ABSTRACT
Structured interviews were conducted with 224 HIV-positive women diagnosed during pregnancy, at antenatal clinics in Tshwane, South Africa, in order to investigate the use of coping strategies during the first two years after diagnosis. Interviews were conducted between one and four weeks after diagnosis during pregnancy, with three follow-up interviews conducted post-partum. Coping strategies were assessed with an adapted version of the Brief COPE. It was found that active coping was used more often than avoidant coping throughout the study period. Active coping increased over time, while avoidant coping decreased at first but increased again between 6 and 21 months after diagnosis. The most frequently used coping strategies included acceptance, direct action, positive reframing, religion and distraction. At first, women coped through internalised strategies. Over time, outward-focused strategies developed. Avoidant coping patterns differed from previous research indicating that women diagnosed during pregnancy deal with the consequences of HIV after the baby is born. Recommendations for mental health services are made.
Subject(s)
Adaptation, Psychological , HIV Infections/psychology , Pregnancy Complications, Infectious/psychology , Pregnant Women/psychology , AIDS Serodiagnosis , Adult , Evaluation Studies as Topic , Female , Humans , Longitudinal Studies , Pregnancy , Social Support , South Africa , Surveys and Questionnaires , Young AdultABSTRACT
Few studies have considered the relationship between social capital and stigmatizing attitudes. The aim of this study is to assess the relationship between HIV stigmatizing attitudes and individual perceptions of social capital in South Africa. The study surveyed 619 community members to assess whether social capital predicted personal and attributed HIV stigmatizing attitudes. Personal stigma was defined as the individual's own attitude toward people with HIV and attributed stigma were those attitudes that the individual perceived as existing in their communities. Results showed that social capital components significantly predicted personal and attributed stigma above and beyond demographic covariates and whether the participant knew someone with HIV. Individual social capital components of empowerment, trust, and group membership related to personal stigma; and safety, trust, and homogeneity of residential area related to attributed stigma.
