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dc.contributor.authorRuiz-Alguero, Marta 
dc.contributor.authorHernando Sebastian, Victoria 
dc.contributor.authorMarcos, Henar
dc.contributor.authorGutiérrez, Gonzalo
dc.contributor.authorPérez-Elías, Maria Jesus
dc.contributor.authorLópez-Bernaldo de Quirós, Juan Carlos
dc.contributor.authorPulido, Federico
dc.contributor.authorGórgolas, Miguel
dc.contributor.authorSanz, Jesus
dc.contributor.authorSuarez-García, Ines
dc.contributor.authorFernandez, Maria Teresa
dc.contributor.authorLosa, Juan Emilio
dc.contributor.authorPérez, Jose Luis
dc.contributor.authorLadrero, Maria Oliva
dc.contributor.authorPrieto, Miguel Ángel
dc.contributor.authorGonzález, Gustavo
dc.contributor.authorIzquierdo-Carreño, Ana 
dc.contributor.authorViloria, Luis Javier
dc.contributor.authorLópez, Irene
dc.contributor.authorMartínez, Eva
dc.contributor.authorCastrillejo, Daniel
dc.contributor.authorAranguren, Rosa
dc.contributor.authorBelmonte, Maria Antonia
dc.contributor.authorAranda-García, I V
dc.contributor.authorArraiza, Antonio
dc.contributor.authorDiaz Franco, Asuncion
dc.identifier.citationBMC Infect Dis . 2021 Jan 30;21(1):129.es_ES
dc.description.abstractHIV infection has become a chronic disease and well-being of people living with HIV (PLHIV) is now of particular concern. The objectives of this paper were to describe self-rated health among PLHIV, on ART and on ART virally suppressed and to analyse its determinants. Data were obtained from a second-generation surveillance system based on a cross-sectional one-day survey in public hospitals. Epidemiological and clinical data were collected among HIV-infected inpatients and outpatients receiving HIV-related care the day of the survey in 86 hospitals in 2019. Self-rated health was measured using a question included in the National Health Survey: "In the last 12 months, how would you rate your health status?" an ordinal variable with five categories (very good, good, moderate, bad and very bad). For the analysis, these responses were dichotomized into two categories: 1 = very good/good and 0 = moderate, bad or very bad health status. Factors associated with very good/good self-rated health were estimated using logistic regression. Of 800 PLHIV, 67.5% perceived their health as very good/good, 68.4% among PLHIV on ART and 71.7% of those virally suppressed. Having university education (adjusted odds ratio (aOR):2.1), being unemployed (aOR:0.3) or retired (aOR:0.2), ever being diagnosed of AIDS (aOR:0.6), comorbidities (aOR:0.3), less than 2 year since HIV diagnosis (aOR:0.3) and not receiving ART (aOR:0.3) were associated with good self-rated health. Moreover, among PLHIV on ART, viral load less than 200 copies (aOR:3.2) were related to better perceived health. Bad adherence was inversely associated with good self-rated health among PLHIV on ART (aOR:0.5) and of those virally suppressed (aOR:0.4). Nearly seven in 10 PLHIV in Spain considered their health status as very good/good, being higher among virally suppressed PLHIV. Both demographic and clinical determinants affect quality of life.es_ES
dc.publisherBioMed Central (BMC) es_ES
dc.subjectFourth 90es_ES
dc.subjectHealth quality of lifees_ES
dc.subjectPeople living with HIVes_ES
dc.subjectSelf-rated healthes_ES
dc.titleSelf-rated health among people living with HIV in Spain in 2019: a cross-sectional study.es_ES
dc.typejournal articlees_ES
dc.rights.licenseAtribución 4.0 Internacional*
dc.identifier.journalBMC infectious diseaseses_ES
dc.repisalud.centroISCIII::Centro Nacional de Epidemologíaes_ES
dc.rights.accessRightsopen accesses_ES

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