Mental and Physical Quality of Life by Age Groups in People Living With HIV.
Hannah J Jang, Derek D Satre, Wendy Leyden and 2 others
PMID 30908349WHAT IT FOUND
In 614 people living with HIV, those younger than 50 had better physical quality of life scores but worse mental quality of life scores than those 50 and older.
Depression, anxiety and substance use were associated with lower quality of life.
Key findings
01People 50 and older had higher mean mental quality of life scores, and people younger than 50 had higher mean physical quality of life scores; age group remained associated with both outcomes after adjustment.
02Moderate to severe depression was associated with an 8.4-point lower mental quality of life score, and moderate to severe anxiety with a 10.3-point lower score, on the 0 to 100 scale.
03Other substance use was associated with poorer mental quality of life, injection drug use exposure was associated with poorer physical quality of life, and hazardous alcohol use was associated with poorer physical quality of life in people 50 and older.
STILL TO COME
How it was doneWhat they foundWhat it means for RNs
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What it does not show
The sample was mostly male, insured and had well-controlled HIV, so results may not apply to women living with HIV or publicly funded populations. Participants were selected from a trial of an alcohol intervention and had exceeded low-risk alcohol use limits, so they may not represent all people living with HIV. The analysis was cross-sectional, so it cannot show whether age or other factors caused quality of life differences. The study did not analyze common medical comorbidities or social support, which may affect quality of life. The text describes some age comparisons in a direction that does not match the mean scores and final models, so the exact age contrast should be read cautiously.
Declared interests
The supplied article text does not include a conflicts or funding declaration; the publication types list NIH extramural and non-U.S. government research support.
The easy way to misread this
Do not assume older people living with HIV need less mental health attention because their mean mental quality of life scores were higher. Depression and anxiety were associated with poorer mental quality of life in both age groups.