'It Was as Though My Spirit Left, Like They Killed Me': The Disruptive Impact of an HIV-Positive Diagnosis among Women in the Dominican Republic
| Autor: | Denise Diaz Payán PhD, MPP, Kathryn Pitkin Derose PhD, MPH, María Altagracia Fulcar RD, MSC, Hugo Farías MA, Kartika Palar PhD |
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| Jazyk: | angličtina |
| Rok vydání: | 2019 |
| Předmět: | |
| Zdroj: | Journal of the International Association of Providers of AIDS Care, Vol 18 (2019) |
| Druh dokumentu: | article |
| ISSN: | 2325-9582 23259582 |
| DOI: | 10.1177/2325958219849042 |
| Popis: | An HIV diagnosis may be associated with severe emotional and psychological distress, which can contribute to delays in care or poor self-management. Few studies have explored the emotional, psychological, and psychosocial impacts of an HIV diagnosis on women in low-resource settings. We conducted in-depth interviews with 30 women living with HIV in the Dominican Republic. Interviews were audio-recorded, transcribed, and analyzed using the biographical disruption framework. Three disruption phases emerged (impacts of a diagnosis, postdiagnosis turning points, and integration). Nearly all respondents described the news as deeply distressful and feelings of depression and loss of self-worth were common. Several reported struggling with the decision to disclose—worrying about stigma. Postdiagnosis turning points consisted of a focus on survival and motherhood; social support (family members, friends, HIV community) promoted integration. The findings suggest a need for psychological resources and social support interventions to mitigate the negative impacts of an HIV diagnosis. |
| Databáze: | Directory of Open Access Journals |
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