Employment status and HIV viral load in Chilean adult population: a propensity score analysis

We set out to investigate the potential impact of unemployment on HIV viral load in individuals living with HIV at the biggest HIV-related healthcare centre in Chile. We analysed a cross-sectional dataset of 803 adults living with HIV on antiretroviral therapy. The main exposure was employment statu...

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Hauptverfasser: Leiva-Escobar, Ignacio (VerfasserIn) , Cortes, Claudia P. (VerfasserIn) , Lamadrid, Angelo (VerfasserIn)
Dokumenttyp: Article (Journal)
Sprache:Englisch
Veröffentlicht: 9 January 2025
In: Aids and behavior
Year: 2025, Jahrgang: 29, Heft: 4, Pages: 1256-1265
ISSN:1573-3254
DOI:10.1007/s10461-024-04600-y
Online-Zugang:Verlag, lizenzpflichtig, Volltext: https://doi.org/10.1007/s10461-024-04600-y
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Verfasserangaben:Ignacio Leiva-Escobar, Claudia P. Cortes, Angelo Lamadrid

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520 |a We set out to investigate the potential impact of unemployment on HIV viral load in individuals living with HIV at the biggest HIV-related healthcare centre in Chile. We analysed a cross-sectional dataset of 803 adults living with HIV on antiretroviral therapy. The main exposure was employment status. The outcome, detectable HIV viral load, was operationalised using a cut-off of HIV viral load at 20 copies/mL. We applied a propensity score method, the inverse probability of treatment weighting to control for measured confounders. We found that 219 (27.3%) of participants were unemployed. Being unemployed was associated with increased odds of being detectable (OR = 1.78, 95%CI = 1.18-2.71) compared to being employed. Additionally, we found that those unemployed and non-adherents have higher odds of being detectable (OR = 2.53, 95%CI = 1.18-5.41). Unemployment status may influence HIV viral load. However, further research is needed to determine and understand the social structure behind those relationships in the Chilean people living with HIV. 
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