Examining the role of vocational rehabilitation on access to care and public health outcomes for people living with HIV/AIDS
Examining the role of vocational rehabilitation on access to care and public health outcomes for people living with HIV/AIDS
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DOI：
10.3109/09638288.2013.837968
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发表时间：
2014-01-01
影响因子：
2.2
通讯作者：
Boomer, K. B.
中科院分区：
文献类型：
--
作者：
Conyers, Liza;Boomer, K. B.
目的：这项研究的目的是审查职业康复服务在促进实现国家艾滋病毒/艾滋病战略目标方面的作用。研究涉及三个关键问题：（a）与艾滋病毒/艾滋病感染者使用职业康复服务有关的因素之间的关系是什么？(b)与使用职业康复有关的因素是否也与获得保健、补充就业服务和降低艾滋病毒传播风险有关？和（c）职业康复服务的使用在获得保健和预防艾滋病毒方面发挥了什么独特作用？方法：调查研究方法被用来收集来自广泛的志愿者受访者样本的数据，这些受访者代表不同的种族（37%黑人，37%白色，18%拉丁美洲人，7%其他），性别（65%男性，34%女性，1%变性人）和性取向（48%异性恋，44%同性恋，8%双性恋）背景。结果如下：最终结构方程模型的拟合良好（近似均方根误差= 0.055），90%上限为0.058，比较拟合指数= 0.953，TLI = 0.945）。报告了具有bootstrap置信区间的标准化效应。结论：总的来说，研究结果支持的假设，职业康复服务可以发挥重要作用，在国家艾滋病毒/艾滋病战略概述的健康和预防战略。
Purpose: The purpose of this study is to examine the role of vocational rehabilitation services in contributing to the goals of the National HIV/AIDS strategy. Three key research questions are addressed: (a) What is the relationship among factors associated with the use of vocational rehabilitation services for people living with HIV/AIDS? (b) Are the factors associated with use of vocational rehabilitation also associated with access to health care, supplemental employment services and reduced risk of HIV transmission? and (c) What unique role does use of vocational rehabilitation services play in access to health care and HIV prevention? Method: Survey research methods were used to collect data from a broad sample of volunteer respondents who represented diverse racial (37% Black, 37% White, 18% Latino, 7% other), gender (65% male, 34% female, 1% transgender) and sexual orientation (48% heterosexual, 44% gay, 8% bisexual) backgrounds. Results: The fit of the final structural equation model was good (root mean square error of approximation = 0.055), with 90% upper bound of 0.058, Comparative Fit Index = 0.953, TLI = 0.945). Standardized effects with bootstrap confidence intervals are reported. Conclusions: Overall, the findings support the hypothesis that vocational rehabilitation services can play an important role in health and prevention strategies outlined in the National HIV/AIDS strategy.