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BMC Public Health
Published in: BMC Public Health 1/2018

Open Access 01-12-2018 | Research article

Unmet basic needs negatively affect health-related quality of life in people aging with HIV: results from the Positive Spaces, Healthy Places study

Authors: Phan Sok, Sandra Gardner, Tsegaye Bekele, Jason Globerman, Mary V. Seeman, Saara Greene, Michael Sobota, Jay J. Koornstra, LaVerne Monette, Keith Hambly, Stephen W. Hwang, James Watson, Glen Walker, Sean B. Rourke, The Positive Spaces, Healthy Places Team

Published in: BMC Public Health | Issue 1/2018

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Abstract

Background

Basic needs (e.g., food security and stable housing) are important determinants of health and well-being, yet their impact on health-related quality of life (HRQoL) in the context of HIV and aging has not been systematically investigated.

Methods

Multiple linear regression models examined the relationship between unmet basic needs, and physical and mental HRQoL by age strata (20-34, 35-49 and 50+) in a cross-sectional sample of 496 people living with HIV in Ontario, Canada.

Results

An overwhelming majority of participants (87%) reported unmet needs related to food, clothing or housing. The prevalence of unmet basic needs in the two older groups appeared to be lower than among younger participants, but the difference did not reach statistical significance. The presence of unmet basic needs predicted substantially lower mean physical health and mental health summary scores in the two oldest groups. Notably, age moderated the influence of unmet basic needs on HRQoL.

Conclusions

The availability and accessibility of food security, appropriate clothing and stable housing for people living with HIV who are aging need to become a higher priority for program planners and decision makers.
Footnotes
1
RH is being at risk of homelessness, inc is a personal gross income per month (Question 50), and mor is an amount rent or mortgage payment per month (Question 57).
 
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Metadata
Title
Unmet basic needs negatively affect health-related quality of life in people aging with HIV: results from the Positive Spaces, Healthy Places study
Authors
Phan Sok
Sandra Gardner
Tsegaye Bekele
Jason Globerman
Mary V. Seeman
Saara Greene
Michael Sobota
Jay J. Koornstra
LaVerne Monette
Keith Hambly
Stephen W. Hwang
James Watson
Glen Walker
Sean B. Rourke
The Positive Spaces, Healthy Places Team
Publication date
01-12-2018
Publisher
BioMed Central
Published in
BMC Public Health / Issue 1/2018
Electronic ISSN: 1471-2458
DOI
https://doi.org/10.1186/s12889-018-5391-z

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