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Health-related quality of life among military HIV patients on antiretroviral therapy
Journal article   Open access   Peer reviewed

Health-related quality of life among military HIV patients on antiretroviral therapy

Leonard Emuren, Seth Welles, Alison A. Evans, Marcia Polansky, Jason F. Okulicz, Grace Macalino, Brian K. Agan and Infect Dis Clinical Res Program HI
PloS one, v 12(6), pp e0178953-e0178953
07 Jun 2017
PMID: 28591161
url
https://doi.org/10.1371/journal.pone.0178953View
Published, Version of Record (VoR)CC0 V1.0 Open

Abstract

Multidisciplinary Sciences Science & Technology Science & Technology - Other Topics
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.

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Collaboration types
Industry collaboration
Domestic collaboration
Web of Science research areas
Infectious Diseases
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