Workforce reentry for people with HIV/AIDS: intervention effects and predictors of success.
ABSTRACT Treatment that prolongs the lives of people with HIV/AIDS and improves their quality of life is relatively recent and little is known about factors that may predict their successful re-entry to the workforce. No data exist concerning the effectiveness of programs to assist people with HIV/AIDS in their efforts to return to work. We used logistic regression and Kaplan-Meier survival curves to predict return to work using data from 126 individuals who participated in an HIV/AIDS return to work program. Results from the 24 month follow-up revealed that program participation, general health, benefits status, and gender, predicted successful re-entry to the workforce. We discuss these findings in the context of the need for more explicitly-defined interventions, as well as the need for additional information on factors that may hinder or facilitate workforce re-entry among people with HIV/AIDS.
SourceAvailable from: Raymond C TaitPain Medicine 11/2013; 14(11):1617-8. DOI:10.1111/pme.12256 · 2.24 Impact Factor
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ABSTRACT: Abstract 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. Implications for Rehabilitation Vocational rehabilitation services can play a unique role in contributing to the goals of the National HIV/AIDS strategy by increasing access to care, increasing use of job support services and reducing health-risk behaviors. Increased job confidence and more positive health perception reduced HIV stigma, which is a key mediator to use of vocational rehabilitation services. The Behavioral Model of Vulnerable Populations is a useful framework to evaluate the impact of vocational rehabilitation services on access to health care and health-risk behaviors.Disability and Rehabilitation 01/2014; DOI:10.3109/09638288.2013.837968 · 1.84 Impact Factor
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ABSTRACT: Prepared under contract to the Canadian Partnership Against Cancer. The National Survivorship Working Group of the Cancer Journey Advisory of the Cana-dian Partnership Against Cancer (the Partnership) requested that a literature review and consultations be conducted to determine current Canadian information regarding challenges that people dealing with cancer and their caregivers face when the person with cancer returns to the workplace (as an employee or self-employed) during or af-ter treatment. Up until now the work–life experience for people with cancer and care-givers has been inadequately addressed in Canada. This current project focuses on the survivorship issue of returning to work from the perspective of those most affected by a cancer diagnosis.