Psychosocial Problems and Coping Patterns of HIV Seropositive Wives of Men with HIV/AIDS

Joseph, Elizabeth Betcy; Bhatti, Ranbir S.

doi:10.1300/j010v39n01_04

Cited by 46 publications

(64 citation statements)

References 12 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…25 As a participant said, ''I have to do all the housework to send my children [to school] and husband [to work]. By that time, it would become around 10:00 to 1:.…”

Section: Family=social Barriersmentioning

confidence: 99%

Barriers to Free Antiretroviral Treatment Access for Female Sex Workers in Chennai, India

Chakrapani¹,

Newman

Shunmugam³

et al. 2009

AIDS Patient Care and STDs

View full text Add to dashboard Cite

India's National AIDS Control Organization (NACO) provides free first-line antiretroviral treatment (ART) at government centers for people living with HIV. To assist in developing policies and programs to ensure equity in ART access, we explored barriers to ART access among female sex workers (FSWs) living with HIV in Chennai. Between August and November 2007, we conducted three focus group discussions and two key informant interviews. Data were explored using framework analysis to identify categories and derive themes. We found interrelated barriers at the family=social, health care system=programmatic, and individual levels. Major barriers included fear of adverse consequences of disclosure of HIV status due to stigma and discrimination associated with HIV and sex work, lack of family support, negative experiences with health care providers, lack of adequate counseling services at government centers and by outreach workers employed by nongovernmental organizations (NGOs), perceived biased treatment of FSWs who are not referred by NGOs, lack of adequate knowledge about ART, and fatalism. Barriers can be addressed by: creating effective measures to reduce stigma associated with HIV=AIDS and sex work at the familial, societal, and health care system levels; incorporating information about ART into targeted interventions among FSWs; training counselors at government hospitals and NGO outreach workers on treatment issues; improving infrastructure and staffing levels at government centers to allow adequate time and privacy for counseling; and implementing government mass media campaigns on ART availability. Finally, it is crucial that NACO begin monitoring ART coverage of FSWs and other marginalized populations to ensure equitable ART access.

show abstract

“…25 As a participant said, ''I have to do all the housework to send my children [to school] and husband [to work]. By that time, it would become around 10:00 to 1:.…”

Section: Family=social Barriersmentioning

confidence: 99%

Barriers to Free Antiretroviral Treatment Access for Female Sex Workers in Chennai, India

Chakrapani¹,

Newman

Shunmugam³

et al. 2009

AIDS Patient Care and STDs

View full text Add to dashboard Cite

show abstract

“…PLWHAs try to combat HIV/AIDS by concealing their status to others. Perceived stigma and discrimination have been associated with increased prevalence and severity of depression among PLWHAs (Joseph et al, 2004).…”

Section: Coping Mechanismsmentioning

confidence: 99%

Impacts of Internal Stigma among the People Living with HIV/AIDS in Bangladesh: An Empirical Account

Sultana¹

2014

ASS

View full text Add to dashboard Cite

All over the world HIV/AIDS related stigma and discrimination are of growing concern. At the same time self or internal stigma is one of the influential facts that make people living with HIV/AIDS (PLWHAs) to feel ashamed and guilty about their positive status. But the matter of stigma has been largely ignored by the existing policy of Bangladesh. This paper critically assesses how internal stigma contributes to keeping people from accessing HIV prevention, care and treatment services and adopting key preventive behaviors. This qualitative research is based on in-depth interview and case study method, located at Dhaka city, Ashar Alo Society (AAS), a service delivery center for HIV/AIDS patients. This study also revealed that internal stigma forced the PLWHAs to accept and believe that their disease is a moral punishment; they also perceived the disease as a result of their misdeeds. Many participants felt ashamed and tried to hide their status from everybody. Observation showed that HIV is regarded as an invisible contagious disease because PLWHAs hide their diseases even from their wives as a result the wives get infected with the disease in ignorance. These findings enabled us to understand the existing situation of PLWHAs and the impact of stigma and discriminatory behavior on their lifestyles in Bangladesh. The study suggested that the existing situation can be improved by formulating related strategies to reduce stigma and discrimination of PLWHAs.

show abstract

“…Moreover, Joseph and Bhatti (2004) noted that the women they interviewed who were in HIV-affected couples reported an ''ever-present undercurrent of stigma and shame'' (p. 38) in their daily lives.…”

Section: Qualitative Hiv-related Stigma Couples Studiesmentioning

confidence: 99%

“…Also, two qualitative studies (Joseph & Bhatti 2004;Remien et al 1995) have revealed that sexual functioning is a theme in interviews of HIV-affected couples. For example, there is suggestive evidence that internalized stigma may especially influence sexual functioning.…”

Section: Additional Couple-level Outcomesmentioning

confidence: 99%

A Relationship-Oriented Model of HIV-Related Stigma Derived from a Review of the HIV-Affected Couples Literature

Talley

Bettencourt

2008

AIDS Behav

View full text Add to dashboard Cite

Previous research has focused on the influence of HIV-related stigma for the psychological adjustment and physical health of persons with HIV/AIDS. Few studies, however, have examined the impact of HIV-related stigma on close relationships where one or both couple members have HIV/AIDS. The current review will integrate previous research findings to substantiate a relationship-oriented theoretical model of HIV-related stigma that delineates interpersonal variables important for understanding the influence of types of HIV-related stigma on couple-level as well as relevant individual-level outcomes. In doing so, supportive evidence is presented from the extant quantitative and qualitative literature that has assessed or examined HIV-affected couple members' experiences with HIV-related stigma. Implications from this review are presented for researchers who examine issues related to HIV-related stigma.

show abstract

Psychosocial Problems and Coping Patterns of HIV Seropositive Wives of Men with HIV/AIDS

Cited by 46 publications

References 12 publications

Barriers to Free Antiretroviral Treatment Access for Female Sex Workers in Chennai, India

Barriers to Free Antiretroviral Treatment Access for Female Sex Workers in Chennai, India

Impacts of Internal Stigma among the People Living with HIV/AIDS in Bangladesh: An Empirical Account

A Relationship-Oriented Model of HIV-Related Stigma Derived from a Review of the HIV-Affected Couples Literature

Contact Info

Product

Resources

About