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<record><TEI><teiHeader><fileDesc><titleStmt><title xml:lang="en">Prospective Cohort Study of the Impact of Antiretroviral Therapy on Employment Outcomes Among HIV Clients in Uganda</title><author><name sortKey="Linnemayr, Sebastian" sort="Linnemayr, Sebastian" uniqKey="Linnemayr S" first="Sebastian" last="Linnemayr">Sebastian Linnemayr</name><affiliation><nlm:aff id="aff1"></nlm:aff></affiliation></author><author><name sortKey="Glick, Peter" sort="Glick, Peter" uniqKey="Glick P" first="Peter" last="Glick">Peter Glick</name><affiliation><nlm:aff id="aff1"></nlm:aff></affiliation></author><author><name sortKey="Kityo, Cissy" sort="Kityo, Cissy" uniqKey="Kityo C" first="Cissy" last="Kityo">Cissy Kityo</name><affiliation><nlm:aff id="aff2"></nlm:aff></affiliation></author><author><name sortKey="Mugyeni, Peter" sort="Mugyeni, Peter" uniqKey="Mugyeni P" first="Peter" last="Mugyeni">Peter Mugyeni</name><affiliation><nlm:aff id="aff2"></nlm:aff></affiliation></author><author><name sortKey="Wagner, Glenn" sort="Wagner, Glenn" uniqKey="Wagner G" first="Glenn" last="Wagner">Glenn Wagner</name><affiliation><nlm:aff id="aff1"></nlm:aff></affiliation></author></titleStmt><publicationStmt><idno type="wicri:source">PMC</idno><idno type="pmid">24320014</idno><idno type="pmc">3868298</idno><idno type="url">http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3868298</idno><idno type="RBID">PMC:3868298</idno><idno type="doi">10.1089/apc.2013.0139</idno><date when="2013">2013</date><idno type="wicri:Area/Pmc/Corpus">001488</idno><idno type="wicri:explorRef" wicri:stream="Pmc" wicri:step="Corpus" wicri:corpus="PMC">001488</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en" level="a" type="main">Prospective Cohort Study of the Impact of Antiretroviral Therapy on Employment Outcomes Among HIV Clients in Uganda</title><author><name sortKey="Linnemayr, Sebastian" sort="Linnemayr, Sebastian" uniqKey="Linnemayr S" first="Sebastian" last="Linnemayr">Sebastian Linnemayr</name><affiliation><nlm:aff id="aff1"></nlm:aff></affiliation></author><author><name sortKey="Glick, Peter" sort="Glick, Peter" uniqKey="Glick P" first="Peter" last="Glick">Peter Glick</name><affiliation><nlm:aff id="aff1"></nlm:aff></affiliation></author><author><name sortKey="Kityo, Cissy" sort="Kityo, Cissy" uniqKey="Kityo C" first="Cissy" last="Kityo">Cissy Kityo</name><affiliation><nlm:aff id="aff2"></nlm:aff></affiliation></author><author><name sortKey="Mugyeni, Peter" sort="Mugyeni, Peter" uniqKey="Mugyeni P" first="Peter" last="Mugyeni">Peter Mugyeni</name><affiliation><nlm:aff id="aff2"></nlm:aff></affiliation></author><author><name sortKey="Wagner, Glenn" sort="Wagner, Glenn" uniqKey="Wagner G" first="Glenn" last="Wagner">Glenn Wagner</name><affiliation><nlm:aff id="aff1"></nlm:aff></affiliation></author></analytic><series><title level="j">AIDS Patient Care and STDs</title><idno type="ISSN">1087-2914</idno><idno type="eISSN">1557-7449</idno><imprint><date when="2013">2013</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><title>Abstract</title><p>This study evaluates the impact of antiretroviral treatment (ART) on employment-related outcomes using prospective, longitudinal analysis. Starting in January 2008, 602 treatment-naïve clients in one rural clinic and in one clinic in the capital Kampala were interviewed about their medical history, and psychosocial and socioeconomic adjustment at baseline and at months 6 and 12. Half of the sample was eligible to receive ART, while the other half was also in HIV care, but not yet eligible for ART, therefore providing a comparison group that is similar to the treatment group in that its members are HIV-positive and have made the decision to enroll in HIV care. We found improvements in general health, reduction in the incidence of pain and health interfering with work, as well as improvements in work-related self-efficacy for both groups over time, but significantly more so for the group receiving ART treatment. At baseline, less than half of the people in the ART group worked, but after 6 months more than three quarters of them were working, surpassing the fraction of people working in the control group after 1 year. Another key finding of the study was the importance of mental health as a key mediator for employment-related outcomes. These data indicate that ART clients experience greater improvements compared to pre-ART clients, and not only with regard to general health, but also in restoring confidence in their ability to work, as well as actual work status.</p></div></front></TEI><pmc article-type="research-article"><pmc-comment>The publisher of this article does not allow downloading of the full text in XML form.</pmc-comment>
<front><journal-meta><journal-id journal-id-type="nlm-ta">AIDS Patient Care STDS</journal-id><journal-id journal-id-type="iso-abbrev">AIDS Patient Care STDS</journal-id><journal-id journal-id-type="publisher-id">apc</journal-id><journal-title-group><journal-title>AIDS Patient Care and STDs</journal-title></journal-title-group><issn pub-type="ppub">1087-2914</issn><issn pub-type="epub">1557-7449</issn><publisher><publisher-name>Mary Ann Liebert, Inc.</publisher-name><publisher-loc>140 Huguenot Street, 3rd FloorNew Rochelle, NY 10801USA</publisher-loc></publisher></journal-meta><article-meta><article-id pub-id-type="pmid">24320014</article-id><article-id pub-id-type="pmc">3868298</article-id><article-id pub-id-type="publisher-id">10.1089/apc.2013.0139</article-id><article-id pub-id-type="doi">10.1089/apc.2013.0139</article-id><article-categories><subj-group subj-group-type="heading"><subject>Behavioral and Psychosocial Research</subject></subj-group></article-categories><title-group><article-title>Prospective Cohort Study of the Impact of Antiretroviral Therapy on Employment Outcomes Among HIV Clients in Uganda</article-title></title-group><contrib-group><contrib contrib-type="author" corresp="yes"><name><surname>Linnemayr</surname><given-names>Sebastian</given-names></name><degrees>PhD</degrees><xref ref-type="aff" rid="aff1"><sup>1</sup></xref></contrib><contrib contrib-type="author"><name><surname>Glick</surname><given-names>Peter</given-names></name><degrees>PhD</degrees><xref ref-type="aff" rid="aff1"><sup>1</sup></xref></contrib><contrib contrib-type="author"><name><surname>Kityo</surname><given-names>Cissy</given-names></name><degrees>MBChB</degrees><xref ref-type="aff" rid="aff2"><sup>2</sup></xref></contrib><contrib contrib-type="author"><name><surname>Mugyeni</surname><given-names>Peter</given-names></name><degrees>MD</degrees><xref ref-type="aff" rid="aff2"><sup>2</sup></xref></contrib><contrib contrib-type="author"><name><surname>Wagner</surname><given-names>Glenn</given-names></name><degrees>PhD</degrees><xref ref-type="aff" rid="aff1"><sup>1</sup></xref></contrib><aff id="aff1"><label><sup>1</sup></label><institution>RAND Corporation</institution>, Santa Monica, California.</aff><aff id="aff2"><label><sup>2</sup></label><institution>Joint Clinical Research Center</institution>, Kampala,<country>Uganda</country>.</aff></contrib-group><author-notes><corresp><addr-line>Address correspondence to:</addr-line><addr-line><italic>Dr. Sebastian Linnemayr</italic></addr-line><institution><italic>RAND Corporation</italic></institution><addr-line><italic>1776 Main Street</italic></addr-line><addr-line><italic>Santa Monica CA 90407</italic></addr-line><italic>E-mail:</italic><email xlink:href="mailto:slinnema@rand.org">slinnema@rand.org</email></corresp></author-notes><pub-date pub-type="ppub"><day>01</day><month>12</month><year>2013</year></pub-date><volume>27</volume><issue>12</issue><fpage>707</fpage><lpage>714</lpage><permissions><copyright-statement>Copyright 2013, Mary Ann Liebert, Inc.</copyright-statement><copyright-year>2013</copyright-year></permissions><self-uri content-type="pdf" xlink:type="simple" xlink:href="apc.2013.0139.pdf"></self-uri><abstract><title>Abstract</title><p>This study evaluates the impact of antiretroviral treatment (ART) on employment-related outcomes using prospective, longitudinal analysis. Starting in January 2008, 602 treatment-naïve clients in one rural clinic and in one clinic in the capital Kampala were interviewed about their medical history, and psychosocial and socioeconomic adjustment at baseline and at months 6 and 12. Half of the sample was eligible to receive ART, while the other half was also in HIV care, but not yet eligible for ART, therefore providing a comparison group that is similar to the treatment group in that its members are HIV-positive and have made the decision to enroll in HIV care. We found improvements in general health, reduction in the incidence of pain and health interfering with work, as well as improvements in work-related self-efficacy for both groups over time, but significantly more so for the group receiving ART treatment. At baseline, less than half of the people in the ART group worked, but after 6 months more than three quarters of them were working, surpassing the fraction of people working in the control group after 1 year. Another key finding of the study was the importance of mental health as a key mediator for employment-related outcomes. These data indicate that ART clients experience greater improvements compared to pre-ART clients, and not only with regard to general health, but also in restoring confidence in their ability to work, as well as actual work status.</p></abstract><counts><fig-count count="1"></fig-count><table-count count="5"></table-count><ref-count count="19"></ref-count><page-count count="8"></page-count></counts></article-meta></front></pmc></record>Pour manipuler ce document sous Unix (Dilib)
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