Women from Africa living with HIV in London: a descriptive study

Women from Africa living with HIV in London: a descriptive study
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DOI:
10.1080/09540120310001634001
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发表时间:
2004-01-01
影响因子:
1.7
通讯作者:
Doyal, L
Doyal, L
中科院分区:
医学4区
文献类型:
--
作者:
Anderson, J;Doyal, L

文献摘要

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没有研究审查了在英国感染艾滋病毒的非洲妇女的特殊需求和经历,而她们在英国艾滋病毒流行中所占的比例越来越大。这项研究探讨了在伦敦接受治疗的艾滋病毒阳性非洲妇女的疾病传记和日常生活。来自11个非洲国家的62名妇女在5家伦敦医院的艾滋病毒专家诊所参加了自我完成的问卷调查和深入的半结构化访谈。采用叙述的方法,妇女被要求谈论他们的艾滋病毒状况在更广泛的背景下,他们的生活史。这一群体中存在着重要的差异,主要是基于国籍、收入、教育水平和在联合王国的法律的地位。然而,也出现了明显的相似之处,这部分与他们作为移民的处境有关,并因他们的疾病而加剧。实际存在的和感觉到的耻辱对妇女的生活产生了深刻影响,使控制有关其处境的信息成为一个令人严重关切的问题。这对妇女如何获得保健服务和志愿部门机构产生了影响。宗教信仰增强了妇女应对生活困难的韧性。这种相似性和差异需要由卫生和社会护理专业人员正确理解,如果他们要为这一不断增长的患者群体提供最适当的护理。
There are no studies that have examined the particular needs and experiences of African women living with HIV in the UK at a time when they represent an increasingly large proportion of the UK HIV epidemic. This study explores the illness biographies and daily lives of HIV-positive African women receiving treatment in London. Sixty-two women from 11 African countries attending HIV specialist clinics in five London hospitals participated in self-completion questionnaires and in depth semi-structured interviews. Using a narrative approach, women were asked to talk about their HIV status in the broader context of their life history. Important differences exist within this group based mainly on nationality, income, education level and legal status in the UK. However, marked similarities also emerged which were related in part to their situation as migrants and were compounded by their illness. Stigma, both actual and perceived, had a profound impact on women's lives, making control of information about their situation a matter of acute concern. This had an effect on how women accessed health services and voluntary sector agencies. The resilience of women in dealing with difficulties in their lives was strengthened by religious belief. Such similarities and differences need to be properly understood by health and social care professionals if they are to offer the most appropriate care for this growing population of patients.