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Factors Associated with Quality of Life Among People Living with HIV In India

Koduri, Roopa (2023) Factors Associated with Quality of Life Among People Living with HIV In India. Master Essay, University of Pittsburgh.

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Background: HIV/AIDS remains a primary global public health concern. However, Background: HIV/AIDS remains a primary global public health concern. However, antiretroviral therapy (ART) has transformed HIV from a fatal to a chronic health condition for those with consistent access to medication. Therefore, improving the quality of life (QoL) among people living with HIV in India (PLWH) is an important goal of HIV treatment and care. The primary aim of this study is to examine factors associated with QoL and different QoL domains among PLWH in India.
Materials and Methods: Data was obtained from a cross-sectional survey of 200 PLWH at a hospital-based government ART center in rural Bhimavaram, India. Data was collected through face-to-face interviews from July 2019 to December 2019. This study used sociodemographic characteristics, including age, gender, education, marital status, and other factors, including alcohol use, smoking, CD4 counts, current ART medication adherence, and quality of life (QoL). Multivariable logistic regression was conducted to examine the factors associated with the overall QoL and four QoL domains. The Institutional Ethics Committee at Shri Vishnu College of Pharmacy, Bhimavaram, approved the study protocol (IRB #SVCP/IEC/2021/4).
Results: The mean age of 120 participants was 30.5 (SD=5.5). Over 81% of the participants were married. The social domain had the highest mean score of 15.1 (SD = 1.86), followed by the environment and the psychological domain. The physical health domain had the lowest mean score of 11.57 (SD = 2.74). The multivariable logistic regression analysis showed that lower overall QoL is significantly associated with unmarried people. In addition, low levels of CD4 count were significantly associated with the lower psychological domain (p<0.05).
Discussion and Conclusion: The study finding suggests that interventions should include improving adherence to ART, supporting those with low CD4 counts, and improving physical health to improve the overall QoL. Such interventions include increased access to health care, increased physical activity, and improved nutrition. This study provides additional evidence to improve the overall QoL and to develop effective interventions, identify training needs, and inform policy to improve QoL and promote the well-being of PLWH in Bhimavaram.


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Item Type: Other Thesis, Dissertation, or Long Paper (Master Essay)
Status: Unpublished
CreatorsEmailPitt UsernameORCID
Koduri, RoopaROK61@pitt.edurok610000-0003-0665-1341
ContributionContributors NameEmailPitt UsernameORCID
Committee ChairToan, Hatoan.ha@pitt.edutoan.haUNSPECIFIED
Committee MemberFrank, Linda, Rosefrankie@pitt.edufrankieUNSPECIFIED
Committee MemberSadhasivam, Senthilssenthil@pitt.edussenthilUNSPECIFIED
Date: 5 January 2023
Date Type: Completion
Submission Date: 21 December 2022
Access Restriction: No restriction; Release the ETD for access worldwide immediately.
Number of Pages: 62
Institution: University of Pittsburgh
Schools and Programs: School of Public Health > Infectious Diseases and Microbiology
Degree: MPH - Master of Public Health
Thesis Type: Master Essay
Refereed: Yes
Uncontrolled Keywords: HIV, QoL, PLWH
Date Deposited: 05 Jan 2023 13:59
Last Modified: 15 Jun 2023 16:03


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