Private and Public Accounts of Health and Illness: Narratives of Urban HIV-infected African American Men

2.50
Hdl Handle:
http://hdl.handle.net/10755/307979
Category:
Abstract
Type:
Presentation
Title:
Private and Public Accounts of Health and Illness: Narratives of Urban HIV-infected African American Men
Author(s):
Buseh, Aaron
Lead Author STTI Affiliation:
Eta Nu
Author Details:
Aaron Buseh, PhD, MPH, MSN, aaronbg@uwm.edu
Abstract:

Poster presented on: Tuesday, November 19, 2013, Monday, November 18, 2013

Background: HIV/AIDS is associated with symptoms experienced in private and public realms. There is limited understanding of the HIV illness experiences of urban Black men and how subjective information can be incorporated in their treatment and care milieus. The understanding of both realms would enable healthcare providers to have a fuller perspective of their patient conditions when developing their plan of care.

 Purpose: The purpose of this study was to explore the day-to-day experiences of urban HIV-infected Black males in living with HIV/AIDS.

 Methods: Qualitative narrative inquiry with in-depth interviews were undertaken with urban Black men (n = 50) who self-reported being HIV-infected. Participants averaged in age 43.98 years, with mean time since diagnosis of 12.5 years. Interviews were coded and analyzed thematically.

Findings: Participants presented accounts of their illness in which they suffered symptoms both in private and public spheres. Their private accounts were characterized by activities to protect their privacy. They were preoccupied with managing their appearances, controlling information, and internalizing perceptions of being stigmatized. Public accounts were characterized by overriding preoccupation with questions of acceptability and adversative social interaction with family members, friends, and community members. Many reported of enacted stigma due to their HIV positive status.

Conclusion: Findings from the study suggest a sub-population of urban men who faced health and social challenges but were resilient with strong will to live. Although a diagnosis of HIV/AIDS today may not carry the imminent fear of death as two decades ago, a diagnosis of HIV-infection does mean restructuring one’s life to face the future. Individuals with HIV/AIDS must contend with uncertainties not only in relation to their physical health, but also in regard to financial security, alterations in social and familial relationships and social stigma, all of which may adversely impact quality of life.

Keywords:
Urban Black men; Social stigma; Illness experiences
Repository Posting Date:
19-Dec-2013
Date of Publication:
19-Dec-2013
Conference Date:
2013
Conference Name:
42nd Biennial Convention
Conference Host:
Sigma Theta Tau International, the Honor Society of Nursing
Conference Location:
Indianapolis, Indiana, USA
Description:
42nd Biennial Convention 2013 Theme: Give Back to Move Forward. Held at the JW Marriott
Note:
This is an abstract-only submission. If the author has submitted a full-text item based on this abstract, you may find it by browsing the Virginia Henderson Global Nursing e-Repository by author. If author contact information is available in this abstract, please feel free to contact him or her with your queries regarding this submission.

Full metadata record

DC FieldValue Language
dc.language.isoen_USen_GB
dc.type.categoryAbstracten_GB
dc.typePresentationen_GB
dc.titlePrivate and Public Accounts of Health and Illness: Narratives of Urban HIV-infected African American Menen_GB
dc.contributor.authorBuseh, Aaronen_GB
dc.contributor.departmentEta Nuen_GB
dc.author.detailsAaron Buseh, PhD, MPH, MSN, aaronbg@uwm.eduen_GB
dc.identifier.urihttp://hdl.handle.net/10755/307979-
dc.description.abstract<p>Poster presented on: Tuesday, November 19, 2013, Monday, November 18, 2013</p><b>Background: </b>HIV/AIDS is associated with symptoms experienced in private and public realms. There is limited understanding of the HIV illness experiences of urban Black men and how subjective information can be incorporated in their treatment and care milieus. The understanding of both realms would enable healthcare providers to have a fuller perspective of their patient conditions when developing their plan of care. <p> <b>Purpose</b>: The purpose of this study was to explore the day-to-day experiences of urban HIV-infected Black males in living with HIV/AIDS. <p> <b>Methods: </b>Qualitative narrative inquiry with in-depth interviews were undertaken with urban Black men (n = 50) who self-reported being HIV-infected. Participants averaged in age 43.98 years, with mean time since diagnosis of 12.5 years. Interviews were coded and analyzed thematically. <p><b>Findings: </b>Participants presented accounts of their illness in which they suffered symptoms both in private and public spheres. Their private accounts were characterized by activities to protect their privacy. They were preoccupied with managing their appearances, controlling information, and internalizing perceptions of being stigmatized. Public accounts were characterized by overriding preoccupation with questions of acceptability and adversative social interaction with family members, friends, and community members. Many reported of enacted stigma due to their HIV positive status. <p><b>Conclusion: </b>Findings from the study suggest a sub-population of urban men who faced health and social challenges but were resilient with strong will to live. Although a diagnosis of HIV/AIDS today may not carry the imminent fear of death as two decades ago, a diagnosis of HIV-infection does mean restructuring one’s life to face the future. Individuals with HIV/AIDS must contend with uncertainties not only in relation to their physical health, but also in regard to financial security, alterations in social and familial relationships and social stigma, all of which may adversely impact quality of life.en_GB
dc.subjectUrban Black menen_GB
dc.subjectSocial stigmaen_GB
dc.subjectIllness experiencesen_GB
dc.date.available2013-12-19T17:24:57Z-
dc.date.issued2013-12-19-
dc.date.accessioned2013-12-19T17:24:57Z-
dc.conference.date2013en_GB
dc.conference.name42nd Biennial Conventionen_GB
dc.conference.hostSigma Theta Tau International, the Honor Society of Nursingen_GB
dc.conference.locationIndianapolis, Indiana, USAen_GB
dc.description42nd Biennial Convention 2013 Theme: Give Back to Move Forward. Held at the JW Marriotten_GB
dc.description.noteThis is an abstract-only submission. If the author has submitted a full-text item based on this abstract, you may find it by browsing the Virginia Henderson Global Nursing e-Repository by author. If author contact information is available in this abstract, please feel free to contact him or her with your queries regarding this submission.en_GB
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