Lanier Latrona, DeMarco Rosanna
1 Department of Nursing, Darton State College , Albany, Georgia .
AIDS Patient Care STDS. 2015 Mar;29(3):142-9. doi: 10.1089/apc.2014.0116. Epub 2015 Jan 23.
The challenges that face African American women living with HIV are immense. African American women continue to be disproportionately infected and affected by this chronic and life-threatening infection in a complex context of individual experience, interactions with the environment, formal and informal support systems, and cultural belief systems. This article identifies the Theory of Silencing the Self (STS) and a widely known model, the Social Ecological Model (SEM), as a synthesized explanatory framework in helping nurses understand how to address research questions and clinical care that is congruent with the experience of African American women living with HIV infection. In synthesizing the components of these two frameworks, an explanation of the relationship between disempowerment and depression in this population will be uncovered as a key component to making relationships at the individual, family, and community level better. Helping African American women living with HIV infection to explore and address how choosing to be silent across their life systems will advance healthcare adherence as we currently know it to improved self-management of a chronic, gender-specific, culturally-bound experience of depression.
感染艾滋病毒的非裔美国女性面临着巨大挑战。在个人经历、与环境的互动、正式和非正式支持系统以及文化信仰系统的复杂背景下，非裔美国女性感染这种慢性且危及生命的疾病以及受其影响的比例仍然过高。本文确定了“自我沉默理论”（STS）和一个广为人知的模型——社会生态模型（SEM），作为一个综合解释框架，以帮助护士理解如何解决与感染艾滋病毒的非裔美国女性经历相符的研究问题和临床护理。在综合这两个框架的组成部分时，将揭示该人群中无权感与抑郁之间的关系，这是改善个人、家庭和社区层面关系的关键因素。帮助感染艾滋病毒的非裔美国女性探索并解决在其整个生命系统中选择保持沉默如何促进目前所知的医疗依从性，以改善对一种慢性、特定性别的、受文化束缚的抑郁经历的自我管理。
