Prevention and Control of HIV/AIDS in the Elderly
Relationship between illness perceptions and disability in HIV-infected people aged 50 and older in some areas of Sichuan Province
Feng Chuanteng, Yu Bin, Yang Bo, Huang Yuling, Yu Jun, Xiong Jun, He Kunming, Zhou Huibin, Jia Peng, Yang Shujuan
Published 2023-11-10
Cite as Chin J Epidemiol, 2023, 44(11): 1697-1702. DOI: 10.3760/cma.j.cn112338-20221108-00950
Abstract
ObjectiveTo explore the relationship between illness perceptions and disability, and the relative importance of association of illness perceptions items and disability in HIV-infected people aged ≥50 years in Sichuan Province.
MethodsBy using multi-stage cluster sampling, the baseline data of a cohort of HIV-infected people aged ≥50 years in 5 counties (district) in Sichuan were obtained from 2018 to 2021. The disability was evalauted with instrumental activities of daily living scale (IADL), and the illness perception was evaluated by using brief illness perception questionnaire. General additive model and general linear model were used to analyze the association between illness perceptions and IADL. Weighted sum quartile sum regression was used to find the dominant items on the association. Software R was used for statistical anlysis.
ResultsA total of 1 587 HIV-inbfected peoeple aged ≥50 years were included in this study. The prevalence of disability was 26.1% (n=414). The median score of illness perception was 33. The illness perceptions had a negative effect on the IADL score (β=-0.15, P<0.001) and the partial score of IADL declined when illness perception score was larger than 38 (P<0.05). Personal control (32.98%) and consequence (22.50%) whose weight were higher than average (12.50%) were the dominant items on the association between the score of illness perception and IADL score.
ConclusionsThe prevalence of disability in HIV-infected people aged ≥50 years in Sichuan was high. It is necessary to intervent on personal control and consequence in HIV-infected people aged ≥50 years when their illness perception scores are high to prevent the incidence and development of disability.
Key words:
HIV-infected people; Middle aged and elder people; Disability; Illness perception
Contributor Information
Feng Chuanteng
Institute for Disaster Management and Reconstruction, Sichuan University-The Hong kong Polytechnic Uniuersity, Chengdu 610207, China
West China School of Public Health and West China Fourth Hospital, Sichuan University, Chengdu 610041, China
Yu Bin
Institute for Disaster Management and Reconstruction, Sichuan University-The Hong kong Polytechnic Uniuersity, Chengdu 610207, China
West China School of Public Health and West China Fourth Hospital, Sichuan University, Chengdu 610041, China
Yang Bo
Affiliated Hospital of Chengdu University, Chengdu 610018, China
Huang Yuling
Sichuan Provincial Center for Disease Control and Prevention, Chengdu 610041, China
Yu Jun
Luxian County Center for Disease Control and Prevention, Sichuan Province, Luxian 646100, China
Xiong Jun
Luxian County Center for Disease Control and Prevention, Sichuan Province, Luxian 646100, China
He Kunming
Jintang County Center for Disease Control and Prevention, Sichuan Province, Jintang 610499, China
Zhou Huibin
Jianyang County Center for Disease Control and Prevention, Sichuan Province, Jianyang 641499, China
Jia Peng
School of Resources and Environmental Sciences, Wuhan University, Wuhan 430072, China
Yang Shujuan
West China School of Public Health and West China Fourth Hospital, Sichuan University, Chengdu 610041, China
Affiliated Hospital of Chengdu University, Chengdu 610018, China