Document 0607
 DOCN  M94A0607
 TI    Health strategies of HIV-infected, homosexually-active men in Sydney,
       Australia: implications for health care workers.
 DT    9412
 AU    Ariss R; Carriqan T; Dowsett G; National Centre for HIV Social Research,
       Macquarie University,; Sydney, Australia.
 SO    Annu Conf Australas Soc HIV Med. 1993 Oct 28-30;5:81 (poster no. 16).
       Unique Identifier : AIDSLINE ASHM5/94349048
 AB    AIM: To map the socio/cultural determinants of the health strategies
       adopted by HIV positive, homosexually-active men. METHOD: From an
       existing cohort of 535 men (Social Aspects of the Prevention of AIDS,
       1987), 10 HIV positive homosexually-active men were selected to explore
       responses to HIV infection. The study employed open-ended, audiotaped
       interviews to extend the existing data base, the men having been
       interviewed on at least two previous occasions. The sample included men
       at all stages of infection; they were diverse also in terms of social
       demographics. RESULTS: Four typological health strategies are
       identified, rational compliance, critical compliance, avoidance and
       critical engagement. These strategies range from full participation in,
       to rejection of, medical intervention. DISCUSSION: The study revealed
       that social identity, gay community attachment, social inequality and
       age significantly determine responses to HIV infection, including access
       to health services. The results have significant implications for the
       management of the range of HIV infected, homosexually-active men, and
       for relations between these men and their health-care workers.
 DE    Adaptation, Psychological  Adult  Australia  Health Services
       Accessibility  Homosexuality/*PSYCHOLOGY  Human  HIV
       Infections/PREVENTION & CONTROL/*PSYCHOLOGY/TRANSMISSION  *Knowledge,
       Attitudes, Practice  Male  *Patient Care Team  Patient
       Compliance/PSYCHOLOGY  *Sick Role  Social Identification  MEETING
       ABSTRACT

       SOURCE: National Library of Medicine.  NOTICE: This material may be
       protected by Copyright Law (Title 17, U.S.Code).