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Employment cessation, long term labour market engagement and HIV infection risk among people who inject drugs in an urban Canadian setting
- Source :
- AIDS Behav
- Publication Year :
- 2019
-
Abstract
- The potential for changes in socio-economic status, such as employment exits, to increase HIV infection risk are not well examined among people who inject illicit drugs (PWID). We used longstanding cohort data from Vancouver, Canada, to longitudinally assess associations between employment cessation and outcomes with documented linkages to HIV infection risk among PWID. From 2005 to 2015, 1222 participants reported 1154 employment exits. Employment exits were significantly associated with transitions into unstable housing; moving to the inner-city; initiating informal, prohibited or illegal income generation; high risk drug use practices; and exiting methadone maintenance therapy. HIV infection rates were higher among participants with lower long-term labour market engagement. These findings suggest that employment cessation coincides with initiating exposure to aspects of socioeconomic marginalization and drug use associated with HIV infection risk. Support for employment retention that prevents poverty entrenchment and harmful drug use could contribute to HIV prevention measures for PWID.
- Subjects :
- Adult
Employment
Male
Infection risk
medicine.medical_specialty
Canada
Social Psychology
Substance-Related Disorders
Human immunodeficiency virus (HIV)
HIV Infections
medicine.disease_cause
Social Environment
Article
Cohort Studies
Life Change Events
03 medical and health sciences
0302 clinical medicine
Environmental health
medicine
Opiate Substitution Treatment
Humans
030212 general & internal medicine
Longitudinal Studies
Substance Abuse, Intravenous
Socioeconomic status
030505 public health
Poverty
Marital Status
business.industry
Illicit Drugs
Public health
1. No poverty
Public Health, Environmental and Occupational Health
Middle Aged
3. Good health
Methadone maintenance therapy
Health psychology
Infectious Diseases
Cohort
Housing
Social Marginalization
Female
0305 other medical science
business
Methadone
Subjects
Details
- Language :
- English
- Database :
- OpenAIRE
- Journal :
- AIDS Behav
- Accession number :
- edsair.doi.dedup.....b497f045bfacdf3f4c4e1276c151ab44