From HIV diagnosis to initiation of treatment: Social transformation among people starting antiretroviral therapy in Peru
| Autor: | James Pfeiffer, Milagros Wong, Chloe Waters, Amy Beeson, Arachu Castro, Sonya Shin, Adrianne Katrina Nelson, Maribel Muñoz, Janeth Santacruz |
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| Rok vydání: | 2021 |
| Předmět: |
0301 basic medicine
medicine.medical_specialty Health (social science) Psychotherapist Resource (biology) Poverty business.industry HIV diagnosis Stigma (botany) 030112 virology Antiretroviral therapy Article 03 medical and health sciences Social support 0302 clinical medicine Family medicine Social transformation medicine Hiv patients 030212 general & internal medicine business Social Sciences (miscellaneous) |
| Zdroj: | Qual Soc Work |
| ISSN: | 1473-3250 |
| Popis: | Social support is a key, yet elusive resource for HIV patients living in poverty in Lima, Peru. Despite a greater need for health services and encouragement from others, economic restraints, stigma, and trouble negotiating a fractured health system act as hurdles to accessing support. In this study, 33 people with HIV and 15 of their treatment supporters were interviewed upon initiation of antiretroviral therapy in order to understand changes in social support during this critical time, and how these changes affected their well-being. Everyone’s social network underwent dramatic transformation, while some were rejected upon disclosure by people they knew, many successfully trimmed their social circles to a few trusted parties. Treatment supporters were most frequently the first to whom they disclosed their HIV status, and most backed the person with HIV, although sometimes out of obligation. HIV peers became a vital new source of strength. Ultimately, people with HIV who successfully reorganized their social network drew personal strength and self-worth from new and old relationships in their lives. |
| Databáze: | OpenAIRE |
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