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.

Details

Title
Self-rated health among people living with HIV in Spain in 2019: a cross-sectional study
Author
Ruiz-Algueró, Marta; Hernando, Victoria; Henar Marcos; Gutiérrez, Gonzalo; Maria Jesus Pérez-Elías; Juan Carlos López-Bernaldo de Quirós; Pulido, Federico; Górgolas, Miguel; Sanz, Jesus; Suarez-García, Ines; Fernandez, Maria Teresa; Losa, Juan Emilio; Pérez, Jose Luis; Maria Oliva Ladrero; Prieto, Miguel Ángel; González, Gustavo; Izquierdo, Ana; Viloria, Luis Javier; López, Irene; Martínez, Eva; Castrillejo, Daniel; Aranguren, Rosa; Belmonte, Maria Antonia; Aranda-García, I V; Arraiza, Antonio; Diaz, Asuncion  VIAFID ORCID Logo  ; on behalf of the Hospital Survey Study Group
Pages
1-12
Section
Research article
Publication year
2021
Publication date
2021
Publisher
BioMed Central
e-ISSN
14712334
Source type
Scholarly Journal
Language of publication
English
DOI
https://doi.org/10.1186/s12879-021-05815-3
ProQuest document ID
2490969725
Copyright
© 2021. This work is licensed under http://creativecommons.org/licenses/by/4.0/ (the “License”). Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License.