Examining the Relationships Between Social Determinants of Health and Health-Related Quality of Life Among Individuals Living With HIV

Chiu, Yung-Chen; Boomer, K. B.; Conyers, Liza M.; Wang, Yili; Misrok, Mark

doi:10.1891/re-21-27

Cited by 4 publications

(5 citation statements)

References 57 publications

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“…Research exploring the relationship between employment and qual-COVID-19, Employment, and Quality of Life Among People Living With HIV Rehabilitation Counselors and Educators Journal ity of life of PLHIV indicates that transitions into employment help increase PLHIV's HRQOL due to greater financial independence and less social isolation. Chiu et al (2021) also found that PLHIV who reported being able to work had higher HRQOL compared to those who were either not able to work or unsure if they could work. Chapin and Holbert (2010) also found that individuals who achieved employment goals had significantly higher HRQOL, compared to those who were unemployed after received vocational rehabilitation services.…”

Section: Employment and Health-related Quality Of Lifementioning

confidence: 86%

“…Researchers and practitioners have identified the relationships between HRQOL and social determinants of health (SDH), which are "the conditions in which people are born, grow, work, live, and age, and the wider set of forces and systems shaping the conditions of daily life" (Commission on Social Determinants of Health, 2008, p. 1). Chiu et al (2021) reported that many SDHs are significantly associated with HRQOL among PLHIV including psychosocial factors (i.e., use of non-clinical HIV support services, HIV self-management skills, participation in an HIV support group), medical factors (i.e., engagement in HIV medical care, undetectable viral load, no reported mental health comorbidity), demographics (i.e., ethnicity, education), financial factors (i.e., difficulty paying for housing expenses), and vocational factors (i.e., perceived ability to work).…”

Section: Quality Of Lifementioning

confidence: 99%

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COVID-19, Employment, and Quality of Life Among People Living With HIV

Chiu,

Boomer,

Conyers

et al. 2023

Rehabilitation Counselors and Educators Journal

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The COVID-19 pandemic led to substantial changes in the work conditions related to employment status and health-related quality of life (HRQOL) of many people. The pandemic also magnified systemic inequities among marginalized groups, including people with disabilities and chronic illnesses, and people living with HIV (PLHIV). The purpose of this study is to (a) understand PLHIV’s employment status, employment needs, and use of employment services during the COVID-19 pandemic; and (b) to examine the factors associated with HRQOL among both employed and unemployed PLHIV during the COVID-19 pandemic. This cross-sectional survey study was conducted from 2020 to 2021 as the COVID-19 pandemic emerged in the U.S. We used both online surveys and structured phone interviews for data collection. A total of 759 responses were used in the current analysis. Study findings show that 65.5% of the employed participants experienced changes in work conditions (i.e., layoffs, reduced work hours, furloughs) and 73% of the unemployed participants reported that the pandemic had an impact on their interest and/or ability to enter employment. Our results show that concern about contracting COVID-19 at work or commuting to work, and employment status have significant relationships with HRQOL. Implications for rehabilitation counseling practice and research are discussed.

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Section: Employment and Health-related Quality Of Lifementioning

confidence: 86%

Section: Quality Of Lifementioning

confidence: 99%

COVID-19, Employment, and Quality of Life Among People Living With HIV

Chiu,

Boomer,

Conyers

et al. 2023

Rehabilitation Counselors and Educators Journal

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“…In this study, we selected 11 covariates according to Dahlgren and Whitehead’s Dahlgren and Whitehead’s mode [ 25 , 26 ]. The first level of individual characteristics includes age, gender, and nationality; The second level is individual behavior and lifestyle including marital status; Education status; The third level, social and community impact includes registered residence (urban or rural), Medical Insurance (Rural medical insurance, Urban medical insurance, otherwise); The fourth level, in this study, the living environment and social environment of individuals are mainly immigration-related variables, including the reasons for migration (work or study, family factors, others), the year of the first migration (ten years ago, the last ten years, forget or don’t want to tell), the five years since the current migration and the migrants have formatted a life preference (yes, no, forget or don’t want to tell).…”

Section: Methodsmentioning

confidence: 99%

Trends and influencing factors of HIV health education receive rate among 0.57 million migrants in China from 2009 to 2017: a national population-based study

et al. 2023

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Introduction China has implemented Basic Public Health Service (BPHS) in 2009, aiming to improve the health status of the people, and the content of service includes implying health education for residents. As an important group of people, the migrants can easily become main reason for major infectious diseases such as HIV between different provinces, but the effect of receiving health education is still unknown for migrants. Therefore, the health education of China’s migrant population has received widespread attention. Methods This study used the data of the China Migrants Dynamic Survey (CMDS) from 2009 to 2017, and evaluated the trend of HIV health education acceptance rate of different migrant groups across the country (n = 570,614). Logistic regression model was used to test the influencing factors of HIV health education rate. Results: The study found that the overall HIV health education rate of Chinese migrants decreased from 2009 to 2017, and different types of migrants showed different trends. The proportion of migrants aged 20–35 who receive education fluctuates, and ethnic minorities, western regions, and migrants with high education were more likely to receive HIV health education. Conclusion: These findings identify when implementing health education for migrants, we can carry out more education for specific groups to promote the health equity of the migrant population.

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“…Studies have found that employed PLHIV have a higher quality of life than those who are unemployed, even after controlling for CD4 and viral load [20][21][22]. Employed PLHIV have significantly better health and prevention outcomes, such as increased CD4 counts, perceived health and psychological well-being, memory skills, and medication adherence [23][24][25][26][27][28].…”

Section: Employment As a Social Determinant Of Healthmentioning

confidence: 99%

Psychosocial and Health-Related Behavioral Outcomes of a Work Readiness HIV Peer Worker Training Program

McKinney-Prupis

Chiu

Grov

et al. 2023

IJERPH

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Targeted work readiness training is an important approach to help people living with HIV (PLHIV) to overcome their unique barriers to work, while addressing social determinants of health needs. This study assesses the psychosocial impacts of a work readiness training and internship program among HIV peer workers in New York City. From 2014 through 2018, 137 PLHIV completed the training program, and 55 individuals completed both the training and the six-month peer internship. Depression, HIV internalized stigma, self-esteem, HIV medication adherence, patient self-advocacy, and safer sex communication apprehension were used as outcome measures. Paired t-tests were performed to determine if significant score changes occurred at the individual level before and after each training. Our results show that participating in the peer worker training program significantly decreased depression and internalized HIV stigma, and significantly increased self-esteem, medication adherence, and patient self-advocacy. The study underscores that peer worker training programs are important tools to improve not only the work readiness of PLHIV, but also psychosocial and health outcomes. Implications for HIV service providers and stakeholders are discussed.

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Examining the Relationships Between Social Determinants of Health and Health-Related Quality of Life Among Individuals Living With HIV

Cited by 4 publications

References 57 publications

COVID-19, Employment, and Quality of Life Among People Living With HIV

COVID-19, Employment, and Quality of Life Among People Living With HIV

Trends and influencing factors of HIV health education receive rate among 0.57 million migrants in China from 2009 to 2017: a national population-based study

Psychosocial and Health-Related Behavioral Outcomes of a Work Readiness HIV Peer Worker Training Program

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