Living and working with HIV in France in 2003: Results from the ANRS-EN12-VESPA Study
Living and working with HIV in France in 2003: Results from the ANRS-EN12-VESPA Study
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DOI：
10.1097/01.aids.0000255082.31728.52
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发表时间：
2007-01-01
期刊：
影响因子：
3.8
通讯作者：
Lert, France
中科院分区：
文献类型：
--
作者：
Dray-Spira, Rosemary;Lert, France
目标：尽管有高效抗逆转录病毒疗法（HAART），但法国艾滋病毒感染者的就业率仍然低于一般人群，这转化为与疾病相关的高社会经济负担。我们的目的是调查艾滋病毒疾病与就业状况之间的关系。设计：我们使用AN RS-EN12-VESPA研究的数据。方法：分析仅限于2750名工作年龄（< 60岁）的参与者。根据就业状况和获得/重返工作岗位的计划，使用逻辑回归模型来考虑社会人口/职业和健康特征，比较了个人的健康特征。结果：就业率为56.5%；44.9%的参与者自诊断以来一直就业，11.6%的参与者在诊断后获得就业。与失业参与者相比，保持就业的参与者健康状况一般/较差的可能性较小，有艾滋病和丙型肝炎病毒合并感染史的可能性较小，1996年以后被诊断为艾滋病毒的可能性较大，有与艾滋病毒有关的住院史，CD4细胞计数为200细胞/ μ l或更少。在受雇的参与者中，70.1%的人没有透露他们在工作场所的艾滋病毒状况，8.5%的人报告了他们在工作条件中与艾滋病毒相关的调整。在失业者中，64.5%的人报告了重返工作岗位的计划，其中58.2%的人曾试图这样做。获得/重返工作岗位的动机主要是出于社会、心理和经济方面的考虑。结论：艾滋病毒/艾滋病感染者的就业状况除与健康特征有关外，还与社会人口/职业因素有关。在HAART时代，管理工作场所的艾滋病毒感染仍然是一项挑战。(c) 2007年Lippincott Williams & Wilkins。
Objectives: The employment rate of people living with HIV in France remains lower than in the general population despite HAART (highly active antiretroviral therapy) availability, translating into a high disease-related socioeconomic burden. Our objective was to investigate the relationships between HIV disease and employment status.Design: We used data from the AN RS-EN12-VESPA Study.Methods: Analyses were restricted to the 2750 working-aged (< 60 years) participants. Individuals' health characteristics were compared according to employment status and plans of access/return to work, using logistic regression models to account for sociodemographic/occupational and health characteristics.Results: The employment rate was 56.5%; 44.9% of participants had remained employed since diagnosis and 11.6% had accessed employment after diagnosis. Compared with unemployed participants, those who had maintained employment were less likely to be of fair/poor health and have a history of AIDS and hepatitis C virus co-infection, were more likely to have been diagnosed with HIV after 1996, have a history of HIV-related hospitalization and a CD4 cell count of 200cells/mu l or less. Among employed participants, 70.1 % had not disclosed their HIV status at the workplace and 8.5% reported HIV-related adjustments in their working conditions. Among the unemployed, 64.5% reported plans of access/return to work and 58.2% of those had attempted to do so. Motivations for access/return to work were mainly of a social, psychological and financial nature.Conclusion: The employment status of people living with HIV/AIDS is associated with sociodemographic/occupational factors in addition to health characteristics. Management of HIV infection at work remains a challenge in the HAART era. (c) 2007 Lippincott Williams & Wilkins.