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Background <p>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).</p> Method <p>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 (<i>N</i> = 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.</p> Results <p>The pooled effect sizes were comparable for protective factors (<i>r</i> = 0.26, 95% CI [0.08, 0.43]) and risk factors (<i>r</i> = 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.</p> Conclusion <p>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.</p>

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

  • 期刊论文

  • 出版模式：

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  • 发表日期：

    2026年5月25日

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  • Marcin Rzeszutek,
  • Ewa Gruszczyńska,
  • Magdalena Grabowska,
  • Paula Malinowska,
  • Barbara Sosińska

摘要

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.