Examining the Relationships Between Social Determinants of Health and Health-Related Quality of Life Among Individuals Living With HIV

2021 ◽  
Vol 35 (3) ◽  
pp. 168-184
Author(s):  
Yung-Chen Jen Chiu ◽  
KB Boomer ◽  
Liza Conyers ◽  
Yili Wang ◽  
Mark Misrok

PurposeThe current study examined the relationships between health-related quality of life (HRQOL) and social determinants of health (SDH), which are the individual and structural factors that contribute to health outcomes.MethodA hierarchical general linear model was used to assess the sequential effect of the SDH on the scores of the Short Form-12 among people living with HIV.ResultsResults show that many psychosocial, medical, demographic, financial, and vocational factors are significant predictors of HRQOL.ConclusionsGaining a deeper understanding of the impact of SDH on HRQOL is critical for rehabilitation counselors to develop effective assessments and interventions.

2021 ◽  
Vol 19 (1) ◽  
Author(s):  
Janel Hanmer

Abstract Background Self-reported health-related quality of life is an important population health outcome, often assessed using a single question about self-rated health (SRH). The Patient Reported Outcomes Measurement Information System (PROMIS) is a new set of measures constructed using item response theory, so each item contains information about an underlying construct. This study’s objective is to assess the association between SRH and PROMIS scores and social determinants of health (SDoH) to evaluate the use of PROMIS for measuring population health. Methods A cross sectional survey of 4142 US adults included demographics, 7 PROMIS domains with 2 items each, the PROMIS-preference (PROPr) score, self-rated health (SRH), 30 social determinants of health (SDoH), and 12 chronic medical conditions. SDoH and chronic condition impact estimates were created by regressing the outcome (PROMIS domain, PROPr, or SRH) on demographics and SDoH or a single chronic condition. Linear regression was used for PROMIS domains and PROPr; ordinal logistic regression was used for SRH. Results Both SRH and PROPr detected statistically significant differences for 11 of 12 chronic conditions. Of the 30 SDoH, 19 statistically significant differences were found by SRH and 26 statistically significant differences by PROPr. The SDoH with statistically significant differences included those addressing education, income, financial insecurity, and social support. The number of statistically significant differences found for SDoH varies by individual PROMIS domains from 13 for Sleep Disturbance to 25 for Physical Function. Conclusions SRH is a simple single question that provides information about health-related quality of life. The 14 item PROMIS measure used in this study detects more differences in health-related quality of life for social determinants of health than SRH. This manuscript illustrates the relative costs and benefits of each approach to measuring health-related quality of life.


2020 ◽  
Vol 23 ◽  
pp. S570
Author(s):  
E. Foglia ◽  
B. Menzaghi ◽  
G. Rizzardini ◽  
E. Garagiola ◽  
L.B. Ferrario ◽  
...  

2016 ◽  
Vol 24 (4) ◽  
pp. 535-545 ◽  
Author(s):  
Rachel Campbell ◽  
Maarten Vansteenkiste ◽  
Liesbeth Delesie ◽  
Bart Soenens ◽  
Els Tobback ◽  
...  

Research has not yet examined the relationship between psychological need satisfaction, sleep, mindfulness, and health-related quality of life in people living with HIV. This cross-sectional study ( N = 101; 84% male; mean age = 45.48, SD = 12.75) found need satisfaction to relate positively to physical and mental health. Sleep quality fully mediated the association with physical health and partially mediated the association with mental health. Furthermore, mindfulness related to higher sleep quality through higher need satisfaction. Findings underscore the role of need satisfaction in determining health-related quality of life and sleep quality in people living with HIV and suggest that mindfulness may facilitate need satisfaction.


AIDS Care ◽  
2019 ◽  
Vol 31 (12) ◽  
pp. 1509-1517 ◽  
Author(s):  
Carmina R. Fumaz ◽  
Maider Larrañaga-Eguilegor ◽  
Sonia Mayordomo-López ◽  
Sandra Gómez-Martínez ◽  
Marian González-García ◽  
...  

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