Social relationships, stigma and adherence to antiretroviral therapy for HIV/AIDS
Social relationships, stigma and adherence to antiretroviral therapy for HIV/AIDS
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DOI：
10.1080/09540120500330554
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发表时间：
2006-11-01
影响因子：
1.7
通讯作者：
Tugenberg, T.
中科院分区：
文献类型：
--
作者：
Ware, N. C.;Wyatt, M. A.;Tugenberg, T.
迄今为止，关于联合抗逆转录病毒治疗依从性的研究主要集中在定义和测量问题以及障碍和支持的识别上。本文探讨了接受高效抗逆转录病毒治疗 (HAART) 与与艾滋病毒/艾滋病共存的生活之间的交叉点。数据包括对 52 名艾滋病毒呈阳性、活跃的非法吸毒者进行的 214 次定性访谈。利用耻辱和对披露的恐惧作为分析结构的解释性分析被用来解释一方面努力发展社会关系与另一方面试图通过坚持来保障健康之间的工作紧张关系。该分析具体说明了一种机制，通过这种机制，耻辱作为一种社会过程会导致边缘化和排斥。多重耻辱的等级组织也被注意到。吸毒加剧了孤独感和对联系的渴望。结果表明，艾滋病毒/艾滋病患者不会始终服从其他利益以优先遵守。旨在支持长期坚持的干预措施必须解决“健康”与“生命”之间的冲突。
Research on adherence to combination antiretroviral therapy has up to now focused largely upon problems of definition and measurement, and on the identification of barriers and supports. This paper examines the intersection between taking HAART and building a life with HIV/AIDS. Data consist of 214 qualitative interviews with 52 HIV-positive, active illegal drug users. A interpretive analysis drawing upon stigma and fear of disclosure as analytical constructs was applied to explain working tensions between efforts to develop social relationships on the one hand, and attempts to safeguard health through adherence on the other. The analysis specifies a mechanism through which stigma as a social process results in marginalization and exclusion. The hierarchical organization of multiple stigma is also noted. Loneliness and the desire for relatedness is intensified by drug use. Results suggest that persons with HIV/AIDS will not consistently subordinate other interests to prioritize adherence. Interventions aimed at supporting long-term adherence must address experienced conflicts between 'health' and 'life'.