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HIV as identity, experience or career.

M Bartos1, K McDonald

  • 1Australian Research Centre in Sex, Health and Society, Melbourne, Victoria, Australia. M.bartos@latrobe.edu.au

AIDS Care
|August 6, 2000
PubMed
Summary

Living with HIV involves dynamic self-subjectification. Understanding HIV as identity, experience, or career impacts treatment compliance and sexual practices for people with HIV/AIDS.

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Area of Science:

  • Psychology
  • Sociology
  • Public Health

Background:

  • Treatment compliance and sexual practices are crucial for managing HIV/AIDS.
  • Individual subjectivity and selfhood significantly influence health behaviors.

Purpose of the Study:

  • To explore how individuals living with HIV/AIDS conceptualize their condition.
  • To understand the relationship between treatment adherence, optimism, and sexual practices within different subjective experiences of HIV.

Main Methods:

  • Qualitative interview study.
  • 76 participants living with HIV/AIDS in Australia.
  • Analysis of 'modes of subjectification': HIV as identity, experience, and career.

Main Results:

  • 'HIV as identity' (often gay men) linked to self-failure in compliance/safe sex.
  • 'HIV as experience' (often women/heterosexual men) showed less rigid compliance and no link between treatment optimism and sexual practice.
  • 'HIV as career' (gay men and others) associated with hyper-compliance and context-dependent sexual practices.

Conclusions:

  • The impact of HIV treatments is mediated by how individuals relate HIV to their selfhood and community.
  • Different modes of subjectification lead to varied treatment compliance and sexual practice patterns.
  • Conceptualizing living with HIV as a dynamic process is key to understanding these variations.

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