RNQualitativeApplied nursing research : ANR2018

HIV and religion in HIV-infected Asians and their families: A qualitative study.

Karen Tang, Wei-Ti Chen

PMID 30389055

WHAT IT FOUND

Thirty Asian Americans with HIV described faith as comfort, conflict, or community, but church stigma and disclosure fears were distressing.

Ask about religion and family expectations without assuming belief helps.

Key findings

01Participants described three faith patterns: no organized religion, conflicted faith, and strong congruent faith.

02Conflicted participants sought comfort in God, but some reported distress that religion did not relieve.

03Participants reported that disclosing HIV status in a religious community could lead to hurtful reactions and loss of community.

STILL TO COME

How it was doneWhat they foundWhat it means for RNs

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What it does not show

The sample was small, with 30 participants and only 4 women. Many participants were ethnic Chinese, so experiences may not represent all Asian groups. Participants were recruited from clinics serving primarily immigrants, so many were less acculturated; New York City participants were all first-generation immigrants and many did not speak fluent English. Buddhist perspectives were largely missing because many participants had not disclosed HIV status to religious peers. The study did not explore differences among Hinduism, Islam, Daoism, Shintoism, or variations within Buddhism across countries. It reports experiences and themes, not measured health outcomes, so it cannot show that religion improves HIV self-management.

Declared interests

The authors declare no conflicts of interest. The supplied publication types indicate NIH extramural research support.

The easy way to misread this

Do not conclude that religious practice improves HIV self-management or health outcomes. This small qualitative study reports participants' experiences and does not measure whether religion caused any benefit.

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