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To Keep this Disease from Killing You: Cultural Competence, Consonance, and Health among HIV‐positive Women in Kenya

To Keep this Disease from Killing You: Cultural Competence, Consonance, and Health among... The HIV/AIDS crisis continues in sub‐Saharan Africa, where nearly 70% of infections are found. Despite recent efforts to supply antiretroviral therapy to those infected, most are not receiving medication and are forced to rely on self‐management to remain healthy. In Kenya, many of those infected are women living in extreme poverty. This article presents the findings of research among poor women in Nairobi that examined the relationship between knowledge of a cultural model of self‐managing HIV/AIDS, cultural consonance, and health. This biocultural study expands on earlier findings showing that knowledge of the model (competence) is a significant predictor of health by examining here how behavior consistent with that knowledge (consonance) affects health outcomes, as measured by CD4 counts, perceived stress, depressive symptoms, and recent illnesses. http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Medical Anthropology Quarterly Wiley

To Keep this Disease from Killing You: Cultural Competence, Consonance, and Health among HIV‐positive Women in Kenya

Copeland, Toni
Medical Anthropology Quarterly , Volume 32 (2) – Jan 1, 2018
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Publisher
Wiley
Copyright
© 2018 American Anthropological Association
ISSN
0745-5194
eISSN
1548-1387
DOI
10.1111/maq.12402
pmid
28766753
Publisher site
See Article on Publisher Site

Abstract

The HIV/AIDS crisis continues in sub‐Saharan Africa, where nearly 70% of infections are found. Despite recent efforts to supply antiretroviral therapy to those infected, most are not receiving medication and are forced to rely on self‐management to remain healthy. In Kenya, many of those infected are women living in extreme poverty. This article presents the findings of research among poor women in Nairobi that examined the relationship between knowledge of a cultural model of self‐managing HIV/AIDS, cultural consonance, and health. This biocultural study expands on earlier findings showing that knowledge of the model (competence) is a significant predictor of health by examining here how behavior consistent with that knowledge (consonance) affects health outcomes, as measured by CD4 counts, perceived stress, depressive symptoms, and recent illnesses.

Journal

Medical Anthropology Quarterly – Wiley

Published: Jan 1, 2018

Keywords: ; ; ; ;

References

  • The Triad of Poverty, Environment, and Child Health in Nairobi Informal Settlements
    Amuyunzu‐Nyamongo, M.; Taffa, N.
  • ANTHROPAC 4.0
    Borgatti, S. P.
  • A Global Measure of Perceived Stress
    Cohen, S.; Kamarck, T.; Mermelstein, R.
  • Poverty, Nutrition, and a Cultural Model of Managing HIV/AIDS among Women in Nairobi, Kenya
    Copeland, T.
  • Self‐Managing HIV/AIDS: Cultural Competence and Health among Women in Nairobi, Kenya
    Copeland, T.
  • Knowledge and Use of Antiretroviral Treatment among Pregnant Women Attending Health Centres in Amathole District, Eastern Cape Province, South Africa
    Dekeda, K.; Vellem, N.; Tshotsho, N.; Goon, D.
  • Religious Cultural Consonance as a Measure of Subcultural Status
    Dengah, H. J. F.
  • An Analysis of Training Effects on School Personnel's Knowledge, Attitudes, Comfort, and Confidence Levels toward Educating Students about HIV/AIDS in Pennsylvania
    Deutschlander, S.
  • Socioeconomic Factors and Adult Body Composition in a Developing Society
    Santos, J.; Oths, K.; Dressler, W.
  • Social Support and Cardiovascular Disease
    Dressler, W. W.
  • Culture, Stress, and Cardiovascular Disease
    Dressler, W. W.
  • What's Cultural about Biocultural Research
    Dressler, W. W.
  • Cultural Consonance and Arterial Blood Pressure in Urban Brazil
    Dressler, W. W.; Balieiro, M. C.; Ribeiro, R. P.; Santos, J. E.
  • The Health Consequences of Cultural Consonance: Cultural Dimensions of Lifestyle, Social Support and Arterial Blood Pressure in an African American Community
    Drssler, W. W.; Bindon, J. R.
  • Handbook of Health Behavior, Vol. I: Personal and Social Determinants
    Dressler, W. W.; Oths, K. S.
  • How Culture Shapes the Body: Cultural Consonance and Body Mass in Urban Brazil
    Dressler, W. W.; Oths, K. S.; Balieiro, M. C.; Ribeiro, R. P.; Santos, J. E.
  • Community‐based Approaches to HIV Treatment in Resource‐poor Settings
    Farmer, P.; Leandre, F.; Mukherjee, J. S.; Claude, M. S.; Nevil, P.; Smith‐Fawzi, M. C.; Koenig, S. P.; Castro, A.; Becerra, M. C.; Sachs, J.; Attaran, A.; Kim, J. Y.
  • The HIV‐poverty Thesis Re‐examined: Poverty, Wealth or Inequality as a Social Determinant of HIV Infection in sub‐Saharan Africa
    Fox, A. M.
  • Urban Life: Readings in the Anthropology of the City
    Goode, J.
  • Bringing Culture into Human Biology and Biology Back into Anthropology
    Goodman, A. H.
  • American Journal of Public Health
    Gravlee, C.; Dressler, W. W.; Bernard, H. R.
  • Reassessing Community‐directed Treatment: Evidence from Mazabuka District, Zambia
    Halwindi, H.; Magnussen, P.; Siziya, S.; Meyrowitsch, D. W.; Olsen, A.
  • Morbidity and Aging in HIV‐infected Persons: The Swiss HIV Cohort Study
    Hasse, B.; Ledergerber, B.; Furrer, H.; Battegay, M.; Hirschel, B.; Cavassini, M.; Bertisch, B.; Bernasconi, E.; Weber, R.
  • Using a Biocultural Approach to Examine Migration/Globalization, Diet Quality, and Energy Balance
    Himmelgreen, D. A.; Cantor, A.; Arias, S.; Romero Daza, N.
  • ARVs and ARTs: Medioscapes and the Unequal Place‐making for Biomedical Treatments in sub‐Saharan Africa
    Horbst, V.; Wolf, A.
  • Competence, Agreement, and Luck: Testing Whether Some People Agree More with a Cultural Truth than Do Others
    Hruschka, D. J.; Maupin, J. N.
  • HIV Knowledge, Attitudes, and Practices among College Students in the United States
    Inungu, J.; Mumford, V.; Mustafa, Y.; Langford, S.
  • Exploring Medical Anthropology
    Joralemon, D.
  • Saving a Generation
    Keels, C.
  • Toward a Biocultural Medical Anthropology
    Landy, D.
  • A Space of Vulnerability in Poverty and Health: Political–Ecology and Biocultural Analysis
    Leatherman, T.
  • The Relationship between Condom‐related Protective Behavioral Strategies and Condom Use among College Students: Global‐ and Event‐level Evaluations
    Lewis, M.; Kaysen, D.; Michiko, R.; Woods, B.
  • Best Evidence Interventions: Findings from a Systemic Review of HIV Behavioral Interventions for US Populations at High Risk, 2000–2004
    Lyles, C.; Kay, L.; Crepaz, N.; Herbst, J.; Passin, W.; Kim, A.; Rama, S.; Thadiparthi, S.; DeLuca, J.; Mullins, M.
  • I Am Also a Human Being!” Antiretroviral Treatment in Local Moral Worlds
    Mattes, D.
  • Social Support as a Moderator of the Effect of Work Stress on Personal Strain among Black Employees in South Africa
    Orpen, C.
  • A Cognitive Analysis of College Students’ Explanations for Engaging in Unprotected Sexual Intercourse
    O'Sullivan, F.; Udell, W.; Montrose, V. A.; Antoniello, P.; Hoffman, S.
  • On Sitting and Doing: Ethnography as Action in Global Health
    Pigg, S. L.
  • Delineation of Self‐care and Associated Concepts
    Richard, A.; Shea, K.
  • Culture as Consensus: A Theory of Culture and Informant Accuracy
    Romney, A. K.; Weller, S. C.; Batchelder, W. H.
  • A Systemic Review Comparing Antiretroviral Adherence Descriptive and Intervention Studies Conducted in the USA
    Sandelowski, M.; Voils, C.; Chang, Y.; Lee, E.‐J.
  • International AIDS Research in Anthropology: Taking a Critical Perspective on the Crisis
    Schoepf, B. G.
  • “Women Forget that Men Are the Masters”: Gender Antagonism and Socio–Economic Change in Kisii District, Kenya
    Silberschmidt, M.
  • Anxiety, Knowledge, and Help: A Model for How Black and White College Students Search for HIV/AIDS Information the Internet
    Smith, K.
  • A Formal Anthropological View of “Motivation” Models of Problematic MMO Play: Achievement, Social, and Immersion Factos in the Context of Culture
    Snodgrass, J.; Dengah, H. J. F.; Lacy, M. G.; Fagan, J.
  • Editorial: Cultural Models and HIV/AIDS: New Anthropological Views
    Sobo, E.
  • Poverty, Sexual Experience and HIV Vulnerability Risks: Evidence from Addis Ababa, Ethiopia
    Sori, A. T.
  • If Your Shoes Are Ragged You Get Talked about”: Symbolic and Material Dimensions of Adolescent Social Status and Health
    Sweet, E.
  • Assisting or Compromising Intervention? The Concept of “Culture” in Biomedical and Social Research on HIV/AIDS
    Taylor, J. J.
  • Development of the Multidimensional Health Locus of Control (MHLC) Scales
    Wallston, K. A.; Wallston, B. S.; DeVellis, R.
  • The Impact of Social Context on Self‐management in Women Living with HIV
    Webel, A.; Cuca, Y.; Okonsky, J.; Asher, A.; Kaihura, A.; Salata, R.
  • What Do Anthropologists Mean When They Use the Term Biocultural
    Wiley, A. S.; Cullen, J. M.