The Relationship between Life Satisfaction and Quality of Life among People Living with HIV/AIDS in Kermanshah‐West of Iran

Khademi, Nahid; Saeidi, Shahram; Zangeneh, Alireza; Saeidi, Fareba; Choobtashani, Maryam

doi:10.1111/hsc.13034

Cited by 9 publications

(6 citation statements)

References 25 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…One plausible explanation is the WHO's continued effort in improving HIV programs in low‐to‐middle income countries that have a disproportionately high prevalence of HIV [ 19 ]. While the WHOQOL‐HIV is known to be sensitive to CD4 count and disease stage, it has been shown to adequately address HIV‐specific health concerns [ 20 , 21 , 22 , 23 , 24 ]. Another HIV‐specific instrument, the MOS‐HIV, was predominantly being used in low‐income countries (38.1%).…”

Section: Resultsmentioning

confidence: 99%

Use of quality‐of‐life instruments for people living with HIV: a global systematic review and meta‐analysis

Zhang

Peasgood

et al. 2022

J Int AIDS Soc.

View full text Add to dashboard Cite

Introduction Due to the effectiveness of combined antiretroviral therapy and its growing availability worldwide, most people living with HIV (PLHIV) have a near‐normal life expectancy. However, PLHIV continue to face various health and social challenges that severely impact their health‐related quality‐of‐life (HRQoL). The UNAIDS Global AIDS Strategy discusses the need to optimize quality‐of‐life, but no guidance was given regarding which instruments were appropriate measures of HRQoL. This study aimed to review and assess the use of HRQoL instruments for PLHIV. Methods We conducted a global systematic review and meta‐analysis, searching five databases for studies published between January 2010 and February 2021 that assessed HRQoL among PLHIV aged 16 years and over. Multivariable regression analyses were performed to identify factors associated with the choice of HRQoL instruments. We examined the domains covered by each instrument. Random‐effects meta‐analysis was conducted to explore the average completion rates of HRQoL instruments. Results and discussion From 714 publications, we identified 65 different HRQoL instruments. The most commonly used instruments were the World Health Organization Quality‐of‐Life‐ HIV Bref (WHOQOL‐HIV BREF)—19%, Medical Outcome Survey‐HIV (MOS‐HIV)—17%, Short Form‐36 (SF‐36)—12%, European Quality‐of‐Life Instrument‐5 Dimension (EQ‐5D)—10%, World Health Organization Quality‐of‐Life Bref (WHOQOL BREF)—8%, Short Form‐12 (SF‐12)—7% and HIV/AIDS Targeted Quality‐of‐Life (HAT‐QOL)—6%. There were greater odds of using HIV‐specific instruments for middle‐ and low‐income countries (than high‐income countries), studies in the Americas and Europe (than Africa) and target population of PLHIV only (than both PLHIV and people without HIV). Domains unique to the HIV‐specific instruments were worries about death, stigma and HIV disclosure. There were no significant differences in completion rates between different HRQoL instruments. The overall pooled completion rate was 95.9% (95% CI: 94.7−97.0, I 2 = 99.2%, p < 0.01); some heterogeneity was explained by country‐income level and study type. Conclusions A wide range of instruments have been used to assess HRQoL in PLHIV, and the choice of instrument might be based on their different characteristics and reason for application. Although completion rates were high, future studies should explore the feasibility of implementing these instruments and the appropriateness of domains covered by each instrument.

show abstract

Section: Resultsmentioning

confidence: 99%

Use of quality‐of‐life instruments for people living with HIV: a global systematic review and meta‐analysis

Zhang

Peasgood

et al. 2022

J Int AIDS Soc.

View full text Add to dashboard Cite

show abstract

“…However, the increasing number of people living with HIV/AIDS should be a warning sign for the public sector, which already cover the costs of HIV/AIDS treatments in Iran. To the best of our knowledge, there is little research investigating willingness to pay for HIV/AIDS-related services [23][24][25][26]. This study examined people willing to pay for a hypothetical HIV/AIDS insurance in Tehran and its related factors.…”

Section: Discussionmentioning

confidence: 99%

Willingness to pay for a hypothetical HIV/AIDS insurance in Iran

Paykani,

Basakha,

Sajjadi

et al. 2024

HIV & AIDS Review

View full text Add to dashboard Cite

Introduction:In contrast to regional trend, human immunodeficiency virus (HIV) continues to be a serious health concern in Iran. Access to antiretroviral therapy is free in the country, and can result in a heavy economic burden for public sector in the near future. The purpose of this study was to investigate the willingness to pay for hypothetical HIV/acquired immunodeficiency syndrome (AIDS) insurance in people living in Tehran. Material and methods:A cross-sectional survey was conducted among 400 participants, aged over 23 years in 2018. The survey was conducted using multi-stage cluster sampling, and included questions on socio-demographics, exposure to HIV risk, and willingness to pay for a hypothetical insurance scheme. Results:The majority of participants expressed a willingness to pay for hypothetical insurance coverage within the 3-6 million IRR range, with the largest group (20.1%) willing to pay between 1-2 million IRR ($US 66-133). Fewer than half of the participants (45.3%) were willing to pay for insurance coverage, with significant variations observed among socio-demographic subgroups. The primary reason cited by participants for declining to purchase insurance was their perception of the low risk of HIV infection. After investigating socio-demographic factors, exposure to HIV risk was associated with a 9.1% higher odds of WTP (OR = 0.913; 95% CI: 816-0.968%, p < 0.01).Conclusions: This analysis provided initial estimations of willingness to pay for HIV/AIDS insurance in Iran. The findings can provide evidences, which can contribute to planning for a sustainable delivery of HIV treatment.

show abstract

“…Marriage or companionship is an essential source of social support. Social support is an essential buffer to stressful life events; it positively impacts an individual’s physical and mental well-being, performance, creativity and competence and brings resilience when confronting stressful situations [ 36 – 38 ]. For example, an Ethiopian systematic review showed that PLHIV with good social support were four times more likely to report higher HRQoL when compared to those without (AOR = 4.01, 95% CI 3.07–5.23) [ 39 ].…”

Section: Discussionmentioning

confidence: 99%

Evaluation of the health-related quality of life and associated factors in Zimbabwean adults living with HIV: a cross-sectional study

Tigirigi,

Sithole,

Chakara

et al. 2023

BMC Res Notes

View full text Add to dashboard Cite

Objective HIV remains a global burden, with the Sub-Saharan Africa (SSA) region reporting the largest number of people living with HIV/AIDS (PLHIV). An exponential improvement in the accessibility and uptake of antiretroviral treatment across SSA has significantly improved outcomes for PLHIV. Hence, HIV care goals have shifted from reducing mortality and morbidity to improving health-related quality of life (HRQoL). This study uses generic and condition-specific HRQoL outcomes to holistically determine the HRQoL of Zimbabwean adult PLHIV and associated factors. HRQoL is a dynamic subject construct that warrants continuous evaluation to provide meaningful feedback to various stakeholders. We enrolled 536 adult PLHIV in Zimbabwe. Collected data were analyzed through descriptive statistics and multivariate binary logistic regression. Results Our study shows a high HRQoL perception by Zimbabwean PLHIV. Anxiety, depression, and poor environmental health were widely reported domains influencing HRQoL. Also, being aware of HIV status for over a year, not experiencing an adverse event, being married, having adequate finances and food security and having higher educational status were associated with higher HRQoL. It is essential to integrate mental health care into routine HIV care to improve treatment outcomes and HRQoL. Last, implementing bespoke multisectoral HRQoL-enhancement interventions is paramount.

show abstract

The Relationship between Life Satisfaction and Quality of Life among People Living with HIV/AIDS in Kermanshah‐West of Iran

Cited by 9 publications

References 25 publications

Use of quality‐of‐life instruments for people living with HIV: a global systematic review and meta‐analysis

Use of quality‐of‐life instruments for people living with HIV: a global systematic review and meta‐analysis

Willingness to pay for a hypothetical HIV/AIDS insurance in Iran

Evaluation of the health-related quality of life and associated factors in Zimbabwean adults living with HIV: a cross-sectional study

Contact Info

Product

Resources

About