-II)问卷收集数据。采用 SPSS 21 和 Stata 软件的回归和检验分析数据。患者的平均年龄为 41.07±9.14 岁。患者在压力管理方面的 HPLP 平均得分最低(19.44±4.22),健康责任的平均得分最高(22.22±4.57)。女性和男性之间的比较也表明,女性在压力管理方面的平均得分低于男性。此外,他们的 HPLP 仅在身体活动方面存在显著差异。最终模型对 PLWH 有显著影响(<0.001),其中主要预测因素是住房状况、家庭成员和幸福感。这些变量对 PLWH 的 HPLP 有负面影响。适当的教育和培训可以改善 PLWH 的健康导向生活方式。由于住房状况影响健康责任、营养、精神成长、人际关系和压力管理,可能会导致 PLWH 出现严重的焦虑和困惑。成瘾对患者的精神成长也有负面影响。相对简单的生活方式改变,如营养和压力管理,可以显著改善 PLWH。