Factors influencing the quality of life in patients with HIV in Malaysia
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The aim of this study was to determine the socio-demographic, clinical and psychological factors influencing the quality of life (QOL) in patients with human immunodeficiency virus infection and acquired immune deficiency syndrome (HIV/AIDS).
This was a cross-sectional study on 271 patients with HIV infection attending an HIV clinic in Kota Bharu, Malaysia. Participants completed the Malay version of the Functional Assessment of HIV Infection (FAHI) and Malay Hospital Anxiety Depression Scale (HADS).
The patients functioned satisfactorily in the physical domain. They were mostly impaired in the social domain. Those who acquired the HIV infection via a heterosexual route seemed to have a significantly lower social well-being, while those who acquired HIV via drug injection were not associated with losses in the overall QOL or any of its domains. Non-disclosure paradoxically had a greater effect on social well-being. About 38% had possible anxiety, depression or both, and these emotional disturbances were significantly associated with total FAHI and its five domains.
Psychological and social well-beings were more affected than physical well-being in out-patients with HIV infection in Kota Bharu, Malaysia. The study suggests that the patients with HIV infection should receive better psycho-education and psychological intervention.
KeywordsQuality of life HIV/AIDS Malay FAHI HADS
This study was approved by the Research and Ethical Committees of Universiti Sains Malaysia and Hospital Raja Perempuan Zainab.
- 1.UNAIDS. (2008). Report on the global AIDS epidemic. Geneva: UNAIDS. http://www.unaids.org/en/KnowledgeCentre/HIVData/GlobalReport/2008/2008_Global_report.asp.Google Scholar
- 2.World Health Statistics. (2008, July). Cited in WHO, UNAIDS and UNICEF, Epidemiological Fact Sheet on HIV and AIDS, Malaysia.Google Scholar
- 3.Malaysian AIDS Council and Malaysian AIDS Foundation website. http://www.mac.org.my.
- 8.FACIT. http://www.facit.org.
- 9.Lim, C. H., & Ramli, H. (1996). The psychological impact of rescue work on fire-fighters. Malaysian Journal of Psychiatry, 4, 66–77.Google Scholar
- 10.Hatta, S. M., & Abd Hamid, A. R. (1996). Anxiety symptoms among post-abortion women. Malaysian Journal of Psychiatry, 4, 49–54.Google Scholar
- 11.Fariza, Y. (2003). Psychological distress, Anxiety and depression among employees attending staff clinic in HUSM. Thesis M.MED USM (unpublished).Google Scholar
- 16.Marzieh, N., Khatereh, A., & Mitrar, R. (2008). Health related quality of Life in patients with HIV/AIDS. Archives of Iranian Medicine, 11(6), 608–612.Google Scholar
- 18.Chesney, M. A., Chambers, D. B., Taylor, J. M., & Johnson, L. M. (2003). Social support, distress, and well-being in older men living with HIV infection. Journal of Acquired Immune Deficiency Syndromes, 33(2), 185–193.Google Scholar
- 20.Carolyn, E. S., & Bruce, D. R. (2004). Reconsidering the psychometrics of quality of life assessment in light of response shift and appraisal. Health Quality of Life Outcomes, 2,16 (http://www.hqlo.com/content/2/1/16) (date surfed: March 14, 2010).