James-Borga Judith C, Frederickson Keville
J Assoc Nurses AIDS Care. 2018 May-Jun;29(3):394-405. doi: 10.1016/j.jana.2018.01.003. Epub 2018 Feb 2.
African American women are disproportionately affected by HIV. We used a phenomenological approach to understand the experiences of living with HIV in a group of older African American women. Approvals were obtained, and a criterion sample of 10 participants who self-identified as African American were recruited. Data were collected using unstructured interviews. The emergence of seven essential themes resulted in a textual interpretative statement that indicated that the meaning of living with HIV disease for this group of older African American women was (a) the dynamic interrelated patterning processes of transcending adversity and becoming as they responded to their emotional ebbs and flows, (b) being always hypervigilant to HIV stigma, and (c) managing the paradoxical process of concealing while revealing aspects of their lives with HIV. The women used knowledge as empowerment and strove to maintain relationality by caring for others while they, themselves, were being cared for.
非裔美国女性受艾滋病毒影响的比例过高。我们采用现象学方法来了解一群年长非裔美国女性感染艾滋病毒后的生活经历。研究获得了批准，并招募了10名自我认定为非裔美国人的参与者作为标准样本。通过非结构化访谈收集数据。七个基本主题的出现形成了一份文本解释性陈述，表明对于这群年长非裔美国女性来说，感染艾滋病毒后的生活意义在于：(a) 在应对情绪起伏时超越逆境并实现自我的动态相互关联的模式过程；(b) 始终对艾滋病毒污名保持高度警惕；(c) 处理在隐瞒与披露感染艾滋病毒后的生活方面的矛盾过程。这些女性将知识视为力量，并在自己接受他人照顾的同时，通过照顾他人努力维持人际关系。
