Skip to main content
Top
Published in: Journal of Immigrant and Minority Health 2/2009

01-04-2009 | Original Paper

Experiences of African Immigrant Women Living with HIV in the U.K.: Implications for Health Professionals

Authors: Eunice W. Ndirangu, Catrin Evans

Published in: Journal of Immigrant and Minority Health | Issue 2/2009

Login to get access

Abstract

In the U.K. immigrant women from Africa constitute an increasingly large proportion of newly diagnosed cases of HIV. A significant minority of these are refugees and asylum seekers. Very little is known about their experiences of living with HIV/AIDS, their psychosocial needs or their views of health care provision. This paper reports the results of a qualitative study that explored these issues by interviewing eight African women living with HIV in the British city of Nottingham. Women’s ability to live positively with HIV was found to be strongly shaped by their migration history, their legal status, their experience of AIDS-related stigma and their Christian faith. Significantly, health services were represented as a safe social space, and were highly valued as a source of advice and support. The findings indicate that non-judgemental, personalised health care plays a key role in encouraging migrant African women to access psychosocial support and appropriate HIV services.
Literature
1.
go back to reference UNAIDS. Report on the global AIDS epidemic. Geneva: UNAIDS; 2006. UNAIDS. Report on the global AIDS epidemic. Geneva: UNAIDS; 2006.
2.
go back to reference Department of Health. HIV and AIDS in African communities: a framework for better prevention and care. London: Department of Health; 2005. Department of Health. HIV and AIDS in African communities: a framework for better prevention and care. London: Department of Health; 2005.
3.
go back to reference Sinka K, Mortimer J, Evans B, Morgan D. Impact of the HIV epidemic in sub-Saharan Africa on the pattern of HIV in the U.K. AIDS 2003;17:1683–90.PubMedCrossRef Sinka K, Mortimer J, Evans B, Morgan D. Impact of the HIV epidemic in sub-Saharan Africa on the pattern of HIV in the U.K. AIDS 2003;17:1683–90.PubMedCrossRef
4.
go back to reference Quickfall J. Developing a model of culturally competent primary care nursing for asylum applicants and refugees in Scotland: a review of the literature. Divers Health Soc Care 2004;1:53–64. Quickfall J. Developing a model of culturally competent primary care nursing for asylum applicants and refugees in Scotland: a review of the literature. Divers Health Soc Care 2004;1:53–64.
5.
go back to reference Amo J, Broring G, Fenton K. HIV health experiences among migrant Africans in Europe: how are we doing? AIDS 2003;17:2261–3.PubMedCrossRef Amo J, Broring G, Fenton K. HIV health experiences among migrant Africans in Europe: how are we doing? AIDS 2003;17:2261–3.PubMedCrossRef
6.
go back to reference Burns F, Imrie J, Nazroo J, et al. Why the(y) wait? Key informant understandings of factors contributing to late presentation and poor utilisation of HIV health and social care services by African migrants in Britain. AIDS Care 2007;19(1):102–8.PubMedCrossRef Burns F, Imrie J, Nazroo J, et al. Why the(y) wait? Key informant understandings of factors contributing to late presentation and poor utilisation of HIV health and social care services by African migrants in Britain. AIDS Care 2007;19(1):102–8.PubMedCrossRef
9.
go back to reference Allan C, Clarke J. Are HIV/AIDS services in Leeds UK able to meet the needs of asylum seekers? Public Health 2005;119:305–11.PubMedCrossRef Allan C, Clarke J. Are HIV/AIDS services in Leeds UK able to meet the needs of asylum seekers? Public Health 2005;119:305–11.PubMedCrossRef
10.
go back to reference Erwin J, Peters B. Treatment issues for HIV positive Africans in London. Soc Sci Med 1999;49(11):1519–28.PubMedCrossRef Erwin J, Peters B. Treatment issues for HIV positive Africans in London. Soc Sci Med 1999;49(11):1519–28.PubMedCrossRef
11.
go back to reference Doyal L, Anderson J. “My Fear is to Fall in Love Again…” How HIV-positive African women survive in London. Soc Sci Med 2005;60(8):1729–38.PubMedCrossRef Doyal L, Anderson J. “My Fear is to Fall in Love Again…” How HIV-positive African women survive in London. Soc Sci Med 2005;60(8):1729–38.PubMedCrossRef
12.
go back to reference Anderson J, Doyal L. Women from African living with HIV in London: a descriptive study. AIDS Care 2004;16(1):95–105.PubMedCrossRef Anderson J, Doyal L. Women from African living with HIV in London: a descriptive study. AIDS Care 2004;16(1):95–105.PubMedCrossRef
15.
go back to reference Green J, Thorogood N. Qualitative methods for health research. London: Sage Publications; 2004. Green J, Thorogood N. Qualitative methods for health research. London: Sage Publications; 2004.
16.
go back to reference Ritchie J, Spencer L. Qualitative data analysis for applied policy research. In: Bryman A, Burgess R, editors. Analysing qualitative data. London: Routledge; 1994. pp. 173–95. Ritchie J, Spencer L. Qualitative data analysis for applied policy research. In: Bryman A, Burgess R, editors. Analysing qualitative data. London: Routledge; 1994. pp. 173–95.
17.
go back to reference Bryman A, Burgess R. Analysing qualitative data. London: Routledge; 1994. Bryman A, Burgess R. Analysing qualitative data. London: Routledge; 1994.
18.
go back to reference Campbell C, Foulis C, Maimane S, Sibiya Z. “I Have an Evil Child in my House”: stigma and HIV/AIDS management in a South African community. Am J Public Health 2005;95(5):808–15.PubMedCrossRef Campbell C, Foulis C, Maimane S, Sibiya Z. “I Have an Evil Child in my House”: stigma and HIV/AIDS management in a South African community. Am J Public Health 2005;95(5):808–15.PubMedCrossRef
20.
go back to reference Ciambrone D. Illness and other assaults on self: the relative impact of HIV/AIDS on women’s lives. Sociol Health Illn 2001;23(4):517–40.CrossRef Ciambrone D. Illness and other assaults on self: the relative impact of HIV/AIDS on women’s lives. Sociol Health Illn 2001;23(4):517–40.CrossRef
23.
go back to reference Green G, Sobo E. The endangered self: managing the social risks of HIV. London: Routledge; 2000. Green G, Sobo E. The endangered self: managing the social risks of HIV. London: Routledge; 2000.
24.
go back to reference Goffman E. Stigma: notes on the management of a spoiled identity. Garden City: Anchor Books; 1963. Goffman E. Stigma: notes on the management of a spoiled identity. Garden City: Anchor Books; 1963.
25.
go back to reference Lewis M. Asylum: understanding public attitudes. London: Institute for Public Policy Research; 2005. Lewis M. Asylum: understanding public attitudes. London: Institute for Public Policy Research; 2005.
26.
go back to reference Buchanan S, Grillo B. What’s the story? Reporting on asylum in the British media. Forced Migr Rev 2004;19:41–3. Buchanan S, Grillo B. What’s the story? Reporting on asylum in the British media. Forced Migr Rev 2004;19:41–3.
27.
go back to reference Link B, Phelan J. Conceptualising stigma. Annu Rev Sociol 2001;27:363–85.CrossRef Link B, Phelan J. Conceptualising stigma. Annu Rev Sociol 2001;27:363–85.CrossRef
28.
go back to reference Chinouya M, O’Keefe E. God will look after us: Africans, HIV and religion in Milton Keynes. Divers Health Soc Care 2005;2:177–86. Chinouya M, O’Keefe E. God will look after us: Africans, HIV and religion in Milton Keynes. Divers Health Soc Care 2005;2:177–86.
29.
go back to reference Burns F, Fenton K. Access to HIV care among migrant Africans in Britain: what are the issues? Psychol Health Med 2006;11(1):117–25.PubMedCrossRef Burns F, Fenton K. Access to HIV care among migrant Africans in Britain: what are the issues? Psychol Health Med 2006;11(1):117–25.PubMedCrossRef
30.
go back to reference Burnett A, Peel M. Health needs of asylum seekers and refugees. Br Med J 2001;322:544–7.CrossRef Burnett A, Peel M. Health needs of asylum seekers and refugees. Br Med J 2001;322:544–7.CrossRef
Metadata
Title
Experiences of African Immigrant Women Living with HIV in the U.K.: Implications for Health Professionals
Authors
Eunice W. Ndirangu
Catrin Evans
Publication date
01-04-2009
Publisher
Springer US
Published in
Journal of Immigrant and Minority Health / Issue 2/2009
Print ISSN: 1557-1912
Electronic ISSN: 1557-1920
DOI
https://doi.org/10.1007/s10903-008-9116-8

Other articles of this Issue 2/2009

Journal of Immigrant and Minority Health 2/2009 Go to the issue