Cristin-resultat-ID: 358208
Sist endret: 21. januar 2015 15:27
NVI-rapporteringsår: 2009
Resultat
Vitenskapelig artikkel
2009

"When in the body, it makes you look fat and HIV negative": The constitution of antiretroviral therapy in local discourse among youth in Kahe, Tanzania

Bidragsytere:
  • Mangi Job Ezekiel
  • A Talle
  • James M. Juma og
  • Knut Inge Klepp

Tidsskrift

Social Science and Medicine
ISSN 0277-9536
e-ISSN 1873-5347
NVI-nivå 2

Om resultatet

Vitenskapelig artikkel
Publiseringsår: 2009
Volum: 69
Sider: 1 - 8

Importkilder

Isi-ID: 000264457900022

Klassifisering

Vitenskapsdisipliner

Samfunnsvitenskap

Emneord

HIV

Beskrivelse Beskrivelse

Tittel

"When in the body, it makes you look fat and HIV negative": The constitution of antiretroviral therapy in local discourse among youth in Kahe, Tanzania

Sammendrag

Antiretroviral therapy (ART) is becoming increasingly more accessible within the health care system in Tanzania. However, the impact of the increased availability of ART on local conceptions about medicines, health and physical wellbeing has not been fully explored. In this article we examine how ART is constituted within local discourses about treatment and healing. Based on 21 focus group discussions with young people aged 14–24 years in a rural area (Kahe), we examine how local terms and descriptions of antiretroviral therapy relate to wider definitions about the body, health, illness and drug efficacy. Findings illustrate how local understandings of ART draw on a wider discourse about the therapeutic functions of medicines and clinical dimensions of HIV/AIDS. Therapeutic efficacy of antiretroviral medication appeared to overlap and sometimes contradict locally shared understandings of the clinical functions of medicines in the body. Implications of ART on bodily appearance and HIV signs may influence conceptions about sick role, perpetuate stigma and affect local strategies for HIV prevention. Structural inequities in access, limited information on therapeutic efficacy of ART and perceived difficulties with status disclosure appear to inform local conceptions and possible implications of ART. Policy and programme interventions to foster public understanding and acceptability of ART should emphasize treatment education about the benefits and limitations of therapy and increased access to ART in rural areas, and should integrate voluntary status disclosure and HIV prevention.

Bidragsytere

Mangi Job Ezekiel

  • Tilknyttet:
    Forfatter
  • Tilknyttet:
    Forfatter
    ved University of Dar es Salaam - Branch: Muhimbili University College of Health Sciences

A Talle

  • Tilknyttet:
    Forfatter

james m juma

Bidragsyterens navn vises på dette resultatet som James M. Juma
  • Tilknyttet:
    Forfatter

Knut Inge Klepp

  • Tilknyttet:
    Forfatter
    ved Avdeling for ernæringsvitenskap ved Universitetet i Oslo
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