Preprint Article Version 1 Preserved in Portico This version is not peer-reviewed

Predictors of Quality of Life in HIV-Infected Persons from Mozambique: The Dual Role of Schooling

Version 1 : Received: 22 May 2023 / Approved: 23 May 2023 / Online: 23 May 2023 (07:28:51 CEST)

A peer-reviewed article of this Preprint also exists.

Lufiande, J.; Silva, S.; Reis, A.C.; Guerra, M.P. Predictors of Quality of Life in HIV-Infected Persons from Mozambique: The Dual Role of Schooling. Infect. Dis. Rep. 2023, 15, 392-402. Lufiande, J.; Silva, S.; Reis, A.C.; Guerra, M.P. Predictors of Quality of Life in HIV-Infected Persons from Mozambique: The Dual Role of Schooling. Infect. Dis. Rep. 2023, 15, 392-402.

Abstract

Increasing quality of life (QoL) is both an end in itself and a means to optimize the impact of treatment in HIV-infected persons. Possibly due to cultural and social influences, the predictors of QoL vary across studies, which highlights the importance of studying specific populations. In the present study, we wanted to determine the sociodemographic (age, sex, schooling) and psychosocial correlates (meaning in life, social support, positive and negative affect) of QoL in HIV-infected patients living in Mozambique, a country with high prevalence of HIV, but also with well-structured strategies to fight the disease. To that end, we made correlational analyses followed by regression models, and we examined potential mediation processes among predictors. All correlates were relevant except sex. Meaning in life was the strongest predictor, while social support was the weakest. Schooling was both directly and indirectly related with QoL - in the latter case, it was mediated by meaning in life, social support and positive affect. Our findings suggest that investments in education may be highly rewarding to Mozambicans, and that satisfying needs of self-actualization and purpose may be more urgent than improving social connections.

Keywords

HIV/AIDS; Mozambique; Quality of life; Schooling; Meaning in life; Social support

Subject

Public Health and Healthcare, Public, Environmental and Occupational Health

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