Although Caribbean people in the United Kingdom are increasingly being affected by HIV/AIDS, there has been no examination of how they are coping with the illness. We investigate the coping strategies of HIV-positive Caribbean people using in-depth interviews with a purposively selected group of 25 residents of South London. The main coping strategies were more cognitive than behavioral: restricted disclosure, submersion, faith, and positive reappraisal. These strategies were intertwined in complex ways, and most were rooted in contextual factors, particularly cultural ones. Themes of loss, silence, and reinvention suffused respondents' narratives. Interventions should consider the high degree of stigmatization of HIV/AIDS in the Caribbean community, reluctance to disclose, the likelihood of an initial severe reaction to diagnosis, and external stressors. HIV-positive Caribbean people who are coping well could serve as mentors and role models for poor copers and newly diagnosed patients; establishing Caribbean-specific support groups might also assist coping.
"Attitude towards masculinity was measured using the Macho Scale which was recently developed by Anderson among fathers (18-59 years of age) residing in Jamaica [38,39]. The Scale [38,39] consists of 13 items (Cronbach’s alpha of 0.82) measuring three dimensions of men’s masculinity related to male-female gender relations. "
[Show abstract][Hide abstract] ABSTRACT: To determine the prevalence of male circumcision (MC) among men in the western region of Jamaica, and to identify factors associated with acceptability of MC for self, infants (<1 year) and older sons (1-17 years).
A cross-sectional, interviewer-administered questionnaire survey of 549 men aged 19-54 years was conducted in the western region of Jamaica. The survey included questions about the acceptance of MC for self, infants, and sons before and after an information session about the benefits of MC in preventing HIV/STI transmission. Logistic regression models were used to identify factors that were associated with acceptability of MC. Adjusted odds ratios (AOR) and 95% confidence intervals (CI) were calculated from the models.
Fourteen percent of the men reported that they were circumcised. In the multivariable model, which adjusted for age, education, religion and income, there were increased odds of accepting MC for infants/sons among uncircumcised men who accepted MC for self (AOR=8.1; 95% CI = 4.1-15.9), believed they would experience more pleasure during sex if circumcised (AOR=4.0; 95% CI = 2.0-8.2), and reported having no concerns regarding MC (AOR=3.0; 95% CI = 1.8-4.8). Similarly, uncircumcised men who reported no concerns about MC or who believed that they would experience more pleasure during sex if circumcised were more likely to accept MC for self.
Providing men with information about MC increased acceptance of MC for self, infants (<17 years) and sons (1-17 years). Since targeted education on the benefits of male circumcision for prevention of HIV/STI can be effective in increasing acceptability of MC, health professionals should be trained, and willing to discuss MC with men in healthcare facilities and in the community.
PLoS ONE 09/2013; 8(9):e75074. DOI:10.1371/journal.pone.0075074 · 3.23 Impact Factor
"However, the literature on HIV/AIDS has focused on the HIV positive individual rather than the HIV negative, for whom it may also be difficult to find or receive support (McDowell, 2008). Good social support levels contribute to a better quality of life, help provide an adequate understanding of the illness, and offer mental and physical health benefits (Olapegba, 2005), including adherence to treatment (Aderson et al., 2009; DiMatteo, 2004; Uchino, 2006, 2009; Wrubel, Stumbo & Johnson, 2010). Although perceived social support can be beneficial to the patience's adherence to treatment (Power et al., 2003), its effects may vary depending on a wide range of factors (DiMatteo, 2004). "
[Show abstract][Hide abstract] ABSTRACT: Social support has been established as an important factor for health maintenance and general well-being. In Puerto Rico, research has neglected to explore this subject among HIV-Discordant couples. Our study aimed to explore the perceived role of social support within HIV-Discordant couples, specifically its perceived impact on safer sexual practices and adherence to treatment. We implemented an exploratory and transversal qualitative design, and we carried out in-depth interviews with 20 heterosexual HIV-Discordant couples (n=40). Results highlight the important role that social support plays on adherence to treatment and condom use while also documenting the challenges faced in providing and receiving that support. Recommendations for future research and intervention development are provided.
"Most of the participants had reacted negatively to their HIV positive diagnosis by means of shock. This finding was in accordance with previous studies [8–11, 15, 16, 23]. In addition to shock, fear of disclosure of HIV status and thoughts about death were other negative reactions shared by most of the participants who were infected in the 1990s. "
[Show abstract][Hide abstract] ABSTRACT: An ageing population is accompanied by an increased number of older adults living with HIV. So far, our knowledge regarding the life experiences of older adults living with HIV is still poor and under researched. The purpose of this study is to present new knowledge by interviewing nine Finnish HIV-positive individuals of 50 years of age and older. The data were analysed by inductive content analysis. Living with HIV is shaped by unique personal life experiences. These experiences played an important role on how the interviewees assessed their lives and their future as HIV positive individuals. Most of the participants reacted negatively to their HIV-positive diagnosis. However, throughout time they had found meaning in their lives and had developed a degree of positive attitude towards life and future which was articulated in terms of a good overall balanced life. Since caring is the tenor of the nursing profession, nurses should be able to identify and implement methods for assessing how successfully older adults living with HIV age and intervene in an informed way whenever needed.
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