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

Details

• Personal Author:
  Adimora AA ; Azuero A ; Fischl M ; Golub E ; Heaton K ; Kempf M-C ; Konkle-Parker D ; Levin S ; Merenstein D ; Raper JL ; Vance DE ; Weber KM ; Wilson TE ; Wingood G ; Wise JM ; Yelin E
• 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. [Description provided by NIOSH]
• Subjects:
  Education HIV Mental Health Nervous System Occupational Health Safety Substance-Related Disorders Tobacco Products Women
• Keywords:
  Author Keywords: Cohort Study Employment Human Immunodeficiency Virus Humans Mental Health Models Physiological Factors Psychosocial Psychosocial Factors Quality Of Life Socioeconomic Substance Abuse Tobacco Women Living With HIV Workers

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• ISSN:
  1055-3290
• Document Type:
  Text
• Funding:
  Grant
• Genre:
  Journal Article
• Place as Subject:
  Alabama ; California ; District of Columbia ; Florida ; Georgia ; Illinois ; Maryland ; Mississippi ; New York ; North Carolina ; OSHA Region 2 ; OSHA Region 3 ; OSHA Region 4 ; OSHA Region 5 ; OSHA Region 9
• CIO:
  National Institute for Occupational Safety and Health (NIOSH)
• Topic:
  Workplace Safety & Health
• Location:
  North America
• Pages in Document:
  33-44
• Volume:
  33
• Issue:
  1
• NIOSHTIC Number:
  nn:20064468
• Citation:
  J Assoc Nurses AIDS Care 2022 Jan-Feb; 33(1):33-44
• Contact Point Address:
  Jenni M. Wise, PhD, MSN, RN, is an Assistant Professor, Department of Family, Community, and Health Systems, University of Alabama at Birmingham, Birmingham, AL
• Email:
  jmwise@uab.edu
• Federal Fiscal Year:
  2022
• Performing Organization:
  University of Alabama at Birmingham
• Peer Reviewed:
  True
• Start Date:
  20050701
• Source Full Name:
  Journal of the Association of Nurses in AIDS Care
• End Date:
  20270630
• Collection(s):
  National Institute for Occupational Safety and Health
• Main Document Checksum:
  urn:sha-512:2b4d8b8bf5f05b6321c5645edd327e8cba3ac721351fa1479987fd643941d6e43df520ecfa4200317e5702e4d02a5f052f8c18221f4e49e5612799fbd935e697
• Download URL:
  https://stacks.cdc.gov/view/cdc/222921/cdc_222921_DS1.pdf
• File Type:
  [PDF - 184.25 KB ]