RELIANCE BY GAY MEN AND INTRAVENOUS-DRUG-USERS ON FRIENDS AND FAMILY FOR AIDS-RELATED CARE

被引:49
作者
JOHNSTON, D
STALL, R
SMITH, K
机构
[1] UNIV CALIF SAN FRANCISCO,CTR AIDS PREVENT STUDIES,SAN FRANCISCO,CA 94143
[2] UNIV CALIF SAN FRANCISCO,JOINT PROGRAM MED ANTHR,SAN FRANCISCO,CA 94143
[3] UNIV CALIF BERKELEY,JOINT PROGRAM MED ANTHR,BERKELEY,CA 94720
[4] BAYLOR COLL MED,DEPT ANAESTHESIOL & PHYS MED & REHABIL,HOUSTON,TX 77030
来源
AIDS CARE-PSYCHOLOGICAL AND SOCIO-MEDICAL ASPECTS OF AIDS/HIV | 1995年 / 7卷 / 03期
关键词
D O I
10.1080/09540129550126533
中图分类号
R19 [保健组织与事业(卫生事业管理)];
学科分类号
摘要
A group of gay-identified men (n = 81) and intravenous drug users (n = 88) diagnosed with AIDS in San Francisco were interviewed regarding their use of friends and family to meet their care needs. Analysis of quantitative data revealed that gay men relied more than did IDUs on friends for care. Neither group relied primarily on their families for care. Analysis of the qualitative data identified five primary barriers to care. First, many people with AIDS ave not accustomed to asking for help and often avoid it when possible. Second, the social stigma surrounding AIDS sometimes leads to isolation. Third, some people with AIDS have kin with health problems of their own, thereby sometimes compromising this potential source of care. Fourth, the AIDS epidemic has devastated identifiable sub-populations, leaving surviving members of these groups emotionally exhausted and sometimes unable to provide as much help as they might have liked. Finally, some respondents choose to voluntarily cut themselves off from 'supportive' relationships that they perceive to be destructive now that they have been diagnosed with a fatal illness. Professional care providers and health care planners should be aware of dynamics within informal care networks of people with AIDS that may leave patients without necessary cave.
引用
收藏
页码:307 / 319
页数:13
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