South Asian immigrant women's suggestions for culturally-tailored HIV education and prevention programs

Ethn Health. 2019 Nov;24(8):945-959. doi: 10.1080/13557858.2017.1378806. Epub 2017 Sep 18.

Abstract

Using a community-based, socialist feminist qualitative study, and an emergent research design, we explored the unique individual experiences of South Asian immigrant women living with HIV in the Greater Toronto Area (GTA) of Ontario, Canada. We assessed both the HIV risk context and the strategies for HIV education and prevention as expressed by study participants. Grounded in Connell's social theory of gender, a thematic analysis of semi-structured interviews with 12 women yielded six themes related to the power and impact of stigmatization, community's denial of HIV, infidelity, manifested in resistance to discussing sex and condom use, non-disclosure, and lack of HIV knowledge. This study validated the legitimacy of listening to the voices of South Asian immigrant women living with HIV, who communicated 20 recommendations for researchers, educators, community organizations, and service providers to culturally-tailor HIV education programs.

Keywords: Connell’s social theory of gender; HIV education and prevention; Qualitative community-based research; South Asian immigrant women; feminist research; women living with HIV.

MeSH terms

  • Adult
  • Asian People / psychology*
  • Condoms / supply & distribution
  • Emigrants and Immigrants / psychology*
  • Female
  • HIV Infections / ethnology
  • HIV Infections / prevention & control*
  • HIV Infections / psychology
  • Health Education / organization & administration*
  • Health Knowledge, Attitudes, Practice / ethnology
  • Health Services Accessibility / organization & administration
  • Humans
  • Middle Aged
  • Ontario / epidemiology
  • Qualitative Research
  • Safe Sex / ethnology
  • Social Stigma