title: Examining the role of vocational rehabilitation on access to care and public health outcomes for people living with HIV/AIDS.
abstract: OBJECTIVE
  The purpose of this study is to examine the role of vocational rehabilitation services in contributing to the goals of the National HIV/AIDS strategy. Three key research questions are addressed: (a) What is the relationship among factors associated with the use of vocational rehabilitation services for people living with HIV/AIDS? (b) Are the factors associated with use of vocational rehabilitation also associated with access to health care, supplemental employment services and reduced risk of HIV transmission? and (c) What unique role does use of vocational rehabilitation services play in access to health care and HIV prevention?
  
  
  METHODS
  Survey research methods were used to collect data from a broad sample of volunteer respondents who represented diverse racial (37% Black, 37% White, 18% Latino, 7% other), gender (65% male, 34% female, 1% transgender) and sexual orientation (48% heterosexual, 44% gay, 8% bisexual) backgrounds.
  
  
  RESULTS
  The fit of the final structural equation model was good (root mean square error of approximation = 0.055), with 90% upper bound of 0.058, Comparative Fit Index = 0.953, TLI = 0.945). Standardized effects with bootstrap confidence intervals are reported.
  
  
  CONCLUSIONS
  Overall, the findings support the hypothesis that vocational rehabilitation services can play an important role in health and prevention strategies outlined in the National HIV/AIDS strategy.
authors.affiliation: Department of Educational Psychology, Counseling and Special Education, Penn State University, University Park , PA , USA and.
authors.forename: Liza
authors.initials: L
authors.lastname: Conyers
authors.forename: K B
authors.initials: KB
authors.lastname: Boomer
mesh_terms: D000163:Acquired Immunodeficiency Syndrome / Q000175:diagnosis / Q000208:ethnology / Q000534:rehabilitation*; D000328:Adult; D003430:Cross-Sectional Studies; D004651:Employment / Q000706:statistics & numerical data*; D005260:Female; D015658:HIV Infections / Q000175:diagnosis / Q000208:ethnology / Q000534:rehabilitation*; D006297:Health Services Accessibility; D006801:Humans; D008297:Male; D008875:Middle Aged; D011634:Public Health; D011788:Quality of Life; D012050:Rehabilitation, Vocational / Q000379:methods / Q000706:statistics & numerical data*; D012380:Role; D011795:Surveys and Questionnaires; D014481:United States; D055815:Young Adult
keywords: Chronic illness; HIV/AIDS; US National HIV/AIDS Strategy; public health; vocational rehabiltiation