Pizzi M
Positive Images and Wellness, Inc., Silver Spring, Maryland 20904-3358.
Am J Occup Ther. 1992 Nov;46(11):1021-7. doi: 10.5014/ajot.46.11.1021.
Women, the minority population in the human immunodeficiency virus (HIV) pandemic, are fast becoming one of the highest subgroups to be infected and affected by the disease. In the United States, most of these women are black or Hispanic, poor and urban dwellers, and addicted to drugs. This paper discusses the physical, psychological, and social manifestations of HIV disease in women, such as diminished activity tolerance, neurologic or cognitive changes, occupational and social role imbalance, and stigma and discrimination, and describes the sociocultural aspects of women's lives for assessment and treatment of women with HIV. Health promotion, education, and AIDS prevention and wellness programming are emphasized as strategies toward facilitation of self-empowerment for women with HIV disease. These health promotion and wellness strategies include learning of new and adaptation of current roles; learning strategies for self-care that include care for one's physical, psychosocial, spiritual, and sexual health; and learning and developing action plans toward healthy living and self-empowerment.
在人类免疫缺陷病毒（HIV）大流行中，女性作为少数群体，正迅速成为受该疾病感染和影响最严重的亚群体之一。在美国，这些女性大多是黑人或西班牙裔，贫困且居住在城市，还染上了毒瘾。本文讨论了HIV疾病在女性身上的身体、心理和社会表现，如活动耐量下降、神经或认知变化、职业和社会角色失衡以及耻辱和歧视，并描述了女性生活的社会文化方面，以便对感染HIV的女性进行评估和治疗。强调健康促进、教育以及艾滋病预防和健康规划是促进感染HIV的女性自我赋权的策略。这些健康促进和健康策略包括学习新的角色并适应当前角色；学习自我护理策略，包括照顾自己的身体、心理社会、精神和性健康；以及学习和制定健康生活和自我赋权的行动计划。
