Quality of life in HIV patients treated at a primary care clinic: a cross-sectional study in Tobago

This study assessed the quality of life (QOL) among persons living with HIV (PLHIV) in Tobago using the WHOQOL-HIV-BREF and EuroQol EQ-5D-3L instruments, focusing on sociodemographic and clinical predictors. Conducted from October 2021 to March 2022 at the Tobago Health Promotion Clinic, it included 233 participants (average age 47.45 years; 46.2% male, 53.8% female). Results indicated significantly lower QoL compared to general norms, adjusted for age and sex. Negative predictors included opportunistic infections, detectable viral loads (environment domain <i>P</i> = 0.009, spiritual domain <i>P</i> = 0.002), aging, and government aid. Positive influences were stable relationships, higher income, longer antiretroviral therapy, female sex, non-heterosexuality, marriage, higher education, and employment (<i>P</i> &lt; 0.05 for all). These findings emphasize the need for gender-sensitive interventions and enhanced social support to improve PLHIV’s QoL.