Factors associated with health-related quality of life among people living with HIV in South Korea: Tobit regression analysis

PLoS One. 2024 May 16;19(5):e0303568. doi: 10.1371/journal.pone.0303568. eCollection 2024.

Abstract

This study investigated health-related quality of life and identified factors affecting it among people with the HIV in South Korea. A total of 243 people living with HIV participated in this cross-sectional survey. Data were collected from five hospitals between November 2021 and August 2022 using structured online questionnaires. Data were analyzed using descriptive statistics, Mann-Whitney U test, Kruskal-Wallis test, Spearman's rho analysis, and Tobit regression analysis because a significant ceiling effect was observed for the dependent variable. The mean score for the health-related quality of life was 75.74 ± 16.48. The significant factors that positively influence the health-related quality of life were "employment" (B = 4.57, p = .035), "not participating in the self-help group" (B = 6.10, p = .004), "higher self-efficacy for managing symptoms" (B = 1.32, p = .036), "higher self-efficacy for getting support/help" (B = 0.95, p = .035), and "higher self-efficacy for managing fatigue" (B = 2.80, p < .001) in the Tobit regression analysis. The results suggest that interventions to increase self-efficacy should involve developing programs and policies for people living with HIV. There is a need for efforts to provide healthcare services linked to employment support, as well as to establish a social environment in which they can work without stigma. Further, self-help groups could be utilized as intervention channels.

MeSH terms

  • Adult
  • Cross-Sectional Studies
  • Female
  • HIV Infections* / psychology
  • Humans
  • Male
  • Middle Aged
  • Quality of Life*
  • Regression Analysis
  • Republic of Korea / epidemiology
  • Self Efficacy
  • Self-Help Groups
  • Surveys and Questionnaires

Grants and funding

This research was supported by the National Research Foundation of Korea grant funded by the Korean government (MSIT) (No. 2020R1A2C101081713) and the Brain Korea 21 FOUR Project funded by the National Research Foundation (NRF) of Korea, Yonsei University College of Nursing. LK and YL received scholarships from the Brain Korea 21 FOUR Project funded by the National Research Foundation (NRF) of Korea, Yonsei University College of Nursing. NRF: https://www.nrf.re.kr/indexhttps://bk21four.nrf.re.kr/ The funders had no role in study design, data collection and analysis, decision to publish, or preparation of the manuscript.