Düsseldorf Institute for Competition Economics (DICE), Heinrich-Heine University of Düsseldorf, Düsseldorf, Germany.
CINCH, Universität Duisburg-Essen, Essen, Germany.
Int J Public Health. 2016 Jun;61(5):593-602. doi: 10.1007/s00038-015-0750-3. Epub 2015 Oct 1.
The present study on people living with HIV/AIDS (PLWHA) identifies socio-demographic and health-related factors corresponding with their labour market participation.
The study sample bases on a German observational sub-study of 527 male PLWHA. The present analysis is restricted to male PLWHA in working age. By means of a multivariate regression, we identify factors that contribute to unemployment and job loss.
The probability to be unemployed is significantly negatively correlated with age above 40 years and graduation from university and positively correlated with problems with daily activities (frailty) and disease severity (CDC stage C). The probability of employment loss during the 2-year observation period is significantly negatively correlated with the educational level, whereas frailty and hepatitis C (HCV) co-infection increase the odds of employment loss.
As problems to manage daily activities and disease progression are associated with unemployment, an effective HIV treatment is an important cornerstone for employment. This is also true for the management of comorbidities, such as HCV co-infection, which also negatively affects employment status in our study.
本研究针对艾滋病毒/艾滋病感染者（PLWHA），确定与他们参与劳动力市场相关的社会人口学和健康因素。
该研究样本基于对 527 名男性 PLWHA 的德国观察性子研究。本分析仅限于处于工作年龄的男性 PLWHA。通过多元回归，我们确定了导致失业和失去工作的因素。
失业的概率与年龄大于 40 岁、大学毕业呈显著负相关，与日常生活活动问题（虚弱）和疾病严重程度（CDC 分期 C）呈显著正相关。在 2 年观察期内失去工作的概率与教育程度呈显著负相关，而虚弱和丙型肝炎（HCV）合并感染增加了失去工作的几率。
由于日常活动管理和疾病进展问题与失业相关，有效的 HIV 治疗是就业的重要基石。对于合并症的管理也是如此，如 HCV 合并感染，在我们的研究中也对就业状况产生负面影响。
