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Household Income and its Relationship with Patient-reported Outcomes among Older People Living with HIV
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Regarding PROs, individuals with lower household incomes had a higher risk of depression (RR, 2.16; 95% CI, 1.63 -2.86), anxiety (RR, 1.81; 95% CI, 1.38-2.38), loneliness (RR, 1.45; 95% CI, 1.27-1.66), and having four or more comorbid conditions (RR, 1.17; 95% CI, 1.09-1.27) than those in the higher income group (Table 2). Lower earners were also less likely to be resilient (RR, 0.80, 95% CI, 0.74-0.86), have high social well-being (RR, 0.79; 95% CI, 0.72-0.87), or have a high quality of life (RR, 0.71; 95% CI, 0.61-0.82) compared to higher earners (Table 2). People in the lower income group were also more likely to be single (72% vs 37%, p < .001). Additionally, people in the lower income group were more likely to report not having enough money to meet their basic needs compared to those in the higher income group (19% vs 1%), p < .001).
from Jules: but not necessarily, many with good income suffer similar high rates of these bad PROs and are depressed, anxious, lonely, have 4+ comorbidities, poor social well-being & low QOL. It has more to do with ho many commodities one has & how bad the comorbdities are, for example, if one has a heart attack or stroke or fall & fracture their income does not matter so much.
ID Week, October 2-6, 2019, Washington, DC
Reported by Jules Levin
Peter Mazonson, MD, MBA1, Jeff Berko, MPH1, TheorenLoo, MS1, Erik Lowman, DO2,
LynsayMacLaren, PA-C, MPH, MPAS, AAHIVS3
1Mazonson& Santas, Inc., Larkspur, CA. (2) Midland Medical Center, Oakland Park, FL. (3) Whitman Walker Health, Washington, DC.
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