Disease severity, self-reported experience of workplace discrimination and employment loss during the course of chronic HIV disease: differences according to gender and education
Identifieur interne : 006183 ( Main/Exploration ); précédent : 006182; suivant : 006184Disease severity, self-reported experience of workplace discrimination and employment loss during the course of chronic HIV disease: differences according to gender and education
Auteurs : R. Dray-Spira [France] ; A. Gueguen [France] ; F. Lert [France]Source :
- Occupational and Environmental Medicine [ 1351-0711 ] ; 2008-02.
Descripteurs français
- Wicri :
English descriptors
- KwdEn :
- Active antiretroviral therapies, Active antiretroviral therapy, Administrative associates, Aids stage, Associates clerks, Best practice guidelines, Cell count, Chronic disease, Chronic illness, Country level, Diagnosis farmers craftsmen, Discrimination anticipation, Disease severity, Educational level, Educational level school, Employment loss, Employment loss crude estimates, Employment status, Environ, Excess risk, Gender, Harmful effect, Hazard ratio, Health status, High school, Hivrelated discrimination, Immunodeficiency, Inequality, Infection, Inserm, Inserm paca, Interactive workshops, Labour market, Likelihood ratio test, Lowest position, Major changes, Major role, Manual workers, Manual workers type, Median time, Medical records, Migrant status, More information, Occup, Occup environ, Occupational characteristics, Occupational factors, Occupational position, Original article, Original article table, Other hand, Oxford university press, Participant, Permanent contract, Present study, Present substudy, Private sector, Private sector contract, Progression, Proportional hazard model, Proportional hazards models, Prospective study, Public health, Public sector, Publication ethics, Representative sample, Retrospective, Retrospective information, Rheumatoid arthritis, Selection procedure, Selfreported experience, Severe disease, Severe immunodeficiency, Severity, Significant difference, Social consequences, Social health inequalities, Social inequalities, Social situation, Social support, Social trajectory, Sociodemographic, Sociodemographic characteristics, Stable partnership, Such inequalities, Temporary employment, Traders managers, Vespa study group, Western countries, Work contract, Work disability, Workers type, Workforce participation, Workplace, Workplace discrimination.
- Teeft :
- Active antiretroviral therapies, Active antiretroviral therapy, Administrative associates, Aids stage, Associates clerks, Best practice guidelines, Cell count, Chronic disease, Chronic illness, Country level, Diagnosis farmers craftsmen, Discrimination anticipation, Disease severity, Educational level, Educational level school, Employment loss, Employment loss crude estimates, Employment status, Environ, Excess risk, Gender, Harmful effect, Hazard ratio, Health status, High school, Hivrelated discrimination, Immunodeficiency, Inequality, Infection, Inserm, Inserm paca, Interactive workshops, Labour market, Likelihood ratio test, Lowest position, Major changes, Major role, Manual workers, Manual workers type, Median time, Medical records, Migrant status, More information, Occup, Occup environ, Occupational characteristics, Occupational factors, Occupational position, Original article, Original article table, Other hand, Oxford university press, Participant, Permanent contract, Present study, Present substudy, Private sector, Private sector contract, Progression, Proportional hazard model, Proportional hazards models, Prospective study, Public health, Public sector, Publication ethics, Representative sample, Retrospective, Retrospective information, Rheumatoid arthritis, Selection procedure, Selfreported experience, Severe disease, Severe immunodeficiency, Severity, Significant difference, Social consequences, Social health inequalities, Social inequalities, Social situation, Social support, Social trajectory, Sociodemographic, Sociodemographic characteristics, Stable partnership, Such inequalities, Temporary employment, Traders managers, Vespa study group, Western countries, Work contract, Work disability, Workers type, Workforce participation, Workplace, Workplace discrimination.
Abstract
Objectives: Evidence for the existence of a harmful effect of chronic disease on employment status has been provided. Although this effect of chronic illness on employment has been reported to be higher among the groups with the lowest position on the labour market, the mechanisms of such inequalities are poorly understood. The present study aimed at investigating social inequalities in the chances of maintaining employment during the course of HIV infection and at examining the correlates of such inequalities. Methods: The authors used data from a national representative sample of people living with HIV in France (ANRS-EN12-VESPA survey). Retrospective information on social trajectory and disease characteristics from the time of HIV diagnosis was available. The risk of employment loss associated with indicators of disease severity and HIV-related workplace discrimination was computed over time since HIV diagnosis according to sociodemographic and occupational factors, using Cox proportional hazards models. Results: Among the 478 working-age participants diagnosed as being HIV-infected in the era of multitherapies and employed at the time of HIV diagnosis, 149 experienced employment loss. After adjusting for sociodemographic and occupational factors, disease severity and self-reported HIV-related discrimination at work were significantly associated with the risk of employment loss in a socially-differentiated manner: advancement in HIV disease was associated with an increased risk of employment loss among women (HR 4.45, 95% CI 2.10 to 9.43) but not among men; self-reported experience of HIV-related discrimination at work was associated with an increased risk of employment loss among individuals with a primary/secondary educational level (HR 8.85, 95% CI 3.68 to 21.30) but not among those more educated. Conclusions: Chronic HIV disease affects the chances of maintaining employment in a socially-differentiated manner, resulting in increasing inequalities regarding workforce participation. Disease severity and workplace HIV-related discrimination, particularly affecting the employment status of the most socioeconomically disadvantaged, may play a major role.
Url:
- https://api.istex.fr/document/A1457CD2E475E7930062DBCCFEA4E541E4DD61D4/fulltext/pdf
- http://www.ncbi.nlm.nih.gov/pmc/articles/PMC2259228
DOI: 10.1136/oem.2007.034363
Affiliations:
Links toward previous steps (curation, corpus...)
- to stream Istex, to step Corpus: 003506
- to stream Istex, to step Curation: 003506
- to stream Istex, to step Checkpoint: 001E64
- to stream Pmc, to step Corpus: 002058
- to stream Pmc, to step Curation: 002057
- to stream Pmc, to step Checkpoint: 002B66
- to stream Ncbi, to step Merge: 000481
- to stream Ncbi, to step Curation: 000481
- to stream Ncbi, to step Checkpoint: 000481
- to stream Main, to step Merge: 006277
- to stream Main, to step Curation: 006183
Le document en format XML
<record><TEI wicri:istexFullTextTei="biblStruct"><teiHeader><fileDesc><titleStmt><title xml:lang="en">Disease severity, self-reported experience of workplace discrimination and employment loss during the course of chronic HIV disease: differences according to gender and education</title>
<author><name sortKey="Dray Spira, R" sort="Dray Spira, R" uniqKey="Dray Spira R" first="R" last="Dray-Spira">R. Dray-Spira</name>
</author>
<author><name sortKey="Gueguen, A" sort="Gueguen, A" uniqKey="Gueguen A" first="A" last="Gueguen">A. Gueguen</name>
</author>
<author><name sortKey="Lert, F" sort="Lert, F" uniqKey="Lert F" first="F" last="Lert">F. Lert</name>
</author>
</titleStmt>
<publicationStmt><idno type="wicri:source">ISTEX</idno>
<idno type="RBID">ISTEX:A1457CD2E475E7930062DBCCFEA4E541E4DD61D4</idno>
<date when="2008" year="2008">2008</date>
<idno type="doi">10.1136/oem.2007.034363</idno>
<idno type="url">https://api.istex.fr/document/A1457CD2E475E7930062DBCCFEA4E541E4DD61D4/fulltext/pdf</idno>
<idno type="wicri:Area/Istex/Corpus">003506</idno>
<idno type="wicri:explorRef" wicri:stream="Istex" wicri:step="Corpus" wicri:corpus="ISTEX">003506</idno>
<idno type="wicri:Area/Istex/Curation">003506</idno>
<idno type="wicri:Area/Istex/Checkpoint">001E64</idno>
<idno type="wicri:explorRef" wicri:stream="Istex" wicri:step="Checkpoint">001E64</idno>
<idno type="wicri:doubleKey">1351-0711:2008:Dray Spira R:disease:severity:self</idno>
<idno type="wicri:source">PMC</idno>
<idno type="url">http://www.ncbi.nlm.nih.gov/pmc/articles/PMC2259228</idno>
<idno type="RBID">PMC:2259228</idno>
<idno type="wicri:Area/Pmc/Corpus">002058</idno>
<idno type="wicri:explorRef" wicri:stream="Pmc" wicri:step="Corpus" wicri:corpus="PMC">002058</idno>
<idno type="wicri:Area/Pmc/Curation">002057</idno>
<idno type="wicri:explorRef" wicri:stream="Pmc" wicri:step="Curation">002057</idno>
<idno type="wicri:Area/Pmc/Checkpoint">002B66</idno>
<idno type="wicri:explorRef" wicri:stream="Pmc" wicri:step="Checkpoint">002B66</idno>
<idno type="wicri:Area/Ncbi/Merge">000481</idno>
<idno type="wicri:Area/Ncbi/Curation">000481</idno>
<idno type="wicri:Area/Ncbi/Checkpoint">000481</idno>
<idno type="wicri:doubleKey">1351-0711:2007:Dray Spira R:disease:severity:self</idno>
<idno type="wicri:Area/Main/Merge">006277</idno>
<idno type="wicri:Area/Main/Curation">006183</idno>
<idno type="wicri:Area/Main/Exploration">006183</idno>
</publicationStmt>
<sourceDesc><biblStruct><analytic><title level="a" type="main" xml:lang="en">Disease severity, self-reported experience of workplace discrimination and employment loss during the course of chronic HIV disease: differences according to gender and education</title>
<author><name sortKey="Dray Spira, R" sort="Dray Spira, R" uniqKey="Dray Spira R" first="R" last="Dray-Spira">R. Dray-Spira</name>
<affiliation wicri:level="1"><country xml:lang="fr">France</country>
<wicri:regionArea>INSERM, U687, Villejuif</wicri:regionArea>
<wicri:noRegion>Villejuif</wicri:noRegion>
<wicri:noRegion>Villejuif</wicri:noRegion>
</affiliation>
<affiliation wicri:level="4"><country xml:lang="fr">France</country>
<wicri:regionArea>Université Paris XI, IFR69, Villejuif</wicri:regionArea>
<orgName type="university">Université Paris-Sud</orgName>
<placeName><settlement type="city">Orsay</settlement>
<region type="region" nuts="2">Île-de-France</region>
</placeName>
</affiliation>
</author>
<author><name sortKey="Gueguen, A" sort="Gueguen, A" uniqKey="Gueguen A" first="A" last="Gueguen">A. Gueguen</name>
<affiliation wicri:level="1"><country xml:lang="fr">France</country>
<wicri:regionArea>INSERM, U687, Villejuif</wicri:regionArea>
<wicri:noRegion>Villejuif</wicri:noRegion>
<wicri:noRegion>Villejuif</wicri:noRegion>
</affiliation>
<affiliation wicri:level="4"><country xml:lang="fr">France</country>
<wicri:regionArea>Université Paris XI, IFR69, Villejuif</wicri:regionArea>
<orgName type="university">Université Paris-Sud</orgName>
<placeName><settlement type="city">Orsay</settlement>
<region type="region" nuts="2">Île-de-France</region>
</placeName>
</affiliation>
</author>
<author><name sortKey="Lert, F" sort="Lert, F" uniqKey="Lert F" first="F" last="Lert">F. Lert</name>
<affiliation wicri:level="1"><country xml:lang="fr">France</country>
<wicri:regionArea>INSERM, U687, Villejuif</wicri:regionArea>
<wicri:noRegion>Villejuif</wicri:noRegion>
<wicri:noRegion>Villejuif</wicri:noRegion>
</affiliation>
<affiliation wicri:level="4"><country xml:lang="fr">France</country>
<wicri:regionArea>Université Paris XI, IFR69, Villejuif</wicri:regionArea>
<orgName type="university">Université Paris-Sud</orgName>
<placeName><settlement type="city">Orsay</settlement>
<region type="region" nuts="2">Île-de-France</region>
</placeName>
</affiliation>
</author>
</analytic>
<monogr></monogr>
<series><title level="j">Occupational and Environmental Medicine</title>
<title level="j" type="abbrev">Occup Environ Med</title>
<idno type="ISSN">1351-0711</idno>
<idno type="eISSN">1470-7926</idno>
<imprint><publisher>BMJ Publishing Group Ltd</publisher>
<date type="published" when="2008-02">2008-02</date>
<biblScope unit="volume">65</biblScope>
<biblScope unit="issue">2</biblScope>
<biblScope unit="page" from="112">112</biblScope>
</imprint>
<idno type="ISSN">1351-0711</idno>
</series>
</biblStruct>
</sourceDesc>
<seriesStmt><idno type="ISSN">1351-0711</idno>
</seriesStmt>
</fileDesc>
<profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Active antiretroviral therapies</term>
<term>Active antiretroviral therapy</term>
<term>Administrative associates</term>
<term>Aids stage</term>
<term>Associates clerks</term>
<term>Best practice guidelines</term>
<term>Cell count</term>
<term>Chronic disease</term>
<term>Chronic illness</term>
<term>Country level</term>
<term>Diagnosis farmers craftsmen</term>
<term>Discrimination anticipation</term>
<term>Disease severity</term>
<term>Educational level</term>
<term>Educational level school</term>
<term>Employment loss</term>
<term>Employment loss crude estimates</term>
<term>Employment status</term>
<term>Environ</term>
<term>Excess risk</term>
<term>Gender</term>
<term>Harmful effect</term>
<term>Hazard ratio</term>
<term>Health status</term>
<term>High school</term>
<term>Hivrelated discrimination</term>
<term>Immunodeficiency</term>
<term>Inequality</term>
<term>Infection</term>
<term>Inserm</term>
<term>Inserm paca</term>
<term>Interactive workshops</term>
<term>Labour market</term>
<term>Likelihood ratio test</term>
<term>Lowest position</term>
<term>Major changes</term>
<term>Major role</term>
<term>Manual workers</term>
<term>Manual workers type</term>
<term>Median time</term>
<term>Medical records</term>
<term>Migrant status</term>
<term>More information</term>
<term>Occup</term>
<term>Occup environ</term>
<term>Occupational characteristics</term>
<term>Occupational factors</term>
<term>Occupational position</term>
<term>Original article</term>
<term>Original article table</term>
<term>Other hand</term>
<term>Oxford university press</term>
<term>Participant</term>
<term>Permanent contract</term>
<term>Present study</term>
<term>Present substudy</term>
<term>Private sector</term>
<term>Private sector contract</term>
<term>Progression</term>
<term>Proportional hazard model</term>
<term>Proportional hazards models</term>
<term>Prospective study</term>
<term>Public health</term>
<term>Public sector</term>
<term>Publication ethics</term>
<term>Representative sample</term>
<term>Retrospective</term>
<term>Retrospective information</term>
<term>Rheumatoid arthritis</term>
<term>Selection procedure</term>
<term>Selfreported experience</term>
<term>Severe disease</term>
<term>Severe immunodeficiency</term>
<term>Severity</term>
<term>Significant difference</term>
<term>Social consequences</term>
<term>Social health inequalities</term>
<term>Social inequalities</term>
<term>Social situation</term>
<term>Social support</term>
<term>Social trajectory</term>
<term>Sociodemographic</term>
<term>Sociodemographic characteristics</term>
<term>Stable partnership</term>
<term>Such inequalities</term>
<term>Temporary employment</term>
<term>Traders managers</term>
<term>Vespa study group</term>
<term>Western countries</term>
<term>Work contract</term>
<term>Work disability</term>
<term>Workers type</term>
<term>Workforce participation</term>
<term>Workplace</term>
<term>Workplace discrimination</term>
</keywords>
<keywords scheme="Teeft" xml:lang="en"><term>Active antiretroviral therapies</term>
<term>Active antiretroviral therapy</term>
<term>Administrative associates</term>
<term>Aids stage</term>
<term>Associates clerks</term>
<term>Best practice guidelines</term>
<term>Cell count</term>
<term>Chronic disease</term>
<term>Chronic illness</term>
<term>Country level</term>
<term>Diagnosis farmers craftsmen</term>
<term>Discrimination anticipation</term>
<term>Disease severity</term>
<term>Educational level</term>
<term>Educational level school</term>
<term>Employment loss</term>
<term>Employment loss crude estimates</term>
<term>Employment status</term>
<term>Environ</term>
<term>Excess risk</term>
<term>Gender</term>
<term>Harmful effect</term>
<term>Hazard ratio</term>
<term>Health status</term>
<term>High school</term>
<term>Hivrelated discrimination</term>
<term>Immunodeficiency</term>
<term>Inequality</term>
<term>Infection</term>
<term>Inserm</term>
<term>Inserm paca</term>
<term>Interactive workshops</term>
<term>Labour market</term>
<term>Likelihood ratio test</term>
<term>Lowest position</term>
<term>Major changes</term>
<term>Major role</term>
<term>Manual workers</term>
<term>Manual workers type</term>
<term>Median time</term>
<term>Medical records</term>
<term>Migrant status</term>
<term>More information</term>
<term>Occup</term>
<term>Occup environ</term>
<term>Occupational characteristics</term>
<term>Occupational factors</term>
<term>Occupational position</term>
<term>Original article</term>
<term>Original article table</term>
<term>Other hand</term>
<term>Oxford university press</term>
<term>Participant</term>
<term>Permanent contract</term>
<term>Present study</term>
<term>Present substudy</term>
<term>Private sector</term>
<term>Private sector contract</term>
<term>Progression</term>
<term>Proportional hazard model</term>
<term>Proportional hazards models</term>
<term>Prospective study</term>
<term>Public health</term>
<term>Public sector</term>
<term>Publication ethics</term>
<term>Representative sample</term>
<term>Retrospective</term>
<term>Retrospective information</term>
<term>Rheumatoid arthritis</term>
<term>Selection procedure</term>
<term>Selfreported experience</term>
<term>Severe disease</term>
<term>Severe immunodeficiency</term>
<term>Severity</term>
<term>Significant difference</term>
<term>Social consequences</term>
<term>Social health inequalities</term>
<term>Social inequalities</term>
<term>Social situation</term>
<term>Social support</term>
<term>Social trajectory</term>
<term>Sociodemographic</term>
<term>Sociodemographic characteristics</term>
<term>Stable partnership</term>
<term>Such inequalities</term>
<term>Temporary employment</term>
<term>Traders managers</term>
<term>Vespa study group</term>
<term>Western countries</term>
<term>Work contract</term>
<term>Work disability</term>
<term>Workers type</term>
<term>Workforce participation</term>
<term>Workplace</term>
<term>Workplace discrimination</term>
</keywords>
<keywords scheme="Wicri" type="topic" xml:lang="fr"><term>Maladie chronique</term>
<term>Marché du travail</term>
<term>Entreprise privée</term>
<term>Santé publique</term>
<term>Entreprise publique</term>
<term>Situation sociale</term>
<term>Travail temporaire</term>
<term>Contrat de travail</term>
<term>Lieu de travail</term>
</keywords>
</textClass>
<langUsage><language ident="en">en</language>
</langUsage>
</profileDesc>
</teiHeader>
<front><div type="abstract">Objectives: Evidence for the existence of a harmful effect of chronic disease on employment status has been provided. Although this effect of chronic illness on employment has been reported to be higher among the groups with the lowest position on the labour market, the mechanisms of such inequalities are poorly understood. The present study aimed at investigating social inequalities in the chances of maintaining employment during the course of HIV infection and at examining the correlates of such inequalities. Methods: The authors used data from a national representative sample of people living with HIV in France (ANRS-EN12-VESPA survey). Retrospective information on social trajectory and disease characteristics from the time of HIV diagnosis was available. The risk of employment loss associated with indicators of disease severity and HIV-related workplace discrimination was computed over time since HIV diagnosis according to sociodemographic and occupational factors, using Cox proportional hazards models. Results: Among the 478 working-age participants diagnosed as being HIV-infected in the era of multitherapies and employed at the time of HIV diagnosis, 149 experienced employment loss. After adjusting for sociodemographic and occupational factors, disease severity and self-reported HIV-related discrimination at work were significantly associated with the risk of employment loss in a socially-differentiated manner: advancement in HIV disease was associated with an increased risk of employment loss among women (HR 4.45, 95% CI 2.10 to 9.43) but not among men; self-reported experience of HIV-related discrimination at work was associated with an increased risk of employment loss among individuals with a primary/secondary educational level (HR 8.85, 95% CI 3.68 to 21.30) but not among those more educated. Conclusions: Chronic HIV disease affects the chances of maintaining employment in a socially-differentiated manner, resulting in increasing inequalities regarding workforce participation. Disease severity and workplace HIV-related discrimination, particularly affecting the employment status of the most socioeconomically disadvantaged, may play a major role.</div>
</front>
</TEI>
<affiliations><list><country><li>France</li>
</country>
<region><li>Île-de-France</li>
</region>
<settlement><li>Orsay</li>
</settlement>
<orgName><li>Université Paris-Sud</li>
</orgName>
</list>
<tree><country name="France"><noRegion><name sortKey="Dray Spira, R" sort="Dray Spira, R" uniqKey="Dray Spira R" first="R" last="Dray-Spira">R. Dray-Spira</name>
</noRegion>
<name sortKey="Dray Spira, R" sort="Dray Spira, R" uniqKey="Dray Spira R" first="R" last="Dray-Spira">R. Dray-Spira</name>
<name sortKey="Gueguen, A" sort="Gueguen, A" uniqKey="Gueguen A" first="A" last="Gueguen">A. Gueguen</name>
<name sortKey="Gueguen, A" sort="Gueguen, A" uniqKey="Gueguen A" first="A" last="Gueguen">A. Gueguen</name>
<name sortKey="Lert, F" sort="Lert, F" uniqKey="Lert F" first="F" last="Lert">F. Lert</name>
<name sortKey="Lert, F" sort="Lert, F" uniqKey="Lert F" first="F" last="Lert">F. Lert</name>
</country>
</tree>
</affiliations>
</record>
Pour manipuler ce document sous Unix (Dilib)
EXPLOR_STEP=$WICRI_ROOT/Wicri/Sante/explor/SidaSubSaharaV1/Data/Main/Exploration
HfdSelect -h $EXPLOR_STEP/biblio.hfd -nk 006183 | SxmlIndent | more
Ou
HfdSelect -h $EXPLOR_AREA/Data/Main/Exploration/biblio.hfd -nk 006183 | SxmlIndent | more
Pour mettre un lien sur cette page dans le réseau Wicri
{{Explor lien |wiki= Wicri/Sante |area= SidaSubSaharaV1 |flux= Main |étape= Exploration |type= RBID |clé= ISTEX:A1457CD2E475E7930062DBCCFEA4E541E4DD61D4 |texte= Disease severity, self-reported experience of workplace discrimination and employment loss during the course of chronic HIV disease: differences according to gender and education }}
![]() | This area was generated with Dilib version V0.6.32. | ![]() |