Joel Tsevat, MD, MPH; Susan N. Sherman, DPA; Judith A. McElwee, RN; Karen L. Mandell, PharmD; Loretta A. Simbartl, MS; Frank A. Sonnenberg, MD; Floyd J. Fowler Jr., PhD
Tsevat J, Sherman SN, McElwee JA, Mandell KL, Simbartl LA, Sonnenberg FA, et al. The Will To Live among HIV-Infected Patients. Ann Intern Med. 1999;131:194-198. doi: 10.7326/0003-4819-131-3-199908030-00006
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Published: Ann Intern Med. 1999;131(3):194-198.
Patients infected with HIV value both longevity and health.
To understand how HIV-infected patients value their health.
Regional treatment center for HIV.
51 patients with HIV infection.
Life-satisfaction, health rating, time-tradeoff, and standard-gamble scores.
Of the 51 patients, 49% (95% CI, 35% to 63%) said that their life was better currently than it was before they contracted HIV infection; only 29% said that life was currently worse. The mean (Â± SD)time-tradeoff score was 0.95 Â± 0.10, indicating that, on average, patients would give up no more than 5% of their remaining life expectancy in their current state of health in exchange for a shorter but healthy life. The average health rating score was 71.0 Â± 18.7 on a scale of 0 to 100, and the average standard-gamble score was 0.80 Â± 0.27. Factors contributing to life satisfaction and time-tradeoff scores included spirituality and having children.
Many patients with HIV have a strong will to live, and many feel that life with HIV is better than it was before they became infected.
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HIV, Infectious Disease.
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Print ISSN: 0003-4819 | Online ISSN: 1539-3704
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