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Qualitative Health Research
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Coping With HIV: Caribbean People in the United Kingdom

Moji Anderson

University of the West Indies, Kingston, Jamaica

Gillian Elam

University College London, London, United Kingdom

Ijeoma Solarin

King's College London, London, United Kingdom

Sarah Gerver

King's College London, London, United Kingdom

Kevin Fenton

Centers for Disease Control and Prevention, Atlanta, Georgia, USA

Philippa Easterbrook

King's College London, London, United Kingdom

Although Caribbean people in the United Kingdom are increasingly being affected by HIV/AIDS, there has been no examination of how they are coping with the illness. We investigate the coping strategies of HIV-positive Caribbean people using in-depth interviews with a purposively selected group of 25 residents of South London. The main coping strategies were more cognitive than behavioral: restricted disclosure, submersion, faith, and positive reappraisal. These strategies were intertwined in complex ways, and most were rooted in contextual factors, particularly cultural ones. Themes of loss, silence, and reinvention suffused respondents' narratives. Interventions should consider the high degree of stigmatization of HIV/AIDS in the Caribbean community, reluctance to disclose, the likelihood of an initial severe reaction to diagnosis, and external stressors. HIV-positive Caribbean people who are coping well could serve as mentors and role models for poor copers and newly diagnosed patients; establishing Caribbean-specific support groups might also assist coping.

Key Words: coping and adaptation • HIV/AIDS • illness and disease • responses • interviews • semistructured • minorities

Qualitative Health Research, Vol. 19, No. 8, 1060-1075 (2009)
DOI: 10.1177/1049732309341191


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