Diagnosis and stigma and identity amongst HIV positive Black Africans living in the UK

Diagnosis and stigma and identity amongst HIV positive Black Africans living in the UK
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DOI:
10.1080/14768320500286286
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发表时间:
2006-02-01
影响因子:
3.3
通讯作者:
Imrie, J
Imrie, J
中科院分区:
医学3区
文献类型:
--
作者:
Flowers, P;Davis, M;Imrie, J

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在英国伦敦对 30 名艾滋病毒呈阳性的非洲黑人进行了个人深入、半结构化访谈。采访的重点是艾滋病毒感染者的经历。使用解释现象学分析对访谈进行转录和分析,以找出反复出现的主题。生活在英国的非洲黑人的社会背景成为一个重要的框架,艾滋病毒呈阳性的经历被定位在其中。就人们对自己感染艾滋病毒的经历而言,诊断被认为是人们生活中的一个重要时刻。大多数参与者在收到阳性抗体检测结果后感到惊讶和不安。许多人表示经历过一段时期的抑郁和社会孤立。与艾滋病毒相关的耻辱和偏见也成为影响参与者日常生活的主要力量。我们讨论了身份和社会背景在破坏诊断测试的医学意义方面的作用。
Individual in-depth, semi-structured interviews with 30 HIV positive Black Africans were conducted in London, UK. The interviews focused upon experiential accounts of living with HIV. The interviews were transcribed and analysed for recurrent themes using interpretative phenomenological analysis. The social context of being a Black African living in the UK emerged as an important framework within which the experience of being HIV positive was positioned. In terms of people's accounts of their own experiences of living with HIV, diagnosis figured as an important moment in people's lives. The majority of participants were surprised and upset upon receiving their positive antibody test results. Many reported a period of depression and social isolation. Stigma and prejudice associated with HIV also emerged as a major force shaping the daily lives of the participants. We discuss the role of identity and social context in disrupting the medical meaning of diagnostic tests.