Parental obligations, care and HIV treatment: How care for others motivates self-care in Zimbabwe

被引:8
作者
Skovdal, Morten [1 ]
Maswera, Rufurwokuda [2 ]
Kadzura, Noah [2 ]
Nyamukapa, Constance [2 ,3 ]
Rhead, Rebecca [3 ]
Wringe, Alison [4 ]
Gregson, Simon [2 ,3 ]
机构
[1] Univ Copenhagen, Copenhagen, Denmark
[2] Biomed Res & Training Inst, Harare, Zimbabwe
[3] Imperial Coll London, Norfolk Pl, London W2 1PG, England
[4] London Sch Hyg & Tropical Med, London, England
基金
英国惠康基金; 英国医学研究理事会;
关键词
antiretroviral therapy; care; family; HIV; obligation; Zimbabwe; SUB-SAHARAN AFRICA; ANTIRETROVIRAL THERAPY; ADHERENCE; FAMILY; HIV/AIDS; AIDS; EXPERIENCES; POPULATION; STRATEGIES; MORTALITY;
D O I
10.1177/1359105318788692
中图分类号
B849 [应用心理学];
学科分类号
040203 ;
摘要
This article examines how parental obligations of care intersect with HIV treatment-seeking behaviours and retention. It draws on qualitative data from eastern Zimbabwe, produced from 65 interviews. Drawing on theories of practice and care ethics, our analysis revealed that norms of parental obligation and care acted as key motivators for ongoing engagement with HIV services and treatment. Parents' attentiveness to the future needs of their children (caring about), and sense of obligation (taking care of) and improved ability to care (caregiving) following treatment initiation, emerged as central to understanding their drive for self-care and engagement with HIV services.
引用
收藏
页码:2178 / 2187
页数:10
相关论文
共 39 条
[1]   Are there differences in disease progression and mortality among male and female HIV patients on antiretroviral therapy? A meta-analysis of observational cohorts [J].
Abioye, A. I. ;
Soipe, A. I. ;
Salako, A. A. ;
Odesanya, M. O. ;
Okuneye, T. A. ;
Abioye, A. I. ;
Ismail, K. A. ;
Omotayo, M. O. .
AIDS CARE-PSYCHOLOGICAL AND SOCIO-MEDICAL ASPECTS OF AIDS/HIV, 2015, 27 (12) :1468-1486
[2]   THE IMPACT OF HIV AIDS ON THE FAMILY AND OTHER SIGNIFICANT RELATIONSHIPS - THE AFRICAN CLAN REVISITED [J].
ANKRAH, EM .
AIDS CARE-PSYCHOLOGICAL AND SOCIO-MEDICAL ASPECTS OF AIDS/HIV, 1993, 5 (01) :5-22
[3]  
[Anonymous], 2010, SITE SOCIAL PHILOS A
[4]  
[Anonymous], 2016, GLOB AIDS RESP PROGR
[5]  
Attride-Stirling J., 2001, QUALITATIVE RES, V1, P385, DOI DOI 10.1177/146879410100100307
[6]   The Role of Social Capital in Successful Adherence to Antiretroviral Therapy in Africa [J].
Binagwaho, Agnes ;
Ratnayake, Niloo .
PLOS MEDICINE, 2009, 6 (01) :10-11
[7]   Theories of practice and public health: understanding (un)healthy practices [J].
Blue, Stanley ;
Shove, Elizabeth ;
Carmona, Chris ;
Kelly, Michael P. .
CRITICAL PUBLIC HEALTH, 2016, 26 (01) :36-50
[8]   Gender Differences in Adherence and Response to Antiretroviral Treatment in the Stratall Trial in Rural District Hospitals in Cameroon [J].
Boulle, Charlotte ;
Kouanfack, Charles ;
Laborde-Balen, Gabriele ;
Boyer, Sylvie ;
Aghokeng, Avelin F. ;
Carrieri, Maria P. ;
Kaze, Serge ;
Dontsop, Marlise ;
Mben, Jean-Marc ;
Koulla-Shiro, Sinata ;
Peytavin, Gilles ;
Spire, Bruno ;
Delaporte, Eric ;
Laurent, Christian .
JAIDS-JOURNAL OF ACQUIRED IMMUNE DEFICIENCY SYNDROMES, 2015, 69 (03) :355-364
[9]   Patient retention in antiretroviral therapy programs up to three years on treatment in sub-Saharan Africa, 2007-2009: systematic review [J].
Fox, Matthew P. ;
Rosen, Sydney .
TROPICAL MEDICINE & INTERNATIONAL HEALTH, 2010, 15 :1-15
[10]   HIV decline associated with behavior change in Eastern Zimbabwe [J].
Gregson, S ;
Garnett, GP ;
Nyamukapa, CA ;
Hallett, TB ;
Lewis, JJC ;
Mason, PR ;
Chandiwana, SK ;
Anderson, RM .
SCIENCE, 2006, 311 (5761) :664-666