Dialogues in health最新文献

{"title":"COVID-19 effect on food security, livelihood, and mental health in affected households of Jashore, Bangladesh","authors":"Sabrina Zaman ,&nbsp;Tamsel Ahammed ,&nbsp;Md Abul Hasan ,&nbsp;Md. Enamul Huque","doi":"10.1016/j.dialog.2025.100217","DOIUrl":"10.1016/j.dialog.2025.100217","url":null,"abstract":"<div><h3>Background</h3><div>The COVID-19 pandemic has amplified concerns about global food insecurity, with dietary diversity emerging as a critical indicator of nutritional adequacy. These challenges have far-reaching implications for mental health, particularly in vulnerable populations.</div></div><div><h3>Objective</h3><div>This study delves into the intersection of post-COVID-19 household food insecurity, dietary diversity, and mental depression among affected households.</div></div><div><h3>Methodology</h3><div>A cross-sectional study conducted with a sample size of COVID 19 affected 500 households. Bivariate linear regression performed to establish associations with food insecurity, dietary diversity, and depression.</div></div><div><h3>Result</h3><div>The study found that only 33.4 % of households were food secure, while 40.8 % experienced moderate food insecurity. Most households (82.2 %) had a medium level of dietary diversity, and 45.6 % of respondents reported experiencing different level of depression. Urban residency, higher education, stable employment, and higher income were associated with lower food insecurity and better dietary diversity ((<em>p</em> &lt; 0.05), whereas female-headed households, joint families, and older family heads had higher levels of depression. Job losses (63 %) and income reductions (69.8 %) during COVID-19 contributed significantly (<em>p</em> &lt; 0.05) to increased food insecurity and depression. Households with stable jobs, higher incomes, and access to nutritional information enjoyed better food security, greater dietary diversity, and lower depression. In contrast, rising food prices and job changes worsened both food insecurity and mental health outcomes.</div></div><div><h3>Conclusion</h3><div>The COVID-19 pandemic has impacted food security, dietary diversity and mental health in Jashore, Bangladesh, exacerbating food insecurity and mental depression, especially among vulnerable groups. However, households with stable jobs, better education, and access to information fared better.</div></div>","PeriodicalId":72803,"journal":{"name":"Dialogues in health","volume":"6 ","pages":"Article 100217"},"PeriodicalIF":0.0,"publicationDate":"2025-04-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143848158","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"‘Beyond core business’: A qualitative review of activities supporting environmental health within remote Western Australian schools","authors":"Stephanie L. Enkel ,&nbsp;Rebecca Dalton ,&nbsp;Chicky Clements ,&nbsp;Hannah M.M. Thomas ,&nbsp;Tracy McRae ,&nbsp;Ingrid Amgarth-Duff ,&nbsp;Marianne Mullane ,&nbsp;Lisa Wiese ,&nbsp;Liam Bedford ,&nbsp;Nina Lansbury ,&nbsp;Jonathan R. Carapetis ,&nbsp;Edie Wright ,&nbsp;Asha C. Bowen","doi":"10.1016/j.dialog.2025.100215","DOIUrl":"10.1016/j.dialog.2025.100215","url":null,"abstract":"<div><h3>Background</h3><div>Aboriginal children and families contend with higher rates of preventable infectious diseases that can be attributed to their immediate living environment. The environments in which children spend most of their time are their homes and schools. We aimed to understand the opportunities in the school setting to support student skin health and wellbeing through environmental health activities, how these activities were completed, and the barriers to their implementation.</div></div><div><h3>Methods</h3><div>Recognising the importance of healthy skin for educational success, this work was embedded within a larger cluster randomised stepped-wedge Trial aimed at reducing the rate of skin infections among Aboriginal children living in the Kimberley region of Western Australia by 50 %. We used qualitative data collected via a culturally appropriate yarning methodology during trial evaluation interviews. The data from 35 yarns with 41 individuals were thematically analysed.</div></div><div><h3>Findings</h3><div>Data indicated that schools serve as a hub of health and hygiene support and maintenance, with school staff balancing teaching responsibilities while also meeting the basic health and wellbeing needs of students. Uncertainties regarding funding and policies governing these activities remained; ongoing exploration is required.</div></div><div><h3>Interpretation</h3><div>Staff in remote Kimberley schools devote substantial time and resources to supporting student hygiene needs, often stepping in when health infrastructure at home is inadequate. These activities are seen as necessary to support student wellbeing and participation in learning. While schools are well-positioned to respond in this way, these responsibilities extend beyond their core role and place additional pressure on staff and budgets. There is a need to better understand how such work is resourced and to consider how policy and funding frameworks might more formally support it.</div></div>","PeriodicalId":72803,"journal":{"name":"Dialogues in health","volume":"6 ","pages":"Article 100215"},"PeriodicalIF":0.0,"publicationDate":"2025-04-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143848157","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Alternative community-based gardening and water banks for micronutrients intake among women in northern Ghana","authors":"Clement Kubreziga Kubuga","doi":"10.1016/j.dialog.2025.100214","DOIUrl":"10.1016/j.dialog.2025.100214","url":null,"abstract":"<div><h3>Objectives</h3><div>Worldwide, women experience high prevalence of micronutrient deficiencies due to poor quality diets and elevated needs of the subpopulation. In Ghana, micronutrient deficiencies are pronounced in northern Ghana especially during the prolonged dry/lean season. This study aimed to investigate whether or not the results from an earlier pilot study to improve micronutrient intakes could be replicated through the entire dry season and to explore alternative and sustainable dry season gardening models to improve diet quality among women in northern Ghana.</div></div><div><h3>Methods</h3><div>In this quasi-experimental study, the experimental design comprised an experimental community (<em>n</em> = 102) and a control community (<em>n</em> = 104). Participants in the experimental community were provided with wooden containers, soil water retention technology (SWRT) beds, and water reservoirs for vegetables production. Control community did not receive any of the above.</div></div><div><h3>Results</h3><div>The pilot study's results were successfully replicated throughout the dry season: container and SWRT community-based gardening as alternative dry season farming models, improved diet quality among women during the dry/lean season. The proportion of women consuming non diverse diets declined by 41 % in the intervention group. Furthermore, community-based gardening was successfully supported by community-based water banks for five months. This finding offers a potential solution to the shortcomings of conventional irrigation systems in northern Ghana.</div></div><div><h3>Conclusion</h3><div>Alternative community-based dry season gardening models can contribute to improve micronutrient intakes and nutrition security in northern Ghana. Though the results of this study are promising, it is recognized that more extensive research is necessary.</div></div>","PeriodicalId":72803,"journal":{"name":"Dialogues in health","volume":"6 ","pages":"Article 100214"},"PeriodicalIF":0.0,"publicationDate":"2025-04-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143792508","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Exploring public perceptions of college education on TikTok: A content analysis through the lens of the social determinants of health","authors":"Erin Toussaint Jacques ,&nbsp;Vincent Jones II ,&nbsp;Erela Datuowei ,&nbsp;Arijit Chatterjee ,&nbsp;Carlee Denholtz ,&nbsp;Corey H. Basch","doi":"10.1016/j.dialog.2025.100213","DOIUrl":"10.1016/j.dialog.2025.100213","url":null,"abstract":"<div><div>This study examines the value of a college degree within the context of the Social Determinants of Health (SDH) framework, analyzing 100 TikTok videos and their respective comments through two separate analyses. The first focused on the video characteristics, including engagement metrics such as likes, comments, shares, and saves, while the second analyzed comment threads for themes within the SDH framework. Data were analyzed using descriptive statistics and the Mann-Whitney <em>U</em> test to evaluate differences in engagement metrics based on the presence or absence of the themes. Videos addressing Employment Opportunities (76 %), Economic Mobility (68 %), and Education Quality (65 %) received the highest engagement. The comment analysis showed significant associations between themes such as Income Potential, Employment Opportunities, Economic Mobility, Social Capital, Debt and Financial Stress with higher video likes. However, health related themes, despite being integral to the SDH framework, were either absent or insignificant in comment discussions. These findings underscore the public's emphasis on financial and career-related concerns over broader health implications. Future research should explore the extent to which SDH-related benefits—such as health resources, access, and literacy—influence decisions about pursuing higher education.</div></div>","PeriodicalId":72803,"journal":{"name":"Dialogues in health","volume":"6 ","pages":"Article 100213"},"PeriodicalIF":0.0,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143835094","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Digital and social media use among adolescents in Arctic Norway: Exploring risk and protective factors in Finnmark County","authors":"Shiho Hansen","doi":"10.1016/j.dialog.2025.100212","DOIUrl":"10.1016/j.dialog.2025.100212","url":null,"abstract":"<div><div>Digital and social media use among adolescents in Finnmark County, Arctic Norway, has increased significantly over the past decade. However, the mechanisms linking risk and protective factors to these behaviors remain underexplored. This study examines the associations between individual, environmental, and behavioral factors influencing digital and social media use among high school students in Finnmark. Using data from the 2021 Ungdata survey, which included responses from 2086 high school students in Finnmark County, the research examined associations between individual factors, environmental influences (e.g., family, peers, schools), and risk behaviors (e.g., substance use, antisocial behavior) through partial least squares structural equation modeling with stepwise regression. The findings revealed distinct patterns: digital media use was associated with environmental factors such as relationships with parents, school connectedness, and satisfaction with the local area. In contrast, social media use was associated with peer dynamics, internal feelings, and negative experiences, including depression and sexual harassment. While media use fostered social connections, heavy use was associated with reduced physical activity and face-to-face interactions, exacerbating regional challenges like geographic isolation and cultural diversity. These findings underscore the importance of distinguishing between digital and social media in research and interventions, integrating the unique sociocultural context of Finnmark. Future studies should explore the behavioral dimensions of media use and incorporate ethnicity-related factors to deepen the understanding of adolescent media behaviors in Arctic regions.</div></div>","PeriodicalId":72803,"journal":{"name":"Dialogues in health","volume":"6 ","pages":"Article 100212"},"PeriodicalIF":0.0,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143768521","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"A culturally-specific education strategy to improve stroke health literacy in Vietnamese communities in South Western Sydney","authors":"Jessica Ly ,&nbsp;Christopher Blair ,&nbsp;Helen Badge ,&nbsp;Michael Camit ,&nbsp;Khoi Do ,&nbsp;Timmy Pham ,&nbsp;Nicola Chappelow ,&nbsp;Dennis J. Cordato ,&nbsp;Mark W. Parsons","doi":"10.1016/j.dialog.2025.100211","DOIUrl":"10.1016/j.dialog.2025.100211","url":null,"abstract":"<div><h3>Background</h3><div>South-Western Sydney (SWS) is home to a large Vietnamese community, who are at higher risk of stroke and adverse health outcomes than Australian-born individuals. There is limited research on the effect of educational interventions on stroke literacy in Vietnamese communities. This study aimed to characterise recognition of stroke symptoms, risk/protective factors, and stroke response in Vietnamese communities living in SWS and investigate whether culturally tailored education sessions could improve stroke literacy.</div></div><div><h3>Methods</h3><div>A prospective interventional study evaluated a single 1.5-h stroke education workshop. Data included pre/post-education surveys, participant demographics and stroke literacy. Change in literacy and contributing factors were analysed.</div></div><div><h3>Results</h3><div>There were 195 participants in three sessions. Stroke symptoms were recognised by the majority [Face:(56.4 %), Arms:(66.7 %), Speech:(61.5 %)], with 52.8 % identifying all three whilst 29.2 % recognised none. Most participants were confident calling an ambulance (60.0 %), aware of diabetes as a risk factor (73.9 %) and recognised healthy diet/exercise (82.5 %) as protective factors. Post-education, 24.6 % recognised more symptoms, with 73.4 % identifying all three and only 16.6 % recognising none. 33.1 % were more confident calling an ambulance, 32.4 % more aware of diabetes mellitus, and 29.8 % more aware of diet/exercise. Smaller group size [OR = 2.83, 95 %CI = 1.15–6.96 (<em>p</em> = 0.024), lower age [OR = 0.93, 95 %CI = 0.87–1.00 (<em>p</em> = 0.037)] and lower baseline literacy [OR = 6.38, 95 %CI = 2.48–16.41 (<em>p</em> &lt; 0.001)] were significantly associated with improved stroke literacy post-education.</div></div><div><h3>Conclusion</h3><div>Stroke literacy in the SWS Vietnamese community improved with a single culturally tailored education session. This study underscores the importance of tailored educational interventions and highlights the need for strategies addressing low baseline literacy and age-related barriers.</div></div>","PeriodicalId":72803,"journal":{"name":"Dialogues in health","volume":"6 ","pages":"Article 100211"},"PeriodicalIF":0.0,"publicationDate":"2025-03-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143768520","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Migration and Women's Health Research (2000−2023): A bibliometric analysis of trends and gaps","authors":"Aasif Hussain Sheikh,&nbsp;Snober Hamid,&nbsp;Bilal Ahmad Lone,&nbsp;Farheena Muzaffar,&nbsp;Manzoor Hussain","doi":"10.1016/j.dialog.2025.100210","DOIUrl":"10.1016/j.dialog.2025.100210","url":null,"abstract":"<div><div>This bibliometric study examines the scholarly landscape of migration and women's health, analyzing 1314 Scopus-indexed articles from 462 journals published between 2000 and 2023. Findings indicate a consistent increase in research output, reflecting growing global interest in this interdisciplinary field. Geographically, high-income countries (HICs), including the United States, Canada, the United Kingdom, and Australia, dominate contributions, while low- and middle-income countries (LMICs) remain underrepresented despite hosting significant migrant populations. International collaborations play a crucial role, with key institutions such as the University of California and the London School of Hygiene and Tropical Medicine shaping research efforts. The keyword co-occurrence analysis highlights migration, gender dynamics, mental health, and reproductive health as dominant themes. Persistent gaps in mental and reproductive healthcare access for migrant women emphasize the need for trauma-informed care (TIC), mobile bilingual healthcare services, and inclusive health policies. Disparities in research funding further exacerbate global health inequities, underscoring the necessity of equitable redistribution of resources, including redirecting at least 10 % of HIC research grants to LMIC-led studies. The COVID-19 pandemic magnified pre-existing vulnerabilities, stressing the importance of multilateral collaborations and sustainable policy interventions to enhance migrant healthcare access. This study provides valuable insights into research trends, collaboration networks, and thematic focus areas, offering a foundation for future interdisciplinary research and evidence-based policymaking aimed at promoting health equity for migrant women globally.</div></div>","PeriodicalId":72803,"journal":{"name":"Dialogues in health","volume":"6 ","pages":"Article 100210"},"PeriodicalIF":0.0,"publicationDate":"2025-03-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143570545","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Understanding the dynamics of malnutrition dichotomy in India: Trends and insights from the National Family Health Surveys","authors":"Himanshu Jindal ,&nbsp;Vinay Suresh ,&nbsp;Saniya Agarwal ,&nbsp;Priyanshi Vyas ,&nbsp;Nabeela Bari","doi":"10.1016/j.dialog.2025.100209","DOIUrl":"10.1016/j.dialog.2025.100209","url":null,"abstract":"<div><h3>Purpose</h3><div>India is confronted with a multifaceted malnutrition landscape, characterized by the coexistence of stunting, underweight, and escalating overweight and obesity rates. Current programs predominantly target undernutrition, overlooking the surging prevalence of overweight and obesity. These trends carry substantial economic ramifications, with obesity-related costs expected to rise significantly. Addressing these challenges requires enhanced policy execution and strategic collaboration. This article seeks to help overcome policy inertia in addressing the other end of the malnutrition spectrum—overnutrition.</div></div><div><h3>Methods</h3><div>The National Family Health Survey (NFHS), a large-scale survey conducted by the Ministry of Health and Family Welfare, Government of India, provides high-quality data on population dynamics and health indicators. Data for relevant health indicators were extracted from NFHS-3 to NFHS-5 to identify trends and shifting paradigms in malnutrition profiles. Data from the latest NFHS (NFHS-5) were briefly analyzed to highlight the malnutrition dichotomy and perform linear regression analysis.</div></div><div><h3>Results</h3><div>The data revealed a declining trend in stunting and underweight prevalence alongside a rise in overweight prevalence. Linear regression analyses on NFHS-5 data showed a positive association between literacy and obesity in both men and women. The findings also indicated that children fed with minimum dietary diversity were more likely to be overweight, and revealed a significant association between elevated random blood glucose levels and obesity in women.</div></div><div><h3>Conclusions</h3><div>By implementing the necessary interventions and strategies, India can establish a holistic approach to addressing both undernutrition and overnutrition effectively, thus contributing to Sustainable Development Goal-2 and paving the way for a healthier and more productive future for India's population.</div></div>","PeriodicalId":72803,"journal":{"name":"Dialogues in health","volume":"6 ","pages":"Article 100209"},"PeriodicalIF":0.0,"publicationDate":"2025-02-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143510818","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Medical provider perspectives on children with incarcerated parents: A mixed-methods study","authors":"Laurel Davis ,&nbsp;Marvin So ,&nbsp;Andrew J. Barnes ,&nbsp;Rebecca J. Shlafer","doi":"10.1016/j.dialog.2025.100208","DOIUrl":"10.1016/j.dialog.2025.100208","url":null,"abstract":"<div><h3>Purpose</h3><div>To understand health care providers' perceptions, clinical considerations, and clinical actions towards children with incarcerated parents.</div></div><div><h3>Methods</h3><div>We implemented an experimental vignette study in which health care provider participants were randomly assigned a patient case describing a child with a parent absent for unspecified reasons (control) vs. incarceration (experimental). Participants completed a survey of closed- and open-ended items regarding their clinical approach. Groups were compared with chi-square and ANOVA. Qualitative data were analyzed inductively.</div></div><div><h3>Results</h3><div>Medical providers (<em>N</em> = 391) were predominantly non-Hispanic white, male, and physicians who had not received training on social determinants of health. There were no significant differences between the experimental and control groups in comfort with or approach towards the patient; specific conditions of concern; or number of concerns. Across groups, providers commonly endorsed intentions for additional emotional-behavioral screening and concerns for ADHD and adjustment disorders. Providers responding to the experimental vignette indicated interest in the child's psychosocial context (e.g., behavior/attention at home), current experiences (e.g., with trauma or abuse), relationships (e.g., with grandparents), perspectives of other reporters (e.g., teachers), and additional clinical actions (e.g., in-depth medical or developmental history).</div></div><div><h3>Conclusion</h3><div>Medical providers' approach to children of incarcerated parents may be similar to that of any child with an absentee parent, contrasting existing literature on teachers. When signaled about parental incarceration, providers evidenced attention to children's holistic contexts and needs.</div></div>","PeriodicalId":72803,"journal":{"name":"Dialogues in health","volume":"6 ","pages":"Article 100208"},"PeriodicalIF":0.0,"publicationDate":"2025-02-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143535113","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Beyond antiretroviral treatment: Health-related quality of life of patients receiving antiretroviral treatment at a tertiary hospital in South Africa","authors":"Govinda Rajan Gudala ,&nbsp;Neelaveni Padayachee ,&nbsp;Rajesh Vikram Vagiri","doi":"10.1016/j.dialog.2025.100207","DOIUrl":"10.1016/j.dialog.2025.100207","url":null,"abstract":"<div><div>Antiretroviral therapy (ART) has significantly transformed the management of human immunodeficiency virus (HIV) and acquired immunodeficiency syndrome (AIDS), positively impacting the health-related quality of life (HRQoL) and life expectancy of people living with HIV and AIDS (PLWHA). HRQoL is a critical consideration for HIV and AIDS patients as it reflects their overall well-being and treatment outcomes. This study aimed to investigate the HRQoL of PLWHA receiving an ART regimen containing tenofovir, lamivudine, and dolutegravir at a tertiary hospital in Johannesburg, South Africa. This descriptive, quantitative, cross-sectional study included 103 patients who consented in writing to participate. Data was collected using WHOQOL HIV-BREF, socio-demographic, health characteristics, and adherence questionnaires. Participants who reported ‘excellent’ and ‘very good’ on the descriptive rating scale were considered to have optimal adherence (≥95 %). This study's statistical significance was set at <em>p</em> ≤ 0.05. More than half of the participants were male (n = 53; 51.5 %), employed (n = 54; 52.4 %) had an income less than 2000 South African Rands (n = 59; 57.3 %), and reported high levels of adherence over a 7-day (n = 71; 68.9 %) and 4-week (n = 70; 67.9 %) reporting period. Majority of the sample considered their health as ‘good’ (n = 82; 79.6 %) and did not consider themselves ill (n = 85; 82.5 %). This study found that education level, income, health status, and perception of illness significantly (<em>p</em> ≤ 0.05) affected most domains of HRQoL and Overall HRQoL. While adherent (≥95 %) patients indicated superior HRQoL across most dimensions relative to non-adherent (≥95 %) patients, significant disparities in mean scores were exclusively noted only in the psychological domain (<em>p</em> = 0.01). Multivariate linear regression analysis revealed that level of education (<em>Ꞵ</em> = 1.18; <em>p</em> = 0.01), income (<em>Ꞵ</em> = 0.72; <em>p</em> = 0.00), perception of illness (<em>Ꞵ</em> = 1.75; <em>p</em> &lt; 0.001), and health status (<em>Ꞵ</em> = 1.68; <em>p</em> &lt; 0.001) are the predictors of overall HRQoL. Monitoring HRQoL in HIV patients is essential for providing holistic care and improving outcomes. By addressing comorbidities, psychosocial challenges, and unmet needs, healthcare providers can enhance the overall well-being and HRQoL of PLWHA.</div></div>","PeriodicalId":72803,"journal":{"name":"Dialogues in health","volume":"6 ","pages":"Article 100207"},"PeriodicalIF":0.0,"publicationDate":"2025-01-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143157892","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}