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The Evolution of HIV illness representation among marginally housed persons.

机译：艾滋病毒/艾滋病在边缘化人群中的代表性变化。

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摘要

Many HIV-infected marginally housed individuals have difficulty engaging in health care. To investigate HIV health-related behaviour, 14 in-depth interviews with marginally housed HIV-infected individuals were conducted and analysed utilizing standard qualitative methodologies. The analysis was based on the Illness Representation Model, which describes five conceptual dimensions of illness: identification; cause; timeline; management; and consequences. A theoretical model of illness representation at two distinct time points emerged and included the two categories: 'didn't suspect and didn't believe it' and 'knew but needed proof'. In this study illness representation categories were found to evolve and change over time, and were associated with engagement in HIV care. This study may help guide programmes that focus on enhancing health-promoting behaviour and improving engagement in health care among marginally housed individuals.
机译：许多感染了艾滋病毒的边缘人很难进行医疗保健。为了调查与HIV健康相关的行为，我们对14位边缘化的HIV感染者进行了深入访谈，并使用标准的定性方法进行了分析。该分析基于疾病表征模型，该模型描述了疾病的五个概念方面：识别;原因;时间线;管理;和后果。在两个不同的时间点出现了一种代表疾病的理论模型，其中包括两类：“不怀疑也不相信”和“知道但需要证明”。在这项研究中，发现疾病代表类别随时间演变和变化，并与参与HIV护理有关。这项研究可能有助于指导那些着重于促进健康促进行为和改善边缘居民个人在卫生保健中的参与度的计划。

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