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

Sok, Phan; Seeman, Mary V.; Nisenbaum, Rosane; Watson, James; Rourke, Sean B.; on behalf of the PSHP Team,

doi:10.3390/ijerph182212256

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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

^1,2

^3,4,5,

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^1,2,3,* and on behalf of the PSHP Team^†

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

⁴

Applied Health Research Centre, St. Michael’s Hospital, Toronto, ON M5G 1B1, Canada

⁵

Division of Biostatistics, Dalla Lana School of Public Health, University of Toronto, Toronto, ON M5T 3M7, Canada

Author to whom correspondence should be addressed.

^†

Members are listed in Acknowledgments.

Academic Editors: Tinashe Dune, Zelalem Mengesha, Pranee Liamputtong and Amit Arora

Int. J. Environ. Res. Public Health 2021, 18(22), 12256; https://doi.org/10.3390/ijerph182212256

Received: 16 October 2021 / Revised: 17 November 2021 / Accepted: 18 November 2021 / Published: 22 November 2021

(This article belongs to the Collection Addressing Public Health and Health Inequities in Marginalized and Hidden Populations)

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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. View Full-Text

Keywords: HIV; aging; unmet basic needs; health-related quality of life; individual growth curve; longitudinal study

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Sok, P.; Seeman, M.V.; Nisenbaum, R.; Watson, J.; Rourke, S.B.; on behalf of the PSHP Team. 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. Int. J. Environ. Res. Public Health 2021, 18, 12256. https://doi.org/10.3390/ijerph182212256

AMA Style

Sok P, Seeman MV, Nisenbaum R, Watson J, Rourke SB, on behalf of the PSHP Team. 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. International Journal of Environmental Research and Public Health. 2021; 18(22):12256. https://doi.org/10.3390/ijerph182212256

Chicago/Turabian Style

Sok, Phan, Mary V. Seeman, Rosane Nisenbaum, James Watson, Sean B. Rourke, and 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" International Journal of Environmental Research and Public Health 18, no. 22: 12256. https://doi.org/10.3390/ijerph182212256

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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

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