Network analysis to prioritize issues for intervention to improve the health-related quality of life of people with HIV in Spain.

IF 2.8 3区医学 Q2 INFECTIOUS DISEASES

HIV Medicine Pub Date : 2024-11-01 Epub Date: 2024-08-10 DOI:10.1111/hiv.13693

Trenton M White, María José Fuster-RuizdeApodaca, Carlos Iniesta, Carlos Prats-Silvestre, Jeffrey V Lazarus, Rebeca Izquierdo, Inmaculada Jarrín

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引用次数: 0

Abstract

Objectives: The objective is to assess the interconnectedness of a network of health-related quality of life (HRQoL) variables among people with HIV (PHIV) to identify key areas for which clinical interventions could improve HRQoL for this population.

Methods: Between 2021 and 2023, we carried out a cross-sectional study within the Spanish CoRIS cohort. We conducted a weighted and undirected network analysis, which examines complex patterns of relationships and interconnections between variables, to assess a network of eight HRQoL dimensions from the validated Clinic Screening Tool for HIV (CST-HIV): anticipated stigma, psychological distress, sexuality, social support, material deprivation, sleep and fatigue, cognitive problems and physical symptoms.

Results: A total of 347 participants, predominantly male (93.1%), currently working (79.0%), self-reported homosexual (72.6%) and college-educated (53.9%), were included in the study. Psychological distress showed the highest centrality in the network, indicating its strong connections with sleep and fatigue, cognitive problems and social support within the HRQoL network.

Conclusions: Psychological distress, sleep and fatigue, cognitive issues and social support were identified as key factors in an HRQoL network, indicating that interventions focused on these areas could significantly enhance overall well-being.

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通过网络分析确定干预问题的优先次序，以改善西班牙艾滋病毒感染者与健康相关的生活质量。

目标：目的是评估艾滋病病毒感染者（PHIV）中与健康相关的生活质量（HRQoL）变量网络的相互关联性，以确定临床干预措施可改善该人群 HRQoL 的关键领域：2021 年至 2023 年期间，我们在西班牙 CoRIS 队列中开展了一项横断面研究。我们进行了加权和非定向网络分析，研究变量之间复杂的关系模式和相互联系，以评估有效的艾滋病临床筛查工具（CST-HIV）中八个 HRQoL 维度的网络：预期污名化、心理困扰、性、社会支持、物质匮乏、睡眠和疲劳、认知问题和身体症状：共有 347 名参与者参与了研究，其中男性居多（93.1%），目前有工作（79.0%），自述为同性恋（72.6%），受过大学教育（53.9%）。心理困扰在网络中显示出最高的中心性，表明它与睡眠和疲劳、认知问题和社会支持在 HRQoL 网络中有着紧密的联系：结论：心理困扰、睡眠和疲劳、认知问题和社会支持被确定为 HRQoL 网络中的关键因素，表明针对这些领域的干预措施可显著提高整体福祉。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

HIV Medicine 医学-传染病学

CiteScore

5.10

自引率

10.00%

发文量

167

审稿时长

6-12 weeks

期刊介绍： HIV Medicine aims to provide an alternative outlet for publication of international research papers in the field of HIV Medicine, embracing clinical, pharmocological, epidemiological, ethical, preclinical and in vitro studies. In addition, the journal will commission reviews and other feature articles. It will focus on evidence-based medicine as the mainstay of successful management of HIV and AIDS. The journal is specifically aimed at researchers and clinicians with responsibility for treating HIV seropositive patients.