Abstract
At the intersection of research areas on health and employment, little attention has been paid on employment quality among people living with HIV (PLWH). The objective of the current study is to identify critical factors and empirically examine their effects on employment quality among PLWH. Based on the social-ecological perspective, we identified negative self-image, workplace discrimination, social support, and policy support as critical factors associated with employment quality among PLWH. Thereafter, a questionnaire survey was conducted to gather information from 339 employed PLWH in China. Hierarchical regression analyses were further performed to analyze the effects of the identified factors on employment quality among PLWH. We obtained three main findings. First, negative self-image and workplace discrimination are detrimental to employment quality among PLWH; whereas social support and policy support are conducive to their employment quality. Second, older, male, and highly educated PLWH can better leverage the undesirable effects of negative self-image and workplace discrimination on employment quality compared with their peers. Third, male, and highly educated PLWH can better utilize social support and policy support to advance employment quality compared with their peers. However, the employment quality effects of the identified factors did not differ by marital status. Our findings provided some useful implications for PLWH, employers, community service providers, and policy makers to promote employment quality among PLWH.
Highlights
Employment participation has been proven beneficial for people living with HIV (PLWH), because it helps to promote healthy behaviors, such as leading to interpersonal contacts, learning new skills, providing social identity, and revitalizing their own targets [1,2,3]
Negative selfimage and workplace discrimination were negatively related to employment quality among PLWH, whereas social support and policy support were positively related to employment
This study empirically examined the identified factors associated with employment quality among PLWH in China, namely, negative self-image, workplace discrimination, social support, and policy support
Summary
Employment participation has been proven beneficial for people living with HIV (PLWH), because it helps to promote healthy behaviors, such as leading to interpersonal contacts, learning new skills, providing social identity, and revitalizing their own targets [1,2,3]. Employment quality among people living with HIV some type of employment [4, 5]. Alertness has increased that maintaining and enhancing the employment status among PLWH will be insufficient if the works are not psychosocially or physically sustainable for PLWH [6]. The concerns of policy makers and researchers in recent years have shifted from finding employment per se to enhancing employment quality among PLWH [7]
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