Objective
The aims of this study were: (i) to determine the factors associated with HRQOL at baseline in our cohort, and (ii) to evaluate if there are differences in baseline HRQOL measures by antiretroviral treatment.
Methods
The Short Form 36 (SF-36) was administered between 2006 and 2010 among members of the United States HIV Natural History Study cohort (NHS), and participants who completed the SF-36 were included in the study. Physical component summary (PCS) and mental component summary (MCS) scores were computed based on standard algorithms. Multivariate linear regression models were constructed for PCS and MCS to estimate the association between selected variables and HRQOL scores.
Results
Antiretroviral therapy (ART) was not independently associated with HRQOL scores. Factors associated with PCS were CD4+ count <200 cells/mm(3) (beta = -5.84, 95% CI: -7.63, -4.06), mental comorbidity (beta = -2.82, 95% CI: -3.79, -1.85), medical comorbidity (beta = -2.51, 95% CI: -3.75, -1.27), AIDS diagnosis (beta = -2.38, 95% CI: -3.79, -0.98). Others were gender, military rank, marital status, and age. Factors independently associated with MCS were CD4+ count <200 cells/mm(3) (beta = -1.93, 95% CI: -3.85, -0.02), mental comorbidity (beta = -6.25, 95% CI: -7.25, -5.25), age (beta = 0.37, 95% CI: 0.14, 0.60), and being African American (beta = 1.55, 95% CI: 0.63, 2.47).
Conclusion
Among military active duty and beneficiaries with HIV, modifiable factors associated with HRQOL measures included advanced HIV disease, and mental or medical comorbidity. Addressing these factors may improve quality of life of HIV-infected individuals in the NHS cohort.
Health-related quality of life among military HIV patients on antiretroviral therapy
Creators
Leonard Emuren - Drexel University
Seth Welles - Drexel University
Alison A. Evans - Drexel University
Marcia Polansky - Drexel University
Jason F. Okulicz - Uniformed Services University of the Health Sciences
Grace Macalino - Henry M. Jackson Foundation
Brian K. Agan - Henry M. Jackson Foundation
Infect Dis Clinical Res Program HI
Publication Details
PloS one, v 12(6), pp e0178953-e0178953
Publisher
Public Library Science
Number of pages
17
Grant note
Y1-AI-5072 / National Institute of Allergy and Infectious Diseases, National Institutes of Health (NIH); United States Department of Health & Human Services; National Institutes of Health (NIH) - USA; NIH National Institute of Allergy & Infectious Diseases (NIAID)
Infectious Disease Clinical Research Program (IDCRP), a Department of Defense (DoD) programthrough the Uniformed Services University of the Health Sciences
Resource Type
Journal article
Language
English
Academic Unit
[Retired Faculty]; Epidemiology and Biostatistics
Web of Science ID
WOS:000402880700062
Scopus ID
2-s2.0-85020479702
Other Identifier
991019167870904721
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