Employment by HIV status, mode of HIV transmission and migrant status: a nation-wide population-based study

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Carlander, ChristinaKarolinska Institutet,Uppsala universitet,Centrum för klinisk forskning, Västerås,Karolinska Inst, Dept Med Huddinge, Unit Infect Dis, SE-14152 Stockholm, Sweden; Karolinska Inst, Dept Med Epidemiol & Biostat, Stockholm, Sweden (author)

Employment by HIV status, mode of HIV transmission and migrant status : a nation-wide population-based study

Article/chapterEnglish2021

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Wolters Kluwer,2021
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LIBRIS-ID:oai:DiVA.org:uu-453787
https://urn.kb.se/resolve?urn=urn:nbn:se:uu:diva-453787URI
https://doi.org/10.1097/QAD.0000000000002724DOI
http://kipublications.ki.se/Default.aspx?queryparsed=id:147012916URI

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Language:English
Summary in:English

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Subject category:art swepub-publicationtype

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Objective: To compare employment in people by HIV status, mode of HIV transmission and migrant status.Design: Nation-wide population-based register data from 1996 to 2016.Methods: All people born between 1940 and 2000 (n = 8587 629) were identified from the Swedish Total Population Register and linked to the Swedish National HIV Register (n = 9492) and Longitudinal Integration Database for Health Insurance and Labour Market Studies. Adjusted prevalence ratios (adjPR) of employment were calculated using Poisson regression. Trends in employment were illustrated in scatterplots with overlaid prediction plots.Results: People with HIV were less likely employed than HIV-negative but with decreasing difference over time [adjPR 0.57, 95% confidence interval (CI) 0.54–0.60 in 1996, adjPR 0.84, 95% CI 0.83–0.86 in 2016]. Female migrants with HIV had the highest increase of employment over time and were more likely employed than HIV-negative female migrants by end of follow-up (adjPR 1.12, 95% CI 1.08–1.16). Swedish-born with present/former intravenous drug use had the lowest employment rates. Individuals with undetectable HIV-RNA viral levels showed higher employment rates (adjPR 1.29, 95% CI 1.20–1.38) compared with those with detectable viral levels.Conclusion: Employment in people living with HIV (PLWH) increased over time but remained lower than for HIV-negative people. HIV was not associated with lower employment in migrants by end of follow-up, indicating that HIV is not a barrier for employment among migrants in Sweden. The heterogeneity of PLWH needs to be taken into account in interventions, and future studies, focusing on access to the labour market in PLWH.

Subject headings and genre

MEDICIN OCH HÄLSOVETENSKAP Klinisk medicin Infektionsmedicin hsv//swe
MEDICAL AND HEALTH SCIENCES Clinical Medicine Infectious Medicine hsv//eng
MEDICIN OCH HÄLSOVETENSKAP Hälsovetenskap Folkhälsovetenskap, global hälsa, socialmedicin och epidemiologi hsv//swe
MEDICAL AND HEALTH SCIENCES Health Sciences Public Health, Global Health, Social Medicine and Epidemiology hsv//eng
employment
HIV
intravenous drug use
migrant
unemployment
women

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Wagner, PhilippeUppsala universitet,Centrum för klinisk forskning, Västerås(Swepub:uu)phiwa720 (author)
Yilmaz, AylinUniv Gothenburg, Sahlgrenska Acad, Inst Biomed, Dept Infect Dis, Gothenburg, Sweden (author)
Sparén, PärKarolinska Institutet (author)
Svedhem, VeronicaKarolinska Institutet (author)
Uppsala universitetCentrum för klinisk forskning, Västerås (creator_code:org_t)

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In:AIDS: Wolters Kluwer35:1, s. 115-1230269-93701473-5571

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