Missed Opportunities for Early HIV diagnosis: Critical Insights from Stories of Kenyan Women Living with HIV.
Missed Opportunities for Early HIV diagnosis: Critical Insights from Stories of Kenyan Women Living with HIV.
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DOI：
10.1080/14635240.2012.750070
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发表时间：
2013-05-01
影响因子：
1
通讯作者：
Dressel A
中科院分区：
文献类型：
--
作者：
Kako PM;Stevens PE;Mkandawire-Valhmu L;Kibicho J;Karani AK;Dressel A
早期艾滋病毒检测对于预防和及时治疗至关重要。当抗逆转录病毒治疗可以挽救生命时，错过艾滋病毒诊断机会可能会导致不必要的死亡。虽然艾滋病毒预防和治疗研究有所增加，但对妇女艾滋病毒诊断经历的研究却较少，尽管事实上妇女受到的影响最大。当地妇女的见解对于设计具有文化意义的干预措施至关重要，以阻止错失早期艾滋病毒诊断的机会。我们研究的目的是揭示女性为了解艾滋病毒诊断而采取的步骤。我们采用后殖民女权主义启发的叙事调查方法，采访了肯尼亚 40 名艾滋病毒呈阳性的女性。出现了与妇女接受艾滋病毒检测相关的五个主题：(a) 配偶危重病或死亡； (b) 患有艾滋病毒相关症状多年； (c) 生病的儿童； (d) 产前检测； (e) 了解自己的艾滋病毒感染状况的个人愿望。这些以女性经历为中心的研究结果为与艾滋病毒预防、早期检测和治疗相关的健康促进干预措施提供了重要基础。
Early HIV testing is critical to prevention and timely treatment. Missed opportunities for HIV diagnosis can result in unnecessary deaths at a time when access to antiretroviral treatment proves life saving. While HIV prevention and treatment research has increased, less research exists on women's experiences with HIV diagnosis, despite the fact that women are most affected. Insights from local women are critical in designing culturally meaningful interventions that thwart missed opportunities for early HIV diagnosis. The purpose of our study was to uncover steps women took to know their HIV diagnosis. Using narrative inquiry methodology informed by post-colonial feminism, we interviewed 40 HIV- positive women in Kenya. Five themes emerged related to uptake of HIV testing for women: (a) spouse's critical illness or death; (b) years of suffering from HIV-related symptoms; (c) sick children; (d) prenatal testing; and (e) personal desire to know one's HIV status. These findings centered on women experiences provide an important basis for health promotion interventions related to HIV prevention, earlier detection, and treatment.