The Health Related Quality of Life of HIV Positive Respondents on Antiretroviral Treatment and HIV Negative Living in Lower Socio-Economic Housing in KwaZulu-Natal, South Africa

Prishah Narsai (), Champaklal C. Jinabhai (), Myra Taylor () and Fred Stevens ()
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Prishah Narsai: University of KwaZulu-Natal
Champaklal C. Jinabhai: University of KwaZulu-Natal
Myra Taylor: University of KwaZulu-Natal
Fred Stevens: Medicine and Life Sciences Maastricht University

Social Indicators Research: An International and Interdisciplinary Journal for Quality-of-Life Measurement, 2016, vol. 127, issue 2, No 19, 863 pages

Abstract: Abstract This study aimed to investigate the health related quality of life (HRQoL) of people living in lower socio-economic areas comparing HIV positive on anti-retroviral treatment (ART) and HIV negative respondents and investigating the factors associated with their HRQoL. In total 600 respondents in eThekwini, KwaZulu-Natal were included from both phase one (household sample) and phase two (clinic sample). The Euro Quality of life (EQ 5D) instrument and the Visual Analogue Score (EQ-VAS) were used. The majority of the respondents (79.0 %) were females, and those who were HIV positive on ART were younger than those who were HIV negative, mean age [34.8 years (8.85 SD) vs. 37.1 years (14.65 SD; HIV negative females; p = 0.02)]. Males with a higher perceived quality of health—score >50 % were two and a half times more likely to have attended high school and to experience no pain/discomfort when compared to those reporting pain/discomfort (OR 0.32, 95 % CI 0.16, 0.64). The odds of females reporting problems with their mobility and usual activities compared to no such problems, were associated with lower EQ VAS scores [OR 2.10 (1.20, 3.67) and OR 2.22 (1.21, 4.08)], respectively. For both HIV positive respondents on ART and HIV negative respondents living in lower socio economic housing, interventions are needed to reduce the prevalence of pain/discomfort, and increase their mobility and ability to engage in their usual activities in order to improve their HRQol. Further, more longitudinal studies are required.

Keywords: Health related quality of life; Mobility; Usual activities; Pain/discomfort; Anxiety/depression; HIV (search for similar items in EconPapers)
Date: 2016
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DOI: 10.1007/s11205-015-0970-1

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