Clinical and Social Determinants of Quality of Life among People Living with HIV in Jodhpur, Rajasthan: A Cross-Sectional Study using the WHOQOL-HIV BREF.

Background: With HIV increasingly managed as a chronic condition under antiretroviral therapy, assessing quality of life (QOL) has become integral to patientcentered care. This study evaluated QOL across multiple domains and identified sociodemographic and clinical determinants among people living w...

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Publicado en:Indian Journal of Community Medicine Vol. 51; no. 3; pp. 528 - 541
Autores principales: Mantri, Neha, Goel, Akhil D., Gupta, Manoj K., Bohra, Gopal K., Didel, Siyaram, Rathore, Rashmi, Yadav, Dharamveer, Joshi, Nitin K., Srinivasan, Srikanth, Kishoria, Naveen, Sharma, Prem P., Gadepalli, Ravisekhar, Charan, Jaykaran, Bhardwaj, Pankaj
Formato: research tables/charts Journal Article
Publicado: Wolters Kluwer India Pvt Ltd May/Jun2026
Acceso en línea:Ver este registro en EBSCOhost
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      dt: May/Jun2026
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        atl: Clinical and Social Determinants of Quality of Life among People Living with HIV in Jodhpur, Rajasthan: A Cross-Sectional Study using the WHOQOL-HIV BREF.
      aug:
        au:
          Mantri, Neha
          Goel, Akhil D.
          Gupta, Manoj K.
          Bohra, Gopal K.
          Didel, Siyaram
          Rathore, Rashmi
          Yadav, Dharamveer
          Joshi, Nitin K.
          Srinivasan, Srikanth
          Kishoria, Naveen
          Sharma, Prem P.
          Gadepalli, Ravisekhar
          Charan, Jaykaran
          Bhardwaj, Pankaj
        affil: School of Public Health, All India Institute of Medical Sciences, Jodhpur, India
      sug:
        subj:
          HIV Infections Psychosocial Factors
          HIV-Positive Persons Psychosocial Factors
          HIV Infections Drug Therapy
          Anti-Retroviral Agents Therapeutic Use
          Quality of Life
          Social Determinants of Health
          Sociodemographic Factors
          Human
          India
          Cross Sectional Studies
          Descriptive Statistics
          Summated Rating Scaling
          Coefficient alpha
          Odds Ratio
          Confidence Intervals
          Questionnaires
          Socioeconomic Factors
          Mental Health
          Disease Progression
          Treatment Outcomes
          Interpersonal Relations
          Age Factors
          Occupations and Professions
          Health Status
          Support, Social
      ab: Background: With HIV increasingly managed as a chronic condition under antiretroviral therapy, assessing quality of life (QOL) has become integral to patientcentered care. This study evaluated QOL across multiple domains and identified sociodemographic and clinical determinants among people living with HIV (PLHIV) in western Rajasthan. Methods: A crosssectional study was conducted (March 2024–2025) among PLHIV attending a government ART center in Jodhpur. QOL was measured using the WHOQOLHIV BREF (Hindi version, pretested for reliability). Determinants were examined using descriptive statistics and logistic regression. Results: Among 551 participants (mean age 42.8 ± 12.4 years), the mean overall QOL score was 14.1 ± 2.0. The physical domain scored highest, while social relationships scored lowest. In adjusted models, age >30 years, occupation, and symptomatic HIV status were significant predictors of poor QOL. Spousal absence showed a particularly strong association with diminished independence, underscoring the importance of social support. Viral suppression was modestly linked to better psychological QOL, though the effect size was small. Conclusion: Clinical stage, age, occupation, and spousal support emerged as key determinants of QOL among PLHIV in Jodhpur. These findings highlight the need for integrated interventions that combine medical management with psychosocial counselling and communitybased support to address the multifaceted needs of PLHIV.
      pubtype: Academic Journal
      doctype:
        research
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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