200160 Racial Differences in HIV-related Quality of Life: Results from a Patient-Reported Outcomes Survey

Wednesday, November 11, 2009

DerShung Yang, PhD , Caracal Inc., Buffalo Grove, IL
Jared Lane Maeda, MPH , Division of Health Policy and Administration, University of Illinois at Chicago, School of Public Health, Chicago, IL
Jonathan Uy, MD , College of Medicine, Section of Infectious Diseases, University of Illinois at Chicago, Chicago, IL
Richard Novak, MD , College of Medicine, Section of Infectious Diseases, University of Illinois at Chicago, Chicago, IL
Background: Eliminating racial and ethnic health disparities is a major goal of Healthy People 2010. Several studies have highlighted racial disparities in the diagnosis, access to care, and treatment of HIV-infected patients, however little is known about any racial differences in HIV quality of life. The AD(Adaptive)-HIV is a newly validated HIV quality of life assessment tool. The objective of this study was to examine the baseline survey data from AD-HIV and report on any racial differences in HIV quality of life along several domains.

Methods: Adult participants (n=400) with HIV/AIDS were enrolled through convenience sampling from outpatient infectious disease clinics at two major academic medical centers in Chicago, Illinois during 2006-2007. All of the study participants were administered an electronic patient-reported outcomes HIV quality of life (QoL) survey.

Results: The racial breakdown of the sample was 50% Black, 37% White, 3.2% Asian/Native Hawaiian/American Indian, 3.8% More than one race, and 6% Other with a mean CD4+=514 and HIV viral load=32,036. Using multivariate linear regression models, significant differences between Blacks and Whites were found on the QoL factors of Pain (p=0.023), Fatigue (p=0.002), and Body Image (p=0.001), controlling for socio-demographic characteristics and clinical condition.

Conclusions: The findings suggest racial differences in HIV-related quality of life in this sample. AD-HIV is an instrument that can be used in the clinical practice setting to uncover racial differences in HIV health-related quality of life that can facilitate improvements in patient care.

Learning Objectives:
1.) Describe the findings from the AD-HIV patient-reported outcomes survey. 2.) Identify any racial differences in the quality of life of HIV-infected patients. 3.) Have a general understanding for the utility of AD-HIV in the clinical practice setting.

Keywords: HIV/AIDS, Quality of Life

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: PhD candidate in Public Health Sciences and worked on this project.
Any relevant financial relationships? No

I agree to comply with the American Public Health Association Conflict of Interest and Commercial Support Guidelines, and to disclose to the participants any off-label or experimental uses of a commercial product or service discussed in my presentation.

See more of: Special Topics in HIV-Related Care
See more of: HIV/AIDS