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Social support and quality of life over time among adults living with HIV in the HAART era

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  • Burgoyne, Robert
  • Renwick, Rebecca

Abstract

Stability in perceived social support and associations between social support and health-related quality of life for a sample of 41 adult outpatients living with HIV/AIDS (PHA) in Canada were assessed longitudinally. Construct-specific dimensions of the Medical Outcomes Study Social Support Survey (SSS), the Physical and Mental components of the Short-Form-36 (SF-36) quality of life measure, as well as clinical factors (i.e., symptomatology, immunologic/virologic variables), were measured in three waves: initial consecutive registration (T1, 1997), 2-year (T2, 1999) and 4-year (T3, 2001) follow-up, and evaluated for changes using repeated-measures analysis of variance, supplemented by Friedman tests for SSS and SF-36 ratings. Proportions of the PHA sample with clinically significant SSS changes (i.e., greater than 0.5 standardized effect size) were also calculated. Effects of improvement versus deterioration in SSS ratings on SF-36 ratings, and vice versa, were explored. Associations between SSS and SF-36 ratings, as well as between changes in SSS ratings and SF-36 ratings, were assessed using multiple regression analyses controlling for clinical factors. Cross-lagged analyses were conducted to examine predictive potential between SSS and SF-36 ratings. Clinical outcomes suggested immunologic improvement tempered by symptoms and/or treatment side effects. SSS and SF-36 mean ratings were moderately stable over time, but clinically significant 4-year decrements in SSS ratings occurred for approximately 40% of patients. A trend occurred in which poorer SF-36 mental outcomes portended poorer emotional and informational support. Otherwise, relations between SSS and SF-36 ratings appeared to be reciprocal. Cross-sectional associations between SSS and SF-36 ratings were more pronounced at T2 compared to baseline and T3. Changes in SSS and SF-36 ratings were somewhat related over the consecutive 2-year periods but not over the long term. T1-T2 SSS changes were associated with changes in the SF-36 mental component. T2-T3 SSS changes were associated with changes in the SF-36 physical component. Cross-lagged analyses yielded little explanation concerning direction of causation in terms of associations between social support and quality of life for the PHA in this study.

Suggested Citation

  • Burgoyne, Robert & Renwick, Rebecca, 2004. "Social support and quality of life over time among adults living with HIV in the HAART era," Social Science & Medicine, Elsevier, vol. 58(7), pages 1353-1366, April.
    • Handle: RePEc:eee:socmed:v:58:y:2004:i:7:p:1353-1366
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    Citations

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    Cited by:

    1. Yunxiang Huang & Dan Luo & Xi Chen & Dexing Zhang & Zhulin Huang & Shuiyuan Xiao, 2020. "HIV-Related Stress Experienced by Newly Diagnosed People Living with HIV in China: A 1-Year Longitudinal Study," IJERPH, MDPI, vol. 17(8), pages 1-15, April.
    2. F Booysen & H Van Rensburg & M Bachmann & G Louwagie & L Fairall, 2007. "The Heart in Haart: Quality of Life of Patients Enrolled in the Public Sector Antiretroviral Treatment Programme in the Free State Province of South Africa," Social Indicators Research: An International and Interdisciplinary Journal for Quality-of-Life Measurement, Springer, vol. 81(2), pages 283-329, April.
    3. Lindau, Stacy Tessler & Jerome, Jessica & Miller, Kate & Monk, Elizabeth & Garcia, Patricia & Cohen, Mardge, 2006. "Mothers on the margins: Implications for eradicating perinatal HIV," Social Science & Medicine, Elsevier, vol. 62(1), pages 59-69, January.

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