Roula Kteily-Hawa1,2, Nisha Andany3,4, Ying Wang5, Carmen H Logie1,5, Wangari Tharao6, Tracey Conway1,7, Kath Webster8, Alexandra de Pokomandy9,10, Angela Kaida8, Robert Hogg8,11, Mona Loutfy1,4. 1. a Women's College Research Institute, University of Toronto , Toronto , Ontario , Canada. 2. b Faculty of Education , Queen's University , Kingston , Ontario , Canada. 3. c Division of Infectious Diseases , Sunnybrook Health Sciences Centre , Toronto , Ontario , Canada. 4. d Department of Medicine , University of Toronto , Toronto , Ontario , Canada. 5. e Factor-Inwentash Faculty of Social Work , University of Toronto , Toronto , Ontario , Canada. 6. f Women's Health in Women's Hands , Toronto , Ontario , Canada. 7. g Canadian Positive People Network , Dunrobin , Ontario , Canada. 8. h Faculty of Health Sciences , Simon Fraser University , Vancouver , British Columbia , Canada. 9. i Department of Family Medicine , McGill University , Montreal , Québec , Canada. 10. j Chronic Viral Illness Service , McGill University Health Centre , Montreal , Québec , Canada. 11. k BC Centre for Excellence in HIV/AIDS , Vancouver , British Columbia , Canada.
Abstract
Objective: This study assessed and compared physical and mental health components of quality of life (QoL) for older and younger women living with HIV (WLWH). Method: Using survey data from the Canadian HIV Women's Sexual and Reproductive Health Cohort Study, demographic, well-being, and physical and mental health-related QoL (HR-QoL) variables were compared between older (≥50 years) and younger (<50 years) WLWH. As the only significantly different QoL component, bivariate analyses and linear regression were used to assess factors associated with physical HR-QoL of older women. Results: The sample frame comprised 1,422 women (28.0% older women). Younger WLWH's mean age was 37.8 years (SD = 7.4) compared to older WLWH (55.8 years, SD = 5.3). Compared to younger WLWH, older WLWH had poorer physical HR-QoL (40.0 vs. 50.7; p < 0.001) but similar mental HR-QoL (42.7 vs. 42.1; p > 0.001). Older WLWH had lower social support (p < 0.001) with no significant differences in depressive symptoms or resilience. Resilience was associated with improved physical HR-QOL. Food insecurity, poorer mental HR-QoL and depressive symptoms were associated with poorer physical health. Discussion: Compared to younger WLWH, older WLWH had poorer physical HR-QoL, which was associated with resilience, food insecurity and mental health factors, highlighting the complex interactions of health-related social-ecological factors impacting aging WLWH.
Objective: This study assessed and compared physical and mental health components of quality of life (QoL) for older and younger women living with HIV (WLWH). Method: Using survey data from the Canadian HIV Women's Sexual and Reproductive Health Cohort Study, demographic, well-being, and physical and mental health-related QoL (HR-QoL) variables were compared between older (≥50 years) and younger (<50 years) WLWH. As the only significantly different QoL component, bivariate analyses and linear regression were used to assess factors associated with physical HR-QoL of older women. Results: The sample frame comprised 1,422 women (28.0% older women). Younger WLWH's mean age was 37.8 years (SD = 7.4) compared to older WLWH (55.8 years, SD = 5.3). Compared to younger WLWH, older WLWH had poorer physical HR-QoL (40.0 vs. 50.7; p < 0.001) but similar mental HR-QoL (42.7 vs. 42.1; p > 0.001). Older WLWH had lower social support (p < 0.001) with no significant differences in depressive symptoms or resilience. Resilience was associated with improved physical HR-QOL. Food insecurity, poorer mental HR-QoL and depressive symptoms were associated with poorer physical health. Discussion: Compared to younger WLWH, older WLWH had poorer physical HR-QoL, which was associated with resilience, food insecurity and mental health factors, highlighting the complex interactions of health-related social-ecological factors impacting aging WLWH.
Entities:
Keywords:
HIV; depression; health-related quality of life; mental and physical health; resilience; social support; women
Authors: Roula Kteily-Hawa; Laura Warren; Mina Kazemi; Carmen H Logie; Shazia Islam; Angela Kaida; Tracey Conway; Yasmeen Persad; Alexandra de Pokomandy; Mona Loutfy Journal: J Int Assoc Provid AIDS Care Date: 2019 Jan-Dec