Factors Influencing Quality of Life Among People Living With HIV (PLWH) in Suphanburi Province, Thailand

Khumsaen, Natawan; Aoup-por, Wasana; Thammachak, Patcharaporn

doi:10.1016/j.jana.2011.01.003

Cited by 28 publications

(30 citation statements)

References 22 publications

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“…Similar to the previous studies [12–14], participants with higher education levels (BS or higher) reported better QoL in physical, social, and environmental domains. The contribution of education is particularly prominent in the environmental domain.…”

Section: Discussionsupporting

confidence: 83%

“…Compared with noninfected individuals, PLWHA in all disease stages demonstrated a poor QoL in all aspects, especially in psychological and social aspects [3–5]. In literature, the poorer QoL of PLWHA was associated with the more severe disease condition, lower CD4 + T cells count, longer treatment time, poor mental health, no family support, being older, being female, and lower educational and economic levels, although it varied in degree by individual cultural contexts and available medical care in different countries [6–14].…”

Section: Introductionmentioning

confidence: 99%

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Stress, needs, and quality of life of people living with human immunodeficiency virus/AIDS in Taiwan

Feng

et al. 2015

The Kaohsiung J of Med Scie

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Human immunodeficiency virus (HIV)/AIDS is a manageable infectious disease by the effectiveness of highly active antiretroviral therapy. AIDS-related stigma and conflict may create distress and deteriorate quality of life (QoL) of people living with HIV/AIDS (PLWHA). This cross-sectional, descriptive, correlational study using structural questionnaires aimed to explore the stress, needs, QoL, and associated factors of PLWHA in Taiwan. A total of 200 PLWHA participating in this study needed most on treatment of HIV and prevention of AIDS, and health maintenance. They had worse QoL in physical, psychological, and social domains (all p < 0.001) than the general population. Stress was the most significant predictor (β = -0.25 to -0.54, p < 0.01) for all four domains of QoL. Needs was not significantly associated with QoL. The QoL of PLWHA can be explained by demographics, self-perception on health, needs, and stress for 25.3-40.7% of variances. No association existed between CD4(+) counts and QoL in Taiwanese PLWHA. It is important to recognize the perception of PLWHA on their health status, which is significantly associated with their QoL, besides monitoring their physical indicators of health (CD4(+) counts). To recognize the stress and needs that PLWHA experience and to develop intervention programs targeting strategies on HIV disclosure, prevention and health maintenance are crucial for PLWHA's QoL.

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Section: Discussionsupporting

confidence: 83%

Section: Introductionmentioning

confidence: 99%

Stress, needs, and quality of life of people living with human immunodeficiency virus/AIDS in Taiwan

Feng

et al. 2015

The Kaohsiung J of Med Scie

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“…This indicates the need for improved hepatitis management for PLHIV on ART. Patients who have higher education levels will achieve better QOL [10], possibly as they are more integrated in society and may have a better social network of family and friends. It is difficult to explain why those who witnessed the death of a family member due to HIV had better QOL improvement.…”

Section: Discussionmentioning

confidence: 99%

“…Whereas it is well documented that ART improves not only clinical outcomes but also QOL within the first year [4,5], conclusions on what other factors (besides the ART itself) can contribute to a higher QOL are diverse [6,7]. Several factors have been identified as contributing to better QOL among PLHIV, including social support [8,9], spiritual well-being [9], education level [10,11], not being an injecting drug user [12,13] and having good adherence to ART [14,15]. Meanwhile, other factors such as HIV-related stigma [16-18], non-disclosure of one’s HIV status have been reported to negatively affect QOL [19].…”

Section: Introductionmentioning

confidence: 99%

Peer support and improved quality of life among persons living with HIV on antiretroviral treatment: A randomised controlled trial from north-eastern Vietnam

Tam

Larsson

Pharris

et al. 2012

Health Qual Life Outcomes

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BackgroundAmong people living with HIV (PLHIV) on antiretroviral therapy (ART), it is important to determine how quality of life (QOL) may be improved and HIV-related stigma can be lessened over time. This study assessed the effect of peer support on QOL and internal stigma during the first year after initiating ART among a cohort of PLHIV in north-eastern Vietnam.MethodsA sub-sample study of a randomised controlled trial was implemented between October 2008 and November 2010 in Quang Ninh, Vietnam. In the intervention group, participants (n = 119) received adherence support from trained peer supporters who visited participants’ houses biweekly during the first two months, thereafter weekly. In the control group, participants (n = 109) were treated according to standard guidelines, including adherence counselling, monthly health check and drug refills. Basic demographics were measured at baseline. QOL and internal stigma were measured using a Vietnamese version of the WHOQOL-HIVBREF and Internal AIDS-related Stigma Scale instruments at baseline and 12 months. T-tests were used to detect the differences between mean values, multilevel linear regressions to determine factors influencing QOL.ResultsOverall, QOL improved significantly in the intervention group compared to the control group. Among participants initiating ART at clinical stages 3 and 4, education at high school level or above and having experiences of a family member dying from HIV were also associated with higher reported QOL. Among participants at clinical stage 1 and 2, there was no significant effect of peer support, whereas having children was associated with an increased QOL. Viral hepatitis was associated with a decreased QOL in both groups. Lower perceived stigma correlated significantly but weakly with improved QOL, however, there was no significant relation to peer support.ConclusionThe peer support intervention improved QOL after 12 months among ART patients presenting at clinical stages 3 and 4 at baseline, but it had no impact on QOL among ART patients enrolled at clinical stages 1 and 2. The intervention did not have an effect on Internal AIDS-related stigma. To improve QOL for PLHIV on ART, measures to support adherence should be contextualized in accordance with individual clinical and social needs.

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“…Increasing social support increases the quality of life of HIV/AIDS persons [12]. Social support is significant predictor of quality of life [13]. It is significantly associated with better quality of life, minimizes the depressive symptoms among HIV/AIDS patients [14].…”

Section: Introductionmentioning

confidence: 99%

Impact of Social Support on Quality of Life among AIDS Patients in Kashmir Province of Jammu and Kashmir, India

Wani¹,

Sankar²

2017

J AIDS Clin Res

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Factors Influencing Quality of Life Among People Living With HIV (PLWH) in Suphanburi Province, Thailand

Cited by 28 publications

References 22 publications

Stress, needs, and quality of life of people living with human immunodeficiency virus/AIDS in Taiwan

Stress, needs, and quality of life of people living with human immunodeficiency virus/AIDS in Taiwan

Peer support and improved quality of life among persons living with HIV on antiretroviral treatment: A randomised controlled trial from north-eastern Vietnam

Impact of Social Support on Quality of Life among AIDS Patients in Kashmir Province of Jammu and Kashmir, India

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