Health-related quality of life of people living with HIV infection in Spain: a gender perspective
Por:
Fumaz, C, Larranaga-Eguilegor, M, Mayordomo-Lopez, S, Gomez-Martinez, S, Gonzalez-Garcia, M, Ornellas, A, de Apodaca, M, Remor, E, Ballester-Arnal, R, Lopez-Zuniga, A, Santos-Miguel, I, Albiol-Soto, M, Ferrer-Lasala, M, Fumaz, C, Gonzalez-Garcia, M, Tuldra-Nino, A, Ferrando-Vilalta, R, Santamaria-Jauregui, J, Iribarren-Loyarte, J, Fuster R, Pasquau-Liano, F, Tornero-Esteban, C, Roca, B, Canoves-Martinez, L, Lorenzo-Gonzalez, J, Remor, E, Ubillos-Landa, S, Ruzafa-Martinez, M, Aguirrezabal-Prado, A, Arnoso-Martinez, A, Larranaga-Eguilegor, M, Mayordomo-Lopez, S, de Apodaca, M, Molero, F, Nouvilas-Palleja, E, Perez-Garin, D, Sanjuan-Suarez, P, Gilllario, M, Madrigal-Vilchez, A, Ballester-Arnal, R, Castro-Calvo, J, Gil-Julia, B, Gimenez-Garcia, C, Gomez-Martinez, S and Ruiz-Palomino, E
Publicada:
2 dic 2019
Ahead of Print:
1 mar 2019
Resumen:
Studies exploring gender differences in health-related quality of life (HRQOL) of people living with HIV/AIDS (PLWHA) are scarce and contradictory. This study evaluated gender differences in HRQOL of 744 PLWHA with median (IQR) age 44 (37-48) years and HIV infection diagnosed 12 (5-20) years earlier. Results showed important differences between genders (p < .05). Better male physical health was 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 representation and 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 of rejection. Mentally, variables in men were being employed, not having injected drugs, having a stable partner, high health behavior, use of problem-solving coping, personal autonomy and personal meaning. In women, better mental health was related to high CD4 cells, self-esteem and body image satisfaction, and negative mood HIV-related. Men and women coincided in absence of past opportunistic infections being related to better physical and mental health, and absence of side effects for physical health and low HIV-related stress and HIV illness representation for mental health. Our results highlight the need for detailed study of gender differences that identify the bio-psycho-socio inequalities that affect HRQOL.
Filiaciones:
Fumaz, C:
Germans Trias & Pujol Univ Hosp, HIV Unit, Lluita Sida Fdn, Ctra Canyet S-N, Barcelona 08916, Spain
Univ Autonoma Barcelona, Fac Med, Barcelona, Spain
Larranaga-Eguilegor, M:
Euskal Herriko Unibertsitatea, Fac Psicol, Donostia San Sebastian, Spain
Univ Basque Country, Sebastian, Spain
Mayordomo-Lopez, S:
Euskal Herriko Unibertsitatea, Fac Psicol, Donostia San Sebastian, Spain
Univ Basque Country, Sebastian, Spain
Gomez-Martinez, S:
Univ Jaume Castello, Fac Ciencias Salud, Castellon de La Plana, Spain
Univ Jaume Castello, Castellon De La Plana, Spain
Gonzalez-Garcia, M:
Germans Trias & Pujol Univ Hosp, HIV Unit, Lluita Sida Fdn, Ctra Canyet S-N, Barcelona 08916, Spain
Hosp Badalona Germans Trias & Pujol, Fundacio Lluita Sida, Barcelona, Spain
Ornellas, A:
Germans Trias & Pujol Univ Hosp, HIV Unit, Lluita Sida Fdn, Ctra Canyet S-N, Barcelona 08916, Spain
de Apodaca, M:
Univ Nacl Educ Distancia, Fac Psicol, Madrid, Spain
Remor, E:
Univ Autonoma Madrid, Fac Psicol, Madrid, Spain
Ballester-Arnal, R:
Univ Jaume Castello, Fac Ciencias Salud, Castellon de La Plana, Spain
Univ Jaume Castello, Castellon De La Plana, Spain
Lopez-Zuniga, A:
CESIDA, Madrid, Spain
Santos-Miguel, I:
CESIDA, Madrid, Spain
Albiol-Soto, M:
CESIDA, Madrid, Spain
Ferrer-Lasala, M:
Hosp Badalona Germans Trias & Pujol, Fundacio Lluita Sida, Barcelona, Spain
Fumaz, C:
Hosp Badalona Germans Trias & Pujol, Fundacio Lluita Sida, Barcelona, Spain
Gonzalez-Garcia, M:
Germans Trias & Pujol Univ Hosp, HIV Unit, Lluita Sida Fdn, Ctra Canyet S-N, Barcelona 08916, Spain
Hosp Badalona Germans Trias & Pujol, Fundacio Lluita Sida, Barcelona, Spain
Ferrando-Vilalta, R:
Hosp Clin Valencia, Valencia, Spain
Santamaria-Jauregui, J:
Hosp Basurto, Bilbao, Spain
Iribarren-Loyarte, J:
Hosp Donostia, San Sebastian, Spain
Fuster R:
Hosp Marina Baixa Villajoyosa, Alicante, Spain
:
Hosp Marina Baixa Villajoyosa, Alicante, Spain
:
Hosp Fco Borja Gandia, Valencia, Spain
:
Univ Jaume Castellon, Hosp Gen Castellon, Castellon de La Plana, Spain
Remor, E:
Univ Autonoma Madrid, Fac Psicol, Madrid, Spain
Ubillos-Landa, S:
Univ Burgos, Burgos, Spain
Ruzafa-Martinez, M:
Univ Murcia, Murcia, Spain
Aguirrezabal-Prado, A:
Univ Basque Country, Sebastian, Spain
Arnoso-Martinez, A:
Univ Basque Country, Sebastian, Spain
Larranaga-Eguilegor, M:
Euskal Herriko Unibertsitatea, Fac Psicol, Donostia San Sebastian, Spain
Univ Basque Country, Sebastian, Spain
Mayordomo-Lopez, S:
Euskal Herriko Unibertsitatea, Fac Psicol, Donostia San Sebastian, Spain
Univ Basque Country, Sebastian, Spain
de Apodaca, M:
Univ Nacl Educ Distancia, Madrid, Spain
Molero, F:
Univ Nacl Educ Distancia, Madrid, Spain
Nouvilas-Palleja, E:
Univ Nacl Educ Distancia, Madrid, Spain
Perez-Garin, D:
Univ Nacl Educ Distancia, Madrid, Spain
Sanjuan-Suarez, P:
Univ Nacl Educ Distancia, Madrid, Spain
Gilllario, M:
Univ Valencia Estudi Gen, Valencia, Spain
Madrigal-Vilchez, A:
Univ Valencia Estudi Gen, Valencia, Spain
Ballester-Arnal, R:
Univ Jaume Castello, Fac Ciencias Salud, Castellon de La Plana, Spain
Univ Jaume Castello, Castellon De La Plana, Spain
Castro-Calvo, J:
Univ Jaume Castello, Castellon De La Plana, Spain
Gil-Julia, B:
Univ Jaume Castello, Castellon De La Plana, Spain
Gimenez-Garcia, C:
Univ Jaume Castello, Castellon De La Plana, Spain
Gomez-Martinez, S:
Univ Jaume Castello, Fac Ciencias Salud, Castellon de La Plana, Spain
Univ Jaume Castello, Castellon De La Plana, Spain
Ruiz-Palomino, E:
Univ Jaume Castello, Castellon De La Plana, Spain
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