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The needs of others: the norms of self-management skills training and the differing priorities of asylum seekers with HIV

The needs of others: the norms of self-management skills training and the differing priorities of asylum seekers with HIV
The needs of others: the norms of self-management skills training and the differing priorities of asylum seekers with HIV
This paper challenges the notion of a shared social identity resulting from a self care skills training programme through exploring the engagement, experience and outcomes of participants from different social groups: sub-Saharan asylum seekers and gay men. In the former group norms and values about priorities and management of HIV differed significantly from the programme's underlying philosophy of individualism. Some needs were similar, but learning self-management skills was not the priority it was for gay men as pressing needs arising from their asylum status (to address social problems, access welfare and achieve marginal residential status) overwhelmed self care attempts.

A focus on self-efficacy and individual behaviour change is likely to leave unaddressed social and material needs, inadvertently adding insult to injury. However, alternative benefits included sharing 'experience' and the perceived 'problem' that being an asylum seeker posed to other people. The contexts of location, needs, identities and social position are important in understanding self care support innovations.

hiv/aids, self-management, socially patterned needs, ethnography, sociology
1446-1242
145-158
Kennedy, Anne
e059c1c7-d6d0-41c8-95e1-95e5273b07f8
Rogers, Anne
105eeebc-1899-4850-950e-385a51738eb7
Kennedy, Anne
e059c1c7-d6d0-41c8-95e1-95e5273b07f8
Rogers, Anne
105eeebc-1899-4850-950e-385a51738eb7

Kennedy, Anne and Rogers, Anne (2009) The needs of others: the norms of self-management skills training and the differing priorities of asylum seekers with HIV. Health Sociology Review, 18 (2), 145-158.

Record type: Article

Abstract

This paper challenges the notion of a shared social identity resulting from a self care skills training programme through exploring the engagement, experience and outcomes of participants from different social groups: sub-Saharan asylum seekers and gay men. In the former group norms and values about priorities and management of HIV differed significantly from the programme's underlying philosophy of individualism. Some needs were similar, but learning self-management skills was not the priority it was for gay men as pressing needs arising from their asylum status (to address social problems, access welfare and achieve marginal residential status) overwhelmed self care attempts.

A focus on self-efficacy and individual behaviour change is likely to leave unaddressed social and material needs, inadvertently adding insult to injury. However, alternative benefits included sharing 'experience' and the perceived 'problem' that being an asylum seeker posed to other people. The contexts of location, needs, identities and social position are important in understanding self care support innovations.

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More information

Published date: August 2009
Keywords: hiv/aids, self-management, socially patterned needs, ethnography, sociology
Organisations: Faculty of Health Sciences

Identifiers

Local EPrints ID: 344358
URI: http://eprints.soton.ac.uk/id/eprint/344358
ISSN: 1446-1242
PURE UUID: 625d4172-07aa-422f-a37a-7b39149ea6a2
ORCID for Anne Kennedy: ORCID iD orcid.org/0000-0003-4570-9104

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Date deposited: 22 Oct 2012 09:10
Last modified: 14 Mar 2024 12:13

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Contributors

Author: Anne Kennedy ORCID iD
Author: Anne Rogers

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