ISSN 2415-3060 (print), ISSN 2522-4972 (online)
  • 44 of 67
УЖМБС 2020, 5(4): 328–335
Physical Therapy and Ergotherapy

Assessment of Quality Indicators of Life of HIV-Infected Residents of Lviv Region

Orfin A. Ja. 1,2, Mazepa M. A. 1

Ukraine is a country that is showing an increase in new cases of HIV infection and it continues to hold a leading position on the AIDS epidemic on the European continent. That is the reason for relevance of the research topic. The study of the quality of life of people living with HIV in Lviv region is an opportunity to assess the effectiveness of state and some international programs to combat HIV / AIDS, ART and patient adherence to it, as well as the impact of cultural, religious and ethnic features of the Western region. The purpose of the study was to establish the main indicators that determine the quality of life of HIV-infected residents of Lviv region, who were under medical supervision in the "Public Health Center" and inpatient treatment at the "Lviv Regional Infectious Diseases Clinical Hospital". Materials and methods: 100 patients with HIV-positive status and 100 healthy residents of Lviv region were interviewed. Patients were divided into three study groups: group I included 100 examined people living with HIV, group II had 73 patients with HIV-positive status, who were under observation and received outpatient care at the HCC. Group III included 27 patients who were hospitalized in "LOIKL". The control group consisted of 100 adults and relatively healthy residents of Lviv region aged from 19 to 65 years. The general quality of life questionnaire SF 36 was used to assess the patients’ quality of life. Results and discussion. The study results showed that the overall quality of life index according to the SF 36 questionnaire was significantly lower in people living with HIV (53.5±8.13) than in the control group (84.5±3.25, p <0.05). There was also a significant difference both in terms of physical health component (54.3±1.23 vs. 83.5,±2.73 p <0.05) and in terms of mental health component (52.5±2, 15 vs. 79.4±2.45, p <0.05), which indicated the impact on quality of life as a pathological process caused by HIV / AIDS and the stigma of discrimination. The most significant decrease in quality of life was found in patients who were hospitalized. Such results showed a significant effect on the indicators of quality of life pathological process in the acute period or at the stage of exacerbation. Conclusion. The scores on all scales of the questionnaire were slightly better in patients who used psychoactive substances, than those in HIV-infected people who did not use such substances. The prospect of further research is seen in conducting multicenter studies in Ukraine on the assessment of quality of life in people living with HIV and establishing the degree of linkages between the factors that may affect the quality of life of HIV-infected people: social, economic, biomedical, and psychological. The problem of developing rehabilitation programs and measures aimed at improving the quality of life of people living with HIV remains open.

Keywords: HIV / AIDS, quality of life, SF 36 questionnaire, patient, indicator

Full text: PDF (Ukr) 338K

  1. Tran BX, Vu GT, Ha GH, Phan HT, Latkin CA, Ho CSH, et al. Global Mapping of Interventions to Improve the Quality of Life of People Living with HIV/AIDS: Implications for Priority Settings. AIDS Rev. 2020; 12: 1-15.
  2. VIL-infektsiya v Ukrayini [HIV infection in Ukraine]. Derzhavna ustanova «Instytut epidemiologiyi ta infektsiynykh khvorob im LV Gromashevskogo Natsionalnoyi akademiyi medychnykh nauk Ukrayiny». Informatsiynyy byuleten № 49 2018. [Ukrainian]. Available from:
  3. Sluzhynska MB, Kutynska OM, Bordiyan YaI, Sorokolit A, Masyuk L, Samko M, ta in. Otsinka oblasnoyi tsilovoyi sotsialnoyi programy z protydiyi VIL-infektsiyi/SNIDu na 2009-2016 roky u Lvivskiy oblasti [Evaluation of the oblast target social program on combating HIV / AIDS for 2009-2016 in Lviv region]. Kyiv: MBF «Alyans gromadskogo zdorov'ya»; 2018. 96 s. [Ukrainian]
  4. Brooke G Rogers, Jasper S Lee, Sierra A Bainter et al. A multilevel examination of sleep, depression, and quality of life in people living with HIV/AIDS. Journal of Health Psychology. 2018; 19: 83.
  5. Yaya I, Djalogue L, Patassi AA, Landoh DE, Assindo A, Nambiema A, et al. Health-related quality of life among people living with HIV/AIDS in Togo: individuals and contextual effects. BMC Research Notes. 2019; 12: 140.
  6. Ferreira AC, Teixeira AL, Silveira FM, Carneiro M. Quality of life predictors for people living with HIV/AIDS in an impoverished region of Brazil. Revista da Sociedade Brasileira de Medicina Tropical. 2018; 51: 743-51.
  7. Ghisvand H, Higgs P, Noroozi M, Ghaedamini Harouni G, Hemmat M, Ahounbar E, et al. Social and demographical determinants of quality of life in people who live with HIV/AIDS infection: evidence from a meta-analysis. Biodemography Soc Biol. 2020 Jan-Mar; 65(1): 57-72.
  8. Bello Abdullahi Suleiman, Mohammed Yahaya, Olaniyan FA, Sule AG, Sufiyan MB. Determinants of health-related quality of life among human immunodeficiency virus positive (HIV-positive) patients at Ahmadu Bello University teaching hospital, Zaria, Nigeria- 2015. BMC Public Health. 2020; 20: 531.
  9. Hewko SJ, Cummings GG, Pietrosanu M, Edwards N. The Impact of Quality Assurance Initiatives and Workplace Policies and Procedures on HIV/AIDS-Related Stigma Experienced by Patients and Nurses in Regions with High Prevalence of HIV/AIDS. AIDS and Behavior. 2018; 22: 3836-46.
  10. Zhu M, Guo Y, Li Y, Zeng C, Qiao J, Xu Z, et al. HIV-related stigma and quality of life in people living with HIV and depressive symptoms: indirect effects of positive coping and perceived stress. AIDS Care. 2020; 14: 1-6.
  11. Xie F, Zheng H, Huang L, Yuan Z, Lu Y. Social Capital Associated with Quality of Life among People Living with HIV/AIDS in Nanchang, China. Int J Environ Res Public Health. 2019 Jan 18; 16(2): 276.
  12. Sineke T, Evans D, Schnippel K, van Aswegen H, Berhanu R, Musakwa N, et al. The impact of adverse events on health-related quality of life among patients receiving treatment for drug-resistant tuberculosis in Johannesburg, South Africa. Health Qual Life Outcomes. 2019 May 31; 17(1): 94.
  13. Medeiros RCSC, Medeiros JA, Silva TAL, Andrade RD, Medeiros DC, Araъjo JS, et al. Quality of life, socioeconomic and clinical factors, and physical exercise in persons living with HIV/AIDS. Rev Saude Publica. 2017; 51: 66.
  14. Piddubna AI, Denysenko OV, Zlydennyy TV, Kornyeyev SM. Yakist zhyttya osib z VIL, infikovanykh statevym shlyakhom [Quality of life of people living with HIV who are sexually infected]. Vseukrayinska naukovo-praktychna konferentsiya «Infektsiyni khvoroby v praktytsi likarya-internista: suchasni aspekty». SumDU; 2016 Jun 15-16. [Ukrainian]
  15. Karkashadze E, Gates M, Chkhartishvili N, DeHovitz J, Tsertsvadze T. Assessment of quality of life in people living with HIV in Georgia. International Journal of STD & AIDS. 2016; 28(7): 672-8.
  16. Feshchenko YuI, Mostovoy YuM, Babiychuk YuV. Protsedura adaptatsiyi mizhnarodnogo opytuvalnyka otsinky yakosti zhyttya MOS SF-36 v Ukrayini. Dosvid zastosuvannya u khvorykh bronkhialnoyu astmoyu [Procedure for adaptation of the MOS SF-36 international quality of life assessment questionnaire in Ukraine. Experience in patients with bronchial asthma]. Ukrayinskyy pulmonologichnyy zhurnal. 2002; 3: 9-11. [Ukrainian]
  17. Ghodrati S, Habibi AM, Sadeghi FV, Ebrahim BF, Shahabi NZ. Quality of Life, Everyday Functioning, and Prospective memory Impairments in Patients Infected with HIV. Research in Psychological Health. 2018; 10(3): 58-69.
  18. Ghiasvand H, Waye KM, Noroozi M, Harouni GG, Armoon B, Bayani A. Clinical determinants associated with quality of life for people who live with HIV/AIDS: a Meta-analysis. BMC Health Serv Res. 2019 Oct 29;19(1):768.
  19. Rubtsova AA, Sabbag S, Sundermann E, Nguyen AL, Ellis RJ, Moore DJ, et al. Neurocognitive Impairment. Journal of the Association of Nurses in AIDS Care. 2020; 31(3): 290-300.