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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

Author

Listed:
  • KB Boomer

    (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)

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.

Suggested Citation

  • KB Boomer & Liza M. Conyers & Yili Wang & Yung-Chen Jen Chiu, 2022. "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," IJERPH, MDPI, vol. 19(22), pages 1-16, November.
    • Handle: RePEc:gam:jijerp:v:19:y:2022:i:22:p:15074-:d:974030
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    References listed on IDEAS

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    1. Rueda, S. & Chambers, L. & Wilson, M. & Mustard, C. & Rourke, S.B. & Bayoumi, A. & Raboud, J. & Lavis, J., 2012. "Association of returning to work with better health in working-aged adults: A systematic review," American Journal of Public Health, American Public Health Association, vol. 102(3), pages 541-556.
    2. Henry Kaiser, 1974. "An index of factorial simplicity," Psychometrika, Springer;The Psychometric Society, vol. 39(1), pages 31-36, March.
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    Cited by:

    1. Hsiao-Ying Chang & Vanessa Johnson & Liza Marie Conyers, 2023. "Exploring the Impact of an Integrated Trauma-Informed HIV and Vocational Intervention for Black/African American Women Living with HIV," IJERPH, MDPI, vol. 20(17), pages 1-25, August.

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