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Health-related quality of life of people living with HIV infection in Spain: a gender perspective

机译:与西班牙艾滋病毒感染生活的健康有关的生活质量:性别观点

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Studies exploring gender differences in health-related quality of life (HRQOL) of people living with HIV/AIDS (PLWHA) are scarce and contradictory. This study evaluated gender differences in HRQOL of 744 PLWHA with median (IQR) age 44 (37-48) years and HIV infection diagnosed 12 (5-20) years earlier. Results showed important differences between genders (p < .05). Better male physical health was related to being employed, not having economic worries, not receiving psychological support, not having injected drugs in past, low negative mood HIV-related, low HIV illness representation and internalized stigma, and high body image satisfaction and health behavior. For women, variables were fewer years since HIV diagnosis and low enacted stigma-personal experience of rejection. Mentally, variables in men were being employed, not having injected drugs, having a stable partner, high health behavior, use of problem-solving coping, personal autonomy and personal meaning. In women, better mental health was related to high CD4 cells, self-esteem and body image satisfaction, and negative mood HIV-related. Men and women coincided in absence of past opportunistic infections being related to better physical and mental health, and absence of side effects for physical health and low HIV-related stress and HIV illness representation for mental health. Our results highlight the need for detailed study of gender differences that identify the bio-psycho-socio inequalities that affect HRQOL.
机译:探索与艾滋病毒/艾滋病(PLWHA)的健康相关生活质量(HRQOL)的性别差异(PLWHA)的研究是稀缺和矛盾的。本研究评估了744岁的HRQOL中的性别差异,744年以前(IQR)年龄44(37-48)岁(37-48)岁和艾滋病毒感染患者诊断出12年前。结果表明,性别之间的重要差异(P <.05)。更好的男性身体健康与受雇,没有经济担忧,没有接受心理支持,没有过去的药物,低阴性情绪艾滋病毒相关,低艾滋病毒疾病表示和内化耻辱,以及高体内图像满意度和健康行为。对于女性而言,因艾滋病病毒诊断和低颁布的耻辱性经验,变量较少。在精神上,男性的变量正在受雇,没有注射毒品,具有稳定的合作伙伴,高健康行为,使用问题解决的应对,个人自主和个人意义。在女性中,更好的心理健康与高CD4细胞,自尊和身体形象满意度有关,以及负面情绪艾滋病病毒感染。男女恰逢过去的机会主义感染与更好的身心健康有关,并且没有对身体健康和低艾滋病毒相关的压力和艾滋病毒疾病的副作用进行心理健康。我们的结果突出了对识别影响HRQOL的生物心理学的性别差异的详细研究。

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