Maradik Harris Lesley, Kim Bum Jung
University of Louisville, Louisville, Kentucky, USA
University of Hawaii at Manoa, Honolulu, Hawaii, USA.
Qual Health Res. 2014 Aug;24(8):1048-1056. doi: 10.1177/1049732314541010. Epub 2014 Jul 10.
In this article, we examine skipped-generation caregivers who foster their grandchildren orphaned by HIV/AIDS in Vietnam. We investigated the challenges facing this population and the ways in which grandparents handled their trials on behalf of their families. Specifically, how did caregivers make sense of their roles, and how did these meanings inform their coping strategies? We conducted in-depth qualitative interviews with 21 older caregivers and 7 key informants and selected 5 caregivers from the sample to complete participant observations. The participants understood coping as problem-focused coping; for example, by considering a set of caregiving-related activities that included providing childcare, making money, borrowing money, cooking, and doing other daily chores. The voices of older caregivers must be a vital component to influence and inform service organizations and HIV sectors working in Vietnam. Based on a deeper understanding of the caregiving process, we outline implications for service development within the area of HIV caregiving.
在本文中，我们研究了在越南抚养因艾滋病毒/艾滋病而成为孤儿的孙辈的隔代照料者。我们调查了这一群体所面临的挑战，以及祖父母们代表家庭应对这些考验的方式。具体而言，照料者如何理解他们的角色，以及这些理解如何影响他们的应对策略？我们对21名年长的照料者和7名关键信息提供者进行了深入的定性访谈，并从样本中挑选了5名照料者进行参与观察。参与者将应对理解为以问题为中心的应对方式；例如，通过考虑一系列与照料相关的活动，包括提供儿童照料、赚钱、借钱、做饭以及做其他日常琐事。年长照料者的声音必须成为影响和告知在越南开展工作的服务组织及艾滋病毒领域的重要组成部分。基于对照料过程的更深入理解，我们概述了在艾滋病毒照料领域服务发展的相关影响。
