title: Back to work: correlates of employment among persons receiving highly active antiretroviral therapy.
abstract: The aim of this study was to quantify the level of employment at one-year and to determine potential predictors of future employment among HIV-positive persons on highly active antiretroviral therapy (HAART) in the province of British Columbia. Of the 392 individuals that were initially unemployed at baseline 63 (16.1%) found a job over the subsequent year. Factors associated with becoming employed included a baseline income over 10,000 dollars, having long-term disability or unemployment insurance as an income source, having higher CD4 cell counts, and better physical, social, and role functioning. Factors negatively associated with finding employment included having provincial assistance as an income source and having ever been an injection drug user (IDU). In multivariate analyses, not using provincial assistance as a source of income (Odds Ratio [OR] = 7.39; 95% CI: 3.26-16.7; p < 0.001) and higher MOS-SF role functioning (OR = 1.12 per 10 point increment; 95% CI: 1.03-1.21; p = 0.005) were independent predictors of becoming employed. In conclusion, our study demonstrates that while significant advances have been made in the reduction of HIV-related mortality, the majority of HIV-infected individuals on adequate treatment are still unable to be gainfully employed.
authors.affiliation: University of British Columbia, Canada.
authors.forename: Marcus
authors.initials: M
authors.lastname: Lem
authors.forename: David
authors.initials: D
authors.lastname: Moore
authors.forename: Stephen
authors.initials: S
authors.lastname: Marion
authors.forename: Simon
authors.initials: S
authors.lastname: Bonner
authors.forename: Keith
authors.initials: K
authors.lastname: Chan
authors.forename: Jacqueline
authors.initials: J
authors.lastname: O'Connell
authors.forename: Julio S G
authors.initials: JS
authors.lastname: Montaner
authors.forename: Robert
authors.initials: R
authors.lastname: Hogg
mesh_terms: D000293:Adolescent; D000328:Adult; D023241:Antiretroviral Therapy, Highly Active; D018791:CD4 Lymphocyte Count; D004651:Employment / Q000706:statistics & numerical data; D005260:Female; D015658:HIV Infections / Q000188:drug therapy*; D006801:Humans; D008297:Male; D008875:Middle Aged; D015999:Multivariate Analysis; D016017:Odds Ratio