Factors associated with poorer quality of life in people living with HIV in southwestern France in 2018-2020 (ANRS CO3 AQUIVIH-NA cohort: QuAliV study)

Diana Barger (1) , Mojgan Hessamfar (1) , Didier Neau (1) , Sophie Farbos (2) , Olivier Leleux (1) , Charles Cazanave (1) , Nicolas Rouanes (3) , Pierre Duffau (4, 5) , Estibaliz Lazaro (6) , Patrick Rispal (7) , Francois Dabis (1, 8) , Linda Wittkop (9, 1) , Fabrice Bonnet (1, 8)

1 BPH - Bordeaux population health
2 CHCB - Centre Hospitalier de la Côte Basque
3 CHP - CENTRE HOSPITALIER PÉRIGUEUX
4 Hôpital Saint-André
5 ImmunoConcept - Immunology from Concept and Experiments to Translation = Immunologie Conceptuelle, Expérimentale et Translationnelle
6 CHU Bordeaux - Centre Hospitalier Universitaire de Bordeaux
7 Centre Hospitalier Agen-Nérac
8 GHiGS - Global Health in the Global South
9 SISTM - Statistics In System biology and Translational Medicine

We evaluated people living with Human Immunodeficiency Virus' (PLWH) quality of life (QoL) and assessed whether their demographic, disease-related, socioeconomic, or behavioral characteristics were associated with poorer QoL. ANRS CO3 AQUIVIH-NA cohort participants (Nouvelle Aquitaine, France) were recruited to a cross-sectional study (2018-2020) and their QoL assessed (WHOQOL-BREF). We calculated median (Q1, Q3) QoL domain scores and assessed factors associated with poorer median QoL using bivariable and multivariable quartile regression. Of the 965 PLWH included, 98.4% were on antiretroviral therapy, 94.7% were virally-suppressed, 63.5% reported good/very good QoL. Median scores (0-100) were highest for physical (69;Q1, Q3: 56, 81) and environmental (69; 56, 75) QoL and lowest for social (56; 44, 69) and psychological (56; 44, 69) QoL. PLWH with ≥ 3 comorbidities, HIV-related stigma, or income of < 1500€/month had poorer median adjusted physical, psychological, social, and environmental QoL scores compared to reference groups. While more than half of PLWH reported good/very good QoL, we have not achieved good QoL in 90% of PLWH. Multi-morbidity, HIV-related stigma, and social determinants were consistently and independently associated with poorer QoL. Addressing structural factors in addition to those indirectly related to HIV is required to attain good QoL in all PLWH.

Domaines: Santé publique et épidémiologie

Diana Barger, Mojgan Hessamfar, Didier Neau, Sophie Farbos, Olivier Leleux, et al.. Factors associated with poorer quality of life in people living with HIV in southwestern France in 2018-2020 (ANRS CO3 AQUIVIH-NA cohort: QuAliV study). Scientific Reports, 2023, 13 (1), pp.16535. ⟨10.1038/s41598-023-43434-x⟩. ⟨hal-04342328⟩