'I am living a peaceful life with my grandchildren. Nothing else.' Stories of adversity and 'resilience' of older women caring for children in the context of HIV/AIDS and other stressors

被引:37
作者
Casale, Marisa [1 ]
机构
[1] Univ Kwazulu Natal, Hlth Econ & HIV AIDS Res Div HEARD, ZA-4041 Durban, South Africa
关键词
female carers; elderly carers; HIV and AIDS; care-giving in southern Africa; ADAPTIVE CAPACITY; ORPHAN CARE; AIDS; CAREGIVERS; HOUSEHOLDS; VULNERABILITY; HIV; ARRANGEMENTS; IMPACTS; AFRICA;
D O I
10.1017/S0144686X10001303
中图分类号
R4 [临床医学]; R592 [老年病学];
学科分类号
1002 ; 100203 ; 100602 ;
摘要
While the adverse effects of HIV and AIDS on female care-givers in southern Africa have been well documented, there are too few examples of more nuanced analyses, which reflect not only adversity and challenges, but also positive responses, perspectives and experiences. By discussing findings of qualitative research conducted with nine female carers of children in South Africa's Kwazulu-Natal province, one of the world's most HIV-affected regions, this paper explores two themes, focusing mainly on older (grandmother) carers : (a) their strength and resourcefulness in responding to adversity to ensure their families' survival and (b) their leadership role in affronting HIV and related stigma within their own families. These two themes unfold through insights provided by the stories of two study participants, which are discussed in the context of the broader study findings and literature. The aim of this research is both to add to experiential data on the much-debated notion of 'resilience' and further challenge the stereotype of older carers or 'rural African grandmothers' as passive victims of a changing world, rather than key agents of change. While terms such as 'coping strategies' and 'resilience' should be used cautiously, it is important to consider carers' short-term responses to the many challenges faced, with a view to constructively informing interventions.
引用
收藏
页码:1265 / 1288
页数:24
相关论文
共 57 条
[1]  
Akintola O., 2004, GENDERED ANAL BURDEN
[3]   Promoting mental health and emotional well-being among children and youth: a role for community child health? [J].
Alperstein, G ;
Raman, S .
CHILD CARE HEALTH AND DEVELOPMENT, 2003, 29 (04) :269-274
[4]  
[Anonymous], 2003, AFR ORPH GEN
[5]  
[Anonymous], AIDS OLDER PERSONS I
[6]   Enabling households to support successful migration of AIDS orphans in southern Africa [J].
Ansell, N ;
Young, L .
AIDS CARE-PSYCHOLOGICAL AND SOCIO-MEDICAL ASPECTS OF AIDS/HIV, 2004, 16 (01) :3-10
[7]   The impact of AIDS on rural households in Africa: A shock like any other? [J].
Baylies, C .
DEVELOPMENT AND CHANGE, 2002, 33 (04) :611-632
[8]  
Belsey M., 2005, AIDS and the family: Policy options for a crisis in family capital
[9]   What matters most: An investigation of predictors of perceived stress among young mothers in Khayelitsha [J].
BeLue, Rhonda ;
Schreiner, Andrea S. ;
Taylor-Richardson, Kelly ;
Murray-Kolb, Laura E. ;
Beard, John L. .
HEALTH CARE FOR WOMEN INTERNATIONAL, 2008, 29 (06) :638-648
[10]  
Campbell C, 2004, Curationis, V27, P5