The role of personality, social economic and prevention strategy effects on health-related quality of life among people living with HIV/AIDS
Abstract Background HIV/AIDS has transformed into a chronic controllable but not yet curable infectious disease as other chronic diseases to some extent. The additional of so called fourth 90% that included the improved health-related quality of life (HRQoL) for people living with HIV (PLWHIV) requi...
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2021-08-01
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Series: | Infectious Diseases of Poverty |
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Online Access: | https://doi.org/10.1186/s40249-021-00890-9 |
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Article |
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DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
Xiaowen Wang Hongbing Luo Enlong Yao Renhai Tang Wenbin Dong Fuyong Liu Jun Liang Huilan Li Minyang Xiao Zuyang Zhang Jin Niu Lijun Song Liru Fu Xuehua Li Shicong Qian Qing Guo Zhizhong Song |
spellingShingle |
Xiaowen Wang Hongbing Luo Enlong Yao Renhai Tang Wenbin Dong Fuyong Liu Jun Liang Huilan Li Minyang Xiao Zuyang Zhang Jin Niu Lijun Song Liru Fu Xuehua Li Shicong Qian Qing Guo Zhizhong Song The role of personality, social economic and prevention strategy effects on health-related quality of life among people living with HIV/AIDS Infectious Diseases of Poverty Health-related quality of life HIV/AIDS Multi-level model Personality factor Social economic Prevention strategy |
author_facet |
Xiaowen Wang Hongbing Luo Enlong Yao Renhai Tang Wenbin Dong Fuyong Liu Jun Liang Huilan Li Minyang Xiao Zuyang Zhang Jin Niu Lijun Song Liru Fu Xuehua Li Shicong Qian Qing Guo Zhizhong Song |
author_sort |
Xiaowen Wang |
title |
The role of personality, social economic and prevention strategy effects on health-related quality of life among people living with HIV/AIDS |
title_short |
The role of personality, social economic and prevention strategy effects on health-related quality of life among people living with HIV/AIDS |
title_full |
The role of personality, social economic and prevention strategy effects on health-related quality of life among people living with HIV/AIDS |
title_fullStr |
The role of personality, social economic and prevention strategy effects on health-related quality of life among people living with HIV/AIDS |
title_full_unstemmed |
The role of personality, social economic and prevention strategy effects on health-related quality of life among people living with HIV/AIDS |
title_sort |
role of personality, social economic and prevention strategy effects on health-related quality of life among people living with hiv/aids |
publisher |
BMC |
series |
Infectious Diseases of Poverty |
issn |
2049-9957 |
publishDate |
2021-08-01 |
description |
Abstract Background HIV/AIDS has transformed into a chronic controllable but not yet curable infectious disease as other chronic diseases to some extent. The additional of so called fourth 90% that included the improved health-related quality of life (HRQoL) for people living with HIV (PLWHIV) required solutions beyond antiretroviral therapy and viral load suppression. This study will explore the role of personality, social economic and prevention strategy effection on HRQoL among people living with HIV/AIDS. Methods A cross-sectional study was conducted among PLWHIV aged more than 16 years old in the 10 municipalities in Yunnan Province, China from October 2019 to May 2020, enrolling total 1997 participants. Individual-level HRQoL data were measured by 12-item Short Form Health Survey (SF-12) and EuroQol Five Dimensions Questionnaire (EQ-5D-5L). We assembled municipal-level data about social economic from Yunnan Statistical Yearbook in 2020 and strategy practice information from the self-evaluation system. We used the principal component analysis to build the social economic and strategy effect on each area respectively and one-way ANOVA was used to perform univariate analysis to identify the predictors with significant differences. Finally we used multi-level model (MLM) to explore the personality, social economic and strategy effects in health-related quality of life among PLWHIV. Results The global score for quality of life measured using EQ-5D-5L had an estimated mean score (standard deviation, SD) of 0.901 ± 0.146. The HRQoL score measured using PCS-12 had an estimated mean score (SD) of 46.62 ± 8.55. The mean MCS-12 score (SD) was estimated to be 47.80 ± 9.71. The area-level predictors explained a proportion of 13.6–17.2% for the between-area variation of the HRQoL scores, regardless of the total HRQoL, physical component and mental component. The impacts of stigma (P < 0.01), social support (P < 0.001), anxiety (P < 0.001), depression (P < 0.05) and social economic status (P < 0.05) on HRQoL at the individual-level were significantly different. The plots visualized the impact of individual-level factors on a respondent’s HRQoL was modified by the area-level characteristics. Conclusions The study identified the possible strategy determinant of individual HRQoL of PLWHIV and also the area effect on HRQoL. Stigma, social support, anxiety, depression and social economic status were the individual-level determinants on HRQoL. These could be a valuable resource for evaluating the overall health of the areas and help improve local decision making. Graphic abstract |
topic |
Health-related quality of life HIV/AIDS Multi-level model Personality factor Social economic Prevention strategy |
url |
https://doi.org/10.1186/s40249-021-00890-9 |
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doaj-c951efef1aee4dd5820b3fc121708d582021-08-08T11:31:44ZengBMCInfectious Diseases of Poverty2049-99572021-08-0110111710.1186/s40249-021-00890-9The role of personality, social economic and prevention strategy effects on health-related quality of life among people living with HIV/AIDSXiaowen Wang0Hongbing Luo1Enlong Yao2Renhai Tang3Wenbin Dong4Fuyong Liu5Jun Liang6Huilan Li7Minyang Xiao8Zuyang Zhang9Jin Niu10Lijun Song11Liru Fu12Xuehua Li13Shicong Qian14Qing Guo15Zhizhong Song16Yunnan Center for Disease Control and PreventionYunnan Center for Disease Control and PreventionHonghe Municipal Center for Disease Control and PreventionDehong Municipal Center for Disease Control and PreventionYuxi Municipal Center for Disease Control and PreventionZhaotong Municipal Center for Disease Control and PreventionKunming Municipal Center for Disease Control and PreventionPuer Municipal Center for Disease Control and PreventionYunnan Center for Disease Control and PreventionYunnan Center for Disease Control and PreventionYunnan Center for Disease Control and PreventionYunnan Center for Disease Control and PreventionYunnan Center for Disease Control and PreventionYunnan Center for Disease Control and PreventionWenshan Municipal Center for Disease Control and PreventionLincang Municipal Center for Disease Control and PreventionYunnan Center for Disease Control and PreventionAbstract Background HIV/AIDS has transformed into a chronic controllable but not yet curable infectious disease as other chronic diseases to some extent. The additional of so called fourth 90% that included the improved health-related quality of life (HRQoL) for people living with HIV (PLWHIV) required solutions beyond antiretroviral therapy and viral load suppression. This study will explore the role of personality, social economic and prevention strategy effection on HRQoL among people living with HIV/AIDS. Methods A cross-sectional study was conducted among PLWHIV aged more than 16 years old in the 10 municipalities in Yunnan Province, China from October 2019 to May 2020, enrolling total 1997 participants. Individual-level HRQoL data were measured by 12-item Short Form Health Survey (SF-12) and EuroQol Five Dimensions Questionnaire (EQ-5D-5L). We assembled municipal-level data about social economic from Yunnan Statistical Yearbook in 2020 and strategy practice information from the self-evaluation system. We used the principal component analysis to build the social economic and strategy effect on each area respectively and one-way ANOVA was used to perform univariate analysis to identify the predictors with significant differences. Finally we used multi-level model (MLM) to explore the personality, social economic and strategy effects in health-related quality of life among PLWHIV. Results The global score for quality of life measured using EQ-5D-5L had an estimated mean score (standard deviation, SD) of 0.901 ± 0.146. The HRQoL score measured using PCS-12 had an estimated mean score (SD) of 46.62 ± 8.55. The mean MCS-12 score (SD) was estimated to be 47.80 ± 9.71. The area-level predictors explained a proportion of 13.6–17.2% for the between-area variation of the HRQoL scores, regardless of the total HRQoL, physical component and mental component. The impacts of stigma (P < 0.01), social support (P < 0.001), anxiety (P < 0.001), depression (P < 0.05) and social economic status (P < 0.05) on HRQoL at the individual-level were significantly different. The plots visualized the impact of individual-level factors on a respondent’s HRQoL was modified by the area-level characteristics. Conclusions The study identified the possible strategy determinant of individual HRQoL of PLWHIV and also the area effect on HRQoL. Stigma, social support, anxiety, depression and social economic status were the individual-level determinants on HRQoL. These could be a valuable resource for evaluating the overall health of the areas and help improve local decision making. Graphic abstracthttps://doi.org/10.1186/s40249-021-00890-9Health-related quality of lifeHIV/AIDSMulti-level modelPersonality factorSocial economicPrevention strategy |