Facing the challenge: household responses to HIV/AIDS in Mumbai, India

Facing the challenge: household responses to HIV/AIDS in Mumbai, India
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DOI:
10.1080/09540129948180
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发表时间:
1999-02-01
影响因子:
1.7
通讯作者:
Aggleton, P
Aggleton, P
中科院分区:
医学4区
文献类型:
--
作者:
Bharat, S;Aggleton, P

文献摘要

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在设计向艾滋病毒感染者提供支助和护理的方案和干预措施时,家庭和家庭如何应对艾滋病至关重要。如果家庭和家庭的反应是负面的,那么可能需要与那些反应更具支持性的家庭进行不同类型的干预。本文报告了对印度家庭和家庭应对艾滋病毒和艾滋病的所有深入研究的结果。通过个人和夫妇访谈,收集了有关向艾滋病毒和艾滋病患者提供(或拒绝)护理和支持的方式的数据。研究结果表明,男性的反应很大程度上受到普遍的性别关系的影响,男性的反应比女性更积极,此外还有其他变量,如社会地位。答复的质量也受到家庭中先前存在的支持和不和谐模式的影响。例如,在信任程度高、配偶冲突轻微的地方,人们对艾滋病毒和艾滋病的反应比不信任和配偶间冲突时更积极。对方案和干预措施的发展提出了建议,以加强现有的应对措施,并最大限度地成功开展以家庭为基础的护理。
How households and families respond to AIDS is of fundamental importance when it comes to designing programmes and interventions to provide support and care to people living with HIV disease. Where household and family responses are negative, different Kinds of interventions may be needed from those where responses are more supportive. This paper reports on findings from all in-depth study of household and family responses to HIV and AIDS in India. Using individual and couple interviews, data were collected on the ways in which care and support were offered (or denied) to people living with HIV and AIDS. Findings show that responses are greatly influenced by prevailing gender relations, with men being responded to more positively than women, as well as other variables such as social status. The quality of responses is also influenced by pre-existing patterns of support and discord within the family. Where trust is high and spousal conflict slight, for example, HIV and AIDS are reacted to more positively than when there is mistrust and inter-spousal conflict. Suggestions are made concerning programme and intervention development so as to strengthen existing responses, and to maximize the success of home-based care.