Stages of HIV/AIDS, Marital Status and Perceived Quality Of Life

Olusegun Adedamola Mayungbo


The evaluation of the stages of HIV/AIDS is not usually considered in most quality of life research, despite the prevalence rate of HIV in Nigeria and the poor attitude of Nigerians towards testing. This study investigates the influence of stages of HIV/AIDS and marital status on perceived quality of life(QoL) among People Living with HIV/AIDS (PLWHA) attending Antiretroviral Therapy at the Haematology and Pathology Clinic, State Specialist Hospital, Akure South Local Government Area, Akure, Ondo State, Nigeria. Using a one-way analysis of variance, a cross sectional design and a convenience sampling method, two hundred and ten PLWHA were sampled. A structured questionnaire focusing on socio-demographic profile and the World Health Organization Quality of Life Questionnaire for HIV-Brief Version (WHOQOL-BREF) instrument was administered to the participants. Data were analysed using descriptive statistics and analysis of variance at 0.05 level of significance. Two hypotheses were tested. The result reveals that stages of HIV/AIDS and marital status significantly influenced general quality of life (F(2,210)=5.43, p<.05), (F(3,210)=3.89, p<.05) respectively. The stages of HIV/AIDS and marital status of patients are important for adequate care and the improvement of quality of life of PLWHA.


Quality of life, Stages of HID/AIDS, Marital status, WHOQOL-BREF, PLWHA.

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Abah, R. C. (2013). The universal basic education programme and the family life HIV education in Nigeria.International Journal of Development and Sustainability 2(2)

Adedimeji, A.A., &Odutolu, O. (2007). Care support and quality of life outcomes among persons living with HIV in the HAART era; Findings from Southwest Nigeria.

Albrecht, G.L., &Devlieger, P.J.(1999). The disability paradox: high quality of life against all odds. SocSci Med 48: 977–988.

Andrykowski, M.A., Brady, M.J., & Hunt, J.W. (1993). Positive psychosocial adjustment in potential bone marrow transplant recipients: cancer as a psychosocial transition. Psycho-Oncol 2: 261–276.

Ankomah, A. (2011) .HIV-related risk perception among female sex workers in Nigeria' HIV/AIDS.Research and Palliative Care 3:93-100

Au, A., Chan, I., Li, P., Chung, R., Po, L.M., & Yu, P.(2004).Stress and health-related quality of life among HIV-infected persons in Hong Kong.AIDS Behav,8(2):119–129.

Bello,S.I,& Bello,I.K.(2013). Quality of life of HIV/AIDS patients in a secondary health care facility,

Ilorin, Nigeria. Baylor University Medical Centre Proceedings;26(2):116–119

Bockerman P, Johansson, E., &Saarni, S.L. (2011).Do established health-related quality-of-life measures adequately capture the impact of chronic conditions on subjective well-being? Health Policy.100:91–95.

Bookwala, J. (2012) Marriage and other partnered relationships in middle and late adulthood. In: Blieszner R, Bedford VH, editors. Handbook of aging and the family. Santa Barbara, CA: ABC-CLIO. pp. 91–124.

Bray, J.H., &Campbell, T.L. (2007).The Family’s Influence on Health. In:Rakel RE, editor. Textbook of Family Medicine. 7th ed. Philadelphia, PA: Saunders Elsevier; p 25-26.

Breetvelt, I.S., & Dam van FSAM.(1991). Under reporting by cancer patients: the case of response shift. SocSci Med 32: 981–987

Brooks, J.T., Kaplan, J.E., Holmes, K.K., Benson, C., Pau, A., &Masur, H.(2009). HIV associated opportunistic infections—going, going, but not gone: the continued need for prevention and treatment guidelines. Clin Infect Dis,48(5):609–611.

Carr, D., Freedman, V. A., Cornman, J. C., & Schwarz, N. (2014). Happy marriage, happy life? Marital quality and subjective well‐being in later life. Journal of Marriage and Family, 76(5), 930-948.

Carr, D, Boerner, K., Moorman., S.M.(2013). End-of-life planning in a family context: Does relationship quality affect whether and with whom older adults plan? Journals of Gerontology Series B: Psychological Sciences and Social Sciences. 68:586–592.

Catalan, J., Klimes, I., Day, A., Garrod, A., Bond, A., &Gallway, J. (1992).The psychosocial impact of HIV infection on gay men. British Journal of Psychiatry, 161, 774–778.

Cummins, R.A.(1997). Comprehensive Quality of Life Scale-Adult.Manual.5th edition. Australia: School of Psychology Deakin University.

Department of Health and Human Services.( 2012) Health Resources and Services Administration Justification of Estimates for Appropriations Committees. Available at

Diener, E. (2005). Guidelines for National Indicators of Subjective Well-Being and Ill-Being.University of Illinois.

Dube, M.P., Sattler, F.R.(2010). Inflammation and complications of HIV disease.Journal of Infect Dis 201(12):1783–1785.

Eluwa, G. I. (2013) .A profile on HIV prevalence and risk behaviours among injecting drug users in Nigeria: Should we be alarmed?' Drug and Alcohol Dependence 127(1-3):65-71.

Ettema, D., Gärling, T., Olsson, L. E., &Friman, M. (2010). Out-of-home activities, daily travel,

and subjective well-being. Transportation Research Part A: Policy and Practice, 44(9), 723–732.

Fatiregun, A.A., Mofolorunsho, K.C., &Osagbemi, K.G. (2009).Quality of life in people living with HIV/AIDS in Kogi State, Nigeria.Benin Journal of Postgraduate Medicine. 11(1): 21-27.

Fairall, L.R., Bachmann, M.O., Louwagie, G.M., (2008) Effectiveness of antiretroviral treatment in a South African program: A cohort study. Arch Intern Med. Jan 14;168(1):86-93.

Graham, C., Higuera, L., &Lora, E. (2011). Which health conditions cause the most unhappiness? Health Econ.20:1431–1447.

Hall,V.P.(1999).The relationship between social support and health in gay men with HIV/AIDS: an integrative review.Journal of the Association of Nurses in AIDS Care, vol. 10, no. 3, pp. 74–86.

Haller M, Hadler M. How social relations and structures can produce happiness and unhappiness: an international comparative analysis. Soc Indic Res. 2006;75:169–216.

Iveniuk, J., Waite, LJ.,Laumann, E., McClintock, M.K., &Tiedt, A.D. (2014).Marital conflict in older couples: Positivity, personality, and health. Journal of Marriage and family. 76:130–144.

Kohli, R.M., Sane, S., Kumar, K., Paranjape, R.S., &Mehendale, S.M.(2005).Modification of Medical Outcome Study (MOS).Indian J Med Res.122:297–304.PMid:16394320

Kovačević, S.B., Vuručić,T.V., Duvančić, K., &Maček, M. (2006). Quality of life of HIV-infected persons in Croatia.CollAntropol. 30 (Suppl 2): 79-84.

Kylma, J., Vehviläinen-Julkunen, K., &Lähdevirta, J. (2001). Hope, despair and hopelessness in living with HIV/AIDS: a grounded theory study. Journal of Advanced Nursing, 33, 6, 764-775.

Luhmann, M., Hofmann, W., Eid, M., & Lucas, R. E. (2012). Subjective well-being and adaptation to life events: A meta-analysis. Journal of Personality and Social Psychology, 102,

Mastekaasa, A. (1994). Psychological well-being and marital dissolution: Selection effects? Journal of Family Issues, 15, 208–229.

Mweemba, P., Zeller, R., Ludwick, R., & Gosnell, D. (2009). Quality of life of Zambians

living with HIV and AIDS. Med Journal Zambia,;36(4):234–241.

Nojomi M, Anbary K, Ranjbar M. (2008).Health-related quality of life in patients with HIV/AIDS.

Arch Iran Med;11(6):608–612.

Peltzer,K., & Ramlagan,S. (2011). Perceived stigma among patients receiving antiretroviral therapy: a prospective study in KwaZulu-Natal, South Africa,” AIDS Care, vol. 23, no. 1, pp. 60–68.

Proulx, C. M., Helms, H. M., & Buehler, C. (2007). Marital quality and personal well-being: A meta-analysis. Journal of Marriage and Family, 69, 576-593. 592-615.

Rai, Y., Dutta, T., & Gulati, A. K. (2010).Quality of life of HIV-infected people across different stages of infection. Journal of Happiness Studies, 11(1), 61-69.

Rai, Y., Tanuscree D., & Gulati, A.K. (2010).Quality of life in HIV-infected people across different stages of infection.Journal of Happiness Stud; 11: 61-69.

Reis, A, Guerra,MP, &Lencastre, L,(2013). Treatment Adherence, Quality of Life and Clinical

Variables in HIV/AIDS Infection. World Journal of AIDS, 3, 239-250

Roberts-Pittman,B (2006). An Analysis of the Social Support Network of Gay Men Living with HIV, Indiana State University.

Semba, R..D., Martin, B.K., Kempen, J.H., Thorne, J.E.,& Wu, A.W. (2005). Ocular Complications

of AIDS Research Group. Th e impact of anemia on energy and physical functioning in individuals with AIDS.Arch Intern Med, 165(19):2229–2236.

Sow, P.S., Otieno, L.F., Bissagnene, E. (2007). Implementation of an antiretroviral access program for HIV-1-infected individuals in resource-limited settings: Clinical results from 4 African countries. Journal ofAcquired Immuned DeficiencySyndrome. 44(3): 262-267.

UNAIDS (2014) .The Gap Report

UNAIDS (2014) .Epidemiology Fact Sheet on HIV and AIDS in Nigeria

UNAIDS(2016) Fact Sheet, November,2016

UNAIDS. (2008) Report on the Global HIV/AIDS Epidemic. Geneva, Switzerland: World Health Organization.

UNAIDS. (2010) UNAIDS report on the global AIDS Epidemiology. Chapter 2.UNAIDS GLOBAL REPORT.Available from:

United Nations General Assembly Special Session. (2011). UNGASS Country Progress Report: Nigeria.

Wig, N., Lekshmi, R., Pal, H., Ahuja, V., Mittal, C.M., & Agarwal, S.K. (2006).The impact of HIV/AIDS on the quality of life: A cross-sectional study in north India. Indian Journal of Medical Sciences.;60 (1):3-12.


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