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Erschienen in: AIDS and Behavior 1/2009

01.02.2009 | Original Paper

Do Men and Women with HIV Differ in Their Quality of Life? A Study from South India

verfasst von: Prabha S. Chandra, Veena A. Satyanarayana, P. Satishchandra, K. S. Satish, Mahendra Kumar

Erschienen in: AIDS and Behavior | Ausgabe 1/2009

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Abstract

This paper examined gender differences in Quality of Life (QOL) among people living with HIV/AIDS in South India using the locally validated version of the WHO Quality of Life Instrument for HIV (WHOQOL-HIV 120). Participants (N = 109) were men and women with HIV1 Clade C infection participating in a cohort study. There was no gender difference in CD4 counts or use of antiretroviral therapy. Of the 29 facets of QOL, men reported significantly higher QOL in the following facets-positive feeling, sexual activity, financial resources and transport, while women reported significantly higher QOL on the forgiveness and blame facet. Of the six domains of QOL, men reported better quality of life in the environmental domain while women had higher scores on the spirituality/religion and personal beliefs domain. Understanding these gender differences may provide potentially useful information for tailoring interventions to enhance QOL among people infected with HIV/AIDS.
Literatur
Zurück zum Zitat Bharat, S. (1991). Research on family structure and problems: Review, implications and suggestions. In S. Bharat (Ed.), Research on families with problems in India (Vol. 1). Bombay: Tata Institute of Social Sciences (Chap. 3). Bharat, S. (1991). Research on family structure and problems: Review, implications and suggestions. In S. Bharat (Ed.), Research on families with problems in India (Vol. 1). Bombay: Tata Institute of Social Sciences (Chap. 3).
Zurück zum Zitat Casado, A. (2005). Measurement of quality of life of HIV individuals: Perspectives and future directions. The Indian Journal of Medical Research, 122(4), 282–284.PubMed Casado, A. (2005). Measurement of quality of life of HIV individuals: Perspectives and future directions. The Indian Journal of Medical Research, 122(4), 282–284.PubMed
Zurück zum Zitat Cederfjäll, C., Langius-Eklöf, A., Lidman, K., & Wredling, R. (2001). Gender differences in perceived health-related quality of life among patients with HIV infection. AIDS Patient Care and STDs, 15(1), 31–39. doi:10.1089/108729101460083.PubMedCrossRef Cederfjäll, C., Langius-Eklöf, A., Lidman, K., & Wredling, R. (2001). Gender differences in perceived health-related quality of life among patients with HIV infection. AIDS Patient Care and STDs, 15(1), 31–39. doi:10.​1089/​108729101460083.PubMedCrossRef
Zurück zum Zitat Chandra, P. S. (1996). Sexual control and awareness of STDs among HIV infected women. In Proceedings of the 3rd Asia Pacific Conference on Social Science and Medicine, Perth, Western Australia. Chandra, P. S. (1996). Sexual control and awareness of STDs among HIV infected women. In Proceedings of the 3rd Asia Pacific Conference on Social Science and Medicine, Perth, Western Australia.
Zurück zum Zitat Chandra, P. S., Deepthivarma, S., Jairam, K. R., & Thomas, T. (2003). Relationship of psychological morbidity and quality of life to illness-related disclosure among HIV-infected persons. Journal of Psychosomatic Research, 54, 199–203. doi:10.1016/S0022-3999(02)00567-6.PubMedCrossRef Chandra, P. S., Deepthivarma, S., Jairam, K. R., & Thomas, T. (2003). Relationship of psychological morbidity and quality of life to illness-related disclosure among HIV-infected persons. Journal of Psychosomatic Research, 54, 199–203. doi:10.​1016/​S0022-3999(02)00567-6.PubMedCrossRef
Zurück zum Zitat Chandra, P. S., Gandhi, C., Satishchandra, P., Kamat, A., Desai, A., Ravi, V., et al. (2006). Quality of life in HIV subtype C infection among asymptomatic subjects and its association with CD4 counts and viral loads—a study from South India. Quality of Life Research, 15(10), 1597–1605. doi:10.1007/s11136-006-9001-7.PubMedCrossRef Chandra, P. S., Gandhi, C., Satishchandra, P., Kamat, A., Desai, A., Ravi, V., et al. (2006). Quality of life in HIV subtype C infection among asymptomatic subjects and its association with CD4 counts and viral loads—a study from South India. Quality of Life Research, 15(10), 1597–1605. doi:10.​1007/​s11136-006-9001-7.PubMedCrossRef
Zurück zum Zitat Cotton, S., Tsevat, J., Szaflarski, M., Kudel, I., Sherman, S. N., Feinberg, J., et al. (2006). Changes in religiousness and spirituality attributed to HIV/AIDS: Are there sex and race differences? Journal of General Internal Medicine, 5, S14–S20. doi:10.1111/j.1525-1497.2006.00641.x.CrossRef Cotton, S., Tsevat, J., Szaflarski, M., Kudel, I., Sherman, S. N., Feinberg, J., et al. (2006). Changes in religiousness and spirituality attributed to HIV/AIDS: Are there sex and race differences? Journal of General Internal Medicine, 5, S14–S20. doi:10.​1111/​j.​1525-1497.​2006.​00641.​x.CrossRef
Zurück zum Zitat Dalmida, S. G. (2006). Spirituality, mental health, physical health, and health-related quality of life among women with HIV/AIDS: Integrating spirituality into mental health care. Issues in Mental Health Nursing, 27(2), 185–198. doi:10.1080/01612840500436958.PubMedCrossRef Dalmida, S. G. (2006). Spirituality, mental health, physical health, and health-related quality of life among women with HIV/AIDS: Integrating spirituality into mental health care. Issues in Mental Health Nursing, 27(2), 185–198. doi:10.​1080/​0161284050043695​8.PubMedCrossRef
Zurück zum Zitat Eller, L. S., & Mahat, G. (2007). Predictors of life satisfaction in HIV-positive Nepali women. The Journal of the Association of Nurses in AIDS Care, 18(5), 17–26. Eller, L. S., & Mahat, G. (2007). Predictors of life satisfaction in HIV-positive Nepali women. The Journal of the Association of Nurses in AIDS Care, 18(5), 17–26.
Zurück zum Zitat Institute of Medicine. (2000). Informing the future: Critical issues in health (2nd ed.). Washington DC: The National Academies Press. Institute of Medicine. (2000). Informing the future: Critical issues in health (2nd ed.). Washington DC: The National Academies Press.
Zurück zum Zitat Kamat, A., Ravi, V., Desai, A., Satishchandra, P., Satish, K. S., Borodowsky, I., et al. (2007). Quantitation of HIV-1 RNA levels in plasma and CSF of asymptomatic HIV-1 infected patients from South India using a TaqMan real time PCR assay. Journal of Clinical Virology, 39(1), 9–15. doi:10.1016/j.jcv.2006.12.026.PubMedCrossRef Kamat, A., Ravi, V., Desai, A., Satishchandra, P., Satish, K. S., Borodowsky, I., et al. (2007). Quantitation of HIV-1 RNA levels in plasma and CSF of asymptomatic HIV-1 infected patients from South India using a TaqMan real time PCR assay. Journal of Clinical Virology, 39(1), 9–15. doi:10.​1016/​j.​jcv.​2006.​12.​026.PubMedCrossRef
Zurück zum Zitat Kohli, R. M., Sane, S., Kumar, K., Paranjape, R. S., & Mehendale, S. M. (2005a). Assessment of quality of life among HIV-infected persons in Pune, India. The Indian Journal of Medical Research, 122(4), 297–304.PubMed Kohli, R. M., Sane, S., Kumar, K., Paranjape, R. S., & Mehendale, S. M. (2005a). Assessment of quality of life among HIV-infected persons in Pune, India. The Indian Journal of Medical Research, 122(4), 297–304.PubMed
Zurück zum Zitat Kohli, R. M., Sane, S., Kumar, K., Paranjape, R. S., & Mehendale, S. M. (2005b). Modification of medical outcome study (MOS) instrument for quality of life assessment and its validation in HIV infected individuals in India. The Indian Journal of Medical Research, 122(4), 282–284. Kohli, R. M., Sane, S., Kumar, K., Paranjape, R. S., & Mehendale, S. M. (2005b). Modification of medical outcome study (MOS) instrument for quality of life assessment and its validation in HIV infected individuals in India. The Indian Journal of Medical Research, 122(4), 282–284.
Zurück zum Zitat Lamba, H., Goldmeier, D., Mackie, N. E., & Scullard, G. (2004). Antiretroviral therapy is associated with sexual dysfunction and with increased serum oestradiol levels in men. International Journal of STD and AIDS, 15(4), 234–237. doi:10.1258/095646204773557749.PubMedCrossRef Lamba, H., Goldmeier, D., Mackie, N. E., & Scullard, G. (2004). Antiretroviral therapy is associated with sexual dysfunction and with increased serum oestradiol levels in men. International Journal of STD and AIDS, 15(4), 234–237. doi:10.​1258/​0956462047735577​49.PubMedCrossRef
Zurück zum Zitat Pace, J. C., & Stables, J. L. (1997). Correlates of spiritual well-being in terminally ill persons with AIDS and terminally ill persons with cancer. The Journal of the Association of Nurses in AIDS Care, 8(6), 31–42. doi:10.1016/S1055-3290(97)80056-8.PubMedCrossRef Pace, J. C., & Stables, J. L. (1997). Correlates of spiritual well-being in terminally ill persons with AIDS and terminally ill persons with cancer. The Journal of the Association of Nurses in AIDS Care, 8(6), 31–42. doi:10.​1016/​S1055-3290(97)80056-8.PubMedCrossRef
Zurück zum Zitat Phillips, K. D., Mock, K. S., Bopp, C. M., Dudgeon, W. A., & Hand, G. A. (2006). Spiritual well-being, sleep disturbance, and mental and physical health status in HIV-infected individuals. Issues in Mental Health Nursing, 27(2), 125–139. doi:10.1080/01612840500436917.PubMedCrossRef Phillips, K. D., Mock, K. S., Bopp, C. M., Dudgeon, W. A., & Hand, G. A. (2006). Spiritual well-being, sleep disturbance, and mental and physical health status in HIV-infected individuals. Issues in Mental Health Nursing, 27(2), 125–139. doi:10.​1080/​0161284050043691​7.PubMedCrossRef
Zurück zum Zitat Ravindran, T. K., & Balasubramanian, P. (2004). “Yes” to abortion but “no” to sexual rights: The paradoxical reality of married women in rural Tamil Nadu, India. Reproductive Health Matters, 12(23), 88–99. doi:10.1016/S0968-8080(04)23133-0.PubMedCrossRef Ravindran, T. K., & Balasubramanian, P. (2004). “Yes” to abortion but “no” to sexual rights: The paradoxical reality of married women in rural Tamil Nadu, India. Reproductive Health Matters, 12(23), 88–99. doi:10.​1016/​S0968-8080(04)23133-0.PubMedCrossRef
Zurück zum Zitat Sherman, D. W., Ye, X. Y., McSherry, C., Calabrese, M., Parkas, V., & Gatto, M. (2005). Spiritual well-being as a dimension of quality of life for patients with advanced cancer and AIDS and their family caregivers: Results of a longitudinal study. The American Journal of Hospice & Palliative Care, 22(5), 349–362. doi:10.1177/104990910502200508.CrossRef Sherman, D. W., Ye, X. Y., McSherry, C., Calabrese, M., Parkas, V., & Gatto, M. (2005). Spiritual well-being as a dimension of quality of life for patients with advanced cancer and AIDS and their family caregivers: Results of a longitudinal study. The American Journal of Hospice & Palliative Care, 22(5), 349–362. doi:10.​1177/​1049909105022005​08.CrossRef
Zurück zum Zitat Sherman, D. W., Ye, X. Y., McSherry, C., Parkas, V., Calabrese, M., & Gatto, M. (2006). Quality of life of patients with advanced cancer and acquired immune deficiency syndrome and their family caregivers. Journal of Palliative Medicine, 9(4), 948–963. doi:10.1089/jpm.2006.9.948.PubMedCrossRef Sherman, D. W., Ye, X. Y., McSherry, C., Parkas, V., Calabrese, M., & Gatto, M. (2006). Quality of life of patients with advanced cancer and acquired immune deficiency syndrome and their family caregivers. Journal of Palliative Medicine, 9(4), 948–963. doi:10.​1089/​jpm.​2006.​9.​948.PubMedCrossRef
Zurück zum Zitat Shor-Posner, G., Lecusay, R., Miquez-Burbano, M. J., Quesada, J., Rodriquez, A., Ruiz, P., et al. (2000). Quality of Life measures in the Miami HIV-1 infected drug abusers cohort: Relationship to gender and disease status. Journal of Substance Abuse, 11(4), 395–404. doi:10.1016/S0899-3289(00)00035-3.PubMedCrossRef Shor-Posner, G., Lecusay, R., Miquez-Burbano, M. J., Quesada, J., Rodriquez, A., Ruiz, P., et al. (2000). Quality of Life measures in the Miami HIV-1 infected drug abusers cohort: Relationship to gender and disease status. Journal of Substance Abuse, 11(4), 395–404. doi:10.​1016/​S0899-3289(00)00035-3.PubMedCrossRef
Zurück zum Zitat Singh, A. K., Jayaratne, S., Siefert, K., & Chess, W. A. (1995). Emotional support and social undermining as predictors of well-being. The Indian Journal of Social Work, 3, 349–359. Singh, A. K., Jayaratne, S., Siefert, K., & Chess, W. A. (1995). Emotional support and social undermining as predictors of well-being. The Indian Journal of Social Work, 3, 349–359.
Zurück zum Zitat Smith, K. W., Avis, N. E., Mayer, K. H., & Swislow, L. (1997). Use of the MQOL-HIV with asymptomatic HIV-positive patients. Quality of Life Research, 6(6), 555–560.PubMedCrossRef Smith, K. W., Avis, N. E., Mayer, K. H., & Swislow, L. (1997). Use of the MQOL-HIV with asymptomatic HIV-positive patients. Quality of Life Research, 6(6), 555–560.PubMedCrossRef
Zurück zum Zitat Temoshok, L., & Chandra, P. S. (2000). The meaning of forgiveness in a specific situational and cultural context: Persons living with HIV/AIDS in India. In M. E. McCullough, K. I. Parga-ment & C. E. Thoresen (Eds.), Forgiveness: Theory, research, and practice (pp. 41–64). New York: Guilford Press. Temoshok, L., & Chandra, P. S. (2000). The meaning of forgiveness in a specific situational and cultural context: Persons living with HIV/AIDS in India. In M. E. McCullough, K. I. Parga-ment & C. E. Thoresen (Eds.), Forgiveness: Theory, research, and practice (pp. 41–64). New York: Guilford Press.
Zurück zum Zitat Temoshok, L., & Wald, R. (2002). Forgiveness and health in persons living with HIV/AIDS. In E. L. Worthington Jr (Ed.), Handbook of forgiveness (pp. 335–348). New York: Brunner-Routledge. Temoshok, L., & Wald, R. (2002). Forgiveness and health in persons living with HIV/AIDS. In E. L. Worthington Jr (Ed.), Handbook of forgiveness (pp. 335–348). New York: Brunner-Routledge.
Zurück zum Zitat Upanishads. (1995). In S. Radhakrishnan (Trans.), The principle Upanisads. New Delhi: Indus (Harper Collins Publishers). Upanishads. (1995). In S. Radhakrishnan (Trans.), The principle Upanisads. New Delhi: Indus (Harper Collins Publishers).
Zurück zum Zitat van Servellen, G., Aguirre, M., Sarna, L., & Brecht, M. L. (2002). Differential predictors of emotional distress in HIV-infected men and women. Western Journal of Nursing Research, 24(1), 49–72. van Servellen, G., Aguirre, M., Sarna, L., & Brecht, M. L. (2002). Differential predictors of emotional distress in HIV-infected men and women. Western Journal of Nursing Research, 24(1), 49–72.
Zurück zum Zitat WHOQOL HIV Group. (2003). Preliminary development of the World Health Organisation’s Quality of Life HIV instrument (WHOQOL-HIV): Analysis of pilot version. Social Science and Medicine, 57, 1259–1275. doi:10.1016/S0277-9536(02)00506-3.CrossRef WHOQOL HIV Group. (2003). Preliminary development of the World Health Organisation’s Quality of Life HIV instrument (WHOQOL-HIV): Analysis of pilot version. Social Science and Medicine, 57, 1259–1275. doi:10.​1016/​S0277-9536(02)00506-3.CrossRef
Zurück zum Zitat Wig, N., Lekshmi, R., Pal, H., Ahuja, V., Mittal, C. M., & Agarwal, S. K. (2006). The impact of HIV/AIDS on the quality of life: A cross sectional study in north India. Indian Journal of Medical Sciences, 60(1), 3–12.PubMedCrossRef Wig, N., Lekshmi, R., Pal, H., Ahuja, V., Mittal, C. M., & Agarwal, S. K. (2006). The impact of HIV/AIDS on the quality of life: A cross sectional study in north India. Indian Journal of Medical Sciences, 60(1), 3–12.PubMedCrossRef
Zurück zum Zitat Wisniewski, A. B., Apel, S., Selnes, O. A., Nath, A., McArthur, J. C., & Dobs, A. S. (2005). Depressive symptoms, quality of life, and neuropsychological performance in HIV/AIDS: The impact of gender and injection drug use. Journal of Neurovirology, 11(2), 138–143. doi:10.1080/13550280590922748.PubMedCrossRef Wisniewski, A. B., Apel, S., Selnes, O. A., Nath, A., McArthur, J. C., & Dobs, A. S. (2005). Depressive symptoms, quality of life, and neuropsychological performance in HIV/AIDS: The impact of gender and injection drug use. Journal of Neurovirology, 11(2), 138–143. doi:10.​1080/​1355028059092274​8.PubMedCrossRef
Zurück zum Zitat Zorrilla, C. D., & Santiago, L. E. (1999). Women and HIV/AIDS: Barriers and new challenges. Puerto Rico Health Sciences Journal, 18(4), 397–400.PubMed Zorrilla, C. D., & Santiago, L. E. (1999). Women and HIV/AIDS: Barriers and new challenges. Puerto Rico Health Sciences Journal, 18(4), 397–400.PubMed
Metadaten
Titel
Do Men and Women with HIV Differ in Their Quality of Life? A Study from South India
verfasst von
Prabha S. Chandra
Veena A. Satyanarayana
P. Satishchandra
K. S. Satish
Mahendra Kumar
Publikationsdatum
01.02.2009
Verlag
Springer US
Erschienen in
AIDS and Behavior / Ausgabe 1/2009
Print ISSN: 1090-7165
Elektronische ISSN: 1573-3254
DOI
https://doi.org/10.1007/s10461-008-9434-9

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