Diabetes Changes Symptoms Cluster Patterns in Persons Living with HIV
- Authors
- Zuniga, Julie Ann; Bose, Eliezer; Park, Jung min; Lapiz-Bluhm, M. Danet; Garcia, Alexandra A.
- Issue Date
- Nov-2017
- Publisher
- SAGE Publications
- Keywords
- HIV; symptom burden; type 2 diabetes
- Citation
- Journal of the Association of Nurses in AIDS Care, v.28, no.6, pp.888 - 896
- Indexed
- SCIE
SSCI
SCOPUS
- Journal Title
- Journal of the Association of Nurses in AIDS Care
- Volume
- 28
- Number
- 6
- Start Page
- 888
- End Page
- 896
- URI
- https://scholarworks.bwise.kr/hanyang/handle/2021.sw.hanyang/151179
- DOI
- 10.1016/j.jana.2017.07.004
- ISSN
- 1055-3290
- Abstract
- Approximately 10-15% of persons living with HIV (PLWH) have a comorbid diagnosis of diabetes mellitus (DM). Both of these long-term chronic conditions are associated with high rates of symptom burden. The purpose of our study was to describe symptom patterns for PLWH with DM (PLWH+DM) using a large secondary dataset. The prevalence, burden, and bothersomeness of symptoms reported by patients in routine clinic visits during 2015 were assessed using the 20-item HIV Symptom Index. Principal component analysis was used to identify symptom clusters. Three main clusters were identified: (a) neurological/psychological, (b) gastrointestinal/flu-like, and (c) physical changes. The most prevalent symptoms were fatigue, poor sleep, aches, neuropathy, and sadness. When compared to a previous symptom study with PLWH, symptoms clustered differently in our sample of patients with dual diagnoses of HIV and diabetes. Clinicians should appropriately assess symptoms for their patients' comorbid conditions.
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