Pursuing Treatment and Moral Worth: HIV-Infected Women in a Northern Province of Vietnam Living With Antiretroviral Therapy
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Pursuing Treatment and Moral Worth : HIV-Infected Women in a Northern Province of Vietnam Living With Antiretroviral Therapy. / Nguyen, Nam Thi Thu; Rasch, Vibeke; Bygbjerg, Ib Christian; Mogensen, Hanne Overgaard.
I: Journal of the Association of Nurses in AIDS Care, Bind 23, Nr. 4, 01.07.2012, s. 339-349.Publikation: Bidrag til tidsskrift › Tidsskriftartikel › Forskning › fagfællebedømt
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TY - JOUR
T1 - Pursuing Treatment and Moral Worth
T2 - HIV-Infected Women in a Northern Province of Vietnam Living With Antiretroviral Therapy
AU - Nguyen, Nam Thi Thu
AU - Rasch, Vibeke
AU - Bygbjerg, Ib Christian
AU - Mogensen, Hanne Overgaard
PY - 2012/7/1
Y1 - 2012/7/1
N2 - There is a need to understand how social and cultural expectations of being a woman shape the challenges women face when trying to access antiretroviral therapy (ART) and to continue the treatment over time. Based on a 7-month prospective study of 15 HIV-infected women, the particular challenges met by these women in northern Vietnam are discussed in this article. We argued that, by taking ART to maintain their health and to fulfill their responsibilities to family and community, the women managed to reclaim the " moral worth" they had lost as a result of having HIV infection. At the same time, certain social and economic contingencies related to ART made it difficult for the women to uphold this moral position. The study demonstrated the importance of understanding the meanings and implications of ART in specific social contexts to understand how social support structures could be established to ensure treatment continuation.
AB - There is a need to understand how social and cultural expectations of being a woman shape the challenges women face when trying to access antiretroviral therapy (ART) and to continue the treatment over time. Based on a 7-month prospective study of 15 HIV-infected women, the particular challenges met by these women in northern Vietnam are discussed in this article. We argued that, by taking ART to maintain their health and to fulfill their responsibilities to family and community, the women managed to reclaim the " moral worth" they had lost as a result of having HIV infection. At the same time, certain social and economic contingencies related to ART made it difficult for the women to uphold this moral position. The study demonstrated the importance of understanding the meanings and implications of ART in specific social contexts to understand how social support structures could be established to ensure treatment continuation.
KW - Adherence
KW - Families
KW - HIV treatment
KW - Morality
KW - Self-help groups
KW - Stigma
KW - Vietnam
KW - Women's health
UR - http://www.scopus.com/inward/record.url?scp=84862230813&partnerID=8YFLogxK
U2 - 10.1016/j.jana.2011.06.006
DO - 10.1016/j.jana.2011.06.006
M3 - Journal article
C2 - 21930400
AN - SCOPUS:84862230813
VL - 23
SP - 339
EP - 349
JO - Journal of the Association of Nurses in AIDS Care
JF - Journal of the Association of Nurses in AIDS Care
SN - 1055-3290
IS - 4
ER -
ID: 203860842