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Increase in Unemployment over the 2000’s: Comparison between People Living with HIV and the French General Population

Author

Listed:
  • Margot Annequin
  • France Lert
  • Bruno Spire
  • Rosemary Dray-Spira
  • and the ANRS-Vespa2 Study Group

Abstract

Background: Despite improved health, unemployment has increased among people living with HIV (PlwHIV) over the last decade. However, since the economic recession of 2008, unemployment also increased in the French general population. This paper aimed to determine if the increase in the unemployment rate in the HIV population was higher than that in the French general population. Methods: We used data from the ANRS-Vespa study, a repeated cross-sectional survey among two national representative samples of PlwHIV followed at hospitals in France in 2003 and 2011. We compared employment and unemployment rates between HIV-infected people (overall and according to period of HIV diagnosis) and the French general population in 2003 and 2011, using multivariate Poisson regressions adjusted for individual sociodemographic characteristics. Results: The employment rate among PlwHIV was consistently lower than that in the general population in 2003 and 2011. In contrast, there was a trend of an increasing unemployment rate difference between PlwHIV and the general population: PlwHIV’s unemployment rate was 1.48 (95% confidence interval [CI]: 1.16–1.90) times higher than that of the general population in 2003, versus 1.62 (95% CI: 1.34–1.96) times higher in 2011. This unemployment rate difference was the highest for PlwHIV diagnosed in or after 2008 (adjusted prevalence rate ratio: 2.06; 95% CI: 1.59–2.67). Conclusions: These results suggest that in time of economic recession, an increasing proportion of PlwHIV may be excluded from the labor market although they are willing to re-enter it. This constitutes a major issue relative to social consequences of chronic disease.

Suggested Citation

  • Margot Annequin & France Lert & Bruno Spire & Rosemary Dray-Spira & and the ANRS-Vespa2 Study Group, 2016. "Increase in Unemployment over the 2000’s: Comparison between People Living with HIV and the French General Population," PLOS ONE, Public Library of Science, vol. 11(11), pages 1-17, November.
    • Handle: RePEc:plo:pone00:0165634
    DOI: 10.1371/journal.pone.0165634
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    References listed on IDEAS

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    1. van der Wel, Kjetil A. & Dahl, Espen & Thielen, Karsten, 2011. "Social inequalities in ‘sickness’: European welfare states and non-employment among the chronically ill," Social Science & Medicine, Elsevier, vol. 73(11), pages 1608-1617.
    2. Roelfs, David J. & Shor, Eran & Davidson, Karina W. & Schwartz, Joseph E., 2011. "Losing life and livelihood: A systematic review and meta-analysis of unemployment and all-cause mortality," Social Science & Medicine, Elsevier, vol. 72(6), pages 840-854, March.
    3. Emmanuel Duguet & Christine Le Clainche, 2014. "The Effect of Non-Work Related Health Events on Career Outcomes: An Evaluation in the French Labor Market," Revue d'économie politique, Dalloz, vol. 124(3), pages 437-465.
    4. Evans-Lacko, Sara & Knapp, Martin & McCrone, Paul & Thornicroft, Graham & Mojtabai, Ramin, 2013. "The mental health consequences of the recession: economic hardship and employment of people with mental health problems in 27 European countries," LSE Research Online Documents on Economics 51632, London School of Economics and Political Science, LSE Library.
    5. Laure Tron & France Lert & Bruno Spire & Rosemary Dray-Spira & the ANRS-Vespa2 study group, 2014. "Tobacco Smoking in HIV-Infected versus General Population in France: Heterogeneity across the Various Groups of People Living with HIV," PLOS ONE, Public Library of Science, vol. 9(9), pages 1-11, September.
    6. Le Barbanchon, Thomas. & Malherbet, Franck., 2013. "An anatomy of the French labour market : country case studies on labour market segmentation," ILO Working Papers 994814973402676, International Labour Organization.
    7. repec:ilo:ilowps:481497 is not listed on IDEAS
    8. Dray-Spira, R. & Gueguen, A. & Ravaud, J.-F. & Lert, F., 2007. "Socioeconomic differences in the impact of HIV infection on workforce participation in France in the era of highly active antiretroviral therapy," American Journal of Public Health, American Public Health Association, vol. 97(3), pages 552-558.
    9. Sara Evans-Lacko & Martin Knapp & Paul McCrone & Graham Thornicroft & Ramin Mojtabai, 2013. "The Mental Health Consequences of the Recession: Economic Hardship and Employment of People with Mental Health Problems in 27 European Countries," PLOS ONE, Public Library of Science, vol. 8(7), pages 1-7, July.
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    Cited by:

    1. Beatriz Rodríguez-Sánchez & Luz María Peña-Longobardo & Juan Oliva-Moreno, 2022. "The employment situation of people living with HIV: a closer look at the effects of the 2008 economic crisis," The European Journal of Health Economics, Springer;Deutsche Gesellschaft für Gesundheitsökonomie (DGGÖ), vol. 23(3), pages 485-497, April.

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