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<record><TEI><teiHeader><fileDesc><titleStmt><title xml:lang="en">Burden of HIV disease and comorbidities on the chances of maintaining employment in the era of sustained combined antiretoviral therapies use</title><author><name sortKey="Dray Spira, Rosemary" sort="Dray Spira, Rosemary" uniqKey="Dray Spira R" first="Rosemary" last="Dray-Spira">Rosemary Dray-Spira</name><affiliation><nlm:aff id="A1">CESP, Centre de recherche en épidémiologie et santé des populations<institution>INSERM : U1018</institution><institution>Université Paris XI - Paris Sud</institution><institution>Hôpital Paul Brousse</institution><institution>Assistance publique - Hôpitaux de Paris (AP-HP)</institution><addr-line>16 avenue Paul Vaillant Couturier 94807 Villejuif Cedex, France, FR</addr-line></nlm:aff></affiliation></author><author><name sortKey="Legeai, Camille" sort="Legeai, Camille" uniqKey="Legeai C" first="Camille" last="Legeai">Camille Legeai</name><affiliation><nlm:aff id="A1">CESP, Centre de recherche en épidémiologie et santé des populations<institution>INSERM : U1018</institution><institution>Université Paris XI - Paris Sud</institution><institution>Hôpital Paul Brousse</institution><institution>Assistance publique - Hôpitaux de Paris (AP-HP)</institution><addr-line>16 avenue Paul Vaillant Couturier 94807 Villejuif Cedex, France, FR</addr-line></nlm:aff></affiliation><affiliation><nlm:aff id="A2">Service de santé publique et d'épidémiologie<institution>Hôpital Bicêtre</institution><institution>Assistance publique - Hôpitaux de Paris (AP-HP)</institution><institution>Université Paris XI - Paris Sud</institution><addr-line>82, rue du Général-Leclerc, 94276 Le Kremlin-Bicêtre Cedex, FR</addr-line></nlm:aff></affiliation></author><author><name sortKey="Le Den, Mariette" sort="Le Den, Mariette" uniqKey="Le Den M" first="Mariette" last="Le Den">Mariette Le Den</name><affiliation><nlm:aff id="A1">CESP, Centre de recherche en épidémiologie et santé des populations<institution>INSERM : U1018</institution><institution>Université Paris XI - Paris Sud</institution><institution>Hôpital Paul Brousse</institution><institution>Assistance publique - Hôpitaux de Paris (AP-HP)</institution><addr-line>16 avenue Paul Vaillant Couturier 94807 Villejuif Cedex, France, FR</addr-line></nlm:aff></affiliation></author><author><name sortKey="Boue, Francois" sort="Boue, Francois" uniqKey="Boue F" first="François" last="Boué">François Boué</name><affiliation><nlm:aff id="A3">Service de médecine interne, immunologie clinique [Béclère]<institution>Hôpital Antoine Béclère</institution><institution>Assistance publique - Hôpitaux de Paris (AP-HP)</institution><institution>Université Paris XI - Paris Sud</institution><addr-line>157, rue de la Porte de Trivaux 92140 Clamart, FR</addr-line></nlm:aff></affiliation></author><author><name sortKey="Lascoux Combe, Caroline" sort="Lascoux Combe, Caroline" uniqKey="Lascoux Combe C" first="Caroline" last="Lascoux-Combe">Caroline Lascoux-Combe</name><affiliation><nlm:aff id="A4">Service de maladies infectieuses et tropicales [Saint-Louis]<institution>Hôpital Saint-Louis</institution><institution>Assistance publique - Hôpitaux de Paris (AP-HP)</institution><institution>Université Paris VII - Paris Diderot</institution><addr-line>1, avenue Claude-Vellefaux 75010 Paris, FR</addr-line></nlm:aff></affiliation></author><author><name sortKey="Simon, Anne" sort="Simon, Anne" uniqKey="Simon A" first="Anne" last="Simon">Anne Simon</name><affiliation><nlm:aff id="A5">Service de médecine interne [Pitié-Salpétrière]<institution>Hôpital Pitié-Salpêtrière</institution><institution>Assistance publique - Hôpitaux de Paris (AP-HP)</institution><institution>Université Paris VI - Pierre et Marie Curie</institution><addr-line>47-83, boulevard de l'Hôpital 75651 Paris Cedex 13, FR</addr-line></nlm:aff></affiliation></author><author><name sortKey="May, Thierry" sort="May, Thierry" uniqKey="May T" first="Thierry" last="May">Thierry May</name><affiliation><nlm:aff id="A6">Service des maladies infectieuses [Nancy]<institution>CHU Nancy</institution><institution>Hôpital de Brabois</institution><addr-line>5 rue du Morvan 54500 Vandoeuvre lès Nancy, FR</addr-line></nlm:aff></affiliation></author><author><name sortKey="Goujard, Cecile" sort="Goujard, Cecile" uniqKey="Goujard C" first="Cécile" last="Goujard">Cécile Goujard</name><affiliation><nlm:aff id="A7">Service de médecine interne et maladies infectieuses<institution>Hôpital Bicêtre</institution><institution>Assistance publique - Hôpitaux de Paris (AP-HP)</institution><institution>Université Paris XI - Paris Sud</institution><addr-line>78 rue du Général Leclerc 94275 Le Kremlin-Bicêtre Cedex, FR</addr-line></nlm:aff></affiliation></author><author><name sortKey="Meyer, Laurence" sort="Meyer, Laurence" uniqKey="Meyer L" first="Laurence" last="Meyer">Laurence Meyer</name><affiliation><nlm:aff id="A1">CESP, Centre de recherche en épidémiologie et santé des populations<institution>INSERM : U1018</institution><institution>Université Paris XI - Paris Sud</institution><institution>Hôpital Paul Brousse</institution><institution>Assistance publique - Hôpitaux de Paris (AP-HP)</institution><addr-line>16 avenue Paul Vaillant Couturier 94807 Villejuif Cedex, France, FR</addr-line></nlm:aff></affiliation><affiliation><nlm:aff id="A2">Service de santé publique et d'épidémiologie<institution>Hôpital Bicêtre</institution><institution>Assistance publique - Hôpitaux de Paris (AP-HP)</institution><institution>Université Paris XI - Paris Sud</institution><addr-line>82, rue du Général-Leclerc, 94276 Le Kremlin-Bicêtre Cedex, FR</addr-line></nlm:aff></affiliation></author></titleStmt><publicationStmt><idno type="wicri:source">PMC</idno><idno type="pmid">22008658</idno><idno type="pmc">3680952</idno><idno type="url">http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3680952</idno><idno type="RBID">PMC:3680952</idno><idno type="doi">10.1097/QAD.0b013e32834dcf61</idno><date when="2012">2012</date><idno type="wicri:Area/Pmc/Corpus">002056</idno><idno type="wicri:explorRef" wicri:stream="Pmc" wicri:step="Corpus" wicri:corpus="PMC">002056</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en" level="a" type="main">Burden of HIV disease and comorbidities on the chances of maintaining employment in the era of sustained combined antiretoviral therapies use</title><author><name sortKey="Dray Spira, Rosemary" sort="Dray Spira, Rosemary" uniqKey="Dray Spira R" first="Rosemary" last="Dray-Spira">Rosemary Dray-Spira</name><affiliation><nlm:aff id="A1">CESP, Centre de recherche en épidémiologie et santé des populations<institution>INSERM : U1018</institution><institution>Université Paris XI - Paris Sud</institution><institution>Hôpital Paul Brousse</institution><institution>Assistance publique - Hôpitaux de Paris (AP-HP)</institution><addr-line>16 avenue Paul Vaillant Couturier 94807 Villejuif Cedex, France, FR</addr-line></nlm:aff></affiliation></author><author><name sortKey="Legeai, Camille" sort="Legeai, Camille" uniqKey="Legeai C" first="Camille" last="Legeai">Camille Legeai</name><affiliation><nlm:aff id="A1">CESP, Centre de recherche en épidémiologie et santé des populations<institution>INSERM : U1018</institution><institution>Université Paris XI - Paris Sud</institution><institution>Hôpital Paul Brousse</institution><institution>Assistance publique - Hôpitaux de Paris (AP-HP)</institution><addr-line>16 avenue Paul Vaillant Couturier 94807 Villejuif Cedex, France, FR</addr-line></nlm:aff></affiliation><affiliation><nlm:aff id="A2">Service de santé publique et d'épidémiologie<institution>Hôpital Bicêtre</institution><institution>Assistance publique - Hôpitaux de Paris (AP-HP)</institution><institution>Université Paris XI - Paris Sud</institution><addr-line>82, rue du Général-Leclerc, 94276 Le Kremlin-Bicêtre Cedex, FR</addr-line></nlm:aff></affiliation></author><author><name sortKey="Le Den, Mariette" sort="Le Den, Mariette" uniqKey="Le Den M" first="Mariette" last="Le Den">Mariette Le Den</name><affiliation><nlm:aff id="A1">CESP, Centre de recherche en épidémiologie et santé des populations<institution>INSERM : U1018</institution><institution>Université Paris XI - Paris Sud</institution><institution>Hôpital Paul Brousse</institution><institution>Assistance publique - Hôpitaux de Paris (AP-HP)</institution><addr-line>16 avenue Paul Vaillant Couturier 94807 Villejuif Cedex, France, FR</addr-line></nlm:aff></affiliation></author><author><name sortKey="Boue, Francois" sort="Boue, Francois" uniqKey="Boue F" first="François" last="Boué">François Boué</name><affiliation><nlm:aff id="A3">Service de médecine interne, immunologie clinique [Béclère]<institution>Hôpital Antoine Béclère</institution><institution>Assistance publique - Hôpitaux de Paris (AP-HP)</institution><institution>Université Paris XI - Paris Sud</institution><addr-line>157, rue de la Porte de Trivaux 92140 Clamart, FR</addr-line></nlm:aff></affiliation></author><author><name sortKey="Lascoux Combe, Caroline" sort="Lascoux Combe, Caroline" uniqKey="Lascoux Combe C" first="Caroline" last="Lascoux-Combe">Caroline Lascoux-Combe</name><affiliation><nlm:aff id="A4">Service de maladies infectieuses et tropicales [Saint-Louis]<institution>Hôpital Saint-Louis</institution><institution>Assistance publique - Hôpitaux de Paris (AP-HP)</institution><institution>Université Paris VII - Paris Diderot</institution><addr-line>1, avenue Claude-Vellefaux 75010 Paris, FR</addr-line></nlm:aff></affiliation></author><author><name sortKey="Simon, Anne" sort="Simon, Anne" uniqKey="Simon A" first="Anne" last="Simon">Anne Simon</name><affiliation><nlm:aff id="A5">Service de médecine interne [Pitié-Salpétrière]<institution>Hôpital Pitié-Salpêtrière</institution><institution>Assistance publique - Hôpitaux de Paris (AP-HP)</institution><institution>Université Paris VI - Pierre et Marie Curie</institution><addr-line>47-83, boulevard de l'Hôpital 75651 Paris Cedex 13, FR</addr-line></nlm:aff></affiliation></author><author><name sortKey="May, Thierry" sort="May, Thierry" uniqKey="May T" first="Thierry" last="May">Thierry May</name><affiliation><nlm:aff id="A6">Service des maladies infectieuses [Nancy]<institution>CHU Nancy</institution><institution>Hôpital de Brabois</institution><addr-line>5 rue du Morvan 54500 Vandoeuvre lès Nancy, FR</addr-line></nlm:aff></affiliation></author><author><name sortKey="Goujard, Cecile" sort="Goujard, Cecile" uniqKey="Goujard C" first="Cécile" last="Goujard">Cécile Goujard</name><affiliation><nlm:aff id="A7">Service de médecine interne et maladies infectieuses<institution>Hôpital Bicêtre</institution><institution>Assistance publique - Hôpitaux de Paris (AP-HP)</institution><institution>Université Paris XI - Paris Sud</institution><addr-line>78 rue du Général Leclerc 94275 Le Kremlin-Bicêtre Cedex, FR</addr-line></nlm:aff></affiliation></author><author><name sortKey="Meyer, Laurence" sort="Meyer, Laurence" uniqKey="Meyer L" first="Laurence" last="Meyer">Laurence Meyer</name><affiliation><nlm:aff id="A1">CESP, Centre de recherche en épidémiologie et santé des populations<institution>INSERM : U1018</institution><institution>Université Paris XI - Paris Sud</institution><institution>Hôpital Paul Brousse</institution><institution>Assistance publique - Hôpitaux de Paris (AP-HP)</institution><addr-line>16 avenue Paul Vaillant Couturier 94807 Villejuif Cedex, France, FR</addr-line></nlm:aff></affiliation><affiliation><nlm:aff id="A2">Service de santé publique et d'épidémiologie<institution>Hôpital Bicêtre</institution><institution>Assistance publique - Hôpitaux de Paris (AP-HP)</institution><institution>Université Paris XI - Paris Sud</institution><addr-line>82, rue du Général-Leclerc, 94276 Le Kremlin-Bicêtre Cedex, FR</addr-line></nlm:aff></affiliation></author></analytic><series><title level="j">AIDS (London, England)</title><idno type="ISSN">0269-9370</idno><idno type="eISSN">1473-5571</idno><imprint><date when="2012">2012</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><sec id="S1"><title>Objectives</title><p id="P1">Employment status is a major predictor of health status and living conditions, especially among HIV-infected people, a predominantly working-aged population. We aimed to quantify the risk of work cessation following HIV diagnosis in France in 2004–2010 and to measure the respective burden of HIV-related characteristics and of associated comorbidities on this risk.</p></sec><sec id="S2"><title>Design</title><p id="P2">We used data from the ANRS-COPANA multicenter cohort made of a diversified sample of recently diagnosed HIV-1-infected adults, antiretroviral treatment-naïve at baseline in 2004–2008. Detailed information on living conditions and clinical and biological characteristics were collected prospectively.</p></sec><sec id="S3"><title>Methods</title><p id="P3">The risk of work cessation among the 376 working-aged participants employed at baseline was estimated using the Kaplan-Meier method. Characteristics associated with the risk of work cessation were identified using multivariate Cox models.</p></sec><sec id="S4"><title>Results</title><p id="P4">The cumulative probability of work cessation reached 14.1% after 2 years and 34.7% after 5 years. Diabetes, hypertension and, to a lesser extent, signs of depression were associated with increased risks of work cessation after accounting for socio-occupational characteristics (adjusted hazard ratios [95% confidence interval]:5.7 [1.7–18.8], 3.1 [1.5–6.4] and 1.6 [0.9–2.9], respectively). In contrast, HIV disease severity and treatment, and experience of HIV-related discrimination were not statistically associated with the risk of work cessation.</p></sec><sec id="S5"><title>Conclusions</title><p id="P5">The risk of work cessation during the course of HIV disease has remained substantial in the most recent period in France. Comorbidities, but not characteristics of HIV disease itself, substantially affect chances of maintaining in employment. This provides insights into strategies for limiting the burden of HIV disease for individuals and society.</p></sec></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>
<pmc-dir>properties manuscript</pmc-dir>
<front><journal-meta><journal-id journal-id-type="nlm-ta">AIDS</journal-id><journal-id journal-id-type="iso-abbrev">AIDS</journal-id><journal-title-group><journal-title>AIDS (London, England)</journal-title></journal-title-group><issn pub-type="ppub">0269-9370</issn><issn pub-type="epub">1473-5571</issn><publisher><publisher-name>Lippincott Williams & Wilkins</publisher-name></publisher></journal-meta><article-meta><article-id pub-id-type="pmid">22008658</article-id><article-id pub-id-type="pmc">3680952</article-id><article-id pub-id-type="manuscript">HALMS677161</article-id><article-id pub-id-type="doi">10.1097/QAD.0b013e32834dcf61</article-id><article-categories><subj-group subj-group-type="heading"><subject>Article</subject><subj-group subj-group-type="subrepository"><subject>INSERM Subrepository</subject></subj-group></subj-group></article-categories><title-group><article-title>Burden of HIV disease and comorbidities on the chances of maintaining employment in the era of sustained combined antiretoviral therapies use</article-title><alt-title>HIV disease, comorbidityand employment</alt-title></title-group><contrib-group><contrib contrib-type="author"><name><surname>Dray-Spira</surname><given-names>Rosemary</given-names></name><xref ref-type="aff" rid="A1">1</xref><xref rid="FN1" ref-type="author-notes">*</xref></contrib><contrib contrib-type="author"><name><surname>Legeai</surname><given-names>Camille</given-names></name><xref ref-type="aff" rid="A1">1</xref><xref ref-type="aff" rid="A2">2</xref></contrib><contrib contrib-type="author"><name><surname>Le Den</surname><given-names>Mariette</given-names></name><xref ref-type="aff" rid="A1">1</xref></contrib><contrib contrib-type="author"><name><surname>Boué</surname><given-names>François</given-names></name><xref ref-type="aff" rid="A3">3</xref></contrib><contrib contrib-type="author"><name><surname>Lascoux-Combe</surname><given-names>Caroline</given-names></name><xref ref-type="aff" rid="A4">4</xref></contrib><contrib contrib-type="author"><name><surname>Simon</surname><given-names>Anne</given-names></name><xref ref-type="aff" rid="A5">5</xref></contrib><contrib contrib-type="author"><name><surname>May</surname><given-names>Thierry</given-names></name><xref ref-type="aff" rid="A6">6</xref></contrib><contrib contrib-type="author"><name><surname>Goujard</surname><given-names>Cécile</given-names></name><xref ref-type="aff" rid="A7">7</xref></contrib><contrib contrib-type="author"><name><surname>Meyer</surname><given-names>Laurence</given-names></name><xref ref-type="aff" rid="A1">1</xref><xref ref-type="aff" rid="A2">2</xref></contrib></contrib-group><aff id="A1"><label>1</label>CESP, Centre de recherche en épidémiologie et santé des populations<institution>INSERM : U1018</institution><institution>Université Paris XI - Paris Sud</institution><institution>Hôpital Paul Brousse</institution><institution>Assistance publique - Hôpitaux de Paris (AP-HP)</institution><addr-line>16 avenue Paul Vaillant Couturier 94807 Villejuif Cedex, France, FR</addr-line></aff><aff id="A2"><label>2</label>Service de santé publique et d'épidémiologie<institution>Hôpital Bicêtre</institution><institution>Assistance publique - Hôpitaux de Paris (AP-HP)</institution><institution>Université Paris XI - Paris Sud</institution><addr-line>82, rue du Général-Leclerc, 94276 Le Kremlin-Bicêtre Cedex, FR</addr-line></aff><aff id="A3"><label>3</label>Service de médecine interne, immunologie clinique [Béclère]<institution>Hôpital Antoine Béclère</institution><institution>Assistance publique - Hôpitaux de Paris (AP-HP)</institution><institution>Université Paris XI - Paris Sud</institution><addr-line>157, rue de la Porte de Trivaux 92140 Clamart, FR</addr-line></aff><aff id="A4"><label>4</label>Service de maladies infectieuses et tropicales [Saint-Louis]<institution>Hôpital Saint-Louis</institution><institution>Assistance publique - Hôpitaux de Paris (AP-HP)</institution><institution>Université Paris VII - Paris Diderot</institution><addr-line>1, avenue Claude-Vellefaux 75010 Paris, FR</addr-line></aff><aff id="A5"><label>5</label>Service de médecine interne [Pitié-Salpétrière]<institution>Hôpital Pitié-Salpêtrière</institution><institution>Assistance publique - Hôpitaux de Paris (AP-HP)</institution><institution>Université Paris VI - Pierre et Marie Curie</institution><addr-line>47-83, boulevard de l'Hôpital 75651 Paris Cedex 13, FR</addr-line></aff><aff id="A6"><label>6</label>Service des maladies infectieuses [Nancy]<institution>CHU Nancy</institution><institution>Hôpital de Brabois</institution><addr-line>5 rue du Morvan 54500 Vandoeuvre lès Nancy, FR</addr-line></aff><aff id="A7"><label>7</label>Service de médecine interne et maladies infectieuses<institution>Hôpital Bicêtre</institution><institution>Assistance publique - Hôpitaux de Paris (AP-HP)</institution><institution>Université Paris XI - Paris Sud</institution><addr-line>78 rue du Général Leclerc 94275 Le Kremlin-Bicêtre Cedex, FR</addr-line></aff><author-notes><corresp id="FN1">* Correspondence should be addressed to: Rosemary Dray-Spira <email>rosemary.dray-spira@inserm.fr</email></corresp></author-notes><pub-date pub-type="ppub"><month>1</month><year>2012</year></pub-date><pub-date pub-type="pmc-release"><day>14</day><month>6</month><year>2013</year></pub-date><volume>26</volume><issue>2</issue><fpage>207</fpage><lpage>215</lpage><abstract><sec id="S1"><title>Objectives</title><p id="P1">Employment status is a major predictor of health status and living conditions, especially among HIV-infected people, a predominantly working-aged population. We aimed to quantify the risk of work cessation following HIV diagnosis in France in 2004–2010 and to measure the respective burden of HIV-related characteristics and of associated comorbidities on this risk.</p></sec><sec id="S2"><title>Design</title><p id="P2">We used data from the ANRS-COPANA multicenter cohort made of a diversified sample of recently diagnosed HIV-1-infected adults, antiretroviral treatment-naïve at baseline in 2004–2008. Detailed information on living conditions and clinical and biological characteristics were collected prospectively.</p></sec><sec id="S3"><title>Methods</title><p id="P3">The risk of work cessation among the 376 working-aged participants employed at baseline was estimated using the Kaplan-Meier method. Characteristics associated with the risk of work cessation were identified using multivariate Cox models.</p></sec><sec id="S4"><title>Results</title><p id="P4">The cumulative probability of work cessation reached 14.1% after 2 years and 34.7% after 5 years. Diabetes, hypertension and, to a lesser extent, signs of depression were associated with increased risks of work cessation after accounting for socio-occupational characteristics (adjusted hazard ratios [95% confidence interval]:5.7 [1.7–18.8], 3.1 [1.5–6.4] and 1.6 [0.9–2.9], respectively). In contrast, HIV disease severity and treatment, and experience of HIV-related discrimination were not statistically associated with the risk of work cessation.</p></sec><sec id="S5"><title>Conclusions</title><p id="P5">The risk of work cessation during the course of HIV disease has remained substantial in the most recent period in France. Comorbidities, but not characteristics of HIV disease itself, substantially affect chances of maintaining in employment. This provides insights into strategies for limiting the burden of HIV disease for individuals and society.</p></sec></abstract><kwd-group kwd-group-type="MESH"><kwd>Adult</kwd><kwd>Anti-HIV Agents</kwd><kwd>therapeutic use</kwd><kwd>Cardiovascular Diseases</kwd><kwd>drug therapy</kwd><kwd>epidemiology</kwd><kwd>virology</kwd><kwd>Cohort Studies</kwd><kwd>Comorbidity</kwd><kwd>Cost of Illness</kwd><kwd>Depression</kwd><kwd>drug therapy</kwd><kwd>epidemiology</kwd><kwd>virology</kwd><kwd>Diabetes Mellitus</kwd><kwd>drug therapy</kwd><kwd>epidemiology</kwd><kwd>virology</kwd><kwd>Employment</kwd><kwd>statistics & numerical data</kwd><kwd>Female</kwd><kwd>France</kwd><kwd>HIV Infections</kwd><kwd>drug therapy</kwd><kwd>epidemiology</kwd><kwd>virology</kwd><kwd>HIV-1</kwd><kwd>Health Status</kwd><kwd>Humans</kwd><kwd>Kaplan-Meier Estimate</kwd><kwd>Male</kwd><kwd>Middle Aged</kwd><kwd>Occupational Health</kwd><kwd>Proportional Hazards Models</kwd><kwd>Prospective Studies</kwd><kwd>Socioeconomic Factors</kwd><kwd>Truth Disclosure</kwd></kwd-group><kwd-group kwd-group-type="Author"><kwd>Employment status</kwd><kwd>Socioeconomic factors</kwd><kwd>Comorbidity</kwd><kwd>HIV-related discrimination</kwd><kwd>France</kwd></kwd-group></article-meta></front></pmc></record>Pour manipuler ce document sous Unix (Dilib)
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