Family Systems and HIV/AIDS in South Africa

Iwelunmor, Juliet; Airhihenbuwa, Collins O.; Okoror, Titilayo A.; Brown, Darigg Collis; BeLue, Rhonda

doi:10.2190/iq.27.4.d

Cited by 64 publications

(97 citation statements)

References 30 publications

(43 reference statements)

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“…Since ill-health is often the responsibility of the collective, it was not uncommon for men living with HIV in our study to disclose to family members in an attempt to seek their support in coping and adapting to their seropositive status. Our findings support previous research, which highlights the significance of family systems with identifying ways to cope with one's HIV positive status (Iwelunmor et al, 2006). Some family members in turn were supportive following disclosure of seropositive status, and they provided home-based care for participants; whereas others felt ashamed and rejected participants.…”

Section: Discussionsupporting

confidence: 87%

Sociocultural Factors Influencing HIV Disclosure Among Men in South Africa

2014

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In South Africa, more than 2 million people living with HIV are men aged 15 years and older, and heterosexual intercourse remains the predominant mode of HIV transmission. Knowledge of the sociocultural factors that influence men's decisions about whether, when, or how to disclose seropositive status remains incompletely understood. Using the PEN-3 cultural model as a guide, this study explored the sociocultural factors influencing HIV disclosure among men in South Africa. Four focus group discussions with 27 participants were used to determine the perceptions, enabling and nurturing factors that influence how men chose to reveal or conceal knowledge of their seropositive status. The results revealed that notions of male identity in the South African context, family, and community factors contribute to disclosure and nondisclosure of seropositive status among men living with HIV/AIDS. Future interventions should work to address these factors, as they are necessary with supporting disclosure among men living with HIV.

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Section: Discussionsupporting

confidence: 87%

Sociocultural Factors Influencing HIV Disclosure Among Men in South Africa

2014

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“…PEN-3 qualitative findings also provided indicators for designing a tailored recruitment protocol for a family-based genetic study on breast cancer (Ochs-Balcom, Rodriguez, and Erwin 2011). In a paper on family systems and HIV and AIDS, Iwelunmor et al (2006) reported that family systems can be sources of support, unique indigenous entities, and sources of stress when addressing the care and support needs of family members living with HIV and AIDS. However, the need to take into account families’ experiences with HIV and AIDS was critical in the development of interventions aimed at reducing the burden of HIV and AIDS-related stigma in the family and improve care and support for PLWHA (Iwelunmor et al 2006).…”

Section: Resultsmentioning

confidence: 99%

Framing the impact of culture on health: a systematic review of the PEN-3 cultural model and its application in public health research and interventions

2013

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Objective This paper reviews available studies that applied the PEN-3 cultural model to address the impact of culture on health behaviors. Methods We search electronic databases and conducted a thematic analysis of empirical studies that applied the PEN-3 cultural model to address the impact of culture on health behaviors. Studies were mapped to describe their methods, target population and the health behaviors or health outcomes studied. Forty-five studies met the inclusion criteria. Results The studies reviewed used the PEN-3 model as a theoretical framework to centralize culture in the study of health behaviors and to integrate culturally relevant factors in the development of interventions. The model was also used as an analysis tool, to sift through text and data in order to separate, define and delineate emerging themes. PEN-3 model was also significant with exploring not only how cultural context shapes health beliefs and practices, but also how family systems play a critical role in enabling or nurturing positive health behaviors and health outcomes. Finally, the studies reviewed highlighted the utility of the model with examining cultural practices that are critical to positive health behaviors, unique practices that have a neutral impact on health and the negative factors that are likely to have an adverse influence on health. Discussion The limitations of model and the role for future studies are discussed relative to the importance of using PEN-3 cultural model to explore the influence of culture in promoting positive health behaviors, eliminating health disparities and designing and implementing sustainable public health interventions.

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“…Lear (1998) shows that some Roman Catholic churches in Kenya and Uganda have used words such as "Love faithfully to avoid AIDS" to discourage usage of condoms. Other recent studies (e.g., Iwelunmor et al, 2006;Campbell et al, 2007;Neville & Rubin, 2007) also reported both supportive and detrimental roles. The belief in faith healing and miracles was also found in our study, which means that many who know of their status may choose faith healing as a first choice of care, or combine it with care from a health institution.…”

Section: Discussionmentioning

confidence: 84%