Abstract
Background: This study aims to explore the relationship between quality of life (QOL) and social capital factors among “people living with HIV/AIDS” (PLWHA), in order to improve their quality of life and help them to release AIDS discrimination. Methods: A cross-sectional survey with 225 PLWHA was done in Nanchang, China, between January and June of 2015. Questionnaires consisted of a socio-demographic questionnaire, Personal Social Capital Scale and Medical Outcomes Study HIV Health Survey. To identify social capital factors influencing QOL among PLWHA, t-test and multiple linear regression were used as statistical tools. The analysis of data was conducted using SPSS 22.0 with a significant value of p < 0.05. Results: The scores of total social capital, bonding social capital and bridging social capital were 23.68 ± 5.55, 14.11 ± 3.40 and 9.46 ± 3.43 respectively. The scores of Physical Health Summary (PHS) and Mental Health Summary (MHS) were 51.88 ± 7.04 and 49.29 ± 6.60. Multiple linear regression analysis showed that age (B = −0.137, p = 0.020), income (B = 0.2170, p ≤ 0.001), employment (B = 0.112, p = 0.043) and bonding social capital (B = 0.178, p = 0.001) had significant effects on PHS. Bonding social capital was the most important influencing factor for MHS (B = 0.506, p < 0.001). There was no significant relationship between bridging social capital and QOL (p > 0.05). Conclusions: The PLWHA community has low social capital and a poor QOL in Nanchang. Bonding social capital had a positive impact on the QOL of PLWHA. There is an urgent need to build a better social support system based on bonding social capital for PLWHA. It is worth further exploring to identify how to make full use of bridging social capital for improving QOL among PLWHA.
Highlights
Acquired immunodeficiency syndrome (AIDS) has been regarded as primarily a serious global public health crisis, which has attracted worldwide attention [1]
There is an urgent need to build a better social support system based on bonding social capital for PLWHA
This study showed that bonding social capital score has positive effects on Mental Health Summary (MHS) and Physical Health Summary (PHS), which is consistent with Dong’s report indicating that patient’s family plays an important role in providing PLWHA with mental support and companionship [32]
Summary
Acquired immunodeficiency syndrome (AIDS) has been regarded as primarily a serious global public health crisis, which has attracted worldwide attention [1]. 2008, there were a total of 849,602 people living with HIV (PLWHA) or AIDS in China, including. 497,231 PLWHA and 352,371 AIDS patients [3]. A total of 262,442 deaths were due to HIV infection and the ratio of male to female AIDS patients is 3.2:1 [3]. This study aims to explore the relationship between quality of life (QOL) and social capital factors among “people living with HIV/AIDS” (PLWHA), in order to improve their quality of life and help them to release AIDS discrimination. PLWHA was done in Nanchang, China, between January and June of 2015. To identify social capital factors influencing QOL among PLWHA, t-test and multiple linear regression were used as statistical tools. Results: The scores of total social capital, bonding social capital and bridging social capital were 23.68 ± 5.55, 14.11 ± 3.40 and 9.46 ± 3.43 respectively
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