Grappling With HIV Transmission Risks: Narratives of Rural Women in Eastern Kenya Living With HIV

Kako, Peninnah; Stevens, Patricia E.; Karani, Anna; Mkandawire‐Valhmu, Lucy; Banda, Anne

doi:10.1016/j.jana.2011.09.006

Cited by 4 publications

(8 citation statements)

References 35 publications

(30 reference statements)

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Women may have less power within their social worlds and social structures, impacting health decision-making and health outcomes (Doyle, 2001; Doyle et al, 1994). A large body of research has been devoted to the unequal HIV risk faced by women (Higgins et al, 2010; Kako et al, 2012; Pettifor et al, 2012; Zierler & Krieger 1997), and many HIV prevention interventions are informed by feminist frameworks (Pinkham et al, 2012; Pitpitan et al, 2013; Strathdee et al, 2013). Little work, however, has been done to examine the impact that gender, conflicting societal demands and lack of social power have on the self-management of HIV in women.…”

Section: Introductionmentioning

confidence: 99%

The impact of social context on self-management in women living with HIV

Webel

Cuca

Okonsky

et al. 2013

Social Science & Medicine

View full text Add to dashboard Cite

HIV self-management is central to the health of people living with HIV and is comprised of the daily tasks individuals employ to manage their illness. Women living with HIV are confronted with social context vulnerabilities that impede their ability to conduct HIV self-management behaviors, including demanding social roles, poverty, homelessness, decreased social capital, and limited access to health care. We examined the relationship between these vulnerabilities and HIV self-management in a cross-sectional secondary analysis of 260 women living with HIV from two U.S. sites. All social context variables were assessed using validated self-report scales. HIV Self-Management was assessed using the HIV Self-Management Scale that measures daily health practices, HIV social support, and the chronic nature of HIV. Data were analyzed using appropriate descriptive statistics and multivariable regression. Mean age was 46 years and 65% of participants were African-American. Results indicated that social context variables, particularly social capital, significantly predicated all domains of HIV self-management including daily health practices (F=5.40, adjusted R2=0.27, p<0.01), HIV social support (F=4.50, adjusted R2=0.22, p<0.01), and accepting the chronic nature of HIV (F=5.57, adjusted R2=0.27, p<0.01). We found evidence to support the influence of the traditional social roles of mother and employee on the daily health practices and the chronic nature of HIV domains of HIV self-management. Our data support the idea that women’s social context influences their HIV self-management behavior. While social context has been previously identified as important, our data provide new evidence on which aspects of social context might be important targets of self-management interventions for women living with HIV. Working to improve social capital and to incorporate social roles into the daily health practices of women living with HIV may improve the health of this population.

show abstract

Section: Introductionmentioning

confidence: 99%

The impact of social context on self-management in women living with HIV

Webel

Cuca

Okonsky

et al. 2013

Social Science & Medicine

View full text Add to dashboard Cite

show abstract

“…Studies have shown that being faithful is dependent on the decisions of men. Although women might be faithful, they do not have an influence on the multiple sexual partners their men or their co-wives might have (Kako, Stevens, Karani, Mkandawire, & Banda, 2012;Ragnarsson et al, 2011).…”

Section: Discussionmentioning

confidence: 99%

Advocating for HIV Prevention and Care

et al. 2014

Self Cite

View full text Add to dashboard Cite

The number of older women living with HIV in Kenya is increasing. However, there are little empirical data available about their role in HIV prevention. The purpose of this study was to understand the nuanced role of older women in HIV prevention. We engaged 54 HIV-positive women in three narrative-eliciting interviews between 2009 and 2010 over a period of 6 months to understand their role in HIV prevention. In this article, we focus on a sample subset of 7 rural women 50 years and older living with HIV. From narrative analysis of 19 interviews from 7 women who were 50 years and older, four themes emerged: promoting HIV transmission risk reduction, promoting HIV testing, educating others about HIV, and protecting children from HIV infection. HIV-positive older women are engaged in helping mitigate HIV in their communities and should be central to meaningful HIV-related interventions especially in rural communities

show abstract

“…The traditional female role as a passive subject in male-female relationships is an obstacle for women when making decisions about these relationships. Some studies indicate that women find it difficult to object when their partners want to have unprotected sexual relations (KAKO et al, 2012;Maheshvari NAIDU, 2013a;Irene SEGEPOLO;Keyan TOMASELLI, 2017;MKANDANWIRE-VALHMU et al, 2013;April YERGES et al, 2017).…”

Section: Hiv Epidemicmentioning

confidence: 99%

“…In other words, maintaining an active and independent position may entail a loss of economic support for both the woman and her children (MKANDAWIRE-VALHMU et al, 2013;YERGES et al, 2017). In contexts of extreme poverty, women also resort to sex work as a tool for survival, accepting risky practices (KAKO et al, 2012).…”

Section: Hiv Epidemicmentioning

confidence: 99%

“…In the study by Yerges et al (2017), participants describe how entering a polygamous marriage worsened their economic situation and, in some cases, entailed the transmission of HIV between co-wives. The study by Kako et al (2012) indicates two traditional practices related to polygamy in rural areas of Kenya: Kutuania and Iweto. The author considers these two practices as risk for HIV infection.…”

Section: Hiv Epidemicmentioning

confidence: 99%

See 1 more Smart Citation

Caring through the Lens of African Feminisms: A Systematic Review

2022

View full text Add to dashboard Cite

This study presents a systematic review of the research into care practices by African authors with a feminist perspective. The research question has been developed through the strategy known as PICo: participants, phenomenon of interest and context. In our case, these are women, feminism and care practices, and sub-Saharan Africa respectively. After the process of filtering 102 selected articles, twenty studies met the inclusion criteria. They were organized into three broad categories using thematic analysis: HIV epidemic; crisis of social reproduction, and Afro-communitarian care. The papers examined explore cultural practices and traditional gender roles as risk or protective factors for contracting HIV; the overload of care work that African women face with regard to the crisis of social reproduction; and the Afro-communitarian proposals in relation to care.

show abstract

Grappling With HIV Transmission Risks: Narratives of Rural Women in Eastern Kenya Living With HIV

Cited by 4 publications

References 35 publications

The impact of social context on self-management in women living with HIV

The impact of social context on self-management in women living with HIV

Advocating for HIV Prevention and Care

Caring through the Lens of African Feminisms: A Systematic Review

Contact Info

Product

Resources

About