1. The employment and work environment of people living with HIV in Japan ： based on the nationwide survey Chihiro Wakabayashi 1 Y. Ikushima 2, K. IKEDA 3, H. Iwasaki 4, T. Endo 5, G. Okamoto 6, H. Tsurumi 7, S. Oki 8, T. Ohtsuki 2, R. Kataoka 1, A. Sato 1, M.Tarui 2 1 Saitama Prefectural University 2 Place Tokyo, 3 National Center for Global Health and Medicine, AIDS Clinical Center, 4 University of Fukui, 5 Hokkaido University Hospital, 6 National Hospital Organization, Osaka National Hospital, 7 Gifu University Graduate School of Medicine, 8 Kyorin University, JAPAN

2. Purpose and Methods 22,000 PLHIV/127million population (2013/6) HIV stigma still strong Cross-sectional study at 9 HIV treatment hospitals →Treat 30% of Japanese PLHIV Anonymous questionnaire to 1,786 (40% patients treated (except 2hospitals) Responses by mail from 1,100 （ 61.6% ） ８ treatment hospitals 1 national centre

3. Working rate by age (male) general population and PLHIV The type of employment at HIV diagnosis and at survey

4. Comparison of the type of employment at diagnosis and at survey completion at HIV diagnosis Self employed Full-timePart-time Unemployed

5. Disclosure of HIV status in workplace ２ ２％

6. Mental burden in workplace

7. Evaluation of HIV programs and policies

8. Acknowledgement We would like to thank PLHIV who participated in this program and all co-researcher for helping with this survey. K. Watabe, R. Sakamoto (Hokkaido University Hospital), Y. Torimoto, M. Yahaba (Asahikawa Medical University Hospital), T. Ito, H. Ito (Sendai Medical Center), Y. Takasaki (Odate Municipal General Hospital), Y. Ogawa, K. Yanagisawa, Y. Ishizaki (Gunma University Hospital), S. Oka, M. Ogane (AIDS Clinical Center, National Center for Global Health and Medicine), A. Ajisawa, A. Imamura, A. Suganuma, N. Yanagisawa (Tokyo Metropolitan Cancer and Infectious Diseases Center Komagome Hospital), Y. Mizuguchi, A. Takagi, Y. Tomoda (Yokohama City University Hospital), Y. Miyashita (Yamanashi Prefectural Central Hospital), Y. Tanabe, S. Kawaguchi, S. Ishizuka (Niigata University Medical & Dental Hospital), H. Tsukada (Niigata City General Hospital), H. Saito (Nagano Prefectural Suzaka Hospital), M. Ueda, M. Yamada, T. Takayama (Ishikawa Prefectural Central Hospital), M. Ishihara, H. Tsurumi (Gifu University Hospital), Y. Yokomaku, C. Hashiba (National Hospital Organization Nagoya Medical Center), Y. Koizumi, A. Minou (Shiga University of Medical Science Hospital), M. Kobayashi, A. Takaori, Y. Matsui, A. Kitagawa (Kyoto University Hospital), T. Shirasaka, Y. Shimoji (National Hospital Organization Osaka National Hospital), T. Fujii, F. Kagiura, K. Kinoshita (Hiroshima University Hospital), M. Noda (Hiroshima City Hiroshima Citizens Hospital), Y. Kubota (Kagawa University Hospital), M. Yamamoto, M. Shirosaki (National Hospital Organization Kyushu Medical Center), A. Furumoto (Nagasaki University Hospital), S. Matsushita, T. Miyakawa, H. Nakata (Kumamoto University Hospital), I. Kikuchi (Miyazaki Prefectural Miyazaki Hospital), T. Hashiguchi, Y. Furukawa, S. Tsuneyoshi (Kagoshima University Medical and Dental Hospital), M. Tateyama (Hospital, University of the Ryukyus)

9. Funding The Health Labour Sciences Research Grant of the Japanese Ministry of Health, Labour, and Welfare (H25-AIDS-general-013) Corresponding author WAKABAYASHI, Chihiro wakabayashi@spu.ac.jp Saitama Prefectural University, Faculty of Health sciences Saitama, JAPAN

10. 20th International AIDS conference, Oral Poster Discussion Session : Track D THPDD01 “Working It Out: HIV and the Workplace” No.THPD0101 Date: 24/07/2014 Melbourne, Australia