Grappling with HIV Transmission Risks: Narratives of Rural Women in Eastern Kenya Living with HIV
Identifieur interne : 001E74 ( Pmc/Corpus ); précédent : 001E73; suivant : 001E75Grappling with HIV Transmission Risks: Narratives of Rural Women in Eastern Kenya Living with HIV
Auteurs : Peninnah M. KakoSource :
- The Journal of the Association of Nurses in AIDS Care : JANAC [ 1055-3290 ] ; 2011.
Abstract
As people live longer and more productively with HIV infection, issues of agency in reducing HIV risk are particularly important for HIV-infected women living in high prevalence, under-resourced countries such as Kenya. Because of their gendered lives, in that being masculine is associated with dominance, while being feminine is associated with passiveness, women in rural Kenya must cope with continued HIV transmission risk even after knowing they are infected with HIV. In this narrative interview study, informed by theories of gender and post-colonial feminism, we examined personal accounts of HIV risk and risk reduction of 20 rural women in eastern Kenya who were living with HIV. From our analysis of the women's narratives, two major themes emerged: gender-based obstacles even in the context of a known HIV diagnosis, and struggles with economic pressures amid HIV risks. Implications for policy, programs, and research are discussed.
Url:
DOI: 10.1016/j.jana.2011.09.006
PubMed: 22137546
PubMed Central: 3296882
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PMC:3296882Le document en format XML
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<author><name sortKey="Kako, Peninnah M" sort="Kako, Peninnah M" uniqKey="Kako P" first="Peninnah M." last="Kako">Peninnah M. Kako</name>
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<front><div type="abstract" xml:lang="en"><p id="P1">As people live longer and more productively with HIV infection, issues of agency in reducing HIV risk are particularly important for HIV-infected women living in high prevalence, under-resourced countries such as Kenya. Because of their gendered lives, in that being masculine is associated with dominance, while being feminine is associated with passiveness, women in rural Kenya must cope with continued HIV transmission risk even after knowing they are infected with HIV. In this narrative interview study, informed by theories of gender and post-colonial feminism, we examined personal accounts of HIV risk and risk reduction of 20 rural women in eastern Kenya who were living with HIV. From our analysis of the women's narratives, two major themes emerged: gender-based obstacles even in the context of a known HIV diagnosis, and struggles with economic pressures amid HIV risks. Implications for policy, programs, and research are discussed.</p>
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<title-group><article-title>Grappling with HIV Transmission Risks: Narratives of Rural Women in Eastern Kenya Living with HIV</article-title>
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<contrib-group><contrib contrib-type="author"><name><surname>Kako</surname>
<given-names>Peninnah M.</given-names>
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<degrees>PhD, RN, FNP, BC, APNP</degrees>
<role>Assistant Professor</role>
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<aff id="A1">University of Wisconsin-Milwaukee College of Nursing Milwaukee, WI, USA</aff>
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<contrib-group><contrib contrib-type="author"><name><surname>Stevens</surname>
<given-names>Patricia E.</given-names>
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<degrees>PhD, RN, FAAN</degrees>
<role>Professor</role>
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<aff id="A2">University of Wisconsin-Milwaukee College of Nursing Milwaukee, WI, USA</aff>
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<contrib-group><contrib contrib-type="author"><name><surname>Karani</surname>
<given-names>Anna K</given-names>
</name>
<degrees>PhD, RN</degrees>
<role>Associate Professor</role>
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<aff id="A3">University of Nairobi, Kenya School of Nursing Nairobi, Kenya</aff>
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<contrib-group><contrib contrib-type="author"><name><surname>Mkandawire-Valhmu</surname>
<given-names>Lucy</given-names>
</name>
<degrees>PhD, RN</degrees>
<role>Assistant Professor</role>
</contrib>
<aff id="A4">University of Wisconsin-Milwaukee College of Nursing Milwaukee, WI, USA</aff>
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<contrib-group><contrib contrib-type="author"><name><surname>Banda</surname>
<given-names>Anne</given-names>
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<degrees>PhD</degrees>
<role>Director</role>
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<aff id="A5">Center for Cultural Diversity & Global Health University of Wisconsin-Milwaukee College of Nursing Milwaukee, WI, USA</aff>
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<pub-date pub-type="nihms-submitted"><day>22</day>
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<volume>23</volume>
<issue>5</issue>
<fpage>442</fpage>
<lpage>453</lpage>
<abstract><p id="P1">As people live longer and more productively with HIV infection, issues of agency in reducing HIV risk are particularly important for HIV-infected women living in high prevalence, under-resourced countries such as Kenya. Because of their gendered lives, in that being masculine is associated with dominance, while being feminine is associated with passiveness, women in rural Kenya must cope with continued HIV transmission risk even after knowing they are infected with HIV. In this narrative interview study, informed by theories of gender and post-colonial feminism, we examined personal accounts of HIV risk and risk reduction of 20 rural women in eastern Kenya who were living with HIV. From our analysis of the women's narratives, two major themes emerged: gender-based obstacles even in the context of a known HIV diagnosis, and struggles with economic pressures amid HIV risks. Implications for policy, programs, and research are discussed.</p>
</abstract>
<kwd-group><kwd>HIV infection</kwd>
<kwd>HIV transmission</kwd>
<kwd>narrative</kwd>
<kwd>risk reduction</kwd>
<kwd>rural Kenya women</kwd>
</kwd-group>
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