Perceived barriers to employment among persons living with HIV/AIDS

Perceived barriers to employment among persons living with HIV/AIDS
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DOI:
10.1080/09540120412331269594
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发表时间:
2004-08-01
影响因子:
1.7
通讯作者:
Veniegas, RC
Veniegas, RC
中科院分区:
医学4区
文献类型:
--
作者:
Brooks, RA;Martin, DJ;Veniegas, RC

文献摘要

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这项研究调查了美国一个大城市的艾滋病毒/艾滋病患者(PLHA)中考虑重返工作岗位的相关因素。一项邮寄的、自我管理的调查收集了757名失业的PLHA的信息。卡方和Logistic回归分析被用来确定考虑重返工作与社会人口学特征、健康因素和感知的就业障碍之间的关联。我们发现,大多数失业的PLHA(74%)正在考虑重返工作岗位,但感觉到了重大障碍,如丧失残疾收入福利(73%)、失去公共资助的医疗保险(67%)和工作场所歧视(66%)。单变量分析表明,考虑重返工作岗位与以下领域的社会人口统计特征、健康因素和就业障碍显著相关:(1)医疗保险的可用性,(2)个人健康和身体能力,(3)与工作和工作环境有关的健康问题,以及(4)目前的工作技能。多变量分析表明:性别、年龄、种族/民族、医疗保险类型、健康状况以及相信就业后健康会改善与考虑重返工作岗位独立相关。总而言之,很大一部分失业的PLHA可能会考虑重新进入劳动力大军。需要援助,以帮助PLHA解决可能阻碍他们寻找工作的公认障碍。
This study examined factors associated with contemplating returning to work among unemployed persons living with HIV/AIDS (PLHA) in a large urban city in the United States. A mailed, self-administered survey gathered information from 757 unemployed PLHA. Chi-square and logistic regression analyses were used to determine associations between contemplating returning to work and sociodemographic characteristics, health factors and perceived barriers to employment. We found that most unemployed PLHA (74%) were thinking of returning to work, but perceived significant barriers such as loss of disability income benefits (73%), loss of publicly-funded health insurance (67%) and workplace discrimination (66%). Univariate analyses indicated that contemplating returning to work was significantly associated with sociodemographic characteristics, health factors and perceived barriers to employment in the following areas: ( 1) availability of health insurance, ( 2) personal health and physical ability, ( 3) health concerns related to working and the work environment, and ( 4) current job skills. Multivariate analyses indicated that: gender, age, race/ethnicity, health insurance type, health status and the belief that health will improve if employed were independently associated with contemplating returning to work. In summary, a substantial proportion of unemployed PLHA may contemplate re-entering the workforce. Assistance is needed to help PLHA address perceived barriers that may prevent them from seeking employment.