Facilitators of and barriers to HIV self-management: Perspectives of HIV-positive women in China.
Kerong Wang, Wei-Ti Chen, Lin Zhang and 3 others
PMID 27969059WHAT IT FOUND
HIV-positive Chinese women described family support after disclosure, learning to live with HIV, ART adherence and redefining life as facilitators; stigma, rejection, fatigue and cost as barriers.
Key findings
01Facilitators included family support after disclosure, learning to live with HIV, ART adherence and redefining the meaning of life.
02Barriers included lack of support, perceived stigma, physical fatigue and financial difficulty.
03Some women described avoiding family gatherings or further disclosure after stigma.
STILL TO COME
How it was doneWhat they foundWhat it means for RNs
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What it does not show
The study included 27 HIV-positive Chinese women from two hospitals, so it cannot show how these experiences apply to all HIV-positive women in China. Beijing interviews were done in July and September 2005, and Shanghai interviews from November 2009 to March 2010; the authors note Shanghai participants used ART more commonly and effectively, possibly because of the time difference. It is a qualitative interview study, not an intervention test, so it describes experiences rather than proving that any strategy works.
Declared interests
The authors declared no conflicts of interest. The article is listed as NIH extramural research support.
The easy way to misread this
Do not read the facilitators and barriers as evidence that any nursing intervention improves HIV self-management. This was a qualitative interview study with no intervention or outcome comparison.