A Qualitative Study of Roles Performed by Peer Workers in the Context of HIV in India

A Qualitative Study of Roles Performed by Peer Workers in the Context of HIV in India
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DOI:
10.1016/j.jana.2013.01.004
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发表时间:
2014-03-01
影响因子:
2
通讯作者:
de Souza, Rebecca
de Souza, Rebecca
中科院分区:
医学4区
文献类型:
--
作者:
de Souza, Rebecca

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虽然同伴干预已被证明在静脉注射吸毒者、妇女、青年和其他高危人群中有效地预防和支持艾滋病毒,但对同伴在被剥夺公民权和非西方环境中发挥的特殊作用知之甚少。这项研究调查了在印度南部卡纳塔克邦,同伴工作者在艾滋病毒的背景下所扮演的各种角色。对感染艾滋病毒的同行工作人员进行了深入访谈,这些工作人员为其他艾滋病毒感染者提供咨询、外联和健康教育。有根据的分析揭示了五个角色:榜样、说服者、专家、加倍努力和微观层面的倡导。在讨论部分,这些角色用于探索同伴工作和授权之间的关系。研究结果表明,除了个人赋权之外,同伴在建立社会资本和挑战社区现有社会规范方面也至关重要。艾滋病护理护士协会版权所有
While peer interventions have been shown to be effective in HIV prevention and support amongst intravenous drug users, women, youth, and other high-risk populations, less is known about the particular roles peers play in disenfranchised and non-Western contexts. This study examined the various roles peer workers played in the context of HIV in Karnataka, a southern Indian state. In-depth interviews were conducted with HIV-infected peer workers engaged in providing counseling, outreach, and health education to other people living with HIV. Grounded analysis revealed five roles: role model, persuader, maven, going the extra mile, and micro-level advocacy. In the Discussion section, these roles are used to explore the relationship between peer work and empowerment. Findings showed that in addition to personal empowerment, peers were crucial to building social capital and challenging existing social norms in the community. Copyright (C) 2014 Association of Nurses in AIDS Care