Quality of Life Measures in the Miami HIV-1 Infected Drug Abusers Cohort: Relationship to Gender and Disease Status

Gail Shor-Posner, Robert Lecusay, Maria Jose Miguez-Burbano, Jose Quesada, Alan Rodriguez, Phillip Ruiz, Sandra O'Mellan, Adriana Campa, Hernan Rincon, Fran Wilkie, J. B. Page, Marianna K. Baum

Research output: Contribution to journalArticlepeer-review

18 Scopus citations


Purpose: This study examined activity, daily living, health, support, and outlook in HIV + drug users. Methods: Using the physician-administered Spitzer Index, the study assessed 75 HIV-1 seropositive men (n=51) and women (n=24) enrolled in the Miami HIV-1 Infected Drug Abusers Study (MIDAS). Results: Total composite scores were significantly lower in the HIV-1 infected women than the men (p=.03). Significant gender differences were observed in activity assessment, independent of disease status, with women six times as likely to have lower activity scores (p=.0038). Most women (45%) in this category were homeless or marginally housed, compared to 11 percent of the men. Additionally, women with low activity scores had less social support than women with high activity scores. Cocaine use was significantly related to reports of normal activity, and varied across genders; more men used cocaine than women (p=.03). Compared to non-AIDS participants, AIDS patients were more likely to have lower scores in health (p=.009) and poorer outlook (p=.03). Implications: These findings reveal specific deficits in areas of psychosocial capacity, particularly in HIV-1 infected women who abuse drugs, that may need to be strengthened in order to enhance function and adherence to treatment, as well as well-being.

Original languageEnglish (US)
Pages (from-to)395-404
Number of pages10
JournalJournal of Substance Abuse
Issue number4
StatePublished - 2000


  • Drug use
  • Quality of life

ASJC Scopus subject areas

  • Psychiatry and Mental health
  • Public Health, Environmental and Occupational Health
  • Neuroscience(all)


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