Socioeconomic, Psychosocial, and Clinical Factors Associated With Employment in Women With HIV in the United States: A Correlational Study

Details

• Alternative Title:
  J Assoc Nurses AIDS Care
• Personal Author:
  Wise, Jenni M. ; Azuero, Andres ; Konkle-Parker, Deborah ; Raper, James L. ; Heaton, Karen ; Vance, David E. ; Adimora, Adaora A. ; Wingood, Gina ; Golub, Elizabeth ; Levin, Susanna ; Wilson, Tracey E. ; Merenstein, Daniel ; Yelin, Ed ; Weber, Kathleen M. ; Fischl, Margaret ; Kempf, Mirjam-Colette
• Description:
  Employment is a social determinant of health, and women living with HIV (WLWH) are often underemployed. This correlational study examined the socioeconomic, psychosocial, and clinical factors associated with employment among WLWH (n = 1,357) and women at risk for HIV (n = 560). Descriptive and inferential statistics were used to evaluate factors associated with employment status. Employment was associated (p ≤ .05) with better socioeconomic status and quality of life (QOL), less tobacco and substance use, and better physical, psychological, and cognitive health. Among WLWH, employment was associated (p ≤ .05) with improved adherence to HIV care visits and HIV RNA viral suppression. Using multivariable regression modeling, differences were found between WLWH and women at risk for HIV. Among WLWH, household income, QOL, education, and time providing childcare remained associated with employment in adjusted multivariable analyses (R2 = .272, p < .001). A better understanding of the psychosocial and structural factors affecting employment is needed to reduce occupational disparities among WLWH.
• Subjects:
  Article Cohort Study Educational Status Employment Female HIV Infections Humans Psychosocial Quality Of Life Socioeconomic Substance-Related Disorders United States Women Living With HIV

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• Source:
  J Assoc Nurses AIDS Care. 33(1):33-44
• Pubmed ID:
  34939986
• Pubmed Central ID:
  PMC8944186
• Document Type:
  Journal Article
• Funding:
  U01 HL146245/HL/NHLBI NIH HHSUnited States/ ; U01 HL146205/HL/NHLBI NIH HHSUnited States/ ; U01 HL146192/HL/NHLBI NIH HHSUnited States/ ; U01 HL146242/HL/NHLBI NIH HHSUnited States/ ; T42 OH008436/OH/NIOSH CDC HHSUnited States/ ; U01 HL146193/HL/NHLBI NIH HHSUnited States/ ; T42OH008436/ACL/ACL HHSUnited States/ ; U01 HL146194/HL/NHLBI NIH HHSUnited States/ ; U01 HL146203/HL/NHLBI NIH HHSUnited States/ ; U01 HL146241/HL/NHLBI NIH HHSUnited States/ ; P30 AI027767/AI/NIAID NIH HHSUnited States/ ; U01 HL146204/HL/NHLBI NIH HHSUnited States/ ; U01 HL146202/HL/NHLBI NIH HHSUnited States/
• Volume:
  33
• Issue:
  1
• Collection(s):
  CDC Public Access
• Main Document Checksum:
  urn:sha256:d9abb1b1b4cda6bdd82a0408f269608a6d96de27e1996527fc2811194a855d3d
• Download URL:
  https://stacks.cdc.gov/view/cdc/115715/cdc_115715_DS1.pdf
• File Type:
  [PDF - 358.03 KB ]