Self-rated health among people living with HIV in Spain in 2019: a cross-sectional study
Entity
UAM. Departamento de Medicina; UAM. Departamento de PediatríaPublisher
BioMed Central Ltd.Date
2021-01-30Citation
Bmc Infectious Diseases 21.1 (2021): 129ISSN
1471-2334Editor's Version
https://doi.org/10.1186/s12879-021-05815-3Subjects
Self-rated health; Health quality of life; Fourth 90; People living with HIV; Spain; MedicinaNote
Artículo escrito por un elevado número de autores, solo se referencian el que aparece en primer lugar, el nombre del grupo de colaboración, si le hubiere, y los autores pertenecientes a la UAMSpringer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations
Rights
© The Author(s)Abstract
Background
HIV infection has become a chronic disease and well-being of people living with HIV (PLHIV) is now of particular concern. The objectives of this paper were to describe self-rated health among PLHIV, on ART and on ART virally suppressed and to analyse its determinants.
Methods
Data were obtained from a second-generation surveillance system based on a cross-sectional one-day survey in public hospitals. Epidemiological and clinical data were collected among HIV-infected inpatients and outpatients receiving HIV-related care the day of the survey in 86 hospitals in 2019. Self-rated health was measured using a question included in the National Health Survey: “In the last 12 months, how would you rate your health status?” an ordinal variable with five categories (very good, good, moderate, bad and very bad). For the analysis, these responses were dichotomized into two categories: 1 = very good/good and 0 = moderate, bad or very bad health status. Factors associated with very good/good self-rated health were estimated using logistic regression.
Results
Of 800 PLHIV, 67.5% perceived their health as very good/good, 68.4% among PLHIV on ART and 71.7% of those virally suppressed. Having university education (adjusted odds ratio (aOR):2.1), being unemployed (aOR:0.3) or retired (aOR:0.2), ever being diagnosed of AIDS (aOR:0.6), comorbidities (aOR:0.3), less than 2 year since HIV diagnosis (aOR:0.3) and not receiving ART (aOR:0.3) were associated with good self-rated health. Moreover, among PLHIV on ART, viral load less than 200 copies (aOR:3.2) were related to better perceived health. Bad adherence was inversely associated with good self-rated health among PLHIV on ART (aOR:0.5) and of those virally suppressed (aOR:0.4).
Conclusions
Nearly seven in 10 PLHIV in Spain considered their health status as very good/good, being higher among virally suppressed PLHIV. Both demographic and clinical determinants affect quality of life
Files in this item
Google Scholar:Ruiz-Algueró, Marta
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Argente Oliver, Jesús
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Cabello Ubeda, Alfonso
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Górgolas Hernández-Mora, Miguel
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Hospital Survey Study Group
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