African immigrant views of HIV service needs: gendered perspectives.
This qualitative, community-based research study explored the influence of gender on community perceptions of HIV/AIDS service needs among African immigrant men and women in Calgary, Canada. A total of 41 key informant participants (24 male, 17 female) from 14 sub-Saharan countries completed individual, semi-structured interviews. Thematic interview analysis results produced four themes directly related to HIV and gender, including different sexual standards for men and women, condom use, infidelity, and the need for dialogue between partners on sex and HIV. Each of these themes was related to a contextual theme of "family breakdown", which resulted from cultural adjustment challenges faced by African immigrants. For men, finding suitable employment was a key issue; for women, isolation was identified as an adjustment factor. The findings suggest that a more holistic conception of HIV prevention may be necessary for programmes to be successful and that HIV/AIDS services should be better integrated with newcomer services.
School of Public Health and Social Policy, University of Victoria, Victoria, British Columbia, Canada. worthing@uvic.ca
Catherine
C
Worthington
David
D
Este
Keri-Lynn
KL
Strain
Nedra
N
Huffey
D000223:Adaptation, Psychological; D000328:Adult; D044383:Black People / Q000523:psychology*; D002170:Canada; D054242:Emigrants and Immigrants / Q000523:psychology*; D005260:Female; D005783:Gender Identity; D015658:HIV Infections / Q000517:prevention & control / Q000523:psychology*; D007722:Health Knowledge, Attitudes, Practice; D006301:Health Services Needs and Demand; D006801:Humans; D008297:Male; D008875:Middle Aged; D012307:Risk Factors; D012727:Sex Characteristics; D012725:Sexual Behavior