Understanding the impact of HIV diagnosis amongst gay men in Scotland: An interpretative phenomenological analysis

Flowers, Paul; Davis, Mark David McGregor; Larkin, Michael; Church, Stephanie; Marriott, Claire

doi:10.1080/08870446.2010.551213

Cited by 50 publications

(78 citation statements)

References 35 publications

(27 reference statements)

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“…Flowers et al, 2011 andSkinta et al, 2014) and on sexual relationships (e.g. Starks and colleagues study (2014) which investigated the relationship between HIV stigma and the perception of condom use as a barrier to sexual intimacy), the impact on sexual identity and wellbeing is less studied.…”

Section: Introductionmentioning

confidence: 99%

Experience of sexual self-esteem among men living with HIV

2016

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This article may not exactly replicate the final version published in the JHP journal. Experience of sexual self-esteem among men living with HIV AbstractMuch of the focus on sexual health for people living with HIV has been on promoting safe sex behaviours. However, also important for sexual health is a positive sexual self-esteem. This article reports on an Interpretative Phenomenological Analysis of interviews with seven men about the impact that having HIV has had on their sense of sexual self. Five overarching themes were identified: the 'destruction' of a sexual self; feeling sexually hazardous; sexual inhibition; reclaiming a sexual self; finding a place through sero-sorting. With HIV now being a chronic illness, interventions are required to support people to lead sexually satisfying lives.

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Section: Introductionmentioning

confidence: 99%

Experience of sexual self-esteem among men living with HIV

2016

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“…Davis, Frankis and Flowers, 2006;Persson, 2013); the 'identity' work involved in reconstructing life around an HIV diagnosis and related treatment (e.g. Baumgartner and David, 2009;Flowers, Davis, Larkin, Church, and Marriott, 2011); the gendered dimensions of HIV and health-seeking behaviours (also in combination with other social categories) (e.g. Doyal, 2009); and the biopolitical aspects of HIV care and the 'making' of HIV patient citizenship.…”

Section: Introductionmentioning

confidence: 99%

The biopolitics of engagement and the HIV cascade of care: a synthesis of the literature on patient citizenship and antiretroviral therapy

Paparini

Rhodes

2016

Critical Public Health

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The 'cascade of care' construct is increasingly used in public health to map the trajectory of local HIV epidemics and of different HIV populations. The notion of 'patient engagement' is key to the progress of people living with HIV through the various 'steps' of the cascade as currently conceptualised. The public health literature on the definition, measurement, and interpretation of cascade of care frameworks is growing in parallel with critical social science literature analysing patient engagement through the lenses of 'patient citizenship' theories. In this paper, we review qualitative literature on HIV treatment, adherence to antiretroviral therapy, and care engagement that draws upon the interlinked concepts of therapeutic and biological citizenship. We aim to offer a critique of the cascade of care construct using empirical data from research studies published since 2005 that were influenced by these two concepts. In so doing, the paper places public health literature on the cascade of care in dialogue with in-depth qualitative and ethnographic approaches, to unpack the understandings and processes shaping patient engagement in HIV treatment and care in different settings. The paper also examines the contributions and limitations of the concepts of biological and therapeutic citizenship as argued by a number of scholars here reviewed.

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“…Los cambios personales producidos con posterioridad al diagnóstico muestran que desde el momento del diagnóstico las personas vivencian un impacto (7-9) que corresponde al inicio de las modificaciones que una enfermedad crónica implementa en su vida (8). Los cambios experimentados en sus rutinas, decisiones y relaciones, así como el cambio en los estilos de vida se producen a consecuencia de la enfermedad (10,11).…”

Section: Discussionunclassified

“…Los cambios experimentados en sus rutinas, decisiones y relaciones, así como el cambio en los estilos de vida se producen a consecuencia de la enfermedad (10,11). Con el pasar del tiempo, el impacto de la noticia (8,(12)(13)(14) se transforma en un sentimiento de valoración de la vida y cambio de los objetivos en la misma (15). Este tipo de expresiones o conductas dan cuenta del proceso de incorporación de la condición de ser PVVIH a la identidad de cada persona (16).…”

Section: Discussionunclassified

How to Understand the Experience of Persons Living with HIV: Implications for Clinical Practice and Research

et al. 2013

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Objetivo: las personas que viven con una enfermedad crónica experimentan procesos complejos de transformación personal para adaptarse a su nueva condición de salud. El objetivo del artículo es develar el significado de vivir con VIH en personas que fueron diag- nosticadas en etapa de sida. Materiales y métodos: estudio cualitativo descriptivo en el que se realizaron entrevistas en profundidad a 15 personas que viven con VIH (PVVIH) en etapa de sida, que se atienden en el sistema público de salud chileno. Resultados: del análisis de contenido emergieron seis dimensiones del significado de vivir con la enfermedad: cambios personales posteriores al diagnóstico; apoyo social y acompañamiento, resignación a la adquisición del VIH; percepción de discriminación / rechazo; revelación del diagnóstico; cuidar a otros de la adquisición del VIH. Conclusiones: los hallazgos orientan a los profesionales de la salud sobre las estrategias que se deben utilizar en la atención directa de las personas que viven con VIH con el fin de otorgar un cuidado integral considerando el apoyo para el desarrollo de estrategias de autocuidado y la revelación del diagnóstico a su núcleo cercano, para reducir los costos psicosociales asociados a la enfermedad.

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Understanding the impact of HIV diagnosis amongst gay men in Scotland: An interpretative phenomenological analysis

Cited by 50 publications

References 35 publications

Experience of sexual self-esteem among men living with HIV

Experience of sexual self-esteem among men living with HIV

The biopolitics of engagement and the HIV cascade of care: a synthesis of the literature on patient citizenship and antiretroviral therapy

How to Understand the Experience of Persons Living with HIV: Implications for Clinical Practice and Research

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