RNSurveyInternational journal of community based nursing and midwifery2021

Evaluating Quality of Life and Marital Contentment among Seroconcordant and Serodiscordant HIV-Infected Couples in Comparison to Non- HIV Couples.

Azam Faraji, Niloofar Namazi, Leila Doryanizadeh and 1 others

PMID 34222545

WHAT IT FOUND

Seroconcordant and serodiscordant HIV-positive couples reported similar quality of life and marital contentment.

Both HIV-positive groups scored lower than non-HIV couples. Among HIV-positive people, men reported higher marital contentment than women.

Key findings

01Seroconcordant and serodiscordant HIV-positive couples did not differ significantly in total quality of life (P=0.99) or in each area of marital contentment (P=0.79).

02Both HIV-positive groups had lower quality of life and lower marital contentment than non-HIV couples (P<0.001 for quality of life; P=0.002 and P=0.001 for marital contentment).

03Among HIV-positive participants, total quality of life did not differ significantly by sex (P=0.13), but total marital contentment was higher in men than women (P=0.01).

STILL TO COME

How it was doneWhat they foundWhat it means for RNs

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What it does not show

This was a cross-sectional survey, so it describes differences at a single time point and cannot show that HIV caused lower quality of life or marital contentment. The HIV-positive couples were recruited from a single HIV referral counselling centre and the non-HIV couples from a routine gynaecology clinic, so the groups may not be comparable. The non-HIV couples were younger and had higher education than the HIV-positive couples, which may explain part of the score difference. People with chronic disease or malignancy were excluded, so the results may not apply to patients with common comorbidities. The authors did not include factors such as culture, social status, health-system variation, and other sexually transmitted infections, which can affect quality of life. The study used self-reported questionnaires about the last two weeks, so findings depend on participants' current perceptions.

Declared interests

No funding source or conflict-of-interest declaration is reported in the supplied text.

The easy way to misread this

Do not conclude that serodiscordant couples have worse quality of life or marital contentment than seroconcordant couples. The study found no significant difference between these two HIV-positive groups.

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