"Live a normal life": Constructions of resilience among people in mixed HIV status relationships in Canada.

Autor: Yang M; Dalla Lana School of Public Health, University of Toronto, Toronto, Canada., Daftary A; School of Global Health, and Dahdaleh Institute of Global Health Research, York University, Toronto, Canada., Mendelsohn JB; College of Health Professions, Pace University, New York, New York, United States of America., Ryan M; Dalla Lana School of Public Health, University of Toronto, Toronto, Canada., Bullock S; Dalla Lana School of Public Health, University of Toronto, Toronto, Canada., Bisaillon L; Department of Health and Society, University of Toronto Scarborough, Toronto, Canada., Bourne A; Australian Research Centre in Sex, Health and Society, La Trobe University, Melbourne, Australia., Lebouché B; Faculty of Medicine, Division of Infectious Diseases and Chronic Viral Illness, and the Research Institute of the McGill University Health Centre, McGill University, Montreal, Canada., Thompson T; Faculty of Health Sciences, Douglas College, Coquitlam, Canada., Calzavara L; Dalla Lana School of Public Health, University of Toronto, Toronto, Canada.
Jazyk: angličtina
Zdroj: PloS one [PLoS One] 2023 Mar 08; Vol. 18 (3), pp. e0281301. Date of Electronic Publication: 2023 Mar 08 (Print Publication: 2023).
DOI: 10.1371/journal.pone.0281301
Abstrakt: Positive Plus One is a mixed-methods study of long-term mixed HIV-serostatus relationships in Canada (2016-19). Qualitative interviews with 51 participants (10 women, 41 men, including 27 HIV-positive and 24 HIV-negative partners) were analyzed using inductive thematic analysis to examine notions of relationship resilience in the context of emerging HIV social campaigns. Relationship resilience meant finding ways to build and enact life as a normal couple, that is, a couple not noticeably affected by HIV, linked to the partner with HIV maintaining viral suppression and achieving "undetectable = untransmittable" (U = U). Regardless of serostatus, participants with material resources, social networks, and specialized care were better able to construct resilience for HIV-related challenges within their relationships. Compared to heterosexual couples and those facing socioeconomic adversity, gay and bisexual couples were easier able to disclose, and access capital, networks and resources supporting resilience. We conclude that important pathways of constructing, shaping, and maintaining resilience were influenced by the timing of HIV diagnosis in the relationship, access to HIV-related information and services, disclosure, stigma and social acceptance.
Competing Interests: Amrita Daftary is a section editor for PLOS Global Public Health and academic editor for PLOS One. Bertrand Lebouché has received grants for investigator-initiated studies from ViiV Healthcare, Merck, and Gilead; consulting fees from ViiV Healthcare, Merck, and Gilead. All other authors have no competing interests.
(Copyright: © 2023 Yang et al. This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.)
Databáze: MEDLINE
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