Coduti WA, Eissenstat SJ, Conyers LM. Linking hope factors, barriers to employment and health outcomes for individuals living with Human Immunodeficiency Virus (HIV).
Work 2018;
61:225-236. [PMID:
30373973 DOI:
10.3233/wor-182794]
[Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2022] Open
Abstract
BACKGROUND
Employment and hope have been correlated with improved health outcomes in individuals with disabilities.
OBJECTIVE
The objective of this study was to investigate the relationship among barriers to employment and hope theory factors and whether those factors mediate between barriers to employment and health outcomes in individuals living with Human Immunodeficiency Virus (HIV).
METHODS
The sample from this study consisted of 1,702 participants who completed the National Working Positive Vocational Development and Employment Needs Survey NWPC-VDENS and identified as unemployed. A structural equation model was used to assess relationship among functioning level, past adversity, vocational goal setting, pathway thinking, agentic thinking, mental health, general health perception, and T-Cell counts.
RESULTS
Overall, the fit of the final structural equation model was good (RMSEA = 0.055, TLI = 0.924, CFI = 0.945). In this model, all the paths were significant below 0.001 of p-value except the path from agency to T-cell count, which was also significant below 0.05 of p-value.
CONCLUSIONS
Goal setting showed high direct effect on agentic thinking and pathway thinking. Functioning level and past adversity impacted pathway thinking and goal setting while outcomes of hope factors to health variables were significantly positive as hypothesized.
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