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My Whole World Changed: A Qualitative Exploration of the Coping Experiences of Transgender Women After an HIV Diagnosis
被引:3
|作者:
Hines, Dana D.
[1
]
Draucker, Claire Burke
[2
]
Habermann, Barbara
[3
]
机构:
[1] George Washington Univ, Sch Nursing, Nursing, Washington, DC 20052 USA
[2] Indiana Univ, Psychiat Mental Hlth Nursing, Sch Nursing, Indianapolis, IN 46204 USA
[3] Pacific Lutheran Univ, Nursing, Tacoma, WA 98447 USA
来源:
基金:
美国国家卫生研究院;
关键词:
grounded theory;
HIV;
AIDS;
minority health;
qualitative research;
transgender health;
transgender women;
vulnerable populations;
GROUNDED THEORY;
HEALTH;
CARE;
ENGAGEMENT;
STRATEGIES;
DISCLOSURE;
DEPRESSION;
OUTCOMES;
SUPPORT;
STRESS;
D O I:
10.1097/JNC.0000000000000200
中图分类号:
R1 [预防医学、卫生学];
学科分类号:
1004 ;
120402 ;
摘要:
The aim of this study was to generate a theoretical stage model that describes transgender women's coping strategies and responses after a new HIV diagnosis. The sample included 18 transgender women living with HIV in a large metropolitan city in central Indiana. Semi-structured interviews were conducted, digitally recorded, transcribed verbatim, and analyzed using grounded theory methods. Participants commonly described the experience of being newly diagnosed with HIV as, having the world change. Four stages through which attempts at coping occurred were identified: having the world come crashing down; shutting out the world; living in a dark world; and reconstructing the world. This model advances our understanding of the social and behavioral factors that influence how transgender women cope with a new HIV diagnosis and how their coping responses influence entry and engagement in the HIV care continuum.
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页码:654 / 668
页数:15
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