Abstract
INTRODUCTION: Quality of life (QOL) is important in the evaluation of the well-being of PLHIV. However, stigma and psychological well-being continue to be a barrier to obtain a good QOL. This study assesses the level and association between QOL, stigma and psychological well-being among PLHIV. METHODS: A cross-sectional study involving 305 PLHIV from infectious disease clinic and Community-Based Organisations (CBOs). Face to face interviews using quality of life scale (WHO-QOL HIV BREF), Depression, Anxiety and Stress Scale (DASS) and HIV Stigma Scale was conducted. RESULTS: Total QOL of respondents was low to moderate (mean=93.7; SD=15.6) and was significantly impaired by the social relationship domain (mean score = 12.9; SD=3.2). The overall stigma in this study was moderate (mean score 100.4; SD=17.3). Disclosure domain was the highest stigma where difficulty to disclose HIV serostatus may be influenced by the cultural and religious belief. Stigma was associated with higher odds of depression (aOR: 1.05, 95%CI: 1.02, 1.07), anxiety (aOR: 1.04, 95%CI: 1.02, 1.06) and stress (aOR: 1.03, 95%CI: 1.00, 1.06). Psychological manifestation was prevalent among PLHIV with 48.7% of respondents having depression, 58.4% anxiety and 30.5% stress associated with lower odds of good quality of life (aOR: 0.92, 95%CI: 0.89, 0.94) for depression, (aOR 0.94, 95%CI: 0.92, 0.96) for anxiety and (aOR 0.92, 95%CI: 0.90, 0.95) for stress. DISCUSSION: Stigma and psychological well-being make a distinctive, significant contribution to overall QOL. Therefore, efforts to diagnose and treat depression, anxiety and stress and measures to address disclosure stigma are strategies to improve QOL among PLHIV.
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@proceedings{APCPH-2019-129,
title = {Association Between Stigma, Psychological Well-Being and Quality of Life Among People Living with HIV in Kuala Lumpur},
author = {Khairiah Ibrahim (DrPH candidate) and Claire Choon Wan Yuen and Sanjay Rampal and Mohd Nasir Abdul Aziz and Ahmad Farid Nazmi Abdul Halim},
year = {2019},
date = {2019-07-22},
urldate = {2019-07-22},
journal = {6th Asia-Pacific Conference on Public Health 2019 Proceedings},
issue = {6},
abstract = {INTRODUCTION: Quality of life (QOL) is important in the evaluation of the well-being of PLHIV. However, stigma and psychological well-being continue to be a barrier to obtain a good QOL. This study assesses the level and association between QOL, stigma and psychological well-being among PLHIV. METHODS: A cross-sectional study involving 305 PLHIV from infectious disease clinic and Community-Based Organisations (CBOs). Face to face interviews using quality of life scale (WHO-QOL HIV BREF), Depression, Anxiety and Stress Scale (DASS) and HIV Stigma Scale was conducted. RESULTS: Total QOL of respondents was low to moderate (mean=93.7; SD=15.6) and was significantly impaired by the social relationship domain (mean score = 12.9; SD=3.2). The overall stigma in this study was moderate (mean score 100.4; SD=17.3). Disclosure domain was the highest stigma where difficulty to disclose HIV serostatus may be influenced by the cultural and religious belief. Stigma was associated with higher odds of depression (aOR: 1.05, 95%CI: 1.02, 1.07), anxiety (aOR: 1.04, 95%CI: 1.02, 1.06) and stress (aOR: 1.03, 95%CI: 1.00, 1.06). Psychological manifestation was prevalent among PLHIV with 48.7% of respondents having depression, 58.4% anxiety and 30.5% stress associated with lower odds of good quality of life (aOR: 0.92, 95%CI: 0.89, 0.94) for depression, (aOR 0.94, 95%CI: 0.92, 0.96) for anxiety and (aOR 0.92, 95%CI: 0.90, 0.95) for stress. DISCUSSION: Stigma and psychological well-being make a distinctive, significant contribution to overall QOL. Therefore, efforts to diagnose and treat depression, anxiety and stress and measures to address disclosure stigma are strategies to improve QOL among PLHIV.},
note = {Type: POSTER PRESENTATION; Organisation:},
keywords = {anxiety, apcph2019, Depression, PLHIV, QOL, stigma, stress},
pubstate = {published},
tppubtype = {proceedings}
}