title: Nearly Half Of US Adults Living With HIV Received Federal Disability Benefits In 2009.
abstract: The effects of HIV infection on national labor-force participation have not been rigorously evaluated. Using data from the Medical Monitoring Project and the National Health Interview Survey, we present nationally representative estimates of the receipt of disability benefits by adults living with HIV receiving care compared with the general US adult population. We found that in 2009, adults living with HIV were nine times more likely than adults in the general population to receive disability benefits. The risk of being on disability is also greater for younger and more educated adults living with HIV compared to the general population, which suggests that productivity losses can result from HIV infection. To prevent disability, early diagnosis and treatment of HIV are essential. This study offers a baseline against which to measure the impacts of recently proposed or enacted changes to Medicaid and private insurance markets, including the Affordable Care Act and proposed revisions to the Social Security Administration's HIV Infection Listings.
authors.affiliation: Ya-Lin A. Huang (yhuang@cdc.gov) is a health services researcher in the Division of HIV/AIDS Prevention at the Centers for Disease Control and Prevention (CDC), in Atlanta, Georgia.
authors.forename: Ya-Lin A
authors.initials: YL
authors.lastname: Huang
authors.affiliation: Emma L. Frazier is an epidemiologist in the Division of HIV/AIDS Prevention, CDC.
authors.forename: Emma L
authors.initials: EL
authors.lastname: Frazier
authors.affiliation: Stephanie L. Sansom is a health services researcher in the Division of HIV/AIDS Prevention, CDC.
authors.forename: Stephanie L
authors.initials: SL
authors.lastname: Sansom
authors.affiliation: Paul G. Farnham is an economist in the Division of HIV/AIDS Prevention, CDC.
authors.forename: Paul G
authors.initials: PG
authors.lastname: Farnham
authors.affiliation: Ram K. Shrestha is an economist in the Division of HIV/AIDS Prevention, CDC.
authors.forename: Ram K
authors.initials: RK
authors.lastname: Shrestha
authors.affiliation: Angela B. Hutchinson is an economist in the Division of HIV/AIDS Prevention, CDC.
authors.forename: Angela B
authors.initials: AB
authors.lastname: Hutchinson
authors.affiliation: Jennifer L. Fagan is a behavioral scientist in the Division of HIV/AIDS Prevention, CDC.
authors.forename: Jennifer L
authors.initials: JL
authors.lastname: Fagan
authors.affiliation: Abigail H. Viall is a public health analyst in the Division of HIV/AIDS Prevention, CDC.
authors.forename: Abigail H
authors.initials: AH
authors.lastname: Viall
authors.affiliation: Jacek Skarbinski is a medical officer in the Division of HIV/AIDS Prevention, CDC.
authors.forename: Jacek
authors.initials: J
authors.lastname: Skarbinski
mesh_terms: D000293:Adolescent; D000328:Adult; D006233:Persons with Disabilities / Q000706:statistics & numerical data*; D005260:Female; D005380:Financing, Government / Q000191:economics / Q000706:statistics & numerical data; D015658:HIV Infections / Q000191:economics* / Q000453:epidemiology*; D006801:Humans; D008297:Male; D008484:Medicaid / Q000191:economics / Q000706:statistics & numerical data; D008875:Middle Aged; D014481:United States / Q000453:epidemiology; D055815:Young Adult
keywords: AIDS/HIV; Disparities; Workforce Issues