Living with HIV postdiagnosis: a qualitative study of the experiences of Nairobi slum residents
Identifieur interne : 002608 ( Main/Exploration ); précédent : 002607; suivant : 002609Living with HIV postdiagnosis: a qualitative study of the experiences of Nairobi slum residents
Auteurs : Eliud Wekesa [Royaume-Uni] ; Ernestina Coast [Kenya]Source :
- BMJ Open [ 2044-6055 ] ; 2013.
Abstract
To characterise the experiences of heterosexual men and women living with HIV postdiagnosis and explain these experiences in relation to their identity and sexuality.
Qualitative study using in-depth interviews and a theoretically informed biographic disruption theory.
Interviews were conducted in two Nairobi slums (Kenya).
41 HIV-infected heterosexual men and women aged 18 years or older.
People living with HIV have divergent experiences surrounding HIV diagnosis. Postdiagnosis, there are multiple phases of identity transition, including status (non-)disclosure, and attempts at identity repair and normalcy. For some people, this process involves a transition to a new self-identity, incorporating both HIV and antiretroviral treatment (ART) into their lives. For others, it involves a partial transition, with some aspects of their prediagnosis identity persisting, and for others it involves a rejection of HIV identity. Those people who were able to incorporate HIV/AIDS in their identity, without it being disruptive to their biography, were pursuing safer sexual and reproductive lives. By contrast, those people with a more continuous biography continued to reflect their prediagnosis identity and sexual behaviour.
People living with HIV/AIDS (PLWHA) had to rework their sense of identity following diagnosis in the context of living in a slum setting. Men and women living with HIV in slums are poorly supported by health systems and services as they attempt to cope with a diagnosis of HIV. Given the availability of ART, health services and professionals need to support the rights of PLWHA to be sexually active if they want to and achieve their fertility goals, while minimising HIV transmission risk.
Url:
DOI: 10.1136/bmjopen-2012-002399
PubMed: 23645922
PubMed Central: 3646186
Affiliations:
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<record><TEI><teiHeader><fileDesc><titleStmt><title xml:lang="en">Living with HIV postdiagnosis: a qualitative study of the experiences of Nairobi slum residents</title><author><name sortKey="Wekesa, Eliud" sort="Wekesa, Eliud" uniqKey="Wekesa E" first="Eliud" last="Wekesa">Eliud Wekesa</name><affiliation wicri:level="1"><nlm:aff id="af1"><institution>London School of Economics—Social Policy</institution>,<addr-line>London</addr-line>,<country>UK</country></nlm:aff><country xml:lang="fr">Royaume-Uni</country><wicri:regionArea># see nlm:aff country strict</wicri:regionArea></affiliation></author><author><name sortKey="Coast, Ernestina" sort="Coast, Ernestina" uniqKey="Coast E" first="Ernestina" last="Coast">Ernestina Coast</name><affiliation wicri:level="1"><nlm:aff id="af2"><institution>Population Council</institution>,<addr-line>Reproductive Health Program, Nairobi</addr-line>,<country>Kenya</country></nlm:aff><country xml:lang="fr">Kenya</country><wicri:regionArea># see nlm:aff country strict</wicri:regionArea></affiliation></author></titleStmt><publicationStmt><idno type="wicri:source">PMC</idno><idno type="pmid">23645922</idno><idno type="pmc">3646186</idno><idno type="url">http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3646186</idno><idno type="RBID">PMC:3646186</idno><idno type="doi">10.1136/bmjopen-2012-002399</idno><date when="2013">2013</date><idno type="wicri:Area/Pmc/Corpus">002264</idno><idno type="wicri:explorRef" wicri:stream="Pmc" wicri:step="Corpus" wicri:corpus="PMC">002264</idno><idno type="wicri:Area/Pmc/Curation">002263</idno><idno type="wicri:explorRef" wicri:stream="Pmc" wicri:step="Curation">002263</idno><idno type="wicri:Area/Pmc/Checkpoint">001853</idno><idno type="wicri:explorRef" wicri:stream="Pmc" wicri:step="Checkpoint">001853</idno><idno type="wicri:Area/Ncbi/Merge">001F06</idno><idno type="wicri:Area/Ncbi/Curation">001F06</idno><idno type="wicri:Area/Ncbi/Checkpoint">001F06</idno><idno type="wicri:Area/Main/Merge">002615</idno><idno type="wicri:Area/Main/Curation">002608</idno><idno type="wicri:Area/Main/Exploration">002608</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en" level="a" type="main">Living with HIV postdiagnosis: a qualitative study of the experiences of Nairobi slum residents</title><author><name sortKey="Wekesa, Eliud" sort="Wekesa, Eliud" uniqKey="Wekesa E" first="Eliud" last="Wekesa">Eliud Wekesa</name><affiliation wicri:level="1"><nlm:aff id="af1"><institution>London School of Economics—Social Policy</institution>,<addr-line>London</addr-line>,<country>UK</country></nlm:aff><country xml:lang="fr">Royaume-Uni</country><wicri:regionArea># see nlm:aff country strict</wicri:regionArea></affiliation></author><author><name sortKey="Coast, Ernestina" sort="Coast, Ernestina" uniqKey="Coast E" first="Ernestina" last="Coast">Ernestina Coast</name><affiliation wicri:level="1"><nlm:aff id="af2"><institution>Population Council</institution>,<addr-line>Reproductive Health Program, Nairobi</addr-line>,<country>Kenya</country></nlm:aff><country xml:lang="fr">Kenya</country><wicri:regionArea># see nlm:aff country strict</wicri:regionArea></affiliation></author></analytic><series><title level="j">BMJ Open</title><idno type="eISSN">2044-6055</idno><imprint><date when="2013">2013</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><sec><title>Objectives</title><p>To characterise the experiences of heterosexual men and women living with HIV postdiagnosis and explain these experiences in relation to their identity and sexuality.</p></sec><sec><title>Design</title><p>Qualitative study using in-depth interviews and a theoretically informed biographic disruption theory.</p></sec><sec><title>Setting</title><p>Interviews were conducted in two Nairobi slums (Kenya).</p></sec><sec><title>Participants</title><p>41 HIV-infected heterosexual men and women aged 18 years or older.</p></sec><sec><title>Results</title><p>People living with HIV have divergent experiences surrounding HIV diagnosis. Postdiagnosis, there are multiple phases of identity transition, including status (non-)disclosure, and attempts at identity repair and normalcy. For some people, this process involves a transition to a new self-identity, incorporating both HIV and antiretroviral treatment (ART) into their lives. For others, it involves a partial transition, with some aspects of their prediagnosis identity persisting, and for others it involves a rejection of HIV identity. Those people who were able to incorporate HIV/AIDS in their identity, without it being disruptive to their biography, were pursuing safer sexual and reproductive lives. By contrast, those people with a more continuous biography continued to reflect their prediagnosis identity and sexual behaviour.</p></sec><sec><title>Conclusions</title><p>People living with HIV/AIDS (PLWHA) had to rework their sense of identity following diagnosis in the context of living in a slum setting. Men and women living with HIV in slums are poorly supported by health systems and services as they attempt to cope with a diagnosis of HIV. 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sortKey="Laher, F" uniqKey="Laher F">F Laher</name></author><author><name sortKey="Laher, F" uniqKey="Laher F">F Laher</name></author><author><name sortKey="Strathdee, Sa" uniqKey="Strathdee S">SA Strathdee</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Persson, A" uniqKey="Persson A">A Persson</name></author><author><name sortKey="Richards, W" uniqKey="Richards W">W Richards</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Kaida, A" uniqKey="Kaida A">A Kaida</name></author><author><name sortKey="Laher, F" uniqKey="Laher F">F Laher</name></author><author><name sortKey="Strathdee, Sa" uniqKey="Strathdee S">SA Strathdee</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Sarna, A" uniqKey="Sarna A">A Sarna</name></author><author><name sortKey="Chersich, M" uniqKey="Chersich M">M Chersich</name></author><author><name sortKey="Okal, J" uniqKey="Okal J">J Okal</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Kaida, A" uniqKey="Kaida A">A Kaida</name></author><author><name sortKey="Bangsberg, D" uniqKey="Bangsberg D">D Bangsberg</name></author><author><name sortKey="Gray, G" uniqKey="Gray G">G Gray</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Florence, E" uniqKey="Florence E">E Florence</name></author><author><name sortKey="Schrooten, W" uniqKey="Schrooten W">W Schrooten</name></author><author><name sortKey="Dreezen, C" uniqKey="Dreezen C">C Dreezen</name></author></analytic></biblStruct></listBibl></div1></back></TEI><affiliations><list><country><li>Kenya</li><li>Royaume-Uni</li></country></list><tree><country name="Royaume-Uni"><noRegion><name sortKey="Wekesa, Eliud" sort="Wekesa, Eliud" uniqKey="Wekesa E" first="Eliud" last="Wekesa">Eliud Wekesa</name></noRegion></country><country name="Kenya"><noRegion><name sortKey="Coast, Ernestina" sort="Coast, Ernestina" 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