The Search for Social Validation and the Sexual behavior of People Living with HIV in Rio de Janeiro, Brazil : Understanding the Role of Treatment Optimism in Context  

Oleh:

Kerrigan, Deanna ; Bastos, Francisco I. ; Malta, Monica ; Carneiro-da-Cunha, Claudia ; Pilotto, J.H. ; Strathdee, Steffanie A.

Jenis: Article from Journal - ilmiah internasional
Dalam koleksi: Social Science & Medicine (www.elsevier.com/locate/sosscimed) vol. 62 no. 10 (May 2006), page 2386-2396.
Topik: AIDS/HIV; HIV/AIDS; HAART; Sexual behavior; treatment optimism; brazil

Ketersediaan

Perpustakaan Pusat (Semanggi) Nomor Panggil: SS53.4 Non-tandon: 1 (dapat dipinjam: 0) Tandon: tidak ada

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Isi artikel

The primary aim of this qualitative study was to explore the influence of HIV treatment optimism on the sexual behavior of people living with HIV / AIDS (PLWHA) receiving highly active anti retroviral therapy (HAART) at public health clinics in rio de janeiro, brazil. We also explored the psycho social dynamics of participants' sexual relationship in order to understand more broadly how these factors influence the sexual behaviour of PLWHA and how they shape HAART related beliefs. Twenty three semi structured in depth interviews were conducted with three groups, heterosexual women, heterosexual men and men who have sex with men living with HIV who reported being sexually active in the last year and were currently receiving HAART. We found that the availability of HAART was conceptualized as a rationale for unsafe examples of treatment optimism appeared to be employed as a means to aboid acknowledging how deeper psychosocial issues may have been influencing participant's sexual behaviours. Most participants' sexual behaviour appeared largely to be a product of their desire for social validation and linked to feelings of shame and denial, including but not limited to HIV. Participants from all three groups expressed a considerable amount of fear and / or anxiety regarding behaviours and continuing with their strategies for social validation within the context of ther sexual relationships. We conclude that short term information, education and communication inrerventions surrounding treatment optimism, disclosure and condom use are appropriate and necessary, but that they are not sufficient to address the core challenges to unsafe sex among PLHWA. These deep rooted psychosocial issues may be better addressed by longer tem individual and group level opportunities for exploration and critical reflection regarding sense of self and its relationship to social solidarity among PLWHA.

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