Quality of life of older women living with HIV: comparative assessment of physical and mental health-related markers using a large Canadian Sexual and Reproductive Health Cohort Study |
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| Authors: | Roula Kteily-Hawa Nisha Andany Ying Wang Carmen H. Logie Wangari Tharao Tracey Conway |
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| Affiliation: | 1. Women’s College Research Institute, University of Toronto, Toronto, Ontario, Canada;2. Faculty of Education, Queen’s University, Kingston, Ontario, Canada;3. Division of Infectious Diseases, Sunnybrook Health Sciences Centre, Toronto, Ontario, Canada;4. Department of Medicine, University of Toronto, Toronto, Ontario, Canada;5. Factor-Inwentash Faculty of Social Work, University of Toronto, Toronto, Ontario, Canada;6. Factor-Inwentash Faculty of Social Work, University of Toronto, Toronto, Ontario, Canada;7. Women’s Health in Women’s Hands, Toronto, Ontario, Canada;8. Canadian Positive People Network, Dunrobin, Ontario, Canada |
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| 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?p?>?0.001). Older WLWH had lower social support (p?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. |
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| Keywords: | HIV women health-related quality of life mental and physical health resilience depression social support |
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