Journal
AIDS AND BEHAVIOR
Volume 11, Issue 3, Pages 491-504Publisher
SPRINGER/PLENUM PUBLISHERS
DOI: 10.1007/s10461-006-9161-z
Keywords
HIV; India; family; social cognitive theory; stigma; treatment
Funding
- FIC NIH HHS [D43 TW01028-05, K01 TW7136-01] Funding Source: Medline
- NIMH NIH HHS [P30 MH062294, P30 MH 62294, T32-MH20031] Funding Source: Medline
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In-depth interviews were conducted with 50 HIV-positive adults (23 women, 27 men) with access to care at a non-governmental organization in Chennai, India to gain a broad understanding of how they managed their HIV infection. Using a Social Cognitive Model of Health, we identified factors within the model's three domains-Personal, Environmental, and Behavioral-that are applicable to this socio-cultural context. The Personal domain's factors were a positive self-concept, family-focused goals, and treatment optimism; the Environmental domain comprised family-based support, treatment availability, access and quality, and HIV stigma and discrimination; and the Behavior domain's factors were medication adherence and health habits, sexual behavior, and social relationships and emotional well-being. Significant differences for many of the factors within the three domains were observed across married men and women, widowed women, unmarried men, and female sex workers. Implications for an enhanced intervention for HIV-infected individuals in similar treatment settings are discussed.
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