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Int. J. Environ. Res. Public Health 2019, 16(2), 276; https://doi.org/10.3390/ijerph16020276

Social Capital Associated with Quality of Life among People Living with HIV/AIDS in Nanchang, China

1,†
,
1,†
,
1,2,†
,
1,* and 1,3,*
1
Jiangxi Province Key Laboratory of Preventive Medicine, School of Public Health, Nanchang University, Nanchang 330006, China
2
Center for Disease Prevention and Control of Pudong New District, Shanghai 200136, China
3
Department of Public Health Sciences, University of Hawaii at Manoa, Honolulu, HI 96822, USA
Equally contributing co-first authors.
*
Authors to whom correspondence should be addressed.
Received: 16 November 2018 / Revised: 14 January 2019 / Accepted: 15 January 2019 / Published: 18 January 2019
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Abstract

Background: This study aims to explore the relationship between quality of life (QOL) and social capital factors among “people living with HIV/AIDS” (PLWHA), in order to improve their quality of life and help them to release AIDS discrimination. Methods: A cross-sectional survey with 225 PLWHA was done in Nanchang, China, between January and June of 2015. Questionnaires consisted of a socio-demographic questionnaire, Personal Social Capital Scale and Medical Outcomes Study HIV Health Survey. To identify social capital factors influencing QOL among PLWHA, t-test and multiple linear regression were used as statistical tools. The analysis of data was conducted using SPSS 22.0 with a significant value of p < 0.05. Results: The scores of total social capital, bonding social capital and bridging social capital were 23.68 ± 5.55, 14.11 ± 3.40 and 9.46 ± 3.43 respectively. The scores of Physical Health Summary (PHS) and Mental Health Summary (MHS) were 51.88 ± 7.04 and 49.29 ± 6.60. Multiple linear regression analysis showed that age (B = −0.137, p = 0.020), income (B = 0.2170, p ≤ 0.001), employment (B = 0.112, p = 0.043) and bonding social capital (B = 0.178, p = 0.001) had significant effects on PHS. Bonding social capital was the most important influencing factor for MHS (B = 0.506, p < 0.001). There was no significant relationship between bridging social capital and QOL (p > 0.05). Conclusions: The PLWHA community has low social capital and a poor QOL in Nanchang. Bonding social capital had a positive impact on the QOL of PLWHA. There is an urgent need to build a better social support system based on bonding social capital for PLWHA. It is worth further exploring to identify how to make full use of bridging social capital for improving QOL among PLWHA. View Full-Text
Keywords: HIV/AIDS; social capital; quality of life; Personal Social Capital Scale (PSCS); Nanchang; China HIV/AIDS; social capital; quality of life; Personal Social Capital Scale (PSCS); Nanchang; China
This is an open access article distributed under the Creative Commons Attribution License which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited (CC BY 4.0).
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Xie, F.; Zheng, H.; Huang, L.; Yuan, Z.; Lu, Y. Social Capital Associated with Quality of Life among People Living with HIV/AIDS in Nanchang, China. Int. J. Environ. Res. Public Health 2019, 16, 276.

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