The Framing and Fashioning of Therapeutic Citizenship Among People Living With HIV Taking Antiretroviral Therapy in Uganda.
The Framing and Fashioning of Therapeutic Citizenship Among People Living With HIV Taking Antiretroviral Therapy in Uganda.
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DOI：
10.1177/1049732315597654
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发表时间：
2016-09
影响因子：
3.2
通讯作者：
Seeley J
中科院分区：
文献类型：
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作者：
Russell S;Namukwaya S;Zalwango F;Seeley J
在这篇文章中，我们研究了艾滋病毒感染者（PLWH）如何能够重新概念化或“重新构建”他们对艾滋病毒的理解，并提高他们自我管理病情的能力。两个深入的采访了38个PLWH（20名妇女，18名男子），从三个政府和非政府抗逆转录病毒疗法（ART）在Wakiso区的交付站点选择，并分析叙述。抗逆转录病毒疗法提供者在塑造参与者的艾滋病毒自我管理过程中发挥了重要作用。卫生工作者帮助艾滋病毒携带者认识到，他们可以控制自己的病情，提供有用的概念和语言的情绪应对，并提供有关实际的自我管理任务的建议，虽然这并不总是可以付诸实践。在这种情况下，ART提供者是发展集体身份和鼓励自我管理的特定形式的治疗公民身份的空间，包括坚持ART。积极的框架机构对于资源有限的环境中的许多PLWH和ART计划的成功非常重要。
In this article, we examine how people living with HIV (PLWH) were able to reconceptualize or “reframe” their understanding of HIV and enhance their capacity to self-manage the condition. Two in-depth interviews were held with 38 PLWH (20 women, 18 men) selected from three government and nongovernment antiretroviral therapy (ART) delivery sites in Wakiso District, and the narratives analyzed. ART providers played an important role in shaping participants’ HIV self-management processes. Health workers helped PLWH realize that they could control their condition, provided useful concepts and language for emotional coping, and gave advice about practical self-management tasks, although this could not always be put into practice. ART providers in this setting were spaces for the development of a collective identity and a particular form of therapeutic citizenship that encouraged self-management, including adherence to ART. Positive framing institutions are important for many PLWH in resource-limited settings and the success of ART programs.