ArticleJournal of acquired immune deficiency syndromes (1999)2025
A Novel Method for Assessing Poor Quality of Life Among People With HIV.
Article in Journal of acquired immune deficiency syndromes (1999), 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.
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Who cites it
2 citing papers in PubMed.
- Factors Associated with ART Adherence and Sustained Viral Suppression Among US Young Adults with HIV, 2015-2022.AIDS and behavior · 2026Article
- What shapes the quality of life among older persons living with HIV? A multidimensional assessment from The Aids Support Organisation clinics in Uganda.AIDS research and therapy · 2026Article
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Authors and funding
6 authors.
Funding
Abstract
backgroundThe 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.
setting2018-2021 CDC Medical Monitoring Project data on 15,855 U.S. PWH.
methodsThe 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.
resultsOverall, 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.
conclusionsWe 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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