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. 2024 Dec;80(12):4963-4973.
doi: 10.1111/jan.16194. Epub 2024 May 7.

Exploring the relationship between illness perception, self-management and quality of life among HIV-positive men who have sex with men

Xu Wang  1 , He Xu  1 , Yao Zhang  1 , Jing Zeng  1 , Cong Liu  2 , Rui Luo  1 , Haidan Zhong  2 , Weiping Cai  2 , Linghua Li  2 , Jing Gu  1   3   4
Affiliations

Exploring the relationship between illness perception, self-management and quality of life among HIV-positive men who have sex with men

Xu Wang et al. J Adv Nurs. 2024 Dec.

Abstract

Aims: This study aimed to explore the mediating effect of self-management (SM) on the relationship between illness perception and quality of life (QOL) among Human immunodeficiency virus (HIV)-positive men who have sex with men (MSM).

Design: A cross-sectional study.

Methods: We explored the effect of illness perception and self-management on QOL using the multiple regression model. Moreover, we conducted a simple mediation analysis to examine the role of SM in the relationship between illness perception and QOL. In addition, a parallel mediation analysis was performed to investigate the differences in domains of SM on the relationship between illness perception and QOL.

Results: Among 300 Chinese HIV-positive MSM, the mean score of SM was 39.9 ± 6.97, with a range of 14.0-54.0. The higher score in SM indicated a higher level of HIV SM. SM was negatively related to illness perception (r = -0.47) while positively related to QOL (r = 0.56). SM partially mediated the relationship between illness perception and QOL, accounting for 25.3% of the total effect. Specifically, both daily self-management health practices and the chronic nature of the self-management domain played a parallel role in mediating the relationship between illness perception and QOL.

Conclusion: Our study demonstrated that SM was a significant factor influencing QOL among HIV-positive MSM. Focusing on daily self-management health practices and the chronic nature of self-management could be the potential key targets for enhancing HIV self-management strategies.

Implications for the profession and/or patient care: This study emphasized the role of SM in the well-being of HIV-positive MSM and underscored the importance of developing interventions that integrate SM strategies to improve QOL in this population.

Patient or public contribution: No patient or public contribution.

Keywords: HIV; MSM; illness perception; quality of life; self‐management.

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