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Kang CR, Bang JH, Cho SI, Kim KN, Lee HJ, Ryu BY, Cho SK, Lee YH, Oh MD, Lee JK. Suicidal ideation and suicide attempts among human immunodeficiency virus-infected adults: differences in risk factors and their implications. AIDS Care 2015; 28:306-13. [PMID: 26444525 DOI: 10.1080/09540121.2015.1093593] [Citation(s) in RCA: 23] [Impact Index Per Article: 2.6] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/23/2022]
Abstract
Many studies have investigated risk factors for suicidal ideation and suicide attempt; however, most have failed to show differences in risk factors between suicidal ideation and suicide attempt among the human immunodeficiency virus (HIV)-infected population. This study was designed to identify differences in risk factors between suicidal ideation and suicide attempts among HIV-infected adults in Seoul. A face-to-face survey of 457 HIV-infected adults was conducted by the Seoul Metropolitan Government in 2013. Multivariate logistic regression analysis was used to identify factors associated with suicidal ideation and suicide attempt. Among 422 participants, 44% had suicidal ideation, and 11% had suicide attempts. The independent risk factors for suicidal ideation were young and middle age, living with someone, history of AIDS-defining opportunistic disease, history of treatment for depression, lower social support, and psychological status. Beneficiaries of National Medical Aid, economic barriers to treatment, history of treatment for depression, and lower psychological status were independently associated with suicide attempts. Patients with HIV in Korea were treated without cost in some centers. Thus, experiencing an economic barrier to treatment might be due in part to ignorance of HIV care policies. Our findings indicate that suicide attempts are associated with socioeconomic factors and information inequality regarding medical care. In conclusion, suicidal ideation closely associated with the psychosocial factors, whereas suicide attempt demonstrates a stronger association with socioeconomic factors. Suicide prevention measures should be implemented to provide information to help HIV-infected patients.
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Affiliation(s)
- Cho Ryok Kang
- a Medical Research Center , Seoul National University College of Medicine , Seoul , Republic of Korea.,g Seoul Center for Infectious Disease Control , Seoul , Republic of Korea
| | - Ji Hwan Bang
- b Division of Infectious Diseases, Seoul Metropolitan Government-Seoul National University Boramae Medical Center , Seoul , Republic of Korea.,g Seoul Center for Infectious Disease Control , Seoul , Republic of Korea
| | - Sung-Il Cho
- c Department of Epidemiology , Seoul National University Graduate School of Public Health , Seoul , Republic of Korea.,g Seoul Center for Infectious Disease Control , Seoul , Republic of Korea
| | - Kui Nam Kim
- d Division of Life & Health , Seoul Metropolitan Government , Seoul , Republic of Korea
| | - Hee-Jin Lee
- d Division of Life & Health , Seoul Metropolitan Government , Seoul , Republic of Korea
| | - Bo Yeong Ryu
- a Medical Research Center , Seoul National University College of Medicine , Seoul , Republic of Korea.,g Seoul Center for Infectious Disease Control , Seoul , Republic of Korea
| | - Soo Kyung Cho
- a Medical Research Center , Seoul National University College of Medicine , Seoul , Republic of Korea.,g Seoul Center for Infectious Disease Control , Seoul , Republic of Korea
| | - Young Hwa Lee
- c Department of Epidemiology , Seoul National University Graduate School of Public Health , Seoul , Republic of Korea.,g Seoul Center for Infectious Disease Control , Seoul , Republic of Korea
| | - Myoung-Don Oh
- e Department of Internal Medicine , Seoul National University College of Medicine , Seoul , Republic of Korea.,g Seoul Center for Infectious Disease Control , Seoul , Republic of Korea
| | - Jong-Koo Lee
- f Department of Family Medicine , Seoul National University College of Medicine , Seoul , Republic of Korea.,g Seoul Center for Infectious Disease Control , Seoul , Republic of Korea
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Wagener MN, Miedema HS, Kleijn LM, van Gorp ECM, Roelofs PDDM. Vocational Counseling of HIV-infected People: A Role for Nurses in HIV Care. J Assoc Nurses AIDS Care 2015; 26:330-9. [PMID: 26066689 DOI: 10.1016/j.jana.2015.03.001] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/25/2014] [Accepted: 03/23/2015] [Indexed: 11/26/2022]
Abstract
People living with HIV (PLWH) face various work-related problems, such as stigma and physical difficulties. Health care professionals can help improve the employment situation of PLWH. Nurses who work in HIV care play a central role in the care of PLWH in the Netherlands. The aim of this cross-sectional study was to investigate the contributions of nurses to the vocational counseling of PLWH, and to make an inventory of needs for future care. Our findings, collected with a self-administered survey, clarified that HIV nurses in the Netherlands regularly faced patients with problems at work, but that they didn't have the required knowledge to provide assistance. Our study emphasized the important role of HIV nurses in vocational counseling because of their central positions in care and their confidential relationship with patients. The study underlined the importance of available, up-to-date knowledge about HIV and work, as well as a clear referral network.
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Wagener MN, van Opstal SEM, Miedema HS, Brandjes DPM, Dahmen R, van Gorp ECM, Roelofs PDDM. Employment-related concerns of HIV-positive people in the Netherlands: input for a multidisciplinary guideline. JOURNAL OF OCCUPATIONAL REHABILITATION 2014; 24:790-797. [PMID: 24806772 DOI: 10.1007/s10926-014-9510-0] [Citation(s) in RCA: 12] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/03/2023]
Abstract
PURPOSE Finding and keeping employment is difficult for people with HIV. To improve supportive care for people with HIV and employment-related problems, a multidisciplinary guideline was developed in the Netherlands in 2010/2011. To identify the employment-related concerns of people with HIV and to formulate the key questions for the guideline, we conducted a qualitative study. The results of this study are described in this article. METHODS This study was performed in three HIV-treatment centers in the Netherlands. In total 18 participants participated in three focus-group interviews and nine participants were interviewed individually. The data were transcribed ad verbatim and were analyzed according to the principle of constant comparison. RESULTS Our findings indicate that people with HIV in the Netherlands face many work-related concerns. The themes which emerged from this study were disclosure, stigma and discrimination, knowledge about HIV, physical and psychological factors, working conditions, absenteeism, reintegration, and dismissal and counselling. CONCLUSIONS This study provides insight into employment-related concerns for people with HIV living in a Western country. It formed the basis for the key questions which were addressed in a multidisciplinary, evidence-based guideline "HIV and work". Finally, it gives leads for further scientific research and opportunities for improving the vocational guidance of people with HIV.
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Affiliation(s)
- M N Wagener
- Research Centre Innovations in Care, Rotterdam University of Applied Sciences, P.O. Box 25035, 3001 HA, Rotterdam, The Netherlands,
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Brooks RA, Martin DJ, Ortiz DJ, Veniegas RC. Perceived barriers to employment among persons living with HIV/AIDS. AIDS Care 2005; 16:756-66. [PMID: 15370063 DOI: 10.1080/09540120412331269594] [Citation(s) in RCA: 49] [Impact Index Per Article: 2.6] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/26/2022]
Abstract
This study examined factors associated with contemplating returning to work among unemployed persons living with HIV/AIDS (PLHA) in a large urban city in the United States. A mailed, self-administered survey gathered information from 757 unemployed PLHA. Chi-square and logistic regression analyses were used to determine associations between contemplating returning to work and sociodemographic characteristics, health factors and perceived barriers to employment. We found that most unemployed PLHA (74%) were thinking of returning to work, but perceived significant barriers such as loss of disability income benefits (73%), loss of publicly-funded health insurance (67%) and workplace discrimination (66%). Univariate analyses indicated that contemplating returning to work was significantly associated with sociodemographic characteristics, health factors and perceived barriers to employment in the following areas: (1) availability of health insurance, (2) personal health and physical ability, (3) health concerns related to working and the work environment, and (4) current job skills. Multivariate analyses indicated that: gender, age, race/ethnicity, health insurance type, health status and the belief that health will improve if employed were independently associated with contemplating returning to work. In summary, a substantial proportion of unemployed PLHA may contemplate re-entering the workforce. Assistance is needed to help PLHA address perceived barriers that may prevent them from seeking employment.
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Affiliation(s)
- R A Brooks
- Center for HIV Identification, Prevention, and Treatment Services Neuropsychiatric Institute, University of California Los Angeles, CA, USA.
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Abstract
Developments in HIV-related medicine have significant implications for the practice of oncology. Although HIV is a relatively new discipline within medicine, the identification and therapeutic targeting of HIV has been rapid. Furthermore, political lobbying has sculpted scientific research and patient care. Rational drug design has reduced morbidity and mortality to such an extent that the development of predictive surrogate endpoints has been necessary to enable randomised assessments of new protocols to continue. These studies now include the routine detection of resistance to tailor specific therapies to the patient. The involvement of affected communities in dynamically modelled studies have shown the efficacy of new, preventive strategies and debates about such approaches have improved the standard of care. In this review, we discuss what oncologists can learn from the HIV epidemic.
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