Health-related quality of life in people with HIV from the multicentre CoRIS cohort in Spain: Associated factors and short-term changes over time

Objectives: We aimed to describe health-related quality of life (HRQoL), overall and across its dimensions, identify associated factors, and assess changes over time among people with HIV (PWH) from the Spanish multicentre CoRIS cohort. Methods: We developed a mobile app to collect HRQoL data every...

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Authors: Izquierdo, R.; Suárez-García, I.; Marco-Sánchez, C.; Pérez-Latorre, L.; Riera, M.; Cano, J.; Viladés, C.; Reus, S.; Olalla, J.; González-Ruano, P.; Orviz, E.; Díaz, A.; Moreno, S.; Jarrín, I.; Dalmau, D.; Navarro, M.L.; González, M.I.; Garcia, F.; Poveda, E.; Iribarren, J.A.; Rubio, R.; Vidal, F.; Berenguer, J.; González, J.; Muñoz-Fernández, M.Á.; Moreno, C.; Rava, M.; Marco, C.; Gómez-García, T.; Juárez, R.; Portilla, I.; Merino, E.; Agea, I.; Sánchez-Payá, J.; Rodríguez, J.C.; Giner, L.; Boix, V.; Torrus, D.; Pérez, V.; Portilla, J.; Pinargote, H.; Alemán, M.R.; Lirola, A.L.; García, D.; Díaz-Flores, F.; Alonso, M.M.; Pelazas, R.; Hernández, M.I.; Romero, L.; Bethencourt, A.; Rodríguez, D.; Asensi, V.; Rivas-Carmenado, M.E.; Magadan, R.C.; Díaz-Arias, J.; Pulido, F.; Bisbal, O.; Hernando, M.A.; Rial, D.; de Lagarde, M.; Pinto, A.; Bermejo, L.; Santacreu, M.; Navarro, R.; Torres, J.M.; Aramburu, M.J.; Camino, X.; Goenaga, M.Á.; Bustinduy, M.J.; Azkune, H.; Ibarguren, M.; Kortajarena, X.; Álvarez-Rodriguez, I.; Gil, L.; Carmona-Torre, F.; Carlos, A.B.; Sanz, M.L.; Gutiérrez, F.; Robledano, C.; Masiá, M.; Padilla, S.; Adsuar, A.; Pascual, R.; Galiana, A.; García, J.A.; Barber, X.; Abellán, J.G.; Telenti, G.; Guillén, L.; Botella, Á.; Mascarell, P.; Carvajal, M.; de la Rica, A.; Ding, C.; García-Sánchez, L.; Ena, N.; López, L.; Vallejo, J.; Gonzalo-Jiménez, N.; Ruiz, M.; Ledesma, C.; Espinosa, M.; Quiles, A.; Andreo, M.; Muga, R.; Sanvisens, A.; Fuster, D.; de Quirós, J.C.L.B.; Gutiérrez, I.; Ramírez, M.; Gijón, P.; Aldamiz-Echevarría, T.; Tejerina, F.; Diez, C.; Pérez, L.; Fanciulli, C.; Corral, S.; Peraire, J.; Rull, A.; Martí, A.; Villar, B.; Guillem, L.; Olona, M.; García-Pardo, G.; Gómez-Bertomeu, F.; Alba, V.; Chafino, S.; Sánchez, A.; Montero, M.; Tasias, M.; Calabuig, E.; Salavert, M.; Fernández, J.; Blanes, R.; González-García, J.; Delgado-Hierro, A.; Arribas, J.R.; Arribas, V.; Bernardino, J.I.; Busca, C.; Cano-Smith, J.; Cadiñanos, J.; Castro, J.M.; Escosa, L.; Falces, I.; Herranz, P.; Hontañón, V.; González-Baeza, A.; Martín-Carbonero, M.L.; Mayoral, M.; Micán, R.; de Miguel, R.; Montejano, R.; Montes, M.L.; Ramos-Ruperto, L.; Rodés, B.; Sainz, T.; Sendagorta, E.; Valencia, E.; del Mar Arcos, M.; de Gea Grela, A.; López, C.O.; Blanco, J.R.; Pérez-Martínez, L.; Oteo, J.A.; Ibarra, V.; Metola, L.; Sanz, M.; Gil, D.; Cecilio, Á.; Caballero, R.; Caudevilla, M.A.; Martinez, M.; Jaén, A.; Cairó, M.; Martinez-Lacasa, J.; Font, R.; Gisbert, L.; Rivero, M.; Goikoetxea, M.; Gracia, M.; Ibero, C.; Repáraz, J.; Baigorria, F.; Navarro, G.; Garcia, M.C.; Isbert, S.C.; Vilasaro, M.N.; de los Santos, I.; de los Santos, A.; García-Fraile, L.; Martín, E.; Sánchez-Cerrillo, I.; Calvet, M.; Barrios, A.; Bautista, A.; Sáez, C.; Ciudad, M.; Gutiérrez, Á.; García, M.A.; del Campo, S.; Casado, J.L.; Dronda, F.; Pérez, M.J.; Serrano-Villar, S.; Vivancos, M.J.; Martínez-Sanz, J.; Vallejo, A.; Sánchez-Conde, M.; Pérez-Molina, J.A.; Hermida, J.M.; Tarazona, E.D.L.T.; Moreno, E.; Pedraza, L.M.; García, C.D.; Díaz, J.; García, A.; Ron, R.; Bernal, E.; Alcaraz, A.; Bravo, J.; Muñoz, Á.; Tomás, C.; Oliver, E.; Selva, D.; García, E.; González, R.; Guijarro, E.; Martínez, R.; Hernández, M.D.; Martínez, C.; Medina, L.M.; Álvarez, M.; Chueca, N.; Vinuesa, D.; de Salazar, A.; Fuentes, A.; Guirao, E.; Viñuela, L.; Ruiz-Sancho, A.; Anguita, F.; Faro, N.; Peregrina, J.; Chaves, L.; Illescas, M.; Sánchez, V.; Del Romero, J.; Raposo, M.; Rodríguez, C.; Puerta, T.; Carrió, J.C.; Vera, M.; Ballesteros, J.; Ayerdi, O.; Baza, B.; Antela, A.; Losada, E.; Peñaranda, M.; Ribas, M.A.; Campins, A.A.; Garcia-Gazalla, M.; Fanjul, F.J.; Murillas, J.; Homar, F.; Vilchez, H.H.; Martin, L.; Payeras, A.; Santos, J.; Gómez, C.; Viciana, I.; Palacios, R.; López-Cortés, L.F.; Espinosa, N.; Roca, C.; Llaves, S.; Tiraboschi, J.M.; Imaz, A.; Saumoy, M.; Curran, A.; Falcó, V.; Navarro, J.; Burgos, J.; Suanzes, P.; Descalzo, V.; Álvarez, P.; Planas, B.; Sanchíz, M.; Rodríguez, L.; Monforte, A.; Vidovic, P.; Pérez, J.; del Arco, A.; de la Torre, J.; Prada, J.L.; Martínez, O.J.; Martinez, L.; Vera, F.J.; García, J.; Alcaraz, B.; Guirao, A.J.S.; Mena, Á.; Pernas, B.; Vázquez, P.; López, S.; Castelo, B.; Ibarra, S.; García, G.; Mirena, J.; Ferrero, O.L.; López, J.; de la Peña, M.; López, M.; López, I.; Lombide, I.; Polo, V.; de Miguel, J.; Estevez, B.R.; Aguirre, M.G.; Galera, C.; Fernández, M.; Albendin, H.; Castillo, A.; Iborra, A.; Moreno, A.; Merlos, M.A.; Chiclano, I.; Amador, C.; Pasquau, F.; Gil, C.; Algado, J.T.; Malmierca, E.; Ruiz, M.P.; Pascual, J.F.; Balsalobre, L.; Somodevilla, Á.; de la Villa López, M.; Omar, M.; Herrero, C.; de Zárraga, M.A.; Pérez, D.; Estrada, V.; Cabello, N.; Núñez, M.J.; Sagastagoitia, I.; Homen, R.; Muñoz, A.; Yeguas, I.A.; Górgolas, M.; Cabello, A.; Álvarez, B.; Prieto, L.; Al-Hayani, A.; Carrillo, I.; Sanz, J.; Arranz, A.; Hernández, C.; Novella, M.; Galindo, M.J.; Gómez, S.P.; Ferrer, A.; Román, A.R.; Ruíz, I.; Juárez, A.R.; López, P.; Machuca, I.; Frias, M.; Camacho, Á.; Pérez, I.; Corona, D.; Caballero, J.M.; Martinez-Echevarría, R.R.-R.; Torres, R.; Sánchez, J.M.; Rincón, P.; Real, L.M.; Corma, A.; González-Serna, A.; Pérez, A.; Morano, L.; Miralles, C.; Ocampo, A.; Pousada, G.; Gallego, M.; Alonso, J.; Martínez, I.; Dueñas, C.; Gutiérrez, S.; de la Fuente López, M.; Novoa, C.; Egües, X.; Telleria, P.; Fernández, C.G.; Valls, C.N.; Du, J.; Blanco, A.M.; Aldea, I.A.; Ruan, E.C.; Canepa, C.; Giralt, N.G.
Format: Article
Status:Published version
Publication date:2025
Country:España
Institution:Universidad de Málaga
Repository:r-FISABIO. Repositorio Institucional de Producción Científica
OAI Identifier:oai:dnet:r-fisabio___::d839655f6ba7e86c07ccfbf3eda47a3a
Online Access:https://fisabio.portalinvestigacion.com/publicaciones/20786
https://www.scopus.com/inward/record.uri?eid=2-s2.0-85215808148&doi=10.1111%2fhiv.13762&partnerID=40&md5=78e64029b17f682095f532ae5fe98c4f
Access Level:Open access
Keyword:health-related quality of life (HRQoL)
HIV
patient-reported outcome measures (PROMs)
patients
risk factors
World Health Organization HIV Quality of Life Instrument (WHOQOL-HIV-BREF)
Adult
Cohort Studies
Female
HIV Infections
Humans
Male
Middle Aged
Quality of Life
Spain
Surveys and Questionnaires
dolutegravir plus lamivudine
dolutegravir plus rilpivirine
Human immunodeficiency virus proteinase inhibitor
integrase inhibitor
nonnucleoside reverse transcriptase inhibitor
RNA directed DNA polymerase inhibitor
acquired immune deficiency syndrome
adult
antiretroviral therapy
Article
blame (psychology)
cohort analysis
educational status
female
forgiveness
health belief
human
Human immunodeficiency virus infected patient
Human immunodeficiency virus infection
major clinical study
male
middle aged
migrant
patient-reported outcome
prospective study
quality of life
questionnaire
religion
rest
scoring system
sexual satisfaction
sleep
South and Centra
Description
Summary:Objectives: We aimed to describe health-related quality of life (HRQoL), overall and across its dimensions, identify associated factors, and assess changes over time among people with HIV (PWH) from the Spanish multicentre CoRIS cohort. Methods: We developed a mobile app to collect HRQoL data every 3 months using the WHOQOL-HIV-BREF questionnaire (31 items across six domains), among PWH followed in CoRIS in 2021–2023. Factors associated with good/very good global HRQoL and with domain-specific mean scores were identified using multivariable logistic and linear regression, respectively. Results: Of 414 PWH (94.2% on antiretroviral treatment, 91.1% virally suppressed), 51.2% reported good/very good HRQoL. Latin American migrants (adjusted OR: 0.60 [95% CI: 0.36; 1.00]), and participants with lower educational level (0.36 [0.21; 0.64]), a previous AIDS diagnosis (0.56 [0.29; 1.11]) and a history of non-AIDS-related cancers (0.40 [0.14; 1.14]) were less likely to report good/very good global HRQoL. The most affected items included sexual satisfaction, forgiveness and blame, sleep and rest, and concerns about the future, with spirituality, religion and personal beliefs as the most affected domain. Latin American origin, lower educational level and shorter (<2 years) or longer (>15 years) time since HIV diagnosis were associated with poorer HRQoL in specific domains. No significant changes in HRQoL were observed after 12 months except slightly higher scores in physical health. Conclusions: Only half of PWH reported good/very good global HRQoL. This highlights the need to develop targeted strategies to improve HRQoL among PWH, focusing on addressing the most affected dimensions and supporting the most vulnerable groups. © 2025 The Author(s). HIV Medicine published by John Wiley & Sons Ltd on behalf of British HIV Association.