Network analysis to prioritize issues for intervention to improve the health‐related quality of life of people with HIV in Spain

Author:

White Trenton M.123ORCID,Fuster‐RuizdeApodaca María José45ORCID,Iniesta Carlos46ORCID,Prats‐Silvestre Carlos4ORCID,Lazarus Jeffrey V.123ORCID,Izquierdo Rebeca67ORCID,Jarrín Inmaculada67ORCID

Affiliation:

1. ISGlobal Barcelona Spain

2. Faculty of Medicine and Health Sciences University of Barcelona Barcelona Spain

3. The City University of New York Graduate School of Public Health and Policy (CUNY SPH) New York City New York USA

4. The Spanish Interdisciplinary AIDS Society (SEISIDA) Madrid Spain

5. Faculty of Psychology Universidad Nacional de Educación a Distancia (UNED) Madrid Spain

6. Center of Biomedical Research for Infectious Diseases (CIBERINFEC) Institute of Health Carlos III (ISCIII) Madrid Spain

7. National Center for Epidemiology Institute of Health Carlos III (ISCIII) Madrid Spain

Abstract

AbstractObjectivesThe objective is to assess the interconnectedness of a network of health‐related quality of life (HRQoL) variables among people with HIV (PHIV) to identify key areas for which clinical interventions could improve HRQoL for this population.MethodsBetween 2021 and 2023, we carried out a cross‐sectional study within the Spanish CoRIS cohort. We conducted a weighted and undirected network analysis, which examines complex patterns of relationships and interconnections between variables, to assess a network of eight HRQoL dimensions from the validated Clinic Screening Tool for HIV (CST‐HIV): anticipated stigma, psychological distress, sexuality, social support, material deprivation, sleep and fatigue, cognitive problems and physical symptoms.ResultsA total of 347 participants, predominantly male (93.1%), currently working (79.0%), self‐reported homosexual (72.6%) and college‐educated (53.9%), were included in the study. Psychological distress showed the highest centrality in the network, indicating its strong connections with sleep and fatigue, cognitive problems and social support within the HRQoL network.ConclusionsPsychological distress, sleep and fatigue, cognitive issues and social support were identified as key factors in an HRQoL network, indicating that interventions focused on these areas could significantly enhance overall well‐being.

Funder

ViiV Healthcare

Instituto de Salud Global de Barcelona

Consorzio per la Ricerca Sanitaria

Gilead Sciences

Instituto de Salud Carlos III

Generalitat de Catalunya

Publisher

Wiley

Reference38 articles.

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3. Unidad de vigilancia del VIH ITS y hepatitis B y C.Actualización del continuo de atención del VIH en España 2021–2022. Madrid2023.

4. Development of a clinic screening tool to identify burdensome health‐related issues affecting people living with HIV in Spain;Fuster‐Ruiz de Apodaca MJ;Front Psychol,2021

5. HIV and ageing

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