Measuring Phases of Employment Decision-Making and the Need for Vocational Services as a Social Determinant of the Health of Employed People Living with HIV

Boomer Kb (), Liza M. Conyers, Yili Wang and Yung-Chen Jen Chiu
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Boomer Kb: Department of Mathematics, Bucknell University, Lewisburg, PA 17837, USA
Liza M. Conyers: Department of Counselor Education, Counseling Psychology, and Rehabilitation Services, Pennsylvania State University, University Park, PA 16802, USA
Yili Wang: Department of Biostatistics, University of Michigan, Ann Arbor, MI 48109, USA
Yung-Chen Jen Chiu: Department of Educational Foundations and Counseling, Hunter College, City University of New York, New York, NY 10065, USA

IJERPH, 2022, vol. 19, issue 22, 1-16

Abstract: (1) Background: Secure employment has been recognized as a social determinant of health for people living with HIV (PLHIV), but limited research has been conducted to understand the employment needs and vocational decision-making process of those who are employed. The purpose of this study is to examine the applicability of the client-focused considering-work model to assess the employment outcomes and employment decision-making phases of a sample of employed PLHIV. (2) Methods: This study analyzed data of 244 employed PLHIV who completed National Working Positive Coalition’s Employment Needs Survey which included a 20-item Considering Work Scale-Employed version (CWS-Employed) and a single-item Classification of Employment Status Scale (CESS). Factor analysis was used to evaluate the CWS-Employed. Chi-square tests of homogeneity of proportions were conducted to assess the domain-specific needs of individuals in each phase of employment decision-making. (3) Results: Our findings revealed high rates of insecure employment and diverse vocational service needs among research participants. Additionally, the CWS-Employed accurately predicted 71% of the self-reported classification of phases of employment decision-making. (4) Conclusions: When investigating the role of employment as a social determinant of health, more research is needed to better understand the vocational needs and outcomes of PLHIV who are working. Improving the measurement of the phases of employment decision-making is needed to better identify appropriate vocational interventions that can lead to improved employment and related health outcomes for this population.

Keywords: HIV; social determinant of health; employment; work (search for similar items in EconPapers)
JEL-codes: I I1 I3 Q Q5 (search for similar items in EconPapers)
Date: 2022
References: View references in EconPapers View complete reference list from CitEc
Citations: View citations in EconPapers (1)

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