| Negotiating cultures: disclosure of HIV-positive status among people from minority ethnic communities in Sydney. | |
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MedLine Citation:
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PMID: 17364722 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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Because of the multiple stigma attached to HIV/AIDS, disclosure of HIV-positive serostatus is a considerable social risk for those who disclose. While HIV/AIDS-related stigma affects all HIV-positive people, for people from minority cultures additional cultural factors may play a significant role in self-disclosure. This paper draws on data from semi-structured, in-depth interviews with HIV-positive people from minority cultures in Sydney. Disclosure decisions were influenced by gender, sexual orientation, as well as cultural background. Gay men drew on both collectivist and individualist notions of interdependence and self-reliance in different socio-cultural contexts. This enabled them to accommodate the imperative to maintain harmony with the family and meet their individual needs for support. Heterosexual men who had disclosed voluntarily or involuntarily experienced discrimination and avoidance, and interdependence with family and ethnic community was disrupted. Heterosexual women disclosed to no one outside the health care system and were anxious to avoid any disclosure in the future. For all participants, voluntary and involuntary disclosure caused potential and actual disruption of relationships with their families and ethnic communities. The paper concludes by arguing for an ecological perspective of health in which decisions are not located in rational decision making alone but in the broader context of family and community. |
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Authors:
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Henrike Körner |
Publication Detail:
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Type: Journal Article; Research Support, Non-U.S. Gov't |
Journal Detail:
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Title: Culture, health & sexuality Volume: 9 ISSN: 1369-1058 ISO Abbreviation: Cult Health Sex Publication Date: 2007 Mar-Apr |
Date Detail:
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Created Date: 2007-03-16 Completed Date: 2007-04-25 Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 100883416 Medline TA: Cult Health Sex Country: England |
Other Details:
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Languages: eng Pagination: 137-52 Citation Subset: IM |
Affiliation:
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National Centre in HIV Social Research, University of New South Wales, Australia. h.korner@unsw.edu.au |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Adult Cultural Characteristics* Female HIV Seropositivity / diagnosis*, psychology* Humans Interpersonal Relations Male Middle Aged Minority Groups* New South Wales Questionnaires Self Disclosure* Self Efficacy Sexual Behavior / psychology Social Behavior Stereotyping* |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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