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Enhancing Labour Force Participation for People Living with HIV: A Multi-Perspective Summary of the Research Evidence

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Abstract

Labour force participation has been identified as a critical social and health issue facing people living with HIV/AIDS (PHAs). We conducted a scoping study (a form of literature synthesis that summarizes research findings, research activity, and identifies literature strengths and gaps) on labour force participation for PHAs, guided by a community advisory committee. We summarized information from 243 peer-reviewed articles and 42 reports from the grey literature, and synthesized the evidence into a preliminary conceptual framework with five components: (1) the meaning of work, (2) key factors (barriers and facilitators) influencing labour force participation, (3) factors affecting vulnerable populations, (4) strategies and supports for returning to or sustaining work, and (5) outcomes (benefits and risks) of labour force participation for individuals and employers. The framework supports the development of labour force initiatives requiring collaborative efforts in multiple domains (health, employment, community) by PHAs, rehabilitation professionals, employers, insurers, and policy makers.

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Acknowledgments

The authors would like to thank the Community Advisory Committee members. We also would like to acknowledge contributions to this research by Elizabeth Uleryk (Hospital for Sick Children, Library) for her role in developing the search strategy, and Mary Goitam, Ramona Snider, Marla Beauchamp, Adrian Guta and Olivia Kitt for assistance with article retrieval, data extraction, and clerical assistance. Funding for this research was provided by the Canadian Institutes of Health Research (CIHR). C. Worthington was a CIHR New Investigator at the time of the study; K. O’Brien is supported by a fellowship from the CIHR and a Michael DeGroote Postdoctoral Fellowship (McMaster University).

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Authors and Affiliations

  1. Faculty of Public Health and Social Policy, University of Victoria, STN CSC, P.O. Box 1700, Victoria, BC, V8W 2Y2, Canada

    Catherine Worthington

  2. School of Rehabilitation Science, McMaster University, Hamilton, Canada

    Kelly O’Brien

  3. Department of Physical Therapy, University of Toronto, Toronto, Canada

    Kelly O’Brien

  4. Canadian Working Group on HIV and Rehabilitation, Toronto, Canada

    Elisse Zack & Eileen Mckee

  5. Faculty Social Work, University of Calgary, Calgary, Canada

    Brent Oliver

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  1. Catherine Worthington
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  2. Kelly O’Brien
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  3. Elisse Zack
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  4. Eileen Mckee
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  5. Brent Oliver
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Correspondence to Catherine Worthington.

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Worthington, C., O’Brien, K., Zack, E. et al. Enhancing Labour Force Participation for People Living with HIV: A Multi-Perspective Summary of the Research Evidence. AIDS Behav 16, 231–243 (2012). https://doi.org/10.1007/s10461-011-9986-y

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