A Scoping Review of Employment and HIV.

A Scoping Review of Employment and HIV.
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DOI:
10.1007/s10461-020-02845-x
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发表时间:
2020-10
期刊:
影响因子:
4.4
通讯作者:
Latkin CA
Latkin CA
中科院分区:
医学2区
文献类型:
--
作者:
Maulsby CH;Ratnayake A;Hesson D;Mugavero MJ;Latkin CA

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就业是健康的一个社会决定因素,对于了解艾滋病毒感染者的健康行为、健康结果和艾滋病毒传播非常重要。这项研究是对文献的范围审查,涉及(a)就业与艾滋病毒连续护理之间的关系,(B)艾滋病毒携带者就业的决定因素,(c)就业经验。我们检索了PubMed和Embase两个数据库,共识别出5622篇文章,这些文章进行了标题和摘要审查。其中,5387篇被排除,留下235篇文章进行全文审查。共有66篇文章符合纳入标准并被纳入研究。文献表明,就业状况与艾滋病毒检测、与艾滋病毒护理的联系、艾滋病毒护理的保留率和艾滋病毒药物治疗依从性呈正相关。在社会生态框架的指导下,我们确定了个人,人际,组织,社区和政策层面的就业决定因素,这些因素都适合公共卫生干预。就业经验,包括障碍,促进者,优势,劣势和需求,为未来的研究和计划提供了额外的见解。
Employment is a social determinant of health that is important for understanding health behaviors, health outcomes and HIV transmission among people living with HIV. This study is a scoping review of the literature that addresses (a) the relationship between employment and the HIV continuum of care, (b) determinants of employment among PLWH and (c) experiences with employment. We searched two databases, PubMed and Embase, and identified a total of 5622 articles that were subjected to title and abstract review. Of these, 5387 were excluded, leaving 235 articles for full-text review. A total of 66 articles met inclusion criteria and were included in the study. The literature suggests that employment status is positively associated with HIV testing, linkage to HIV care, retention in HIV care, and HIV medication adherence. Guided by a social-ecological framework, we identified determinants of employment at the individual, interpersonal, organizational, community, and policy levels that are amenable to public health intervention. Experiences with employment, including barriers, facilitators, advantages, disadvantages, and needs, provide additional insight for future research and programs.
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