dc.contributor.author
Drewes, Jochen
dc.contributor.author
Ebert, Jennifer
dc.contributor.author
Langer, Phil C.
dc.contributor.author
Kleiber, Dieter
dc.contributor.author
Gusy, Burkhard
dc.date.accessioned
2021-10-11T12:44:11Z
dc.date.available
2021-10-11T12:44:11Z
dc.identifier.uri
https://refubium.fu-berlin.de/handle/fub188/32269
dc.identifier.uri
http://dx.doi.org/10.17169/refubium-31996
dc.description.abstract
Purpose
While socioeconomic inequalities in health-related quality of life are well documented in the scientific literature, research has neglected to look into the reasons for these inequalities. The purpose of this study is to determine in what way social inequalities in health-related quality of life among patients with the same chronic disease could be explained by variations in disease severity.
Methods
We used the data of 748 people aging with HIV in Germany who took part in the nationwide study 50plushiv and provided self-report data on socioeconomic status, health-related quality of life (SF-12) and various markers of disease severity (comorbidity, falls, late presentation and AIDS diagnosis). Regression analyses were applied to determine the impact of SES on HRQOL after adjusting for disease severity variables.
Results
The mental and physical subscales of the SF-12, comorbidity burden and falls were significantly related to SES. SES explained 7% of the variance in PCS scores and 3% of the variance in MCS scores after adjusting for age and time since diagnosis. Markers of disease severity explained 33% of the variance in PCS scores and 14% of the variance in MCS scores. After adjusting for disease severity SES was still significantly related to PCS and MCS scores.
Conclusions
The diverse sample of people aging with HIV showed social inequalities regarding HRQOL and most of the disease severity markers. SES was significantly related to mental and physical HRQOL after adjusting for disease severity. Possible explanations for this phenomenon are discussed.
en
dc.format.extent
9 Seiten
dc.rights.uri
https://creativecommons.org/licenses/by/4.0/
dc.subject
Health-related quality of life
en
dc.subject
Socioeconomic status
en
dc.subject
Health inequalities
en
dc.subject
Disease severity
en
dc.subject.ddc
300 Sozialwissenschaften::300 Sozialwissenschaften, Soziologie::301 Soziologie, Anthropologie
dc.title
Social inequalities in health-related quality of life among people aging with HIV/AIDS: the role of comorbidities and disease severity
dc.type
Wissenschaftlicher Artikel
dcterms.bibliographicCitation.doi
10.1007/s11136-020-02413-9
dcterms.bibliographicCitation.journaltitle
Quality of Life Research
dcterms.bibliographicCitation.number
6
dcterms.bibliographicCitation.pagestart
1549
dcterms.bibliographicCitation.pageend
1557
dcterms.bibliographicCitation.volume
29
dcterms.bibliographicCitation.url
https://link.springer.com/article/10.1007/s11136-020-02413-9
refubium.affiliation
Erziehungswissenschaft und Psychologie
refubium.affiliation.other
Arbeitsbereich Public Health: Prävention und psychosoziale Gesundheitsforschung
refubium.funding
Springer Nature DEAL
refubium.note.author
Open Access funding enabled and organized by Projekt DEAL.
refubium.resourceType.isindependentpub
no
dcterms.accessRights.openaire
open access
dcterms.isPartOf.eissn
1573-2649
refubium.resourceType.provider
WoS-Alert