Table 2.
Multilevel model examining the relationship between stress and HRQoL among PLWH and individuals living without HIV infection
| HIV–uninfected | PwH | |||||||
|---|---|---|---|---|---|---|---|---|
| Mental HRQoL | Physical HRQoL | Mental HRQoL | Physical HRQoL | |||||
| Estimate (SE) | p value | Estimate (SE) | p value | Estimate (SE) | p value | Estimate (SE) | p value | |
| Within–person fixed effect | ||||||||
| Time | 0.11 (0.18) | 0.52 | − 0.19 (0.25) | 0.44 | − 0.57 (0.23) | 0.013 | − 0.54 (0.2) | 0.008 |
| Random slope | ||||||||
| Perceived stress | − 0.57 (0.12) | < 0.001 | − 0.22 (0.12) | 0.06 | − 1.22 (0.12) | < 0.001 | − 0.16 (0.09) | 0.09 |
| Between–person fixed effects | ||||||||
| Age | – | – | − 0.23 | 0.007 | – | – | − 0.05 | 0.67 |
| Education | − 0.34 (0.39) | 0.38 | − 0.8 (0.48) | 0.09 | − 0.66 (0.63) | 0.3 | 0.16 (0.65) | 0.81 |
| Socioeconomic statusa | − 0.03 (0.104) | 0.81 | 0.29 (0.15) | 0.05 | − 0.09 (0.14) | 0.5 | 0.17 (0.13) | 0.19 |
| Employment | 1.63 (2.03) | 0.42 | 2.92 (1.83) | 0.11 | 0.46 (2.07) | 0.83 | 6.64 (2) | 0.001 |
| Global cognitive deficit score | − 0.37 (1.7) | 0.83 | − 2.62 (1.98) | 0.18 | − 0.81 (2.24) | 0.72 | − 0.28 (2.53) | 0.91 |
| Metabolic comorbiditiesb | − 1.01 (0.95) | 0.29 | − 2.26 (1.04) | 0.03 | –0.39 (1.18) | 0.74 | − 0.81 (1.2) | 0.5 |
| Lifetime psychiatric disorder | − 1.49 (1.93) | 0.44 | − 4.14 (2.35) | 0.08 | − 11.25 (2.06) | < 0.001 | − 1.66 (2.02) | 0.41 |
| Lifetime substance use disorder | − 0.87 (2.1) | 0.68 | – | – | − 3.22 (2.27) | 0.16 | – | – |
Age was significantly associated with physical HRQoL but not mental HRQoL, and thus excluded from the mental HRQoL model. Lifetime substance use disorder was significantly associated with mental HRQoL but not physical HRQoL and thus excluded from the physical HRQoL model
aSocioeconomic status was assessed with the Hollingshead Index
bAverage number of metabolic comorbidities (i.e., diabetes, hypertension, or hyperlipidemia)