title: Prevalence and determinants of insufficient work ability in older HIV-positive and HIV-negative workers.
abstract: OBJECTIVE
  To explore whether the prevalence and determinants of insufficient work ability (WA) of older HIV-positive workers differ from a comparable group of HIV-negative workers.
  
  
  METHODS
  Cross-sectional data from 359 HIV-negative and 264 HIV-positive middle-aged individuals (45-65 years) participating in paid labor, collected within the AGEhIV Cohort Study between October 2010-September 2012, were selected. Data were collected by self-administered questionnaires and physical examination. Participants self-rated their current WA, ranging from 0 to 10. WA was dichotomized into insufficient (<6) and sufficient (≥6). Using univariable and multivariable logistic regression, we studied the independent effect of HIV status on insufficient WA and determinants of insufficient WA.
  
  
  RESULTS
  Overall, 8% of participants reported insufficient WA (HIV-positive 9 vs. HIV-negative 7%, P = 0.20). Twice as many HIV-positive as HIV-negative individuals were declared partly unfit for work (6 vs. 3%, P = 0.02). HIV status itself was not associated with WA in univariable and multivariable analyses. Multivariable analyses revealed that low educational level, working fewer hours, being partly unfit for work, experiencing a high need for recovery after work, staying home from work ≥2 times in the past 6 months, and reporting depressive symptoms were associated with insufficient WA, independent of HIV status.
  
  
  CONCLUSIONS
  HIV-positive individuals aged 45-65 years participating in paid labor seem to function as well at work as HIV-negative individuals. HIV-positive participants were more often formally declared partly unfit for work, but percentages were low in both groups. Knowledge of determinants of insufficient WA may help employers and professionals to optimize WA.
authors.affiliation: Cluster Infectious Diseases, Department of Research, Public Health Service, Amsterdam, Nieuwe Achtergracht 100, 1018 WT, Amsterdam, The Netherlands.
authors.forename: Lisanne M
authors.initials: LM
authors.lastname: Möller
authors.affiliation: Dutch HIV Association, Amsterdam, The Netherlands.|STI AIDS, Amsterdam, The Netherlands.
authors.forename: Ronald
authors.initials: R
authors.lastname: Brands
authors.affiliation: Coronel Institute of Occupational Health, Academic Medical Center, Amsterdam, The Netherlands.
authors.forename: Judith K
authors.initials: JK
authors.lastname: Sluiter
authors.affiliation: Department of Global Health, Academic Medical Center, Amsterdam Institute for Global Health and Development, Amsterdam, The Netherlands.|Department of Neurology, Academic Medical Center, Amsterdam, The Netherlands.
authors.forename: Judith
authors.initials: J
authors.lastname: Schouten
authors.affiliation: Department of Global Health, Academic Medical Center, Amsterdam Institute for Global Health and Development, Amsterdam, The Netherlands.|Department of Internal Medicine, Division of Infectious Diseases, Center for Infection and Immunity Amsterdam (CINIMA), Academic Medical Center, Amsterdam, The Netherlands.
authors.forename: Ferdinand W
authors.initials: FW
authors.lastname: Wit
authors.affiliation: Department of Global Health, Academic Medical Center, Amsterdam Institute for Global Health and Development, Amsterdam, The Netherlands.|Department of Internal Medicine, Division of Infectious Diseases, Center for Infection and Immunity Amsterdam (CINIMA), Academic Medical Center, Amsterdam, The Netherlands.|HIV Monitoring Foundation, Amsterdam, The Netherlands.
authors.forename: Peter
authors.initials: P
authors.lastname: Reiss
authors.affiliation: Cluster Infectious Diseases, Department of Research, Public Health Service, Amsterdam, Nieuwe Achtergracht 100, 1018 WT, Amsterdam, The Netherlands. mprins@ggd.amsterdam.nl.|Department of Internal Medicine, Division of Infectious Diseases, Center for Infection and Immunity Amsterdam (CINIMA), Academic Medical Center, Amsterdam, The Netherlands. mprins@ggd.amsterdam.nl.
authors.forename: Maria
authors.initials: M
authors.lastname: Prins
authors.affiliation: Cluster Infectious Diseases, Department of Research, Public Health Service, Amsterdam, Nieuwe Achtergracht 100, 1018 WT, Amsterdam, The Netherlands.|Department of Internal Medicine, Division of Infectious Diseases, Center for Infection and Immunity Amsterdam (CINIMA), Academic Medical Center, Amsterdam, The Netherlands.
authors.forename: Ineke G
authors.initials: IG
authors.lastname: Stolte
mesh_terms: D000367:Age Factors; D000368:Aged; D016022:Case-Control Studies; D003430:Cross-Sectional Studies; D003863:Depression / Q000150:complications; D004522:Educational Status; D005260:Female; D018023:HIV Seronegativity; D006679:HIV Seropositivity / Q000150:complications; D006801:Humans; D008297:Male; D008875:Middle Aged; D010561:Personnel Staffing and Scheduling; D010808:Physical Examination; D012146:Rest; D012647:Self-Assessment; D018582:Sick Leave; D011795:Surveys and Questionnaires; D013997:Time Factors; D014938:Work Capacity Evaluation
keywords: Aging; Comorbidity; Employment; HIV; Work ability