AIDS and Behavior

, Volume 16, Issue 8, pp 2350–2360 | Cite as

Labor Force Participation and Health-Related Quality of Life in HIV-Positive Men Who Have Sex with Men: The Multicenter AIDS Cohort Study

  • Sergio Rueda
  • Janet Raboud
  • Michael Plankey
  • David Ostrow
  • Cameron Mustard
  • Sean B. Rourke
  • Lisa P. Jacobson
  • Tsegaye Bekele
  • Ahmed Bayoumi
  • John Lavis
  • Roger Detels
  • Anthony J. Silvestre
Original Paper

Abstract

Too many people with HIV have left the job market permanently and those with reduced work capacity have been unable to keep their jobs. There is a need to examine the health effects of labor force participation in people with HIV. This study presents longitudinal data from 1,415 HIV-positive men who have sex with men taking part in the Multicenter AIDS Cohort Study. Generalized Estimating Equations show that employment is associated with better physical and mental health quality of life and suggests that there may be an adaptation process to the experience of unemployment. Post hoc analyses also suggest that people who are more physically vulnerable may undergo steeper health declines due to job loss than those who are generally healthier. However, this may also be the result of a selection effect whereby poor physical health contributes to unemployment. Policies that promote labor force participation may not only increase employment rates but also improve the health of people living with HIV.

Keywords

Employment Health-related quality of life Men who have sex with men Longitudinal cohort study HIV/AIDS 

Resumen

Demasiadas personas que viven con VIH han abandonado permanentemente el mercado laboral y aquellas con reducida capacidad de trabajo no han podido mantener sus puestos de trabajo. Es necesario evaluar los efectos de la participación laboral sobre la salud en personas que viven con VIH. Este estudio presenta datos longitudinales de 1,415 hombres VIH-positivos que tienen sexo con hombres, recabados del Multicenter AIDS Cohort Study. Ecuaciones de Estimación Generalizadas mostraron que el empleo esta asociado con mejor calidad de vida en relacion a la salud fisica y mental y ademas sugiere un proceso de adaptación a la experiencia de desempleo. Análisis posteriores y provisionales también sugieren que las personas físicamente mas vulnerables pueden sufrir caidas mas pronunciadas de la salud debido a la pérdida de empleo, comparados con aquellos que generalmente estan mas saludables. Sin embargo, esto también puede ser el resultado de un efecto de selección mediante el cual una salud física disminuida contribuye al desempleo. Las politicas que promueven la participación en el mercado laboral no solo podrian aumentar las tasas de empleo, sino también mejorar la salud de las personas que viven con VIH.

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Copyright information

© Springer Science+Business Media, LLC 2012

Authors and Affiliations

  • Sergio Rueda
    • 1
    • 2
    • 7
  • Janet Raboud
    • 3
    • 4
  • Michael Plankey
    • 5
  • David Ostrow
    • 6
  • Cameron Mustard
    • 3
    • 7
  • Sean B. Rourke
    • 1
    • 8
    • 2
  • Lisa P. Jacobson
    • 9
  • Tsegaye Bekele
    • 1
  • Ahmed Bayoumi
    • 8
    • 10
  • John Lavis
    • 11
  • Roger Detels
    • 12
  • Anthony J. Silvestre
    • 13
  1. 1.The Ontario HIV Treatment NetworkTorontoCanada
  2. 2.Department of PsychiatryUniversity of TorontoTorontoCanada
  3. 3.Dalla Lana School of Public HealthUniversity of TorontoTorontoCanada
  4. 4.Division of Infectious DiseaseUniversity Health NetworkTorontoCanada
  5. 5.Department of MedicineGeorgetown University Medical CenterWashingtonUSA
  6. 6.The Ogburn-Stouffer Center for Social Organization Research at the National Opinion Research Center (NORC)University of ChicagoChicagoUSA
  7. 7.Institute for Work and HealthTorontoCanada
  8. 8.Centre for Research on Inner City Health and The Keenan Research Centre in the Li Ka Shing Knowledge InstituteSt. Michael’s HospitalTorontoCanada
  9. 9.Department of EpidemiologyJohns Hopkins University Bloomberg School of Public HealthBaltimoreUSA
  10. 10.Department of Health Policy, Management and EvaluationUniversity of TorontoTorontoCanada
  11. 11.Department of Clinical Epidemiology and BiostatisticsMcMaster UniversityHamiltonCanada
  12. 12.Department of EpidemiologyUCLA School of Public HealthLos AngelesUSA
  13. 13.Department of Infectious Diseases and Microbiology, Graduate School of Public HealthUniversity of PittsburghPittsburghUSA

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