Navigating Barriers to Vocational Rehabilitation for HIV-Positive Persons

Walter Gómez, Annesa Flentje, Amy Schustack, Joseph Ramirez-Forcier, Brett Andrews, Samantha E. Dilworth, Elise D. Riley, Alberto Curotto, Adam Carrico

Research output: Contribution to journalArticle

3 Citations (Scopus)

Abstract

This study documented the outcomes of 108 HIV-positive persons receiving vocational rehabilitation services. Over a 12-month follow-up, participants reported significantly decreased odds of any unstable housing [Adjusted Odds Ratio (AOR) = 0.21; 95 % CI 0.05–0.90; p < .05] and increased odds of being employed at least part-time (AOR = 10.19; 95 % CI 2.40–43.21; p < .01). However, reductions in perceived barriers to employment and increases in income were more pronounced among those not receiving disability benefits at baseline. This was consistent with findings from baseline qualitative interviews with 22 participants where those not on disability were subject to bureaucratic hurdles to rapidly accessing benefits and anticipated stigma of being on disability that propelled them to rejoin the workforce. Vocational rehabilitation could address key structural barriers to optimizing HIV treatment as prevention, and novel approaches are needed to improve outcomes among individuals receiving disability benefits.

Original languageEnglish (US)
Pages (from-to)1132-1142
Number of pages11
JournalAIDS and Behavior
Volume20
Issue number5
DOIs
StatePublished - May 1 2016
Externally publishedYes

Fingerprint

Vocational Rehabilitation
Odds Ratio
HIV
Outcome Assessment (Health Care)
Interviews
Therapeutics

Keywords

  • Disability
  • HIV/AIDS
  • Housing
  • Structural barriers
  • Vocational rehabilitation

ASJC Scopus subject areas

  • Social Psychology
  • Public Health, Environmental and Occupational Health
  • Infectious Diseases

Cite this

Gómez, W., Flentje, A., Schustack, A., Ramirez-Forcier, J., Andrews, B., Dilworth, S. E., ... Carrico, A. (2016). Navigating Barriers to Vocational Rehabilitation for HIV-Positive Persons. AIDS and Behavior, 20(5), 1132-1142. https://doi.org/10.1007/s10461-015-1261-1

Navigating Barriers to Vocational Rehabilitation for HIV-Positive Persons. / Gómez, Walter; Flentje, Annesa; Schustack, Amy; Ramirez-Forcier, Joseph; Andrews, Brett; Dilworth, Samantha E.; Riley, Elise D.; Curotto, Alberto; Carrico, Adam.

In: AIDS and Behavior, Vol. 20, No. 5, 01.05.2016, p. 1132-1142.

Research output: Contribution to journalArticle

Gómez, W, Flentje, A, Schustack, A, Ramirez-Forcier, J, Andrews, B, Dilworth, SE, Riley, ED, Curotto, A & Carrico, A 2016, 'Navigating Barriers to Vocational Rehabilitation for HIV-Positive Persons', AIDS and Behavior, vol. 20, no. 5, pp. 1132-1142. https://doi.org/10.1007/s10461-015-1261-1
Gómez W, Flentje A, Schustack A, Ramirez-Forcier J, Andrews B, Dilworth SE et al. Navigating Barriers to Vocational Rehabilitation for HIV-Positive Persons. AIDS and Behavior. 2016 May 1;20(5):1132-1142. https://doi.org/10.1007/s10461-015-1261-1
Gómez, Walter ; Flentje, Annesa ; Schustack, Amy ; Ramirez-Forcier, Joseph ; Andrews, Brett ; Dilworth, Samantha E. ; Riley, Elise D. ; Curotto, Alberto ; Carrico, Adam. / Navigating Barriers to Vocational Rehabilitation for HIV-Positive Persons. In: AIDS and Behavior. 2016 ; Vol. 20, No. 5. pp. 1132-1142.
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