Psychosocial needs of HIV-positive individuals seeking workforce re-entry

Psychosocial needs of HIV-positive individuals seeking workforce re-entry
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DOI:
10.1080/09540120410001665376
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发表时间:
2004-04-01
影响因子:
1.7
通讯作者:
Chernoff, RA
Chernoff, RA
中科院分区:
医学4区
文献类型:
--
作者:
Arns, PG;Martin, DJ;Chernoff, RA

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随着更有效的治疗方法的出现以及发病率和死亡率的相应改善,艾滋病毒/艾滋病感染者越来越多地考虑重返工作场所。本研究探讨了主观和客观指标的需要样本中的235个艾滋病毒感染者进入职业康复计划的人与艾滋病毒。除了帮助培训和就业安置,参与者表示需要援助的财务,资金管理,住房和获得医疗保健,以及酒精或毒品问题,法律的问题和社会关系。在得知他们的诊断后,样本报告了60%的财政资源中位数减少。超过一半的人在进入研究前一年经历过住房不稳定,其中15%的人无家可归,尽管大多数人与个案管理服务有关。三分之一的人在前一个月使用过非法药物,41%的人喝醉了,20%的人甚至每月都没有和朋友打电话。结果表明,艾滋病毒和艾滋病感染者重返工作岗位计划需要解决工作培训和安置之外的广泛心理社会问题。
With the advent of more effective treatments and corresponding improvement in morbidity and mortality, people living with HIV and AIDS are increasingly considering a return to the workplace. This study examined subjective and objective indicators of need among a sample of 235 HIV-infected individuals entering a vocational rehabilitation programme for people with HIV In addition to help with training and job placement, participants indicated a need for assistance with finances, money management, housing access and access to health care, as well as with alcohol or drug problems, legal problems and social relationships. Subsequent to learning of their diagnoses, the sample reported a median decrement in financial resources of 60%. Over half had experienced housing instability in the year prior to entering the study, including 15% who had been homeless, even though most were linked to case management services. A third had used illegal drugs in the prior month, 41% drank to intoxication and 20% lacked even monthly phone contact with friends. Results suggest that back to work programmes for people with HIV and AIDS will need to address a broad range of psychosocial issues beyond job training and placement.