Abstract
BACKGROUND: Previous research identifies employment as a social determinant of health for persons with HIV/AIDS, specifically African American women. OBJECTIVE: The purpose of this study was twofold: (1) to examine the eligibility/acceptance and competitive employment rates of African American women diagnosed with HIV/AIDS in comparison to the general population of persons with disabilities in the state-federal vocational rehabilitation (VR) system and (2) to determine the relationship between (a) demographic variables (i.e., age, education level at the time of application for VR services, and receipt of cash benefit) and VR services received (e.g., job placement) and (b) employment outcomes for this population. METHODS: Chi square analysis was used to determine if there was a significant difference in acceptance/eligibility rate between the target population of African American women with HIV/AIDS and the general disability population. Multiple logistic regression analysis was used to determine the relationship between demographic variables and vocational rehabilitation services received on employment outcomes for the target population. RESULTS: Results indicate that the African American women with HIV/AIDS were found ineligible for services at a lower rate, 14%, than the general population of persons with disabilities served, 17%. However, even though they are more likely to be accepted for services, the competitive employment outcomes are lower than the general population of persons with disabilities. Results also indicate that the hypothesized demographic and VR service-related predictor variables were significantly related to competitive employment outcomes. Specifically, receipt of cash benefits and diagnostic /treatment VR services had a negative impact on employment outcomes. Factors positively associated with employment outcomes included receipt of job placement and maintenance services. CONCLUSIONS: Vocational rehabilitation counselors, researchers and other key stakeholders must identify the most effective strategies to assist African American women with HIV/AIDS in navigating the VR process from application to closure as competitively employed.
| Original language | English |
|---|---|
| Pages (from-to) | 235-245 |
| Number of pages | 11 |
| Journal | Journal of Vocational Rehabilitation |
| Volume | 47 |
| Issue number | 2 |
| DOIs | |
| Publication status | Published - 2017 Jan 1 |
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All Science Journal Classification (ASJC) codes
- Rehabilitation
- Occupational Therapy
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Vocational rehabilitation services for African-American women with HIV/AIDS : An examination of acceptance rates and employment outcomes. / Johnson, Eboneé T.; Kaya, Cahit; Chan, Fong; Dutta, Alo; Yaghmaian, Rana; Kundu, Madan; Devebakan, Nevzat.
In: Journal of Vocational Rehabilitation, Vol. 47, No. 2, 01.01.2017, p. 235-245.Research output: Contribution to journal › Article
TY - JOUR
T1 - Vocational rehabilitation services for African-American women with HIV/AIDS
T2 - An examination of acceptance rates and employment outcomes
AU - Johnson, Eboneé T.
AU - Kaya, Cahit
AU - Chan, Fong
AU - Dutta, Alo
AU - Yaghmaian, Rana
AU - Kundu, Madan
AU - Devebakan, Nevzat
PY - 2017/1/1
Y1 - 2017/1/1
N2 - BACKGROUND: Previous research identifies employment as a social determinant of health for persons with HIV/AIDS, specifically African American women. OBJECTIVE: The purpose of this study was twofold: (1) to examine the eligibility/acceptance and competitive employment rates of African American women diagnosed with HIV/AIDS in comparison to the general population of persons with disabilities in the state-federal vocational rehabilitation (VR) system and (2) to determine the relationship between (a) demographic variables (i.e., age, education level at the time of application for VR services, and receipt of cash benefit) and VR services received (e.g., job placement) and (b) employment outcomes for this population. METHODS: Chi square analysis was used to determine if there was a significant difference in acceptance/eligibility rate between the target population of African American women with HIV/AIDS and the general disability population. Multiple logistic regression analysis was used to determine the relationship between demographic variables and vocational rehabilitation services received on employment outcomes for the target population. RESULTS: Results indicate that the African American women with HIV/AIDS were found ineligible for services at a lower rate, 14%, than the general population of persons with disabilities served, 17%. However, even though they are more likely to be accepted for services, the competitive employment outcomes are lower than the general population of persons with disabilities. Results also indicate that the hypothesized demographic and VR service-related predictor variables were significantly related to competitive employment outcomes. Specifically, receipt of cash benefits and diagnostic /treatment VR services had a negative impact on employment outcomes. Factors positively associated with employment outcomes included receipt of job placement and maintenance services. CONCLUSIONS: Vocational rehabilitation counselors, researchers and other key stakeholders must identify the most effective strategies to assist African American women with HIV/AIDS in navigating the VR process from application to closure as competitively employed.
AB - BACKGROUND: Previous research identifies employment as a social determinant of health for persons with HIV/AIDS, specifically African American women. OBJECTIVE: The purpose of this study was twofold: (1) to examine the eligibility/acceptance and competitive employment rates of African American women diagnosed with HIV/AIDS in comparison to the general population of persons with disabilities in the state-federal vocational rehabilitation (VR) system and (2) to determine the relationship between (a) demographic variables (i.e., age, education level at the time of application for VR services, and receipt of cash benefit) and VR services received (e.g., job placement) and (b) employment outcomes for this population. METHODS: Chi square analysis was used to determine if there was a significant difference in acceptance/eligibility rate between the target population of African American women with HIV/AIDS and the general disability population. Multiple logistic regression analysis was used to determine the relationship between demographic variables and vocational rehabilitation services received on employment outcomes for the target population. RESULTS: Results indicate that the African American women with HIV/AIDS were found ineligible for services at a lower rate, 14%, than the general population of persons with disabilities served, 17%. However, even though they are more likely to be accepted for services, the competitive employment outcomes are lower than the general population of persons with disabilities. Results also indicate that the hypothesized demographic and VR service-related predictor variables were significantly related to competitive employment outcomes. Specifically, receipt of cash benefits and diagnostic /treatment VR services had a negative impact on employment outcomes. Factors positively associated with employment outcomes included receipt of job placement and maintenance services. CONCLUSIONS: Vocational rehabilitation counselors, researchers and other key stakeholders must identify the most effective strategies to assist African American women with HIV/AIDS in navigating the VR process from application to closure as competitively employed.
UR - http://www.scopus.com/inward/record.url?scp=85030455103&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=85030455103&partnerID=8YFLogxK
U2 - 10.3233/JVR-170898
DO - 10.3233/JVR-170898
M3 - Article
AN - SCOPUS:85030455103
VL - 47
SP - 235
EP - 245
JO - Journal of Vocational Rehabilitation
JF - Journal of Vocational Rehabilitation
SN - 1052-2263
IS - 2
ER -