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REHABILITATION SERVICE UTILIZATION AMONG AFRICAN AMERICAN WOMEN LIVING WITH HIV/AIDS: USING THE BEHAVIORAL MODEL FOR VULNERABLE POPULATIONS

机译:感染艾滋病毒/艾滋病的非洲裔美国妇女的康复服务利用:使用弱势人口行为模式

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摘要

African American women represent one of the largest groups disproportionately living with and affected by HIV/AIDS yet African American women have largely been unrepresented in the federal-state rehabilitation system. As pharmaceutical treatment options improve and individuals with HIV/AIDS are living longer and healthier lives, research exploring the appropriateness of rehabilitation services has increased. Accordingly, it has become more necessary to address the needs of this population. As the largest service provider for people with disabilities, the state-federal rehabilitation system has the potential to be a vital resource for African American women living with HIV/AIDS. The purpose of this study is to identify and examine variables related to and predictive of the utilization of rehabilitative services among a sample of African American women living with HIV/AIDS in the United States who volunteered to complete the National Working Positive Coalition - Vocational Development and Employment Needs Survey (NWPC-VDENS). The sample for this study was 313 African American women living with HIV/AIDS who were recruited from AIDS service organizations and national networks throughout the United States. Participants voluntarily completed the NWPC - VDENS, which explored their needs in the areas of education, training, employment, and health. The behavioral model for vulnerable populations was utilized as a framework to organize and examine predisposing, enabling and need constructs as they related to the utilization of rehabilitative services among African American women living with HIV/AIDS. This study used descriptive, bivariate and binary hierarchical logistic regression statistical analyses to determine the extent to which the constructs were predictive of the use of vocational rehabilitative services. The bivariate analyses produced no statistically significant differences between users and non-users of vocational rehabilitation services for either the predisposing or need variables. Three enabling characteristics, receipt of income benefits, knowledge of services, and reasonable access were all found to have statistical significance in the bivariate analyses. At least one variable from each construct was statistically significant in the regression model. Receipt of income benefits and knowledge of rehabilitation services were found to be predictive of the utilization of vocational rehabilitation services. Study findings framed from previous research, study limitations, implications, and recommendations for future research were acknowledged.
机译:非洲裔美国妇女是艾滋病毒/艾滋病感染者和受其影响最大的最大群体之一,但在联邦州的康复系统中,非洲裔美国妇女的代表性却很少。随着药物治疗选择的改善以及艾滋病毒/艾滋病患者的寿命更长,更健康,探索康复服务适当性的研究也在增加。因此,解决这一人群的需求变得更加必要。作为最大的残疾人服务提供者,州-联邦康复系统有可能成为感染艾滋病毒/艾滋病的非洲裔美国妇女的重要资源。本研究的目的是在美国自愿完成全国积极工作联合会-职业发展和康复计划的美国非裔HIV / AIDS妇女样本中,确定和检查与康复服务的利用有关的变量,并预测康复服务的利用情况。就业需求调查(NWPC-VDENS)。这项研究的样本是从美国各地的艾滋病服务组织和国家网络招募的313名非洲裔美国妇女,携带艾滋病毒/艾滋病。参与者自愿完成了NWPC-VDENS,在教育,培训,就业和卫生领域探索了他们的需求。弱势人群的行为模型被用作组织和检验易感人群,使能人群和需要的人群的框架,因为它们与感染艾滋病毒/艾滋病的非洲裔美国妇女利用康复服务有关。这项研究使用描述性,双变量和二元分层逻辑回归统计分析来确定构建体对职业康复服务使用的预测程度。对于易患因素或需求变量,双变量分析在职业康复服务的使用者和非使用者之间没有产生统计学上的显着差异。在双变量分析中,三个使能特征,收入收益的获得,服务的知识以及合理的获取都具有统计学意义。在回归模型中,每个构造的至少一个变量在统计学上是显着的。发现收入收益和康复服务知识可以预测职业康复服务的使用情况。承认先前研究的研究结果,研究局限性,影响和对未来研究的建议。

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    Shamburger-Rousseau Aisha;

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