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Four-Year Trajectories of Health-Related Quality of Life in People Living with HIV: Impact of Unmet Basic Needs across Age Groups in Positive Spaces, Healthy Places

Author

Listed:
  • Phan Sok

    (Institute of Medical Science, University of Toronto, Toronto, ON M5S 1A8, Canada)

  • Mary V. Seeman

    (Institute of Medical Science, University of Toronto, Toronto, ON M5S 1A8, Canada
    Department of Psychiatry, University of Toronto, Toronto, ON M5S 1A1, Canada)

  • Rosane Nisenbaum

    (MAP Centre for Urban Health Solutions, Li Ka Shing Knowledge Institute, St. Michael’s Hospital, Toronto, ON M5B 1W8, Canada
    Applied Health Research Centre, St. Michael’s Hospital, Toronto, ON M5G 1B1, Canada
    Division of Biostatistics, Dalla Lana School of Public Health, University of Toronto, Toronto, ON M5T 3M7, Canada)

  • James Watson

    (MAP Centre for Urban Health Solutions, Li Ka Shing Knowledge Institute, St. Michael’s Hospital, Toronto, ON M5B 1W8, Canada)

  • Sean B. Rourke

    (Institute of Medical Science, University of Toronto, Toronto, ON M5S 1A8, Canada
    Department of Psychiatry, University of Toronto, Toronto, ON M5S 1A1, Canada
    MAP Centre for Urban Health Solutions, Li Ka Shing Knowledge Institute, St. Michael’s Hospital, Toronto, ON M5B 1W8, Canada)

  • on behalf of the PSHP Team

    (Members are listed in Acknowledgments.)

Abstract

Despite significant advances in antiretroviral therapy, unmet basic needs can negatively impact health-related quality of life (HRQoL) in people living with HIV, especially as they age. We aimed to examine the effect of unmet basic needs across age groups on changes in HRQoL over a 4-year period in persons with HIV. Physical and mental HRQoL scores from the Positive Spaces, Healthy Spaces cohort interviewed in 2006 (n = 538), 2007 (n = 506), and 2009 (n = 406) were examined across three age groups according to their unmet needs for food, clothing, and housing. Individual growth curve model analyses were used to investigate changes over time, adjusting for demographics, employment, living conditions, social supports, HIV status, and health behavior risks. Low scores on physical and mental HRQoL were positively associated with higher number of unmet basic needs (β = −6.40, standard error (SE) = 0.87, p < 0.001 and β = −7.39, SE = 1.00, p < 0.001, respectively). There was a slight improvement in physical and mental HRQoL over 4 years in this HIV cohort, but the burden of unmet basic needs took its toll on those over 50 years of age. Regularly assessing unmet basic needs is recommended given the impact these can have on HRQOL for people living with HIV. Recognition of unmet needs is vital, as is the development of timely interventions.

Suggested Citation

  • Phan Sok & Mary V. Seeman & Rosane Nisenbaum & James Watson & Sean B. Rourke & on behalf of the PSHP Team, 2021. "Four-Year Trajectories of Health-Related Quality of Life in People Living with HIV: Impact of Unmet Basic Needs across Age Groups in Positive Spaces, Healthy Places," IJERPH, MDPI, vol. 18(22), pages 1-16, November.
    • Handle: RePEc:gam:jijerp:v:18:y:2021:i:22:p:12256-:d:684991
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    References listed on IDEAS

    as
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    4. Cahill, S. & Valadéz, R., 2013. "Growing older with HIV/AIDS: New public health challenges," American Journal of Public Health, American Public Health Association, vol. 103(3), pages 7-15.
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