Körner Henrike
National Centre in HIV Social Research, University of New South Wales, Sydney, Australia.
Ethn Health. 2007 Jun;12(3):205-25. doi: 10.1080/13557850701235093.
To describe the interrelationships between migration and resettlement, the Australian immigration system and living with HIV.
Data were collected through semi-structured, in-depth interviews with clients of the Multicultural HIV/AIDS and Hepatitis C Service and a sexual health clinic in the Sydney metropolitan area over an 18-month period in 2003-2004.
Three major themes interwoven with migration were identified: HIV diagnosis, access to care and support, and forming social relations. Participants who applied for permanent residency in Australia rather than off-shore were usually diagnosed as HIV-positive as part of the health requirement for permanent residency. This jeopardized their prospect of staying in Australia and was at the same time a barrier to returning to the country of birth. It was also a barrier to accessing health care and support services and a major source of uncertainty. The meaning of an HIV-positive diagnosis was grounded in participants' knowledge about HIV from their country of birth: HIV infection was perceived as a terminal illness. Because of the stigma associated with HIV/AIDS, many had little or no contact with their ethnic communities in Australia. At the same time, they found it difficult to form new social relations in the Anglo-Celtic mainstream culture. A further problem was feeling torn between Australia and the promise of a better future, and the close emotional relationships with family and friends in the country of birth.
New migrants with HIV need to negotiate two major life disruptions and two major uncertainties simultaneously: migration and HIV infection. In the Anglo-Celtic mainstream, language, cultural and financial barriers to health and support services should be removed or minimized. In ethnic communities, HIV-related stigma needs to be addressed to enable new migrants to form social relations in these communities and to rebuild their lives.
描述移民与重新安置、澳大利亚移民系统以及感染艾滋病毒后的生活之间的相互关系。
2003年至2004年期间，通过对多元文化艾滋病毒/艾滋病和丙型肝炎服务机构以及悉尼都会区一家性健康诊所的客户进行半结构化深度访谈来收集数据。
确定了与移民交织在一起的三个主要主题：艾滋病毒诊断、获得护理和支持以及建立社会关系。申请澳大利亚永久居留权而非境外居留权的参与者通常在作为永久居留健康要求的一部分时被诊断为艾滋病毒呈阳性。这危及了他们留在澳大利亚的前景，同时也是返回出生国的障碍。这也是获得医疗保健和支持服务的障碍以及不确定性的主要来源。艾滋病毒呈阳性诊断的意义基于参与者从出生国获得的关于艾滋病毒的知识：艾滋病毒感染被视为绝症。由于与艾滋病毒/艾滋病相关的耻辱感，许多人在澳大利亚很少或几乎没有与他们的族裔社区接触。与此同时，他们发现在盎格鲁 - 凯尔特主流文化中难以建立新的社会关系。另一个问题是在澳大利亚和对更美好未来的憧憬之间，以及与出生国的家人和朋友的亲密情感关系之间感到矛盾。
感染艾滋病毒的新移民需要同时应对两大生活干扰和两大不确定性：移民和艾滋病毒感染。在盎格鲁 - 凯尔特主流社会中，应消除或尽量减少健康和支持服务的语言、文化和经济障碍。在族裔社区，需要解决与艾滋病毒相关的耻辱感问题，以使新移民能够在这些社区建立社会关系并重建他们的生活。
