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Self-rated health among people living with HIV in Spain in 2019: a cross-sectional study

Abstract: Background: HIV infection has become a chronic disease and well-being of people living with HIV (PLHIV) is now of particular concern. The objectives of this paper were to describe self-rated health among PLHIV, on ART and on ART virally suppressed and to analyse its determinants. Methods: Data were obtained from a second-generation surveillance system based on a cross-sectional one-day survey in public hospitals. Epidemiological and clinical data were collected among HIV-infected inpatients and outpatients receiving HIV-related care the day of the survey in 86 hospitals in 2019. Self-rated health was measured using a question included in the National Health Survey: ?In the last 12 months, how would you rate your health status?? an ordinal variable with five categories (very good, good, moderate, bad and very bad). For the analysis, these responses were dichotomized into two categories: 1 = very good/good and 0 = moderate, bad or very bad health status. Factors associated with very good/good self-rated health were estimated using logistic regression. Results: Of 800 PLHIV, 67.5% perceived their health as very good/good, 68.4% among PLHIV on ART and 71.7% of those virally suppressed. Having university education (adjusted odds ratio (aOR):2.1), being unemployed (aOR:0.3) or retired (aOR:0.2), ever being diagnosed of AIDS (aOR:0.6), comorbidities (aOR:0.3), less than 2 year since HIV diagnosis (aOR:0.3) and not receiving ART (aOR:0.3) were associated with good self-rated health. Moreover, among PLHIV on ART, viral load less than 200 copies (aOR:3.2) were related to better perceived health. Bad adherence was inversely associated with good self-rated health among PLHIV on ART (aOR:0.5) and of those virally suppressed (aOR:0.4). Conclusions: Nearly seven in 10 PLHIV in Spain considered their health status as very good/good, being higher among virally suppressed PLHIV. Both demographic and clinical determinants affect quality of life.

Otras publicaciones de la misma revista o congreso con autores/as de la Universidad de Cantabria

 Fuente: BMC Infectious Diseases (2021) 21:129

Editorial: BioMed Central

 Año de publicación: 2021

Nº de páginas: 12

Tipo de publicación: Artículo de Revista

 DOI: 10.1186/s12879-021-05815-3

ISSN: 1471-2334

Url de la publicación: https://doi.org/10.1186/s12879-021-05815-3

Autores/as

RUIZ ALGUERÓ, MARTA

HERNANDO, VICTORIA

HENAR, MARCOS

GUTIÉRREZ, GONZALO

PÉREZ ELÍAS, MARÍA JESÚS

LÓPEZ BERNALDO DE QUIRÓS, JUAN CARLOS

PULIDO, FEDERICO

GÓRGOLAS, MIGUEL

SANZ, JESÚS

SUÁREZ GARCÍA, INÉS

FERNÁNDEZ, MARÍA TERESA

LOSA, JUAN EMILIO

PÉREZ, JOSÉ LUIS

LADRERO, MARÍA OLIVA

PRIETO, MIGUEL ÁNGEL

GONZÁLEZ, GUSTAVO

IZQUIERDO, ANA

VILORIA, LUIS JAVIER