a School of Health and Social Services , Massey University , Auckland , New Zealand.
Cult Health Sex. 2013;15(8):910-23. doi: 10.1080/13691058.2013.790076. Epub 2013 May 7.
Meaning-making has emerged as a core construct in addressing trauma, loss or crisis. This paper considers how diasporic Black Africans living with HIV, who come from interdependent collectivist cultures where the norm is one of implicit support, extend their meaning-making strategies when faced with a diagnosis of HIV. In this qualitative study, 13 Black African migrants and refugees living with HIV in New Zealand were interviewed and the transcripts analysed. After their diagnosis, participants began a journey of reconceptualising situational and global meaning. They extended their meaning-making strategies to include a community of like others to gain explicit support. Caregivers in host countries must understand the meaning-making processes of HIV-positive Black African migrants in order to provide competent services that lead to good social and health outcomes. All healthcare and social services workers should regularly assess Black African migrants and refugees living with HIV for positive social connectedness as well as medication adherence and more specific health concerns.
意义建构已成为应对创伤、丧失或危机的核心构建。本文探讨了那些来自相互依存的集体主义文化的、身患艾滋病毒的散居黑人非洲人，在面对艾滋病毒诊断时，如何扩展他们的意义建构策略。在这项定性研究中，对 13 名居住在新西兰的感染艾滋病毒的黑人非洲移民和难民进行了采访，并对转录本进行了分析。在被诊断后，参与者开始重新构想情境和全球意义。他们扩展了自己的意义建构策略，包括建立一个类似的社区，以获得明确的支持。东道国的护理人员必须了解艾滋病毒阳性黑人非洲移民的意义建构过程，以便提供有能力的服务，从而带来良好的社会和健康结果。所有医疗保健和社会服务工作者都应定期评估感染艾滋病毒的黑人非洲移民和难民，以了解他们是否与社会保持积极联系，以及是否坚持服药和是否存在更具体的健康问题。
