Gender Differences in Perceived Health-Related Quality of Life Among Patients with HIV Infection
- 1 January 2001
- journal article
- research article
- Published by Mary Ann Liebert Inc in AIDS Patient Care and STDs
- Vol. 15 (1), 31-39
- https://doi.org/10.1089/108729101460083
Abstract
This article explores how a group of human immunodeficiency virus (HIV)-infected patients perceived their health-related quality of life (HRQOL) in relation to their coping capacity expressed as sense of coherence. The emphasis was on gender differences. The sample consisted of 55 women (29%) and 134 men (71%), receiving outpatient medical care in a hospital. Self-report instruments, the health index, the HIV symptom scale, the well-being scale, the sense of coherence (SOC) scale and the Interview Schedule for Social Interaction were used. Disease status (HIV CDC classification, absolute CD4+ lymphocyte count and HIV/RNA) was also measured, and demographic data were collected. The total sample scored significantly worse self-rated health and weaker SOC than healthy controls. The HIV-infected women were significantly younger than the men (p < 0.0001). The majority of the women (60%) were infected by heterosexual transmission and of the men (58%) by homosexual/bisexual contacts. In the univariate analysis the women scored significantly less positive well-being (p < 0.05), weaker SOC (p < 0.05), and less social support (p < 0.01) than the men despite less advanced disease. Multiple regression analyses revealed that SOC was the strongest predictor of subjective HRQOL in both genders. The results suggest that health professionals who individualize their care of HIV-infected patients should try to be sensitive to the different ways in which men and women express their HRQOL.Keywords
This publication has 30 references indexed in Scilit:
- Associations of clinical parameters with health-related quality of life in hospitalized persons with HIV diseaseAIDS Care, 1999
- Dimensions of health‐related quality of life in persons living with HIV diseaseJournal of Advanced Nursing, 1999
- The effectiveness of coping strategies used by HIV‐seropositive womenResearch in Nursing & Health, 1998
- Psychosocial predictors of life satisfaction among persons living with HIV infection and AIDSJournal of the Association of Nurses in AIDS Care, 1997
- Human association as a factor influencing wellness in homosexual men with human immunodeficiency virus diseaseApplied Nursing Research, 1996
- HIV viral load markers in clinical practiceNature Medicine, 1996
- The stressors and stress of being HIV-positiveAIDS Care, 1996
- Sense of Coherence in Minority Women at Risk for HIV InfectionPublic Health Nursing, 1993
- Development of a social support instrument for use in population surveysSocial Science & Medicine (1982), 1989
- Coefficient alpha and the internal structure of testsPsychometrika, 1951