McDonald Karalyn, Slavin Sean
Australian Research Centre in Sex, Health and Society, La Trobe University, Melbourne, Australia.
AIDS Care. 2010 Oct;22(10):1229-35. doi: 10.1080/09540121003668094.
In this study we examine the sociocultural meaning and use of complementary and alternative medicine (CAM) by nine people living with HIV/AIDS (PLWHA) and four CAM practitioners. Analysis revealed five themes: focus on health not illness; resistance to antiretroviral therapy and adherence; allopathic medicine as narrow; difficulty disclosing to doctors; and a continuum of CAM that sometimes included conventional medicine and sometimes excluded it entirely. Literature on PLWHA in the West commonly describes them as sophisticated health consumers. We explore the concepts of individual responsibility in relation to health, holism, control and well-being in the context of CAM. We also consider the meaning and significance of CAM and western medicine to comment on the contemporary experience of HIV, including the possible impact of stigma and the perceived limits of allopathic medicine among some PLWHA. Understanding this will enable better insight into the treatment choices of PLWHA, particularly those who may be described as sceptical of conventional medical science.
在本研究中，我们调查了9名感染艾滋病毒/艾滋病的患者（PLWHA）和4名补充替代医学从业者对补充替代医学（CAM）的社会文化意义及使用情况。分析揭示了五个主题：关注健康而非疾病；对抗逆转录病毒疗法及依从性的抵触；对抗疗法医学的狭隘认知；向医生透露病情的困难；以及补充替代医学的连续性，它有时包括传统医学，有时则完全排除传统医学。西方关于感染艾滋病毒/艾滋病患者的文献通常将他们描述为成熟的健康消费者。我们在补充替代医学的背景下探讨了与健康、整体论、控制和幸福感相关的个人责任概念。我们还考虑了补充替代医学和西医的意义及重要性，以评论当代艾滋病毒感染情况，包括耻辱感可能产生的影响以及一些感染艾滋病毒/艾滋病患者对对抗疗法医学认知的局限性。了解这些将有助于更深入地洞察感染艾滋病毒/艾滋病患者的治疗选择，尤其是那些可能被描述为对传统医学持怀疑态度的患者。
