The Association Between Leisure Activity Engagement and Health-Related Quality of Life in Middle-Aged and Older People With HIV.
The Association Between Leisure Activity Engagement and Health-Related Quality of Life in Middle-Aged and Older People With HIV.
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中老年人艾滋病毒感染者的休闲活动参与与健康相关生活质量之间的关系。
DOI：
10.1093/geront/gnab172
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发表时间：
2022
期刊：
影响因子：
--
通讯作者：
Vance,DavidE
中科院分区：
文献类型：
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作者：
Wion,RachelK;Fazeli,PariyaL;Vance,DavidE
背景与目的感染人类免疫缺陷病毒（HIV）的中老年人群存在健康相关生活质量（HRQoL）下降的风险，参与休闲活动可改善健康相关生活质量（HRQoL）。我们研究了HRQoL与参与认知、身体、社会和被动休闲活动之间的关系，以及抑郁症状是否介导了这些关系。Wilson和Cleary的HRQoL概念模型指导了本研究。研究设计与方法在这项横断面观察性研究中，我们招募了174名年龄在40岁及以上的HIV感染者（M= 51.3，SD= 7.03）。参与者完成了休闲活动、抑郁症状和HRQoL的评估。数据分析采用Spearman’s rho相关、层次多元回归和中介分析。结果体力活动越多，HRQoL越高（b= 2.02,p< 0.05）。更多的社会活动与更高的身体HRQoL （b= 1.44,p< 0.05）和精神HRQoL （b= 1.95,p< 0.01）相关。然而，休闲活动与HRQoL之间的所有关联都被抑郁症状完全减弱。认知和被动休闲活动与HRQoL无显著相关。中介分析证实抑郁症状是社会活动影响身心HRQoL的中介机制。更频繁地参加体育和社会休闲活动与更好的HRQoL相关，社会休闲活动通过对情绪的影响来改善HRQoL。增加休闲活动的干预措施，特别是在情感功能较差的艾滋病毒感染者中，可能是改善HRQoL的最有效方法。
Background and ObjectivesMiddle-aged and older adults with human immunodeficiency virus (HIV) are at risk for decreased health-related quality of life (HRQoL), which may be improved by engaging in leisure activities. We examined associations between HRQoL and participation in cognitive, physical, social, and passive leisure activities, and whether depressive symptoms mediated these relationships. Wilson and Cleary’s conceptual model of HRQoL guided this study.Research Design and MethodsIn this cross-sectional observational study, we enrolled 174 adults living with HIV aged 40 and older (M= 51.3,SD= 7.03). Participants completed assessments of leisure activities, depressive symptoms, and HRQoL. Data were analyzed using Spearman’s rho correlations, hierarchal multiple regression, and mediation analyses.ResultsGreater engagement in physical activities was associated with higher physical HRQoL (b= 2.02,p< .05). Greater engagement in social activities was associated with both higher physical (b= 1.44,p< .05) and mental HRQoL (b= 1.95,p< .01). However, all associations between leisure activities and HRQoL were fully attenuated by depressive symptoms. Cognitive and passive leisure activities were not significantly correlated with HRQoL. Mediation analyses confirmed that depressive symptoms were the mediator mechanism by which social activities affected mental and physical HRQoL.Discussion and ImplicationsMore frequent engagement in physical and social leisure activities is associated with better HRQoL, and social leisure activities improve HRQoL via their impact on mood. Interventions to increase leisure activities, especially among people living with HIV who have poorer affective functioning, may be the most effective approach to improving HRQoL.