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Factors associated with quality of life in middle-aged and older patients living with HIV

HIV infection has been historically considered a disease of young adults; however, adults aged 50 years and older represent now an increasing proportion of HIV cases worldwide, including in Portugal. In this context, given the considerable burden associated with living with HIV, the topic of quality... Full description

Journal Title: AIDS Care 2016-03-24, Vol.28 (sup1), p.92-98
Main Author: Monteiro, Fabiana
Other Authors: Canavarro, Maria Cristina , Pereira, Marco
Format: Electronic Article Electronic Article
Language: English
Subjects:
HIV
Quelle: Alma/SFX Local Collection
Publisher: England: Taylor & Francis
ID: ISSN: 0954-0121
Link: https://www.ncbi.nlm.nih.gov/pubmed/26881294
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title: Factors associated with quality of life in middle-aged and older patients living with HIV
format: Article
creator:
  • Monteiro, Fabiana
  • Canavarro, Maria Cristina
  • Pereira, Marco
subjects:
  • Adolescent
  • Adult
  • Adults
  • Age differences
  • Age Factors
  • Aged
  • Aging
  • AIDS/HIV
  • Antiretroviral drugs
  • Antiretroviral therapy
  • Article
  • Articles
  • Cognitive ability
  • Combination therapy
  • Cross
  • Cross-Sectional Studies
  • Depression
  • Depression - psychology
  • Depressive symptoms
  • Education
  • Fatigue
  • Fatigue - epidemiology
  • Female
  • Higher education
  • Historical account
  • HIV
  • HIV Infections
  • HIV Infections - psychology
  • Hospitals
  • Human immunodeficiency virus
  • humanities
  • Humans
  • Infections
  • Male
  • Medical diagnosis
  • Mental depression
  • Mental disorders
  • Mental health
  • Mental health services
  • middle
  • Middle age
  • Middle Aged
  • Middle aged people
  • middle-aged and older adults
  • older adults
  • Older people
  • Patients
  • Portugal
  • Portugal - epidemiology
  • Prevalence
  • Prospective Studies
  • Psychiatric Status Rating Scales
  • Quality assessment
  • Quality of life
  • Quality of Life - psychology
  • Questionnaires
  • Sectional Studies
  • Sleep Wake Disorders
  • Sleep Wake Disorders - epidemiology
  • Social relations
  • Social Support
  • Sociodemographics
  • Socioeconomic Factors
  • Somatic symptoms
  • Surveys
  • Surveys and Questionnaires
  • Symptoms
  • Variability
  • Young Adult
  • Young adults
ispartof: AIDS Care, 2016-03-24, Vol.28 (sup1), p.92-98
description: HIV infection has been historically considered a disease of young adults; however, adults aged 50 years and older represent now an increasing proportion of HIV cases worldwide, including in Portugal. In this context, given the considerable burden associated with living with HIV, the topic of quality-of-life (QoL) assessment has become increasingly relevant. The aims of this study were to examine the age-related differences in QoL and depressive symptoms of younger and middle-aged and older adults with HIV as well as the sociodemographic, HIV-related and depressive symptoms (cognitive-affective and somatic) associated with QoL domains. The sample consisted of 1194 HIV-infected patients, recruited from 10 Portuguese hospitals. QoL data were collected using the WHOQOL-HIV-Bref questionnaire. Patients also completed the Beck Depression Inventory. Of the 1194 patients, 185 (15.5%) were over 50 years old. Middle-aged and older patients reported significantly lower QoL in the physical, independence and social relationships domains. Regarding the specific facets of QoL, middle-aged and older patients reported significantly lower scores in seven of the 29 specific facets of the WHOQOL-HIV-Bref and higher scores in one facet (financial resources). Overall, among middle-aged and older patients, higher education, being employed, a shorter time since HIV diagnosis, use of combination anti-retroviral therapy and fewer depressive symptoms were significantly associated with higher QoL ratings. Our findings suggest that both cognitive-affective and somatic depressive symptoms account for significant variability in QoL scores in middle-aged and older patients. Because an important feature of healthy ageing is maintaining QoL, these data may provide useful information for tailoring age-appropriate and effective interventions to improve the mental health and QoL of middle-aged and older patients living with HIV.
language: eng
source: Alma/SFX Local Collection
identifier: ISSN: 0954-0121
fulltext: fulltext
issn:
  • 0954-0121
  • 1360-0451
url: Link


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descriptionHIV infection has been historically considered a disease of young adults; however, adults aged 50 years and older represent now an increasing proportion of HIV cases worldwide, including in Portugal. In this context, given the considerable burden associated with living with HIV, the topic of quality-of-life (QoL) assessment has become increasingly relevant. The aims of this study were to examine the age-related differences in QoL and depressive symptoms of younger and middle-aged and older adults with HIV as well as the sociodemographic, HIV-related and depressive symptoms (cognitive-affective and somatic) associated with QoL domains. The sample consisted of 1194 HIV-infected patients, recruited from 10 Portuguese hospitals. QoL data were collected using the WHOQOL-HIV-Bref questionnaire. Patients also completed the Beck Depression Inventory. Of the 1194 patients, 185 (15.5%) were over 50 years old. Middle-aged and older patients reported significantly lower QoL in the physical, independence and social relationships domains. Regarding the specific facets of QoL, middle-aged and older patients reported significantly lower scores in seven of the 29 specific facets of the WHOQOL-HIV-Bref and higher scores in one facet (financial resources). Overall, among middle-aged and older patients, higher education, being employed, a shorter time since HIV diagnosis, use of combination anti-retroviral therapy and fewer depressive symptoms were significantly associated with higher QoL ratings. Our findings suggest that both cognitive-affective and somatic depressive symptoms account for significant variability in QoL scores in middle-aged and older patients. Because an important feature of healthy ageing is maintaining QoL, these data may provide useful information for tailoring age-appropriate and effective interventions to improve the mental health and QoL of middle-aged and older patients living with HIV.
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subjectAdolescent ; Adult ; Adults ; Age differences ; Age Factors ; Aged ; Aging ; AIDS/HIV ; Antiretroviral drugs ; Antiretroviral therapy ; Article ; Articles ; Cognitive ability ; Combination therapy ; Cross ; Cross-Sectional Studies ; Depression ; Depression - psychology ; Depressive symptoms ; Education ; Fatigue ; Fatigue - epidemiology ; Female ; Higher education ; Historical account ; HIV ; HIV Infections ; HIV Infections - psychology ; Hospitals ; Human immunodeficiency virus ; humanities ; Humans ; Infections ; Male ; Medical diagnosis ; Mental depression ; Mental disorders ; Mental health ; Mental health services ; middle ; Middle age ; Middle Aged ; Middle aged people ; middle-aged and older adults ; older adults ; Older people ; Patients ; Portugal ; Portugal - epidemiology ; Prevalence ; Prospective Studies ; Psychiatric Status Rating Scales ; Quality assessment ; Quality of life ; Quality of Life - psychology ; Questionnaires ; Sectional Studies ; Sleep Wake Disorders ; Sleep Wake Disorders - epidemiology ; Social relations ; Social Support ; Sociodemographics ; Socioeconomic Factors ; Somatic symptoms ; Surveys ; Surveys and Questionnaires ; Symptoms ; Variability ; Young Adult ; Young adults
ispartofAIDS Care, 2016-03-24, Vol.28 (sup1), p.92-98
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descriptionHIV infection has been historically considered a disease of young adults; however, adults aged 50 years and older represent now an increasing proportion of HIV cases worldwide, including in Portugal. In this context, given the considerable burden associated with living with HIV, the topic of quality-of-life (QoL) assessment has become increasingly relevant. The aims of this study were to examine the age-related differences in QoL and depressive symptoms of younger and middle-aged and older adults with HIV as well as the sociodemographic, HIV-related and depressive symptoms (cognitive-affective and somatic) associated with QoL domains. The sample consisted of 1194 HIV-infected patients, recruited from 10 Portuguese hospitals. QoL data were collected using the WHOQOL-HIV-Bref questionnaire. Patients also completed the Beck Depression Inventory. Of the 1194 patients, 185 (15.5%) were over 50 years old. Middle-aged and older patients reported significantly lower QoL in the physical, independence and social relationships domains. Regarding the specific facets of QoL, middle-aged and older patients reported significantly lower scores in seven of the 29 specific facets of the WHOQOL-HIV-Bref and higher scores in one facet (financial resources). Overall, among middle-aged and older patients, higher education, being employed, a shorter time since HIV diagnosis, use of combination anti-retroviral therapy and fewer depressive symptoms were significantly associated with higher QoL ratings. Our findings suggest that both cognitive-affective and somatic depressive symptoms account for significant variability in QoL scores in middle-aged and older patients. Because an important feature of healthy ageing is maintaining QoL, these data may provide useful information for tailoring age-appropriate and effective interventions to improve the mental health and QoL of middle-aged and older patients living with HIV.
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abstractHIV infection has been historically considered a disease of young adults; however, adults aged 50 years and older represent now an increasing proportion of HIV cases worldwide, including in Portugal. In this context, given the considerable burden associated with living with HIV, the topic of quality-of-life (QoL) assessment has become increasingly relevant. The aims of this study were to examine the age-related differences in QoL and depressive symptoms of younger and middle-aged and older adults with HIV as well as the sociodemographic, HIV-related and depressive symptoms (cognitive-affective and somatic) associated with QoL domains. The sample consisted of 1194 HIV-infected patients, recruited from 10 Portuguese hospitals. QoL data were collected using the WHOQOL-HIV-Bref questionnaire. Patients also completed the Beck Depression Inventory. Of the 1194 patients, 185 (15.5%) were over 50 years old. Middle-aged and older patients reported significantly lower QoL in the physical, independence and social relationships domains. Regarding the specific facets of QoL, middle-aged and older patients reported significantly lower scores in seven of the 29 specific facets of the WHOQOL-HIV-Bref and higher scores in one facet (financial resources). Overall, among middle-aged and older patients, higher education, being employed, a shorter time since HIV diagnosis, use of combination anti-retroviral therapy and fewer depressive symptoms were significantly associated with higher QoL ratings. Our findings suggest that both cognitive-affective and somatic depressive symptoms account for significant variability in QoL scores in middle-aged and older patients. Because an important feature of healthy ageing is maintaining QoL, these data may provide useful information for tailoring age-appropriate and effective interventions to improve the mental health and QoL of middle-aged and older patients living with HIV.
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orcididhttps://orcid.org/0000-0002-6086-2329
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