Cultural implications of death and loss from AIDS among women in South Africa.

Juliet Iwelunmor, Collins O Airhihenbuwa
Author Information
  1. Juliet Iwelunmor: Department of Biobehavioral Health, The Pennsylvania State University, University Park, Pennsylvania 16802, USA. jia111@psu.edu
  2. Collins O Airhihenbuwa: Department of Biobehavioral Health, The Pennsylvania State University, University Park, Pennsylvania 16802, USA.

Abstract

Over 1.8 million people have died of AIDS in South Africa, and it continues to be a death sentence for many women. The purpose of this study was to examine the broader context of death and loss from HIV/AIDS and to identify the cultural factors that influenced existing beliefs and attitudes. The participants included 110 women recruited from 3 communities in South Africa. Focus group methodology was used to explore their perceptions surrounding death and loss from HIV/AIDS. Using the PEN-3 cultural model, our findings revealed that there were positive perceptions related to how women cope and respond to death and loss from HIV/AIDS. Findings also revealed existential responses and negative perceptions that strongly influence how women make sense of increasing death and loss from HIV/AIDS. In the advent of rising death and loss from HIV/AIDS, particularly among women, interventions aimed at reducing negative perceptions while increasing positive and existential perceptions are needed. These interventions should be tailored to reflect the cultural factors associated with HIV/AIDS.

References

  1. Health Promot Pract. 2009 Jul;10(3):349-58 [PMID: 18353908]
  2. Qual Health Res. 2006 Nov;16(9):1286-301 [PMID: 17038758]
  3. S Afr Med J. 2004 Apr;94(4):278-9 [PMID: 15150940]
  4. J Adv Nurs. 2001 Mar;33(6):764-75 [PMID: 11298214]
  5. Soc Sci Med. 2003 Jul;57(1):13-24 [PMID: 12753813]
  6. Cancer. 2007 Jan 15;109(2 Suppl):368-77 [PMID: 17173279]
  7. Am J Public Health. 2010 Aug;100(8):1393-9 [PMID: 20558809]
  8. Death Stud. 2007 Oct;31(9):821-43 [PMID: 17886413]
  9. Cult Health Sex. 2006 Jan-Feb;8(1):67-77 [PMID: 16500826]
  10. Death Stud. 2009 Aug;33(7):609-38 [PMID: 19623763]
  11. J Behav Med. 2003 Apr;26(2):165-81 [PMID: 12776385]
  12. Int Q Community Health Educ. 2006-2007;27(4):321-35 [PMID: 18573754]
  13. BMC Public Health. 2003 Apr 01;3:14 [PMID: 12667263]
  14. Image J Nurs Sch. 1992 Spring;24(1):9-14 [PMID: 1541482]
  15. Res Nurs Health. 1993 Jun;16(3):179-91 [PMID: 8497670]
  16. Health Educ Behav. 2005 Aug;32(4):452-4 [PMID: 16708456]
  17. J Immigr Minor Health. 2006 Oct;8(4):377-85 [PMID: 16636902]
  18. J Black Psychol. 2009 Nov;35(4):407-432 [PMID: 22505784]
  19. Health Promot Int. 2007 Jun;22(2):146-54 [PMID: 17491118]
  20. BMJ. 2008 Nov 04;337:a1931 [PMID: 18984633]

Grants

  1. R24 MH068180/NIMH NIH HHS
  2. R24 MH068180-05/NIMH NIH HHS

MeSH Term

Acquired Immunodeficiency Syndrome
Adaptation, Psychological
Attitude to Death
Bereavement
Caregivers
Cause of Death
Cross-Sectional Studies
Cultural Characteristics
Developing Countries
Existentialism
Female
Focus Groups
Gender Identity
HIV Seropositivity
Humans
Models, Psychological
Sick Role
Social Stigma
South Africa

Word Cloud

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