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Mental and Physical Quality of Life by Age Groups in People Living With HIV

Jang, Hannah J. PhD, MSN, RN*; Satre, Derek D. PhD; Leyden, Wendy MS; Leibowitz, Amy PsyD; Silverberg, Michael J. PhD

Journal of the Association of Nurses in AIDS Care: September-October 2019 - Volume 30 - Issue 5 - p 500–510
doi: 10.1097/JNC.0000000000000064
Research Article
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Quality of life (QoL) is relevant to people living with HIV (PLWH) with increased life expectancy because of antiretroviral therapy. Our cross-sectional study examined associations between sociodemographic, HIV-related and psychological variables, and QoL, overall and by age. PLWH (n = 614) completed questionnaires at enrollment in an alcohol treatment study. QoL was assessed by the 12-item Short Form Survey, which includes physical and mental domains. Linear regression models evaluated the association of age and other factors with mental and physical QoL. PLWH younger than 50 years (n = 310) reported poorer mental QoL but better physical QoL compared to older PLWH (n = 304). Poorer mental QoL was associated with substance use, depression, and anxiety. Poorer physical QoL was associated with depression and history of injection drug use. We identified age-group differences in QoL for this primary care-based sample. Health care providers can use our findings to guide patient-centered care.

Hannah J. Jang, PhD, MSN, RN, is Associate Chief Nurse Researcher and Manager, Institute for Nursing Excellence, University of California, San Francisco Medical Center, San Francisco, California, USA, and is a postdoctoral research fellow at Kaiser Permanente Northern California Division of Research, Oakland, California, USA. Derek D. Satre, PhD, is a Clinical Psychologist, Weill Institute for Neurosciences, Department of Psychiatry, University of California, San Francisco, San Francisco, California, USA, and is a Staff Scientist, Kaiser Permanente Northern California Division of Research, Oakland, California, USA. Wendy Leyden, MS, is a Senior Data Analyst, Kaiser Permanente Northern California Division of Research, Oakland, California, USA. Amy Leibowitz, PsyD, is a Clinical Psychologist, Kaiser Permanente Northern California Division of Research, Oakland, California, USA. Michael J. Silverberg, PhD, is a Research Scientist III, Kaiser Permanente Northern California Division of Research, Oakland, California, USA.

Corresponding author: Hannah J. Jang, e-mail: Hannah.Jang@ucsf.edu

Sponsorships or competing interests that may be relevant to content are disclosed at the end of this article.

© 2019 Association of Nurses in AIDS Care
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