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PUBLICACIONS CIENTÍFIQUES > Health-related quality of life of people living with HIV infection in Spain: a gender perspective

Health-related quality of life of people living with HIV infection in Spain: a gender perspective

25/02/2019

Autors: Carmina R. Fumaz, Maider Larrañaga-Eguilegor, Sonia Mayordomo-López, Sandra Gómez-Martínez, Marian González-Garcíaa, Arelly Ornellas, Maria José Fuster Ruiz de Apodaca, Eduardo Remor, Rafael Ballester-Arnald The Spanish Group for the Quality of Life Improvement in HIV or AIDS

Revista: AIDS Care

ABSTRACT

Studies exploring gender differences in health-related quality of life (HRQOL) of people living withHIV/AIDS (PLWHA) are scarce and contradictory. This study evaluated gender differences in HRQOLof 744 PLWHA with median (IQR) age 44 (37–48) years and HIV infection diagnosed 12 (5–20) yearsearlier. Results showed important differences between genders (p< .05). Better male physical healthwas related to being employed, not having economic worries, not receiving psychological support,not having injected drugs in past, low negative mood HIV-related, low HIV illness representationand internalized stigma, and high body image satisfaction and health behavior. For women,variables were fewer years since HIV diagnosis and low enacted stigma-personal experience ofrejection. Mentally, variables in men were being employed, not having injected drugs, having astable partner, high health behavior, use of problem-solving coping, personal autonomy andpersonal meaning. In women, better mental health was related to high CD4 cells, self-esteemand body image satisfaction, and negative mood HIV-related. Men and women coincided inabsence of past opportunistic infections being related to better physical and mental health, andabsence of side effects for physical health and low HIV-related stress and HIV illnessrepresentation for mental health. Our results highlight the need for detailed study of genderdifferences that identify the bio-psycho-socio inequalities that affect HRQOL.