Understanding the psychosocial context of employment and occupational productivity among women living with HIV: A mixed-methods study.

IF 1.7 4区医学 Q3 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH

Work-A Journal of Prevention Assessment & Rehabilitation Pub Date : 2024-09-02 DOI:10.3233/WOR-230363

Jenni M Wise, Deborah Konkle-Parker, James L Raper, Karen Heaton, David E Vance, Andres Azuero, Gina Wingood, Adaora A Adimora, Elizabeth F Topper, Mirjam-Colette Kempf

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引用次数: 0

Abstract

Background: Women living with HIV (WLHIV) are particularly vulnerable to poor employment outcomes, impacting their socioeconomic independence and personal sense of empowerment.

Objective: This article presents the results of a mixed methods study, which examined the personal, clinical, and socioeconomic contexts associated with employment and occupational productivity among employed WLHIV (n = 164) in the Southern United States.

Methods: The Stanford Presenteeism Scale-6 was used to assess the perceived impact of HIV disease on the ability to maintain focus and complete tasks at work. Correlational and hierarchical regression techniques were applied to examine the relationships between personal, clinical, and socioeconomic contexts and occupational productivity.

Results: In this sample, 62% of women perceived no impact on their ability to work or capacity to complete work related to living with HIV. In multivariable modeling, empowerment, neurocognition, socioeconomic status, and psychological health were associated with occupational productivity. In-depth interviews (n = 29) provided rich contexts and meaning surrounding employment among WLHIV, and indicated that quality of life, work-life balance, empowerment, social support, and psychological health influenced the experience of work.

Conclusion: Psychosocial and structural interventions are needed to improve occupational outcomes in this vulnerable population.

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了解感染艾滋病毒妇女的就业和职业生产力的社会心理背景：混合方法研究。

背景：女性艾滋病病毒感染者（WLHIV）尤其容易受到不良就业结果的影响，从而影响她们的社会经济独立性和个人赋权意识：本文介绍了一项混合方法研究的结果，该研究考察了美国南部在业 WLHIV（n = 164）中与就业和职业生产力相关的个人、临床和社会经济背景：方法：采用斯坦福大学旷工量表-6 评估艾滋病对保持注意力和完成工作任务能力的影响。采用相关和分层回归技术研究个人、临床和社会经济环境与职业生产力之间的关系：在该样本中，62%的女性认为感染艾滋病病毒不会影响她们的工作能力或完成工作的能力。在多变量模型中，赋权、神经认知、社会经济状况和心理健康与职业生产力相关。深入访谈（n = 29）提供了围绕 WLHIV 就业的丰富背景和意义，并表明生活质量、工作与生活的平衡、赋权、社会支持和心理健康影响着工作体验：结论：需要采取社会心理和结构干预措施来改善这一弱势群体的职业成果。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Work-A Journal of Prevention Assessment & Rehabilitation PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH-

CiteScore

3.00

自引率

30.40%

发文量

739

期刊介绍： WORK: A Journal of Prevention, Assessment & Rehabilitation is an interdisciplinary, international journal which publishes high quality peer-reviewed manuscripts covering the entire scope of the occupation of work. The journal''s subtitle has been deliberately laid out: The first goal is the prevention of illness, injury, and disability. When this goal is not achievable, the attention focuses on assessment to design client-centered intervention, rehabilitation, treatment, or controls that use scientific evidence to support best practice.