Factors Affecting Vocational Rehabilitation Service Use among Latino Men with HIV/AIDS: A National Perspective
| Autor: | Paul A. Datti, Liza M. Conyers, K. B. Boomer |
|---|---|
| Rok vydání: | 2013 |
| Předmět: |
Gerontology
Receipt education.field_of_study business.industry media_common.quotation_subject Rehabilitation Population Public Health Environmental and Occupational Health Physical Therapy Sports Therapy and Rehabilitation Disease medicine.disease Occupational Therapy Acquired immunodeficiency syndrome (AIDS) Vocational education Health care Unemployment medicine Gainful employment Chiropractics education business Psychology Applied Psychology Analysis media_common |
| Zdroj: | Journal of Applied Rehabilitation Counseling. 44:42-50 |
| ISSN: | 2639-7641 0047-2220 |
| DOI: | 10.1891/0047-2220.44.3.42 |
| Popis: | Latino men are an ethnically and racially diverse group who are disproportionately affected by HIV/AIDS and unemployment. State vocational rehabilitation (VR) services represent viable service options for many people living with HIV/AIDS; however, little is known about factors that predict use of these services by Latinos. This study examines predictors of VR use among a national sample of Latino men with HIV/AIDS (n = 311) who completed the National Working Positive Coalition - Vocational Development and Employment Needs Survey. Using the Behavioral Model for Vulnerable Populations as framework, key predictor variables were analyzed using binary logistic regression. Receipt of public benefits (p Keywords: HIV, AIDS, Latino, employment, vocational rehabilitationLatino Americans represent 16.3% of the U.S. population (U.S. Census Bureau, 2011), and approximately 20% have some form of disability . Latinos are also disproportionally affected by HIV/AIDS, representing 20% of new HIV infections in 2009 (Centers for Disease Control and Prevention [CDC], 2011). Of Latino subgroups, Puerto Ricans have the highest rate of HIV infection and account for the majority of HIV/AIDS cases among Latinos in the U.S. (Loue, 2006). Men continue to be most disproportionately affected by the disease and four out of five Latinos with HIV/AIDS are men (CDC, 2011; National Alliance of State and Territorial AIDS Directors [NASTAD], 2004). Rates of HIV infection among Latino men are, in fact, almost three times that of White non-Latino men (CDC, 2011). With advancements in medical treatment of people living with HIV/AIDS (PLWHA), many need to work as they may not qualify for public benefits while the need for consistent income and health care when living with a chronic illness remains essential.The Latino population has been experiencing significant unemployment, with rates at over 10% as of July 2012 (Bureau of Labor Statistics, 2012a). Since 1989, rates of unemployment among Puerto Ricans have remained higher than the rates of unemployment among Cubans and Mexicans (Bureau of Labor Statistics, 2012b). Latino men with disabilities experience staggeringly high rates of unemployment, with rates over 60% in 2009 (Erickson, Lee, & von Schrader, 2011). Many people with disabilities, including those with HIV/AIDS, however, are interested in and able to work yet may need professional assistance to pursue, obtain, or maintain gainful or more gainful employment (Conyers & Datti, 2008; Razzano & Hamilton, 2005). State vocational rehabilitation (VR) services, which have been shown to result in successful employment for individuals with disabilities (Hayward & Schmidt-Davis, 2003; Jung & Bellini, 2009), are the most utilized system of professional vocational services for this population (Wilson, 2000). Latino men with HIV/AIDS may qualify for and benefit from VR services; however, this population tends to underutilize them Wilson, 2005).Although there has been a recent increase, overall numbers of PLWHA who use VR are minimal (Datti & Conyers, 2010; Jung & Bellini, 2009). The few studies that investigated VR use by PLWHA consistently showed rates of non-use at over 70% (e.g., Conyers & Datti, 2008; Datti & Conyers, 2010; Hergenrather, Rhodes, & Clark, 2004; Jung & Bellini, 2009). Jung and Bellini's study, in fact, indicated that of the population of PLWHA in the U.S., only .02% received VR services, and, of those who applied between 2002 and 2007, less than 50% actually received services. More specific information related to HIV-positive Latinos use of VR services is quite limited, including research specifically related to Puerto Rican men who have consistently had higher rates of unemployment than other Latino populations (Bureau of Labor Statistics, 2012b). … |
| Databáze: | OpenAIRE |
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