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1994-08-27
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Document 0683
DOCN M9480683
TI The social impact of HIV infection on women in Kigali, Rwanda: a
prospective study.
DT 9410
AU Keogh P; Allen S; Almedal C; Temahagili B; Department of Pathology,
University of California, San Francisco; 94105.
SO Soc Sci Med. 1994 Apr;38(8):1047-53. Unique Identifier : AIDSLINE
MED/94317015
AB In Rwanda, a central African country, the prevalence of HIV infection
now exceeds 30% in urban adults. This study identifies the social
services and counseling needs of women who are already infected with the
HIV virus, the outcome after disclosure of the woman's HIV test result
to her partner and estimates the social support available to the women
from their partners and relatives. Fifty-five HIV-positive women in
Kigali were interviewed in 1988 and 47 of this group were interviewed
again in 1991. The social services most needed by the women in 1988 were
housing, employment and money. By 1991, the women prioritised food,
housing and money as their current needs and food, childcare and money
were their future needs in the event they became ill. The preferred
sources of support in 1988 were individual counseling and women's
support groups. By 1991, the preferred sources of support were
individual counseling and their priest. In 1988, almost 75% of the women
did not expect a supportive reaction from their partners after
disclosure of the test result. In 1991, acceptance, understanding and
sympathy were the most common reactions of the partners after
disclosure. However, 8 (21%) had not told their partner their test
result. After disclosure, 18 of the 37 partners were subsequently
tested. Of those tested, 75% were HIV-positive and 25% were
HIV-negative. Condom use was almost twice as high when the partner was
informed of the test result, although in couples overall, a third were
not using condoms despite knowing the test result.(ABSTRACT TRUNCATED AT
250 WORDS)
DE Activities of Daily Living Adult Child Condoms/UTILIZATION
*Counseling Depressive Disorder/EPIDEMIOLOGY Employment Female
*Health Services Needs and Demand Housing Human HIV
Infections/EPIDEMIOLOGY/*REHABILITATION Income Morale Prospective
Studies Rwanda/EPIDEMIOLOGY Self-Help Groups Sexual Partners Sleep
Disorders/EPIDEMIOLOGY *Social Support *Social Work Support, Non-U.S.
Gov't Truth Disclosure *Women's Health JOURNAL ARTICLE
SOURCE: National Library of Medicine. NOTICE: This material may be
protected by Copyright Law (Title 17, U.S.Code).