Spirituality, social capital and service: factors promoting resilience among Expert Patients living with HIV in Ethiopia.
Spirituality, social capital and service: factors promoting resilience among Expert Patients living with HIV in Ethiopia.
复制标题
灵性，社会资本和服务：促进埃塞俄比亚艾滋病毒专家患者韧性的因素。
DOI：
10.1080/17441692.2014.880501
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发表时间：
2014
影响因子：
3.3
通讯作者：
del Rio C
中科院分区：
文献类型：
--
作者：
Hussen SA;Tsegaye M;Argaw MG;Andes K;Gilliard D;del Rio C
埃塞俄比亚和其他发展中国家的艾滋病毒感染者（PLHIV）面临着许多健康和福祉方面的挑战，包括贫困，有限的医疗基础设施和高度的社会耻辱。尽管存在这些挑战，但即使在这种资源有限的情况下，也观察到了有复原力的轨迹。在埃塞俄比亚，“专家病人”、艾滋病毒抗体阳性的非专业卫生工作者是这种复原力的典范，他们担任依从性顾问、卫生教育工作者、外联工作者和社区倡导者。我们在埃塞俄比亚的阿迪斯对20名专家患者进行了一项多方法定性研究，以了解这一选定人群的恢复途径。与会者描述了3个关键的弹性应对机制：（1）使用精神和信仰的做法来管理与艾滋病毒感染者相关的心理困难;（2）利用家庭和社区网络的社会资本作为缓冲，以应对社会耻辱的心理和经济后果;（3）为他人服务，作为寻找乐观和生活目标的机制。旨在促进和/或加强这些社会进程在更广泛的社区干预措施可能是有前途的战略，改善艾滋病毒感染者在埃塞俄比亚和其他资源有限的环境中的健康。
People living with HIV (PLHIV) in Ethiopia and other developing nations face numerous challenges to their health and well-being, including poverty, limited healthcare infrastructure, and high levels of societal stigma. Despite these challenges, resilient trajectories have been observed even within such resource-limited settings. In Ethiopia, such resilience is exemplified by the ‘Expert Patients’, HIV-positive lay health workers who function as adherence counsellors, health educators, outreach workers and community advocates. We conducted a multi-method qualitative study with 20 Expert Patients in Addis Ababa, Ethiopia in order to understand pathways to resilience in this select population. Participants described 3 key mechanisms of resilient coping: (1) The use of spirituality and faith-based practices to manage psychological difficulties associated with living with HIV; (2) Utilisation of social capital from family and community networks as a buffer against the psychological and economic consequences of societal stigma; and (3) Serving others as a mechanism for finding optimism and purpose in life. Interventions designed to facilitate and/or augment these social processes in the wider community may be promising strategies for improving health among PLHIV in Ethiopia and other resource-limited settings.
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DOI：
10.1080/09540120902883119
发表时间：
2009-01-01
影响因子：
1.7
作者：
Gusdal, Annelie K.;Obua, Celestino;Fochsen, Grethe
通讯作者：
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影响因子：
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作者：
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10.1080/17290376.2009.9724943
发表时间：
2009-12-01
影响因子：
1.1
作者：
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通讯作者：
Deribe, Kebede
影响因子：
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作者：
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