Health-related quality of life of people living with HIV followed up in hospitals in France: comparing trends and correlates between 2003 and 2011 (ANRS-VESPA and VESPA2 national surveys)

被引:30
作者
Douab, Taoufiq [1 ,2 ,3 ]
Marcellin, Fabienne [1 ,2 ,3 ]
Vilotitch, Antoine [1 ,2 ,3 ]
Protopopescu, Camelia [1 ,2 ,3 ]
Preau, Marie [1 ,3 ,4 ]
Suzan-Monti, Marie [1 ,2 ,3 ]
Sagaon-Teyssier, Luis [1 ,2 ,3 ]
Lert, France [5 ,6 ]
Carrieri, Maria Patrizia [1 ,2 ,3 ]
Dray-Spira, Rosemary [5 ,6 ]
Spire, Bruno [1 ,2 ,3 ]
机构
[1] INSERM, UMR912, SESSTIM, F-13006 Marseille, France
[2] Aix Marseille Univ, UMR S912, IRD, F-13006 Marseille, France
[3] ORS PACA, F-13006 Marseille, France
[4] Univ Lyon 2, Inst Psychol, Grp Rech Psychol Sociale, Bron, France
[5] Hop Paul Brousse, INSERM, U1018, Ctr Rech Epidemiol & Sante Populat, Villejuif, France
[6] Univ Versailles St Quentin En Yvelines, UMRS 1018, Villejuif, France
来源
AIDS CARE-PSYCHOLOGICAL AND SOCIO-MEDICAL ASPECTS OF AIDS/HIV | 2014年 / 26卷
关键词
health-related quality of life; SF-12; changes; correlates; national survey; RESPONSE SHIFT; POPULATION; DIFFERENCE; DISEASE;
D O I
10.1080/09540121.2014.906553
中图分类号
R19 [保健组织与事业(卫生事业管理)];
学科分类号
摘要
In recent years, France has witnessed both structural changes in the population of people living with HIV and a relative improvement in the social representation of HIV infection. However, potential changes in people's day-to-day experience with HIV have not been documented. We used data from the national surveys ANRS-VESPA (2003) and VESPA2 (2011) to compare the levels and patterns of correlates of health-related quality of life (HRQL) in adult HIV-infected patients followed up in French hospitals over a period of eight years. Mean physical and mental SF-12 scores were compared (VESPA, n = 2072; and VESPA2, n = 2267) using analysis of variance (ANOVA) F tests. Heckman regression models were then used to identify independent correlates of physical and mental quality of life in the two surveys, while accounting for possible bias due to missing score values. A common set of potential socio-demographic, clinical, behavioral, and psychosocial correlates was tested. Individuals reported a decrease in physical quality of life in VESPA2 compared with VESPA (mean score (standard error): 47.5 (0.2) versus 49.6 (0.2), p < .0001), and better mental HRQL (44.3 (0.3) versus 42.3 (0.3), p < 0.0001). In both surveys, financial difficulties and patient-perceived experience of rejection behaviors by medical staff were independently associated with impaired physical and mental quality of life. Older age and unemployment were independently associated with impaired physical quality of life. Immigrants from Sub-Saharan Africa reported better mental quality of life. Findings show that quality of life levels in adult HIV-infected patients followed up at hospital in France has significantly, yet modestly, changed in recent years. However, the pattern of quality of life correlates has remained relatively stable. The impact of patient-provider relationships on self-reported outcomes is confirmed. Further research is needed to identify potential differences in quality of life correlates in specific subgroups of patients, such as men who have sex with men, women, immigrants, and injecting drug users.
引用
收藏
页码:S29 / S40
页数:12
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