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Document 0607
DOCN M94A0607
TI Health strategies of HIV-infected, homosexually-active men in Sydney,
Australia: implications for health care workers.
DT 9412
AU Ariss R; Carriqan T; Dowsett G; National Centre for HIV Social Research,
Macquarie University,; Sydney, Australia.
SO Annu Conf Australas Soc HIV Med. 1993 Oct 28-30;5:81 (poster no. 16).
Unique Identifier : AIDSLINE ASHM5/94349048
AB AIM: To map the socio/cultural determinants of the health strategies
adopted by HIV positive, homosexually-active men. METHOD: From an
existing cohort of 535 men (Social Aspects of the Prevention of AIDS,
1987), 10 HIV positive homosexually-active men were selected to explore
responses to HIV infection. The study employed open-ended, audiotaped
interviews to extend the existing data base, the men having been
interviewed on at least two previous occasions. The sample included men
at all stages of infection; they were diverse also in terms of social
demographics. RESULTS: Four typological health strategies are
identified, rational compliance, critical compliance, avoidance and
critical engagement. These strategies range from full participation in,
to rejection of, medical intervention. DISCUSSION: The study revealed
that social identity, gay community attachment, social inequality and
age significantly determine responses to HIV infection, including access
to health services. The results have significant implications for the
management of the range of HIV infected, homosexually-active men, and
for relations between these men and their health-care workers.
DE Adaptation, Psychological Adult Australia Health Services
Accessibility Homosexuality/*PSYCHOLOGY Human HIV
Infections/PREVENTION & CONTROL/*PSYCHOLOGY/TRANSMISSION *Knowledge,
Attitudes, Practice Male *Patient Care Team Patient
Compliance/PSYCHOLOGY *Sick Role Social Identification MEETING
ABSTRACT
SOURCE: National Library of Medicine. NOTICE: This material may be
protected by Copyright Law (Title 17, U.S.Code).