Syndemic conditions and quality of life in the PISCIS Cohort of people living with HIV in Catalonia and the Balearic Islands : a cross sectional study
Mesías-Gazmuri, Jocelyn (Universitat Autònoma de Barcelona. Departament de Pediatria, Obstetrícia i Ginecologia i de Medicina Preventiva i Salut Pública)
Folch, Cinta (Institut Germans Trias i Pujol)
Palacio Vieira, Jorge A. 1977- (Institut Germans Trias i Pujol)
Bruguera Riera, Andreu (Universitat Autònoma de Barcelona. Departament de Pediatria, Obstetrícia i Ginecologia i de Medicina Preventiva i Salut Pública)
Egea Cortés, Laia (Generalitat de Catalunya. Departament de Salut)
Forero, Carlos G. (Universitat Internacional de Catalunya. Departament de Medicina)
Hernández, Juan (Grupo de Trabajo Sobre Tratamientos del VIH (Barcelona, Catalunya))
Miró, José M. (Universitat de Barcelona)
Navarro, Jordi (Hospital Universitari Vall d'Hebron. Institut de Recerca)
Riera, Melchor (Hospital Universitari Son Espases (Palma de Mallorca, Balears))
Peraire, Joaquim (Universitat Rovira i Virgili)
Alonso García, Lucía (Universitat Internacional de Catalunya. Departament de Medicina)
Díaz, Yesika (Institut Germans Trias i Pujol)
Casabona-Barbarà, Jordi (Universitat Autònoma de Barcelona. Departament de Pediatria, d'Obstetrícia i Ginecologia i de Medicina Preventiva)
Reyes-Urueña, Juliana (Institut Germans Trias i Pujol)

Date:	2023
Abstract:	People living with HIV (PLWH) face structural and psychosocial factors that affect health-related quality of life (HRQoL). We aimed to evaluate how syndemic conditions affected HRQoL in PLWH. A cross-sectional survey was conducted among 861 PLWH, to determine whether syndemic conditions (monthly income; sexual satisfaction; depressive symptoms; social role satisfaction; social isolation; cognitive function; nicotine dependence; perception of stigma) have an effect on HRQoL. A linear regression model and measures of Additive Interaction (AI) were used to determine the effects of syndemic conditions on HRQoL, controlling for other risk factors. Overall, the most frequently observed were stigma perception (56. 9%), poor cognitive function (50. 6%) and the perception of social isolation (51. 6%). The presence of depressive symptoms was the risk factor most associated with worse Physical Health (PH) (B 3. 93, 2. 71-5. 15) and Mental Health (MH) (B 5. 08, 3. 81-6. 34) in linear regression model. Specifically, an interaction was observed between poor cognitive function and poor satisfaction with social role on worse PH and MH (AI 2. 08, 0. 14-4. 02; AI 2. 69, 0. 15-5. 22, respectively); and low income and perception of stigma (AI 2. 98, 0. 26-5. 71), low income and perception of social isolation (AI 2. 79, 0. 27-5. 32), and low income and poor satisfaction with social role (AI 3. 45, 0. 99-5. 91) on MH. These findings provide evidence that syndemic factors impact HRQoL. HIV prevention programs should screen and address co-occurring health problems to improve patient-centered health care and outcomes.
Rights:	Aquest document està subjecte a una llicència d'ús Creative Commons. Es permet la reproducció total o parcial, la distribució, la comunicació pública de l'obra i la creació d'obres derivades, fins i tot amb finalitats comercials, sempre i quan es reconegui l'autoria de l'obra original.
Language:	Anglès
Document:	Article ; recerca ; Versió publicada
Subject:	People living with HIV, health-related quality of life ; HIV ; Syndemic
Published in:	Health and quality of life outcomes, Vol. 21 (may 2023) , ISSN 1477-7525
Related work:	Mesías-Gazmuri, J., Folch, C., Palacio-Vieira, J. et al. Correction: Syndemic conditions and quality of life in the PISCIS Cohort of people living with HIV in Catalonia and the Balearic Islands: a cross sectional study. Health Qual Life Outcomes 21, 53 (2023) https://doi.org/10.1186/s12955-023-02139-5

Correcció: https://ddd.uab.cat/record/294838
DOI: 10.1186/s12955-023-02120-2
PMID: 37165368

14 p, 1.1 MB

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Research literature > UAB research groups literature > Research Centres and Groups (research output) > Health sciences and biosciences > Institut d'Investigació en Ciencies de la Salut Germans Trias i Pujol (IGTP)
Articles > Research articles
Articles > Published articles