一种评估艾滋病毒感染者生活质量低下的新方法。

IF 2.9 3区 医学 Q3 IMMUNOLOGY
Sharoda Dasgupta, Yunfeng Tie, Kate Buchacz, Linda J Koenig, Jen-Feng Lu, Linda Beer
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引用次数: 0

摘要

背景:美国国家艾滋病毒/艾滋病战略(NHAS)优先考虑改善艾滋病毒感染者(PWH)的生活质量,但生活质量不同方面的共同发生并未得到很好的描述。我们开发并应用了一种新的、多项目的PWH生活质量差(QoL)评估方法,并检查了与选定结果的关联。设定:2018-2021年CDC医疗监测项目数据,涉及15855名美国PWH。方法:不良生活质量指数,由经历不良生活质量的指标数量来衡量,包括:不良/一般自评健康,未满足的精神卫生服务需求,以及生存需求(饥饿/粮食不安全,住房不稳定/无家可归,失业)。评分分布与个人生活质量指标数据一起进行分析。评估了与选定不良结局的关联,包括未保留护理,错过≥1次HIV医疗预约,错过≥1次ART剂量,未持续抑制病毒,以及≥1次急诊室就诊或≥1次住院。结果:总体而言,55.1%的PWH患者生活质量差指标≥1项;8.4%的患者指标≥3项。超过四分之一(26.5%)的注射吸毒者生活质量不佳的指标≥3项。很大比例的18-24岁人群和变性妇女有生存需要;36.4%的顺性别黑人妇女自评健康状况较差/一般。在对年龄、种族/民族和性别进行调整后,生活质量指数得分越高,生活质量指标越差,结果越差。结论:我们证明了使用不良生活质量指数来识别面临健康挑战的高风险人群的实用性。扩大国家建议,纳入这一生活质量评估,有助于实现国家卫生服务处改善PWH福祉的目标。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
A Novel Method for Assessing Poor Quality of Life Among People With HIV.

Background: The US National HIV/AIDS Strategy prioritizes improving quality of life (QoL) among people with HIV (PWH) but co-occurrence of different aspects of QoL is not well described. We developed and applied a novel, multi-item assessment of poor QoL among PWH and examined associations with selected outcomes.

Setting: 2018-2021 CDC Medical Monitoring Project data on 15,855 U.S. PWH.

Methods: The poor QoL index, measured by the number of indicators of poor QoL experienced included: poor/fair self-rated health, unmet needs for mental health services, and subsistence needs (hunger/food insecurity, unstable housing/homelessness, and unemployment). Score distributions were analyzed alongside data on individual QoL indicators. Associations with selected adverse outcomes were assessed, including not being retained in care, missing ≥1 HIV medical appointments, missing ≥1 ART dose, not having sustained viral suppression, and having ≥1 emergency room visit or ≥1 hospitalization.

Results: Overall, 55.1% of PWH had ≥1 indicator of poor QoL; 8.4% had ≥3 indicators. Over a quarter (26.5%) of people who inject drugs experienced ≥3 indicators of poor QoL. A large percentage of people aged 18-24 years had subsistence needs; 36.4% of Black women had poor/fair self-rated health. After adjusting for age, race/ethnicity, and sex, higher poor QoL index scores-and each indicator of poor QoL-were associated with worse outcomes.

Conclusions: We demonstrated the utility in using the poor QoL index to identify those at higher risk of experiencing health challenges. Expanding national recommendations to include this QoL assessment could help in meeting National HIV/AIDS Strategy goals for improving PWH's well-being.

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来源期刊
CiteScore
5.80
自引率
5.60%
发文量
490
审稿时长
3-6 weeks
期刊介绍: JAIDS: Journal of Acquired Immune Deficiency Syndromes​ seeks to end the HIV epidemic by presenting important new science across all disciplines that advance our understanding of the biology, treatment and prevention of HIV infection worldwide. JAIDS: Journal of Acquired Immune Deficiency Syndromes is the trusted, interdisciplinary resource for HIV- and AIDS-related information with a strong focus on basic and translational science, clinical science, and epidemiology and prevention. Co-edited by the foremost leaders in clinical virology, molecular biology, and epidemiology, JAIDS publishes vital information on the advances in diagnosis and treatment of HIV infections, as well as the latest research in the development of therapeutics and vaccine approaches. This ground-breaking journal brings together rigorously peer-reviewed articles, reviews of current research, results of clinical trials, and epidemiologic reports from around the world.
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