Quality of life in persons with Human Immunodeficiency Virus infection in Mexico

Authors

  • Jhonis Francisco Quintero-Quiñónez <p>Instituto Mexicano del Seguro Social, Hospital de Especialidades No. 2, Centro M&eacute;dico Nacional del Noroeste, Servicio de Medicina Interna. Ciudad Obreg&oacute;n, Sonora,</p>
  • David Goodman-Meza <p>University of California, San Diego, Department of Medicine, Division of Global Public Health. San Diego, California,</p>
  • José Luis Burgos-Regil <p>University of California, San Diego, Department of Medicine, Division of Global Public Health. San Diego, California,</p>
  • Fátima A. Muñoz-Carvajal <p>University of California, San Diego, Department of Medicine, Division of Global Public Health. San Diego, California,</p>
  • María Luisa Zúñiga-de Nuncio <p>San Diego State University, School of Social Work. San Diego, California,</p>
  • José Manuel Ornelas-Aguirre <p>Instituto Mexicano del Seguro Social, Hospital de Especialidades No. 2, Centro M&eacute;dico Nacional del Noroeste, Divisi&oacute;n de Investigaci&oacute;n. Ciudad Obreg&oacute;n, Sonora,</p> http://orcid.org/0000-0002-6225-7587

Keywords:

Acquired Immunodeficiency Syndrome, HIV, Quality of life

Abstract

Background: The evaluation of quality of life related to health (HRQOL) has become an important prognostic indicator in HIV/AIDS. The aim of this study was to determine the  impact  of  socio-demographic,  clinical  and  psychological  factors  in  HRQOL in  a group  of  subjects  with  HIV/AIDS  in  northwestern Mexico  and  determine  which variables best predict HRQOL.

Methods: In a cross-sectional study with a sample of 87% of patients receiving care at  a  clinic  for  HIV/AIDS  in  northwestern  Mexico  between  November  2010  to  June 2011,  we  measure  the  HRQOL  using  the  Tool  Medical  Outcomes  Study  HIV  Health Survey  (MOS-HIV).  A  model  of  multiple  linear  regression  was  performed  to  identify variables that allow us to predict HRQOL in this population.

Results: In a sample of 54 subjects with HIV/AIDS. Patients had an average age of 43  ±  9  years,  83%  were  men  with  a  mean  time  of  6.5  ±  4.5  years  from  diagnosis. HRQOL scores of physical and mental health of the participants were 57 ± 6 and 57 ± 13  respectively.  In  multivariate  analysis,  the  variables  that  influenced  the  physical health   punctuation   were   gender,   marital   status,   sexual   orientation,   time   since diagnosis and viral load (log).

Conclusions: Prospective  studies  are  needed  to  better  explain  the  influence  of  the factors that predict changes or trends in HRQOL in patients with HIV/AIDS.

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Author Biographies

  • Jhonis Francisco Quintero-Quiñónez, <p>Instituto Mexicano del Seguro Social, Hospital de Especialidades No. 2, Centro M&eacute;dico Nacional del Noroeste, Servicio de Medicina Interna. Ciudad Obreg&oacute;n, Sonora,</p>

    Licenciado en Medicina por la Universidad Autónoma de Baja California.

    Medico internista del Instituto del Seguro Social

    Post-doctoral Fellow AIDS Training and Research Program

  • David Goodman-Meza, <p>University of California, San Diego, Department of Medicine, Division of Global Public Health. San Diego, California,</p>

    Medico Internista por la Universidad Autónoma de Baja California.

    Residencia en Medicina interna en el Albert Einstein College of Medicine/Jacobi Medical Center

    Master in Public Health at University of California in Sand Diego, USA.

  • José Luis Burgos-Regil, <p>University of California, San Diego, Department of Medicine, Division of Global Public Health. San Diego, California,</p>

    Medico General por la Universidad Autónoma de Baja California.

    Master in Public Health por la Universidad Autónoma de Baja California.

    Assitant Professor at Public Health Division at University of California in Sand Diego, USA

  • Fátima A. Muñoz-Carvajal, <p>University of California, San Diego, Department of Medicine, Division of Global Public Health. San Diego, California,</p>

    Medico General por la Universidad Autónoma de Baja California.

    Postdoctoral Fellow at Public Health Division at University of California in Sand Diego, USA

  • María Luisa Zúñiga-de Nuncio, <p>San Diego State University, School of Social Work. San Diego, California,</p>

    Medico General por la University of California in San Diego, USA

    Associate proffesor, Public Health Division at University of California in San Diego, USA

  • José Manuel Ornelas-Aguirre, <p>Instituto Mexicano del Seguro Social, Hospital de Especialidades No. 2, Centro M&eacute;dico Nacional del Noroeste, Divisi&oacute;n de Investigaci&oacute;n. Ciudad Obreg&oacute;n, Sonora,</p>

    Médico por la Universidad Autónoma de Nayarit.

    Especialista en Anatomía PAtológica por la Universidad de Guadalajara.

    Maestro en Ciencias Médicas por la Universidad de Colima.

    Investigador Asociado C del Instituto Mexicano del Seguro Social

    Investigador Nacional Nivel I, CONACyT, México

     

References

Valencia CP, Canaval GE, Marin 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.

 

World Health Organization. Division of Mental Health and Prevention of Substance Abuse. Measuring Quality of life. Geneva, Switzerland: WHOQOL; 1997.

 

Yen CF, Tsai JJ, Lu PL, Chen YH, Chen TC, Chen PP. Quality of life and its correlates in HIV/AIDS male outpatients receiving highly active antirretroviral therapy in Taiwan. Psychiatry Clin Neurosci. 2004;58(5):501-6.

 

Wu AW, Dave NB, Diener-West M, Sorensen S, Huang IC, Revicki DA. Measuring validity of self-reported symptoms among people with HIV. AIDS Care. 2004;16(7):876-81.

 

Urzua MA. Health related quality of life: Conceptual elements. Rev Med Chil. 2010;138(3):358-65.

 

Phaladze NA, Human S, Dlamini SB, Hulela EB, Hadebe IM, Sukati NA, et al. Quality of life and the concept of living well with HIV/AIDS in sub-Saharan Africa. J Nurs Scholarsh. 2005;37(2):120-6.

 

Guyatt GH, Feeny DH, Patrick DL. Measuring Health-related quality of life. Ann Intern Med. 1993;118(8):622-9.

 

Briongos-Figuero LS, Bachiller-Luque P, Palacios-Martin T, González-Sagrado M, Eiros-Bouza JM. Assessment of factors influencing health-related quality of life in HIV-infected patients. HIV Med. 2011;12(1):22-30.

 

Cardona-Arias JA, Higuita-Gutiérrez LF. Impact of HIV/AIDS on quality of life: meta-analysis 2002-2012. Rev Esp Salud Publica. 2014;88(1):87-101.

 

Centro Nacional para la Prevención y el Control del VIH y el SIDA. Panorama Epidemiológico del VIH/SIDA e ITS en México. México: CENSIDA; 2016.

 

Consejo Nacional para la Prevención y el Control del SIDA. Informe Nacional sobre los Progresos Realizados en la Aplicación del UNGASS/SIDA. México: CONASIDA; 2012.

 

del Castillo LS, Ruiz-Pérez I, de Labry-Lima AO, Soto-Blanco JM, Girela-López E, Castro-Recio JM, et al. Influence of antiretroviral treatment on quality of life in seropositive inmates. Int J STD AIDS. 2008;19(3):172-7.

 

Carrieri P, Spire B, Duran S, Katlama C, Peyramond D, Franςois C, et al. Health-related quality of life after 1 year of highly active antiretroviral therapy. J Acquir Immune Defic Syndr. 2003;32(1):38-47.

 

Peña-de Leon E, Aguilar-Gaytán SS, Suárez-Mendoza AA, Reyes-Terán G. A validation of the MOS-HIV quality of life measure in HIV-infected patients in Mexico. Rev Panam Salud Pública. 2007;21(5):313-9.

 

Herrera C, Campero L, Caballero M, Kendall T. Relationship between physicians and HIV patients: influence on adherence and quality of life. Rev Saude Publica. 2008;42(2):249-55.

 

Revicki DA, Sorensen S, Wu AW. Reliability and Validity of Physical and Mental Health Summary Scores from the Medical Outcomes Study HIV Health Survey. Med Care. 1998;36(2):126-37.

 

Wu AW, Hays RD, Kelly S, Malitz F, Bozzette SA. Applications of the medical outcomes study health-related quality of life measures in HIV/AIDS. Qual Life Res. 1997;6(6):531-54.

 

Wu AW, Revicki DA, Jacobson D, Malitz FE. Evidence for reliability validity and usefulness of the medical outcomes study HIV health survey (MOS-HIV). Qual Life Res. 1997;6(6):481-93.

 

Miners AH, Sabin CA, Mocroft A, Youle M, Fisher M, Johnson M. Health-related quality of life in individuals infected with HIV in the era of HAART. HIV Clin Trials. 2001;2(6):484-92.

 

Ruiz-Pérez I, Rodríguez-Baño J, López-Ruz MA, del Arco-Jimenez A, Causse-Prados M, Pasquau-Liñao J, et al. Health-related quality of life of patients with HIV: impact of sociodemographic, clinical and psychosocial factors. Qual Life Res. 2005;14(5):1301-10.

 

Park-Wyllie LY, Strike CS, Antoniou T, Bayoumi AM. Adverse quality of life consequences of antiretroviral medications. AIDS Care. 2007;19(2):252-7.

 

Hays RD, Cunningham WE, Sherbourne CD, Wilson IB, Wu AW, Cleary PD, 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(9):714-22.

 

Kalichman SC, Simbayi LC, Cloete A, Mthembu PP, Mkhonta RN, Ginindza T. Measuring AIDS stigmas in people living with HIV/AIDS: the Internalized AIDS-Related Stigma Scale. AIDS Care. 2009;21(1):87-93.

 

Egger M, Hirschel B, Francioli P, Sudre P, Wirz M, Flepp M, et al. Impact of new antiretroviral combination therapies in HIV infected patients in Switzerland: Prospective multicentre study. Swiss HIV Cohort Study. BMJ. 1997;315(7117):1194-9.

Published

2018-07-09

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Original Articles