Health related quality of life in adults with HIV/AIDS in Colombia
Keywords:
HIV, acquired immunodeficiency syndrome, quality of life, health, World Health Organization,
Abstract
Introduction. HIV/AIDS is now considered a chronic treatable disease because of the effectiveness of antiretroviral therapy. However, for this disease, issues require evaluation that goes beyond of disease occurrence. Health-related quality of life changes that may occur that continue throughout the life of the patient and may include functional status, perceptions of others, social opportunities, treatment requirements and disability.
Objective. The health-related quality of life is to be characterized along with its association with demographic, socioeconomic and clinical conditions in adults with HIV/AIDS.
Materials and methods. A cross-sectional study was conducted on a sample of 187 people with HIV/AIDS in Medellín, 2009. The Medical Outcome Study Short Form (MOSSF36) and the World Health
Organization Quality of Life (WHOQOL-BREF) were applied. The analysis was done with proportions, summary measures, confidence intervals, t Student, U Mann-Whitney, Kruskal-Wallis, ANOVA and
multiple linear regressions.
Results. In this sample, 83.0% used antiretrovirals, 74.7% had adherence exceeding 95% and 74.7% had CD4 count above 200/mm3. The scores of health-related quality of life were between 60.5 and 90.2.
Presence of disease, satisfaction with family support and satisfaction with the economic situation were the conditions found most relevant to the quality of life.
Conclusion. In adults with HIV/AIDS, the health-related quality of life was better explained by factors related to economic and social support than those associated with the biological domain.
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References
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12. Wu A, Hays R, Kelly S, Malitz F, Bozzette S. Applications of the medical outcomes study health-related quality of life measures in HIV/AIDS. Qual Life Res. 1997;6:531-54.
13. Hays R, Cunningham W, Sherbourne C, Wilson I, Wu A, Cleary P, et al. Health-related quality of life in patients with human immunodeficiency virus infection in the United States: Results from the HIV cost and services utilization study. Am J Med. 2000;108:714-22.
14. Suárez M, Cano R, Pérez P, Aguayo M, Cuesta F, Pujol De La Llave E. Calidad de vida, aspectos psicológicos y sociales en pacientes con infección VIH avanzada. An Med Interna. 2002;19:396-404.
15. Wig N, Lekshmi R, Pal H, Ahuja V, Mohan C, Kumar S. The impact of HIV/AIDS on the quality of life: A cross sectional study in north India. Indian J Med Sci. 2006; 60:3-11.
16. Sakthong P, Schommer J, Gross C, Sakulbumrungsil R, Prasithsirikul W. Psychometric properties of WHOQOLBREF-THAI in patients with HIV/AIDS. J Med Assoc Thai. 2007;90:2449-60.
17. Morandi E, França D, Lopes J. Quality of life of people living with HIV/AIDS in São Paulo, Brazil. Rev Saúde Pública. 2007;41(Suppl.2):1-7.
18. Bing E, Hays R, Jacobson L, Chen B, Gange S, Kass N, et al. Health-related quality of life among people with HIV disease: Results from the Multicenter AIDS cohort study. Qual Life Res. 2000;9:55-63.
19. Uribe AF. Intervención grupal y calidad de vida en personas diagnosticadas de VIH. Revista Colombiana de Psicología. 2005;14:28-33.
20. Vinaccia S, Fernández H, Quiceno J, López M, Otálvaro C. Calidad de vida relacionada con la salud y apoyo social funcional en pacientes diagnosticados con VIH/sida. Terapia Psicológica. 2008;26:125-32.
21. Valencia CP, Canaval GE, Marín D, Portillo CJ. Quality of life in persons living with HIV-aids in three healthcare institutions of Cali, Colombia. Colomb Med. 2010;41:206-14.
22. Saldarriaga GP. Calidad de vida en pacientes que viven con VIH/SIDA atendidos en una Institución de Salud Medellín-Colombia 2005. Medellín: Facultad de Medicina, Instituto de Ciencias de la Salud-CES; 2005.
23. Espinosa O. Apuntes sobre calidad de vida, desarrollo sostenible y sociedad de consumo: una mirada desde América Latina. Contribuciones (Buenos Aires). 1999; 16:119-48.
24. Heckman TG, Somlai EM, Sikkema KJ, Stephen JK. Psychosocial predictors of life satisfaction among persons living with HIV infection and AIDS. J Assoc Nurses AIDS Care.1997;8:21-30.
25. Webb A, Norton M. Clinical assessment of symptomfocused health-related quality of life in HIV/AIDS. J Assoc Nurses AIDS Care. 2004;15:67-81.
26. Skevington SM, Lofty M, O Connell KA. The World Health Organization's WHOQOL-BREF quality of life assessment: Psychometric properties and results of the international field trial. A report from the WHOQOL group. Qual Life Res. 2004;13:299-310.
27. Astoro NW, Djauzi S, Djoerban Z, Prodjosudjadi W. Quality of life of HIV patients and influential factors. Acta Med Indones. 2007;39:2-7.
28. Mkangara OB, Wang C, Xiang H, Xu Y, Nie S, Liu L, et al. The univariate and bivariate impact of HIV/AIDS on the quality of life: A cross sectional study in the Hubei Province-Central China. J Huazhong Univ Sci Technolog Med Sci.2009;29:260-4.
29. Arrivillaga Quintero M. Análisis de las barreras para la adherencia terapéutica en mujeres colombianas con VIH/sida: cuestión de derechos de salud. Salud Pública de México. 2010;52:350-6.
30. Hsiung P, Fang C, Chang Y, Chen M, Wang J. Comparison of WHOQOL-BREF and SF-36 in patients with HIV infection. Qual Life Res. 2005;14:141-50.
31. Call S, Klapow J, Stewart K, Westfall A, Mallinger A, DeMasi R, et al. Health-related quality of life and virologic outcomes in an HIV clinic. Qual Life Res. 2000;9:977-85.
32. Kowal J, Overduin L, Balfour L, Tasca G, Corace K, Cameron W. The role of psychological and behavioral variables in quality of life and the experience of bodily pain among persons living with HIV. J Pain Symptom Manage. 2008;36:247-58.
33. Fang C, Hsiung P, Yu C, Chen M, Wang J. Validation of the World Health Organization quality of life instrument in patients with HIV infection. Qual Life Res. 2002;11:753-62.
34. Belak KovaceviÄ S, VurusiÄ T, DuvanciÄ K, Macek M. Quality of life of HIV-infected persons in Croatia. Coll Antropol. 2006;30(Suppl. 2):79-84.
35. Burgoyne RW, Saunders DS. Quality of life among urban Canadian HIV/AIDS clinic outpatients. Int J STD AIDS. 2001;12:505-12.
36. Bastardo Y, Kimberlin C. Relationship between quality of life, social support and disease-related factors in HIVinfected persons in Venezuela. AIDS CARE. 2000;12:673-84.
37. García MA, Mansilla JJ, Nieto E, Cereto MR, Salas F, Vallejo Díaz M, et al. Calidad de vida relacionada con la salud de pacientes infectados por VIH medida por el cuestionario de salud SF-36. An Med Interna (Madrid).2001;18:74-9.
38. Arpinelli F, Visonà G, Bruno R, De Carli G, Apolone G. Health-related quality of life in asymptomatic patients with HIV. Evaluation of the SF-36 health survey in Italian patients. Pharmacoeconomics. 2000;18:63-72.
39. Badía X, Lara N. Calidad de vida relacionada con la salud en el paciente con VIH. Barcelona: Health Outcomes Research Europe Group; 2002.
40. Davis EA, Pathak DS. Psychometric evaluation of four HIV disease-specific quality-of life instruments. Ann Pharmacother. 2001;35:546-52.
41. Shahriar J, Delate T, Hays R, Coons S. Commentary on using the SF-36 or MOS-HIV in studies of persons with HIV disease. Health Qual Life Outcomes. 2003;1:25.
2. Phaladze NA, Dlamini SB, Hulela EB, Hadebe IM, Sukati NA, Makoae LN, et al. Quality of life and the concept of living well with HIV/AIDS in Sub-Saharan Africa. J Nurs Scholarsh. 2005;37:120-6.
3. ONUSIDA, OMS. La epidemia de SIDA: situación en diciembre de 2006. Ginebra: ONUSIDA; 2006. p. 4-94.
4. GaÅczak M, Alfaresi F, Almazrouei S, Muraddad A, Al-Maskari F. Break the silence: HIV/AIDS knowledge, attitudes and educational needs among Arab university students in United Arab Emirates. J Adolesc Health. 2007;40:572-8.
5. Grupo de la OMS sobre la Calidad de Vida. La gente y la salud. ¿Qué calidad de vida? Revista Internacional de Desarrollo Sanitario. 1996;17:385-7.
6. Thivierge GR. Calidad de vida y opciones existenciales. La calidad de vida de la persona: desafío actual del nuevo milenio. La Paz: Federación Internacional de las Universidades Católicas; 1992. p. 33-55.
7. Patrick DL, Erickson P. Health status and health policy: Quality of life in health evaluation and resource allocation. New York: Oxford Press; 1993.
8. Badia X, Salamero M, Alonso J. La medida de la salud. Guías de escalas de medición en español. Tercera edición. Barcelona: Fundación Lilly; 2002. p. 131-216 y 305-23.
9. Lugo LH, García HI, Gómez C. Confiabilidad del cuestionario de calidad de vida en salud sf-36 en Medellín, Colombia. Revista Facultad Nacional de Salud Pública. 2006;24:37-50.
10. Coons S, Rao S, Keininger D, Hays R. A comparative review of generic quality-of-life instruments. Pharmacoeconomics. 2000;17:13-35.
11. Colautti M, Palchik V, Botta C, Salamano M, Traverso M. Revisión de cuestionarios para evaluar calidad de vida relacionada a la salud en pacientes VIH/sida. Acta Farm Bonaerense. 2006;25:123-30.
12. Wu A, Hays R, Kelly S, Malitz F, Bozzette S. Applications of the medical outcomes study health-related quality of life measures in HIV/AIDS. Qual Life Res. 1997;6:531-54.
13. Hays R, Cunningham W, Sherbourne C, Wilson I, Wu A, Cleary P, et al. Health-related quality of life in patients with human immunodeficiency virus infection in the United States: Results from the HIV cost and services utilization study. Am J Med. 2000;108:714-22.
14. Suárez M, Cano R, Pérez P, Aguayo M, Cuesta F, Pujol De La Llave E. Calidad de vida, aspectos psicológicos y sociales en pacientes con infección VIH avanzada. An Med Interna. 2002;19:396-404.
15. Wig N, Lekshmi R, Pal H, Ahuja V, Mohan C, Kumar S. The impact of HIV/AIDS on the quality of life: A cross sectional study in north India. Indian J Med Sci. 2006; 60:3-11.
16. Sakthong P, Schommer J, Gross C, Sakulbumrungsil R, Prasithsirikul W. Psychometric properties of WHOQOLBREF-THAI in patients with HIV/AIDS. J Med Assoc Thai. 2007;90:2449-60.
17. Morandi E, França D, Lopes J. Quality of life of people living with HIV/AIDS in São Paulo, Brazil. Rev Saúde Pública. 2007;41(Suppl.2):1-7.
18. Bing E, Hays R, Jacobson L, Chen B, Gange S, Kass N, et al. Health-related quality of life among people with HIV disease: Results from the Multicenter AIDS cohort study. Qual Life Res. 2000;9:55-63.
19. Uribe AF. Intervención grupal y calidad de vida en personas diagnosticadas de VIH. Revista Colombiana de Psicología. 2005;14:28-33.
20. Vinaccia S, Fernández H, Quiceno J, López M, Otálvaro C. Calidad de vida relacionada con la salud y apoyo social funcional en pacientes diagnosticados con VIH/sida. Terapia Psicológica. 2008;26:125-32.
21. Valencia CP, Canaval GE, Marín D, Portillo CJ. Quality of life in persons living with HIV-aids in three healthcare institutions of Cali, Colombia. Colomb Med. 2010;41:206-14.
22. Saldarriaga GP. Calidad de vida en pacientes que viven con VIH/SIDA atendidos en una Institución de Salud Medellín-Colombia 2005. Medellín: Facultad de Medicina, Instituto de Ciencias de la Salud-CES; 2005.
23. Espinosa O. Apuntes sobre calidad de vida, desarrollo sostenible y sociedad de consumo: una mirada desde América Latina. Contribuciones (Buenos Aires). 1999; 16:119-48.
24. Heckman TG, Somlai EM, Sikkema KJ, Stephen JK. Psychosocial predictors of life satisfaction among persons living with HIV infection and AIDS. J Assoc Nurses AIDS Care.1997;8:21-30.
25. Webb A, Norton M. Clinical assessment of symptomfocused health-related quality of life in HIV/AIDS. J Assoc Nurses AIDS Care. 2004;15:67-81.
26. Skevington SM, Lofty M, O Connell KA. The World Health Organization's WHOQOL-BREF quality of life assessment: Psychometric properties and results of the international field trial. A report from the WHOQOL group. Qual Life Res. 2004;13:299-310.
27. Astoro NW, Djauzi S, Djoerban Z, Prodjosudjadi W. Quality of life of HIV patients and influential factors. Acta Med Indones. 2007;39:2-7.
28. Mkangara OB, Wang C, Xiang H, Xu Y, Nie S, Liu L, et al. The univariate and bivariate impact of HIV/AIDS on the quality of life: A cross sectional study in the Hubei Province-Central China. J Huazhong Univ Sci Technolog Med Sci.2009;29:260-4.
29. Arrivillaga Quintero M. Análisis de las barreras para la adherencia terapéutica en mujeres colombianas con VIH/sida: cuestión de derechos de salud. Salud Pública de México. 2010;52:350-6.
30. Hsiung P, Fang C, Chang Y, Chen M, Wang J. Comparison of WHOQOL-BREF and SF-36 in patients with HIV infection. Qual Life Res. 2005;14:141-50.
31. Call S, Klapow J, Stewart K, Westfall A, Mallinger A, DeMasi R, et al. Health-related quality of life and virologic outcomes in an HIV clinic. Qual Life Res. 2000;9:977-85.
32. Kowal J, Overduin L, Balfour L, Tasca G, Corace K, Cameron W. The role of psychological and behavioral variables in quality of life and the experience of bodily pain among persons living with HIV. J Pain Symptom Manage. 2008;36:247-58.
33. Fang C, Hsiung P, Yu C, Chen M, Wang J. Validation of the World Health Organization quality of life instrument in patients with HIV infection. Qual Life Res. 2002;11:753-62.
34. Belak KovaceviÄ S, VurusiÄ T, DuvanciÄ K, Macek M. Quality of life of HIV-infected persons in Croatia. Coll Antropol. 2006;30(Suppl. 2):79-84.
35. Burgoyne RW, Saunders DS. Quality of life among urban Canadian HIV/AIDS clinic outpatients. Int J STD AIDS. 2001;12:505-12.
36. Bastardo Y, Kimberlin C. Relationship between quality of life, social support and disease-related factors in HIVinfected persons in Venezuela. AIDS CARE. 2000;12:673-84.
37. García MA, Mansilla JJ, Nieto E, Cereto MR, Salas F, Vallejo Díaz M, et al. Calidad de vida relacionada con la salud de pacientes infectados por VIH medida por el cuestionario de salud SF-36. An Med Interna (Madrid).2001;18:74-9.
38. Arpinelli F, Visonà G, Bruno R, De Carli G, Apolone G. Health-related quality of life in asymptomatic patients with HIV. Evaluation of the SF-36 health survey in Italian patients. Pharmacoeconomics. 2000;18:63-72.
39. Badía X, Lara N. Calidad de vida relacionada con la salud en el paciente con VIH. Barcelona: Health Outcomes Research Europe Group; 2002.
40. Davis EA, Pathak DS. Psychometric evaluation of four HIV disease-specific quality-of life instruments. Ann Pharmacother. 2001;35:546-52.
41. Shahriar J, Delate T, Hays R, Coons S. Commentary on using the SF-36 or MOS-HIV in studies of persons with HIV disease. Health Qual Life Outcomes. 2003;1:25.
How to Cite
1.
Cardona-Arias J, Peláez-Vanegas L, López-Saldarriaga J, Duque-Molina M, Leal-Álvarez O. Health related quality of life in adults with HIV/AIDS in Colombia. biomedica [Internet]. 2011 Jun. 30 [cited 2024 May 11];31(4):532-44. Available from: https://revistabiomedica.org/index.php/biomedica/article/view/422
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