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Qualitative Health Research
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How Do Subjectively-Constructed Meanings Ascribed to Anti-HIV Treatments Affect Treatment-Adherent Practice?

W. K. Tim Wong

University of Western Sydney, New South Wales, Australia, w.wong{at}uws.edu.au

Jane Ussher

University of Western Sydney, New South Wales, Australia

Anti-HIV treatment-adherent practice is a significant issue in HIV medical discourses on effective disease treatment and management. Findings from research studies into treatment (non)adherence have positioned the act as a medical issue that could be remedied by behavioral strategies. The present study, conducted in Sydney, Australia, aims to examine treatment-(non)adherent practice as a subjective expression of meanings ascribed to treatments by employing a narrative analytical approach informed by poststructuralist epistemology. The findings indicate that people with HIV negotiate and position treatments in particular ways that lead to multiple and varied understanding of treatments. The ways treatments are positioned in their everyday lives suggest that meanings ascribed to treatments impact on the way individuals negotiate demands embedded in the medically-constructed practice of adherence.

Key Words: adherence • HIV/AIDS • psychosocial issues • quality of life • medical/health care disclosure • narrative methods

Qualitative Health Research, Vol. 18, No. 4, 458-468 (2008)
DOI: 10.1177/1049732308314852


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