The benefits of care: treated HIV infection and health-related quality of life among older-aged people in Uganda
Year: 2022
Type: article
Study design: Observational Study
Abstract: Objectives The objective of this study is to explore how HIV care affects health-related quality of life (HRQoL) among older people in Uganda.Methods We enrolled older-aged (≥49 years) people with HIV receiving HIV care and treatment, along with age- and sex-similar people without HIV. We measured health-related quality of life using the EQ-5D-3L scale.Results People with HIV (n = 298) and people without HIV (n = 302) were similar in median age (58.4 vs. 58.5 years), gender, and number of comorbidities. People with HIV had higher self-reported health status (b = 7.0; 95% confidence interval [CI], 4.2–9.7), higher EQ-5D utility index (b = 0.05; 95% CI, 0.02–0.07), and were more likely to report no problems with self-care (adjusted odds ratio [AOR], 2.0; 95% CI, 1.2–3.3) or pain/discomfort (AOR = 1.8, 95% CI, 1.3–2.8). Relationships between HIV serostatus and health-related quality of life differed by gender, but not age.Conclusions Older people with HIV receiving care and treatment reported higher health-related quality of life than people without HIV in Uganda. Access to primary care through HIV programs and/or social network mobilization may explain this difference, but further research is needed to elucidate the mechanisms.
Source: Aging & Mental Health
Institutions: University of Massachusetts Boston, Massachusetts General Hospital, Harvard University, Mbarara University of Science and Technology, University of Missouri–St. Louis, Missouri Institute of Mental Health, London School of Hygiene & Tropical Medicine, University of North Carolina at Chapel Hill, Makerere University, Northeastern University, Johns Hopkins University, Johns Hopkins Medicine, University of California, San Francisco
Language: English
Subfield: Infectious Diseases
Field: Medicine
Domain: Health Sciences
Open Access status: green
Awards: Epidemiology of coronary artery disease among people with HIV in rural sub-Saharan Africa, Polycyclic aromatic hydrocarbons exposure and dietary risk of Esophageal squamous cell carcinoma in Uganda, Quality of Life and Aging with HIV in Rural Uganda, Tailored Geriatric Assessment and Management for HIV Care Settings, Social Networks, HIV Stigma, and the HIV Care Cascade in Rural Uganda, Mentoring patient-oriented research to improve cardiovascular health among people with HIV in sub-Saharan Africa
OpenAlex ID: W4311666198