Social Support, Spiritual Well-Being, and Quality of Life Among MSM and Transgender Women Living with HIV in Rural Thailand

Authors

DOI:

https://doi.org/10.55489/njcm.160220254681

Keywords:

HIV, Men who have sex with men, Quality of life, Thailand, Transgender women

Abstract

Background: HIV/AIDS continues to be a significant public health challenge in Thailand, affecting not only the physical health but also the overall quality of life (QOL) of those living with the virus. Understanding the factors influencing QOL is crucial for developing effective interventions and support systems. This study examined the QOL among men who have sex with men (MSM) and transgender women (TGW) living with HIV in Thailand and identify factors that are associated with their QOL.

Methods: A cross-sectional quantitative design with secondary analysis was employed. Standardized measures were used to assess social support, spiritual well-being (SWB), and QOL. Data were analyzed using descriptive statistics and Pearson’s correlation coefficient.

Results: Social support was found to be at a moderate level, while SWB was high. Overall QOL was moderate. QOL scores were significantly higher among those with a bachelor’s degree, those earning 20,001-30,000 baht monthly, and those who had disclosed their HIV status (p<0.05). Significant positive correlations were observed between QOL and both social support (r=0.459, p<0.05) and SWB (r=0.501, p<0.05).

Conclusion: The findings revealed that moderate level of overall social support and high level of overall SWB significantly influence QOL among MSM and TGW. These findings provide a foundation for developing targeted nursing interventions that focus on social support and SWB to improve QOL among MSM and TGW.

References

Khumsaen N, Stephenson R. Feasibility and acceptability of an HIV/AIDS self-management education program for HIV-positive men who have sex with men in Thailand. AIDS Educ Prev. 2019;31(6):553-66. DOI: https://doi.org/10.1521/aeap.2019.31.6.553 PMid:31815528 PMCid:PMC7075033

Edianto E, Waluyo A, Yona S, Martiana I. Correlation between disclosure status and stress in men who have sex with men with HIV. J Keperawatan Indones. 2020;23(3):155-61. DOI: https://doi.org/10.7454/jki.v23i3.1101

Stutterheim SE, van Dijk M, Wang H, Jonas KJ. The worldwide burden of HIV in transgender individuals: An updated systematic review and meta-analysis. PLoS One. 2021;16(12):e0260063. DOI: https://doi.org/10.1371/journal.pone.0260063 PMid:34851961 PMCid:PMC8635361

Błudzin W, Bożejko M, Inglot M. Acceptance of chronic disease in patients living with HIV infection: One centre's cross-sectional study. Med Sci Pulse. 2024;18(1):38-42. DOI: https://doi.org/10.5604/01.3001.0054.4455

Earnshaw VA, Lang SM, Lippitt M, Jin H, Chaudoir SR. HIV stigma and physical health symptoms: Do social support, adaptive coping, and/or identity centrality act as resilience resources? AIDS Behav. 2015;19(1):41-9. DOI: https://doi.org/10.1007/s10461-014-0758-3 PMid:24715226 PMCid:PMC4378835

Setareh D, Zahra Y, Mahnaz Z, Marzieh A. Relationship between spiritual well-being and health-related quality of life and some related factors in patients with AIDS/HIV. Front Nurs. 2022;9(1):55-62. DOI: https://doi.org/10.2478/fon-2022-0007

Doolittle BR, Justice AC, Fiellin DA. Religion, spirituality, and HIV clinical outcomes: A systematic review of the literature. AIDS Behav. 2018;22(6):1792-801. DOI: https://doi.org/10.1007/s10461-016-1651-z PMid:28004218

Bunjoungmanee P, Chunloy K, Tangsathapornpong A, Khawcharoenporn T, Apisarnthanarak A. Quality of life assessment among patients living with HIV/AIDS at a tertiary care hospital in Thailand. Southeast Asian J Trop Med Public Health. 2014;45(4):834-42.

Zhong H, Wei F, Song Y, Chen H, Ni Z. Health-related quality of life and associated factors among people living with HIV/AIDS in Sichuan, China: A cross-sectional study. Front Public Health. 2023;11:1133657. DOI: https://doi.org/10.3389/fpubh.2023.1133657 PMid:36992898 PMCid:PMC10040810

Liu Y, Russ S, Mitchell J, Przybyla S, Zhang C. Assessing the determinants of quality of life and the impact on HIV prevention measures among HIV-negative and status-unknown young men who have sex with men: A study in two U.S. metropolitan areas. Int J Environ Res Public Health. 2022;19(2):726. DOI: https://doi.org/10.3390/ijerph19020726 PMid:35055548 PMCid:PMC8776199

Chandran A, Benning L, Musci RJ, Wilson TE, Milam J, Adedimeji A, et al. The longitudinal association between social support on HIV medication adherence and healthcare utilization in the Women's Interagency HIV Study. AIDS Behav. 2019;23(8):2014-24. DOI: https://doi.org/10.1007/s10461-018-2308-x PMid:30311104 PMCid:PMC7331802

Kabore I, Bloem J, Etheredge G, Obiero W, Wanless S, Doykos P, et al. The Effect of Community-Based Support Services on Clinical Efficacy and Health-Related Quality of Life in HIV/AIDS Patients in Resource-Limited Settings in Sub-Saharan Africa. AIDS Patient Care and STDs. 2010 Sep;24(9):581-94. DOI: https://doi.org/10.1089/apc.2009.0307 PMid:20799894

Ojelabi AO, Graham Y, Haighton C, Ling J. A systematic review of the application of Wilson and Cleary health-related quality of life model in chronic diseases. Health Qual Life Outcomes. 2017;15(1):241. DOI: https://doi.org/10.1186/s12955-017-0818-2 PMid:29228977 PMCid:PMC5725920

Faul F, Erdfelder E, Lang A, Buchner A. G*Power 3: A flexible statistical power analysis program for the social, behavioral, and biomedical sciences. Behav Res Methods. 2007;39(2):175-191. DOI: https://doi.org/10.3758/BF03193146 PMid:17695343

Brandt PA, Weinert C. The PRQ--a social support measure. Nurs Res. 1981;30(5):277-80. DOI: https://doi.org/10.1097/00006199-198109000-00007 PMid:7027186

Hungelmann J, Kenkel-Rossi E, Klassen L, Stollenwerk R. Focus on spiritual well-being: Harmonious interconnectedness of mind-body-spirit-use of the JAREL spiritual well-being scale. Geriatr Nurs. 1996;17(6):262-6. DOI: https://doi.org/10.1016/S0197-4572(96)80238-2 PMid:9060273

Mahatnirunkul S, Tuntipivatanaskul W, Pumpaisanchai W. Comparison of the WHOQOL-100 and the WHOQOL-BREF (26 items). J Ment Health Thai. 1998;5(3):4-15.

Li Y, Zhang XW, Liao B, Liang J, He WJ, Liu J, et al. Social support status and associated factors among people living with HIV/AIDS in Kunming city, China. BMC Public Health. 2021;21(1):1413. DOI: https://doi.org/10.1186/s12889-021-11253-2 PMid:34273964 PMCid:PMC8285876

Grill KB, Wang J, Cheng YI, Lyon ME. The Role of Religiousness and Spirituality in Health-related Quality of Life of Persons Living with HIV: A Latent Class Analysis. Psycholog Relig Spiritual. 2020 Nov;12(4):494-504. DOI: https://doi.org/10.1037/rel0000301 PMid:33777311 PMCid:PMC7992907

Soares GB, Garbin CA, Rovida TA, Garbin AJ. Quality of life of people living with HIV/AIDS treated by the specialized service in Vitória-ES, Brazil. Cienc Saude Colet. 2015;20(4):1075-84. DOI: https://doi.org/10.1590/1413-81232015204.00522014 PMid:25923619

Ferreira AC, Teixeira AL, Silveira MF, Carneiro M. Quality of life predictors for people living with HIV/AIDS in an impoverished region of Brazil. Rev Soc Bras Med Trop. 2018;51(6):743-51. DOI: https://doi.org/10.1590/0037-8682-0442-2017 PMid:30517527

Nakiganda LJ, Bavinton BR, Grulich AE, Serwadda D, Nakubulwa R, Poynten IM, et al. Social influences on engagement with HIV testing, treatment and care services among men who have sex with men living in rural Uganda. Qual Health Res. 2022;32(4):635-45. DOI: https://doi.org/10.1177/10497323211058162 PMid:34923882

Jia W, Jiao K, Ma J, Liao M, Wang C, Kang D, et al. HIV infection disclosure, treatment self-efficacy and quality of life in HIV-infected MSM receiving antiretroviral therapy. BMC Infect Dis. 2022;22(1):937. DOI: https://doi.org/10.1186/s12879-022-07932-z PMid:36514071 PMCid:PMC9749163

Perlson J, Scholl J, Mayer KH, O'Cleirigh C, Batchelder AW. To Disclose, Not Disclose, or Conceal: A Qualitative Study of HIV-Positive Men with Multiple Concealable Stigmatized Identities. AIDS Patient Care STDS. 2021;35(2):47-55. DOI: https://doi.org/10.1089/apc.2020.0205 PMid:33571046 PMCid:PMC7885899

Xiao Z, Li X, Qiao S, Zhou Y, Shen Z. Social support, depression, and quality of life among people living with HIV in Guangxi, China. AIDS Care. 2017;29(3):319-25. DOI: https://doi.org/10.1080/09540121.2016.1224298 PMid:27590180 PMCid:PMC6205503

Nyamathi AM, Ekstrand M, Yadav K, Ramakrishna P, Heylen E, Carpenter C, et al. Quality of life among women living with HIV in rural India. J Assoc Nurses AIDS Care. 2017;28(4):575-86. DOI: https://doi.org/10.1016/j.jana.2017.03.004 PMid:28473182 PMCid:PMC5468467

House JS. Work stress and social support. Reading (MA): Addison-Wesley; 1981.

McCann E, Donohue G, Timmins F. An Exploration of the Relationship Between Spirituality, Religion and Mental Health Among Youth Who Identify as LGBT+: A Systematic Literature Review. J Relig Health. 2020;59(2):828-844. DOI: https://doi.org/10.1007/s10943-020-00989-7 PMid:32052279

Khejoi S, Weiangkae W, Thasa W, Raisa-ngeuan S, Jankhoon C. Buddhism: The Religion for the Equality of Gender. JIBS. 2020;11(1):25-36.

Ocha W. Buddhism, gender, and sexualities: queer spiritualities in Thailand. Equal Divers Incl Int J. 2023;42(5):685-705. DOI: https://doi.org/10.1108/EDI-01-2020-0025

Chaiyasit Y, Chanbunlawat K, Soboon S, Wongarsa P, Piboonrungroj P. Predicting Factors of Spiritual Well-Being among Thai Patients with Non-communicable Diseases. BKK Med J. 2022;18(2):76-82. DOI: https://doi.org/10.31524/bkkmedj.2022.21.002

Arrey AE, Bilsen J, Lacor P, Deschepper R. Spirituality/Religiosity: A Cultural and Psychological Resource among Sub-Saharan African Migrant Women with HIV/AIDS in Belgium. PLoS One. 2016;11(7):e0159488. DOI: https://doi.org/10.1371/journal.pone.0159488 PMid:27447487 PMCid:PMC4957758

Chautrakarn S, Ong-Artborirak P, Naksen W, Sapbamrer R, Sitthi W, Thongtip S, et al. Stigmatizing and discriminatory attitudes toward people living with HIV/AIDS (PLWHA) among general adult population: the results from the 6th Thai National Health Examination Survey (NHES VI). J Glob Health. 2023;13:04006. DOI: https://doi.org/10.7189/jogh.13.04006 PMid:36637802 PMCid:PMC9838688

Downloads

Published

2025-02-01

How to Cite

1.
Vongtree A, Khumsaen N, Sungsakul W, Peawnalaw S, Chenchob P, Namwong T. Social Support, Spiritual Well-Being, and Quality of Life Among MSM and Transgender Women Living with HIV in Rural Thailand. Natl J Community Med [Internet]. 2025 Feb. 1 [cited 2025 Apr. 3];16(02):126-33. Available from: https://njcmindia.com/index.php/file/article/view/4681

Issue

Section

Original Research Articles