There is a paucity of research regarding the role played by psychosocial and HIV-related factors on quality of life (QoL) among military in developing countries. On presentation to a military hospital-based HIV clinic, 125 air-force personnel, 56 seropositive (none of whom had AIDS) and 69 seronegative were interviewed. At the interview, participants were assessed using the Medical Outcome QoL and other psychosocial measures. The overall QoL was less among seropositive compared with seronegative air-force personnel. Seropositive personnel also reported a greater number of negative life events and trauma symptoms (post-traumatic stress disorder, PTSD). Seronegative military personnel reported more sexual risk behaviours compared with seropositive personnel. Multivariate analysis showed that trauma symptoms (PTSD) were a significant contributor to QoL and explained of the variance in physical, mental, role and social functioning among HIV-infected air-force personnel. Other variables that predicted QoL, but to a lesser extent, included age, number of negative life events and increased symptomatology. These findings highlight the importance of evaluation of QoL in HIV-infected military personnel.
WainbergML, ForsteinM, BermanA, CournosF. Essential medical facts for mental health practitioners. In: ForsteinM, CournosF, eds. What Mental Health Practitioners Need to Know about HIV and AIDS. San Francisco: Jossey-Bass, 2000: 3–15
2.
KovacsJA, MasurH. Prophylaxis against opportunity infections in patients with Human Immunodeficiency Virus Infection. N Engl J Med2000;342:1416–29
3.
KaneSC. Prostitution and military: planning AIDS intervention in Belize. Soc Sci Med1993;36:1089–94
4.
AbelE. Sexual risk behaviors among ship and shore based navy women. Mil Med1998;163: 250–56
5.
RaufA. AIDS scare hits Nigerian military. AIDS Analysis Africa2002, February–March.
6.
NwokojiUA, AjuwonAJ. Knowledge of AIDS and HIV risk-related sexual behavior among Nigerian Naval personnel. BMC Public Health2004;4:24
7.
OlleyBO, GxamzaF, SeedatS, Psychopathology and coping in recently diagnosed HIV/AIDS patients: the role of gender. South Afr Med J2003;93:928–31
8.
OlleyBO, SeedatS, NeilD.G, SteinDJ. Predictors of major depression in recently diagnosed patients with HIV/AIDS in South Africa. AIDS Patient Care STD2004;18:481–7
9.
CieslaJA, RobertsJE. Meta-analysis of the relationship between HIV infection and risk for depressive disorders. Am J Psychiatry2001;158:725–30
10.
DewMA, BeckerJT, SanchezJ, Prevalence and predictors of depressive, anxiety and substance use disorders in HIV-infected and uninfected men: a longitudinal evaluation. Psychol Med1997;27:395–409
11.
KellyB, RaphaelB, JuddF, Posttraumatic stress disorder in response to HIV infection. Gen Hosp Psychiatry1998;20:345–52
12.
MartinezA, IsraelskiD, WalkerC, KoopmanC. Post-traumatic stress disorder in women attending human immunodeficiency virus outpatient clinics. AIDS Patient Care STD2002;16:283–91
13.
OlleyBO, ZeirMD, SeedatS, SteinDJ. Posttraumatic stress disorders among recently diagnosed patients with HIV/AIDS in South Africa. AIDS Care2005;17:550–57
14.
WuAW, RubinHR, MathewsWC, A health status questionnaire using 30 items from the medical outcomes study. Preliminary validation in persons with early HIV infection. Med Care1991;29:786–98
15.
ChopraPK, CouperJW, Herrman. The assessment of patients with long term psychotic disorders application of the WHO disability assessment schedule II. Aus N Z J Psychiatry2004;38:753–9
16.
GelderM, GathO, MayorR, CovenP. Oxford Textbook of Psychiatry. 3rd Edn. Chapter 8. New York: Oxford University Press, 1995: 197–205
17.
RagsdaleD, MorrowJR. Quality of life as a function of HIV classification. Nursing Research1990;39:355–8
18.
WachtelT, PietteJ, MorV, SteinM, FleishmanJ, CarpenterC. Quality of life in persons with Human Immunodeficiency Virus infection: measurement by the medical outcomes study instrument. Ann Int Med1992;116:129–37
19.
LubeckDP, FriesJF. Changes in quality of life among persons with HIV infection. Qual Life Res1992;1:359–66
20.
WuAW, LampingDL. Assessment of quality of life in HIV disease. AIDS1994;8:S349–59
21.
CunninghamWE, BozzetteSA, HaysRD, KanouseDE, ShapiroMF. Comparison of health-related quality of life in clinical trials and nonclinical trial human immunodeficiency virus-infected cohorts. Med Care1995;33:AS15–25
22.
HaysRD, CunninghamWE, SherbourneCD, Health-related quality of life in patients with Human Immunodeficiency Virus infection in the United States: results from the HIVB cost and services utilization study. Am J Med2000;108:714–22
23.
BingEG, HaysRD, JacobsonLP, ChenB, GangeSJ, KassNE. Health-related quality of life among people with HIV disease: results from the Multicenter AIDS Cohort Study. Qual Life Res1993;9:55–63
24.
GielenAC, McDonnellKA, WuAW, Quality of life among women living with HIV: the importance of violence, social support, and self care behaviors. Soc Sci Med2001;52:315–22
25.
LechnerSC, AntoniMH, LydstonD, Cognitive-behavioral interventions improve quality of life in women with AIDS. J Psychosom Res2003;54:253–61
26.
O'KeefeEA, WoodR. The Impact of human immunodeficiency virus (HIV) infection on quality of life in a multiracial South African population. Qual life Res1996;5:275–80
27.
BrownMD, RundellJR. Prospective study of psychiatric morbidity in HIV-seropositive women without AIDS. Gen Hosp Psychiatry1990;12:30–35
28.
BrownMD, RundellJR. A prospective study of psychiatric aspects of early HIV disease in womenGen Hosp Psychiatry1993;15:139–47
29.
CookJA, CohenMH, BurkeJ, Effects of depressive symptoms and mental health quality of life on use of highly active antiretroviral therapy among HIV-seropositive women. J Acquir Immune Defic Syndr2002;30:401–9
30.
IckovicsJR, HamburgerME, VlahovD, Mortality, CD4 cell count decline, and depressive symptoms among HIV-Seropositive women: longitudinal analysis from the HIV-epidemiology research study. JAMA2001;285:1466–74
31.
AdebajoSB, MafeniJ, MorelandS, MurrayN. Knowledge, attitudes and sexual behavior among Nigerian Military concerning HIV/AIDS and STD. Final Technical Report by Policy Project Nigeria, 2002
32.
Centers for Disease Control and Prevention. Hiv/Aids Surveillance Report: Exposure Categories. See www.cdc.gov, 2005
33.
KellyJA, MurphyDA, BahrR, AIDS/HIV risk behaviour among the chronic Mentally ill. Am J Psychiatric1992;149:886–9
34.
MckinnonK, CournosF, Meyer-BahlburgH. Reliability of sexual behaviour interviews with psychiatric patientsAm J Psychiatric1993;150:972–4
35.
KaminerDK, SteinDJ, MbangaI, Zungu-DirwayiN. The Truth and Reconciliation Commission in South Africa: relations to psychiatric status and forgiveness among survivors of human rights abuse. Br J Psychiatry2001;178:373–77
36.
Swartz, ElkR, TegginAF, GillsLS. Life events in Xhosa in Cape-Town. J Psychosom Res1983;27:223–31
37.
OlleyBO, SorayaS, SteinDJ. Persistence of psychiatric disorders in a cohort of HIV/AIDS patients in South Africa: a 6-month follow-up study. J Psychosom Res2006;61:479–84
38.
SeedatS, Le RouxC, SteinDJ. Prevalence and characteristics of trauma and post-traumatic stress symptoms in operational members of the South African national defence force. Mil Med Jan2003;168:71–5
39.
EmsleyRA, SeedatS, SteinDJ. Post-traumatic stress disorders and occupational disability in South Africa security force members. J Nerv Ment Dis Ap2003;191:237–41
40.
CareyMP. Prevention HIV infection through sexual-behaviors change. In: F Course, MarshallForstein eds. What Mental Health Practitioners Need to know about HIV and AIDS, No 87, San Francisco: Jossey-Bass, 2000
41.
KalichmanSC. Psychological and social correlates of high-risk sexual behavior among men and women living with HIV/AIDS. AIDS Care1999;11:415–27
