Effect of Employment on Quality of Life and Psychological Functioning in Patients With HIV/AIDS

Blalock, Andrew C.; McDaniel, J. Stephen; Farber, Eugene W.

doi:10.1176/appi.psy.43.5.400

Cited by 118 publications

(95 citation statements)

References 16 publications

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“…In line with most studies reporting gender inequalities in QoL in this population (25), men reported higher scores in QoL compared to women across most dimensions, although in multivariate analysis gender was only associated with environmental health. Consistent with previous research (26,24), the present findings indicate that subjects with higher education have an enhanced QoL across all domains, compared to those who did not complete secondary education. A higher education and income have been associated to better coping strategies (24), which may explain the difference in scores.…”

Section: Discussionsupporting

confidence: 92%

Nutritional Status and Quality of Life in HIV-infected patients

2017

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Key words:HIV. Nutritional status. Quality of life. Palabras clave:VIH. Estado nutricional. Calidad de vida. ResumenIntroducción: el estado nutricional y la evolución del virus de inmunodefi ciencia humana (VIH) están interconectados. A pesar de que algunos estudios hayan visto el impacto del estado nutricional en la calidad de vida (CdV) en pacientes con enfermedades crónicas, pocos han estudiado sus efectos en pacientes infectados de VIH. Objetivo: investigar la relación entre el estado nutricional y la CdV en adultos recientemente diagnosticados de VIH. Métodos: cumplieron los criterios de inclusión los individuos diagnosticados de VIH en los 14 meses previos a una visita al hospital central de Lisboa. El estado nutricional fue evaluado por antropometría, análisis de la composición del cuerpo, y dieta, mientras que la CdV fue evaluada usando el cuestionario WHOQOL-HIV-BREF. También fueron considerados los datos sociodemográfi cos y clínicos. Resultados: fueron seleccionados 51 individuos, la mayoría de sexo masculino, caucásicos, empleados, solteros y en tratamiento antirretroviral de gran actividad (TARGA). Varias características sociodemográfi cas, como el nivel de educación, la edad, el sexo y el estado de salud actual, fueron importantes indicadores del nivel de CdV (p < 0,05). Se observaron niveles de CdV más bajos en individuos con dietas inadecuadas, pérdida de peso comprobada y elevado perímetro de cintura en análisis bivariado (p < 0,05). Las mismas variantes infl uenciaron negativamente la CdV tras haber ajustado los factores de confusión en análisis multivariado (p < 0,05). Conclusión: varios aspectos del estado nutricional infl uyeron en las variaciones observadas en la CdV, lo que sugiere que una intervención a nivel nutricional podría mejorar potencialmente la calidad de vida en esta población. AbstractIntroduction: Nutritional status and the progression of the human immunodefi ciency virus (HIV) are interlinked; though some studies have looked at the impact nutritional status has on quality of life (QoL) in patients with chronic diseases, few have studied this in HIV-infected individuals. Objective: To investigate the relationship between nutritional status and QoL in adults with a recent HIV diagnosis. Methods: Individuals with an HIV diagnosis performed in the fourteen months prior to a medical visit to one of Lisbon's central hospitals were eligible. Nutritional status was assessed by anthropometry, body composition analysis, and dietary intake. QoL was assessed using the WHOQOL-HIV-BREF questionnaire. Sociodemographic and clinical data were also considered. Results: Fifty-one subjects were eligible for enrolment; the majority were male, Caucasian, employed, single, and under highly active antiretroviral therapy (HAART). Lower QoL scores were observed in subjects with inadequate energy intakes, reported weight loss, and a high waist circumference in bivariate analysis (p < 0.05); the same variables infl uenced QoL negatively after adjusting for confounders in multivariate analysis (p < 0.05)...

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Section: Discussionsupporting

confidence: 92%

Nutritional Status and Quality of Life in HIV-infected patients

2017

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“…35 Unemployment has previously been associated with higher rates of depressive symptoms, lower quality of life, and higher levels of HIV RNA and lower CD4 cell counts, as was found in this study. 36,37 In the era prior to HAART, individuals were leaving work due to advanced AIDS, opportunistic infections, medication side effects, and shorter life expectancy. With the improvements in treatment, individuals have the opportunity to continue or return to work, which has been associated with better quality of life, less psychological distress, and increased socioeconomic status.…”

Section: Discussionmentioning

confidence: 99%

“…With the improvements in treatment, individuals have the opportunity to continue or return to work, which has been associated with better quality of life, less psychological distress, and increased socioeconomic status. [37][38][39][40] Yet, returning to work continues to be a challenge for individuals with HIV; these challenges include health insurance coverage, serostatus disclosure to coworkers and experienced stigma at work. 36 Therefore, the continued nature of overall psychological distress and stressors may perpetuate challenges with treatment and disease progression.…”

Section: Discussionmentioning

confidence: 99%

Routine Screening for Depression: Identifying a Challenge for Successful HIV Care

Shacham

Nurutdinova

Satyanarayana

et al. 2009

AIDS Patient Care and STDs

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Individuals with HIV experience fluctuating levels of distress throughout the course of HIV infection. This study was conducted to examine the associations of depressive symptomatology with HIV disease in a cohort of individuals who are engaged in routine medical care. This cross-sectional study examined the prevalence of depressive symptoms that were measured as part of a standard of care behavioral assessment among individuals at an urban HIV clinic in the Midwest. Demographic characteristics, depressive symptoms, and behavioral risk factors were collected. A total of 514 individuals participated in the study, the majority of whom was male and African American. One quarter of the sample endorsed symptoms of other depressive disorder, while 18% (n ¼ 91) endorsed symptoms of major depressive disorder as measured by the Patient Health Questionnaire-9 (PHQ-9). Among those on highly active antiretroviral therapy (HAART), individuals who were unemployed (adjusted odds ratio [AOR] ¼ 2.47, 95% confidence interval [CI] ¼ 1.54, 3.97), had a minor dependent (AOR ¼ 2.17, 95% CI ¼ 1.25, 3.77), or between the ages of 18 and 34 years (AOR ¼ 1.37, CI ¼ 1.03, 1.94) and detectable HIV viral load (AOR ¼ 2.52, 95% CI ¼ 1.22, 5.23) were more likely to report depressive disorder symptoms when controlling for age, gender, race, and education. Nearly 15% of the sample endorsed having suicidal thoughts at least once in the past two weeks. Regardless of HAART prescription, individuals who were unemployed had a higher likelihood of expressing suicidal ideation (AOR ¼ 3.43, 95% CI ¼ 1.66, 7.06). Given the association between depressive symptomatology and poor rates of HIV viral suppression, screening and appropriate interventions for depressive symptoms are warranted in the HIV outpatient setting to improve outcomes.

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“…These results from the study are consistent with the literature that link limited finances to PLWHA poor quality of life (Blalock, Mcdaniel & Farber, 2002;Ruedea et al, 2011). …”

Section: Other Challengessupporting

confidence: 92%

Stigma and resilience: Lived experiences of people with HIV in a northern community.

McLeish¹

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Effect of Employment on Quality of Life and Psychological Functioning in Patients With HIV/AIDS

Cited by 118 publications

References 16 publications

Nutritional Status and Quality of Life in HIV-infected patients

Nutritional Status and Quality of Life in HIV-infected patients

Routine Screening for Depression: Identifying a Challenge for Successful HIV Care

Stigma and resilience: Lived experiences of people with HIV in a northern community.

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