Predictors of health-related quality of life among older adults living with HIV in Thailand: results from the baseline and follow-up surveys. Issue 1 (2nd January 2021)

• Record Type: Journal Article
• Authors: Musumari, Patou Masika; Srithanaviboonchai, Kriengkrai; Tangmunkongvorakul, Arunrat; Dai, Yingxue; Sitthi, Wathee; Rerkasem, Kittipan; Kowal, Paul; Techasrivichien, Teeranee; Suguimoto, S. Pilar; Feldman, Mitchell D.; Ono-Kihara, Masako; Kihara, Masahiro
• Is Part Of: AIDS care. Volume 33:Issue 1(2021)
• Page Start: 10
• Page End: 19
• Publication Date: 2021-01-02
• Subjects: Older adults living with HIV -- quality of life -- health-related quality of life -- HIV and aging -- Chiang Mai -- Thailand; AIDS (Disease) -- Social aspects -- Periodicals; AIDS (Disease) -- Psychological aspects -- Periodicals; AIDS (Disease) -- Patients -- Care -- Periodicals; Acquired Immunodeficiency Syndrome; 362.1969792
• DOI: 10.1080/09540121.2019.1707472
• Languages: English
• ISSNs: 0954-0121

Abstract

ABSTRACT: The current longitudinal study consisted of baseline and follow-up surveys among older adults living with HIV (OALHIV) in Thailand. The health-related quality of life (HRQoL) was assessed using the Medical Outcomes Study HIV (MOS-HIV) questionnaire. We performed multiple linear regression analysis to document correlates of HRQoL at baseline and the predictors of the changes in HRQoL at follow-up. Of the 364 participants recruited at baseline; 327 (89.9%) completed the follow-up survey. The mean (SD) Physical Health Summary (PHS) and Mental Health Summary (MHS) scores were respectively 49.8 (7.3) and 53.2 (6.4). There was a significant increase in the mean score of most of the MOS-HIV domains, ranging between 1.3 for the PHS and 26.9 for the energy/fatigue dimension. In contrast, the mean score significantly decreased by 4.1 and 10.3 points, respectively for the cognitive and social functioning. Female gender was a predictor of the decline in social ( β = −11.37; P = 0.031) and cognitive ( β = −8.05; P = 0.002) functioning at follow-up, while being married was related to an increase of in the score of energy/fatigue (vitality) ( β = 5.98; P = 0.011) at follow-up. Physical exercise was associated with an increase in social functioning ( β = 9.38; p = 0.042). Overall the HRQoL of OALHIV improved or was maintained over time.