Relationship quality among people living with HIV/AIDS: a systematic review and meta-analysis

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Authors
Rzeszutek, Marcin
Gruszczyńska, Ewa
Grabowska, Magdalena
Malinowska, Paula
Sosińska, Barbara
Monograph
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Date
2026-05-25
Publisher
Journal title
Health and Quality of Life Outcomes
Issue
1
Volume
24
Pages
Pages
1-16
DOI
ISSN
1477-7525
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Weblink
https://link.springer.com/article/10.1186/s12955-026-02555-3
Access date
2026-05-25
Abstract PL
Abstract EN
Background The aim of this systematic review and meta-analysis was to summarize the existing literature on the factors associated with relationship quality among people living with HIV (PLWH). Method A structured literature search was performed on APA PsycArticles, ProQuest and PubMed for quantitative, peer-reviewed studies published in English between 1994 and March 2025. Fifteen studies (N = 2579; 78% men, predominantly in serodiscordant couples) met the inclusion criteria and contributed 76 effect sizes, which were categorized as either protective or risk factors for relationship quality among PLWH. A three-level meta-analytic model was employed to address the nested data structure. Results The pooled effect sizes were comparable for protective factors (r = 0.26, 95% CI [0.08, 0.43]) and risk factors (r = 0.24, 95% CI [0.16, 0.31]), reflecting small-to-moderate effects. Significant heterogeneity was observed at the between-study level, whereas within-study variability was negligible. The only significant moderator was relationship length: the association between protective factors and relationship quality was stronger in longer-term PLWH relationships. Conclusion This review and meta-analysis suggest that, despite the unique context of HIV/AIDS, several correlates of relationship quality may reflect broader patterns observed across populations. The findings improve our understanding of factors associated with psychological well-being among PLWH, particularly given the importance of satisfying romantic relationships for quality of life in this population.
Abstract other
Keywords PL
Keywords EN
Relationship quality
HIV/AIDS
Health-related quality of life
Systematic review
Meta-analysis
Keywords other
Sustainable Development Goals
SDG 3. Good Health and Well-being ,
SDG 10. Reduced Inequalities
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https://share.swps.edu.pl/handle/swps/2393
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cc-by-nc-nd
Except as otherwise noted, this item is licensed under the Attribution-NonCommercial-NoDerivatives licence | Permitted use of copyrighted works
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Diadyczna wymiana wsparcia, dobrostan afektywny i stygmat HIV/AIDS: Codzienne badanie dzienniczkowe par romantycznych współtworzonych przez osoby żyjące z HIV
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Relationship quality among people living with HIV/AIDS: a systematic review and meta-analysis
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