TY - JOUR
T1 - A social cognitive model of health for HIV-positive adults receiving care in India
AU - Tarakeshwar, Nalini
AU - Srikrishnan, A. K.
AU - Johnson, Sethulakshmi
AU - Vasu, C.
AU - Solomon, Suniti
AU - Merson, Michael
AU - Sikkema, Kathleen
N1 - Funding Information:
For the nine widowed women living with their natal family, the support provided by their parents was critical, and saved their fate and that of their children. This support was usually in the form of providing shelter and child care—emotional needs were rarely addressed. Participants were expected to contribute financially to household expenses and/or perform household chores. A 34-year-old counselor living with her parents after her husband’s death shared, ‘‘They (parents and brothers) are depending on me. I am a sick person but still I have to earn money, buy provisions, and cook. If I fail, I will be asked to leave the house.’’ As an unusual circumstance, one widow living independently was supported by her in-laws while her mother was unaware of her HIV status.
PY - 2007/5
Y1 - 2007/5
N2 - In-depth interviews were conducted with 50 HIV-positive adults (23 women, 27 men) with access to care at a non-governmental organization in Chennai, India to gain a broad understanding of how they managed their HIV infection. Using a Social Cognitive Model of Health, we identified factors within the model's three domains-Personal, Environmental, and Behavioral-that are applicable to this socio-cultural context. The Personal domain's factors were a positive self-concept, family-focused goals, and treatment optimism; the Environmental domain comprised family-based support, treatment availability, access and quality, and HIV stigma and discrimination; and the Behavior domain's factors were medication adherence and health habits, sexual behavior, and social relationships and emotional well-being. Significant differences for many of the factors within the three domains were observed across married men and women, widowed women, unmarried men, and female sex workers. Implications for an enhanced intervention for HIV-infected individuals in similar treatment settings are discussed.
AB - In-depth interviews were conducted with 50 HIV-positive adults (23 women, 27 men) with access to care at a non-governmental organization in Chennai, India to gain a broad understanding of how they managed their HIV infection. Using a Social Cognitive Model of Health, we identified factors within the model's three domains-Personal, Environmental, and Behavioral-that are applicable to this socio-cultural context. The Personal domain's factors were a positive self-concept, family-focused goals, and treatment optimism; the Environmental domain comprised family-based support, treatment availability, access and quality, and HIV stigma and discrimination; and the Behavior domain's factors were medication adherence and health habits, sexual behavior, and social relationships and emotional well-being. Significant differences for many of the factors within the three domains were observed across married men and women, widowed women, unmarried men, and female sex workers. Implications for an enhanced intervention for HIV-infected individuals in similar treatment settings are discussed.
KW - Family
KW - HIV
KW - India
KW - Social cognitive theory
KW - Stigma
KW - Treatment
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U2 - 10.1007/s10461-006-9161-z
DO - 10.1007/s10461-006-9161-z
M3 - Article
C2 - 17028995
AN - SCOPUS:34147162656
SN - 1090-7165
VL - 11
SP - 491
EP - 504
JO - AIDS and Behavior
JF - AIDS and Behavior
IS - 3
ER -