TY - JOUR
T1 - Socioeconomic, Psychosocial, and Clinical Factors Associated with Employment in Women with HIV in the United States
T2 - A Correlational Study
AU - Wise, Jenni M.
AU - Azuero, Andres
AU - Konkle-Parker, Deborah
AU - Raper, James L.
AU - Heaton, Karen
AU - Vance, David E.
AU - Adimora, Adaora A.
AU - Wingood, Gina
AU - Golub, Elizabeth
AU - Levin, Susanna
AU - Wilson, Tracey E.
AU - Merenstein, Daniel
AU - Yelin, Ed
AU - Weber, Kathleen M.
AU - Fischl, Margaret
AU - Kempf, Mirjam Colette
N1 - Publisher Copyright:
© 2022 Elsevier USA. All rights reserved.
PY - 2022/1/1
Y1 - 2022/1/1
N2 - 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.
AB - 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.
KW - cohort study
KW - employment
KW - psychosocial
KW - socioeconomic
KW - women living with HIV
UR - http://www.scopus.com/inward/record.url?scp=85125833711&partnerID=8YFLogxK
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U2 - 10.1097/JNC.0000000000000297
DO - 10.1097/JNC.0000000000000297
M3 - Article
C2 - 34939986
AN - SCOPUS:85125833711
SN - 1055-3290
VL - 33
SP - 33
EP - 44
JO - Journal of the Association of Nurses in AIDS Care
JF - Journal of the Association of Nurses in AIDS Care
IS - 1
ER -