In northern Alberta, the Aboriginal (native)female population appears to be overrepresented in the HIV statistics. A qualitative research study was designed to explore the cultural factors that relate to the high HIVinfection rate in these women. Eight HIV-positive women were interviewed for the study, representing about one third of the population. A model was developed to explain the relationships that exist between the women's formative years, their self-esteem, and the survival techniques they used prior to becoming HIV-positive. These survival techniques may have placed them in situations that increased their risk of infection with the HIV virus.
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References
1.
Aboriginal Nurses Association of Canada . (1996). HIVIAIDS and its impact on Aboriginal women in Canada. Ottawa, Canada: Health Canada.
2.
Alberta Health . (1995). Strengthening the circle: What Aboriginal Albertans say about their health. Edmonton, Canada: Author.
3.
Allers, C. T. , & Benjack, K. J. (1991). Connections between childhood abuse and HIV infection. Journal of Counselling and Development, 70, 309-313.
4.
Ankrah, E. M. (1991). AIDS and the social side of health. Social Science and Medicine, 32(9), 967-980.
5.
Assembly of First Nations . (1994). Breaking the silence: An interpretive study of residential school impact and healing as illustrated by the stories of First Nations individuals. Ottawa, Canada: Author.
6.
Bagley, C. , & Ramsay, R. (1986). Sexual abuse in childhood: Psychosocial outcomes and implications forsocial workpractice. Journal of Social Workand Human Sexuality, 5,33-47.
7.
Bandura, A. (1994). Social cognitive theory and exercise of control over HIV Infection. In R. J. DiClemente & J. L. Peterson (Eds.), Preventing AIDS: Theories and methods of behavioral interventions (pp. 25-59). New York: Plenum.
8.
Berer, M. (1993). Women and HIV/AIDS. London: Pandora.
9.
Briere, J. , & Runtz, M. (1987). Post sexual abuse trauma: Data and implications for clinical practice. Journal of Interpersonal Holence, 2(4), 367-379.
10.
Brink, P. J. (1987). Cultural aspects of sexuality. Holistic Nursing Practice, 1(4), 12-20.
11.
Brink, P. J. , & Wood, M. J. (1994). Basic steps in planning nursing research: From question to proposal. Boston: Jones & Bartlett.
12.
Browne, A. , & Finkelhor, D. (1986). Impact of child sexual abuse: A review of the literature. Psychological Bulletin, 99(1), 66-77.
13.
Carrier, J. , & Bolton, R. (1991). Anthropological perspectives on sexuality and HIV prevention. Annual Review of Sex Research, 2, 49-75.
14.
Connors, M. M. (1994). Stories of pain and the problem of AIDS prevention: Injection drug withdrawal and its effect on risk behavior. Medical Anthropology Quarterly, 8(1), 47-68.
15.
Driver, H. E. (1969). Indians of North America. Chicago: University of Chicago Press.
16.
Feather of Hope Aboriginal AIDS Prevention Society . (1994). Feather of Hope Aboriginal AIDS Prevention Society annual report. Edmonton, Canada: Author.
17.
Freudenberg, N. (1990). AIDS prevention in the United States: Lesson from the first decade. International Journal of Health Services, 20(4), 589-599.
18.
Givan, J. M. (1993). American Indian/Alaska native women with HIV infection. Unpublished master's thesis, University of Washington, Seattle.
19.
Hall, L. A. , Sachs, B., Rayens, M. K., & Lutenbacher, M. (1993). Childhood physical and sexual abuse: Their relationship with depressive symptoms in adulthood. IMAGE: Journal of Nursing Scholarship, 25(4), 317-323.
20.
Health and Welfare Canada . (1992). Women and AIDS: A challengefor Canada in the nineties. Ottawa, Canada: Minister of Supply and Services.
21.
Health Canada . (1994). HIV/AIDS and Aboriginal people in Canada. Ottawa, Canada: Medical Services Branch.
22.
Houston, S. , & Reese, H. (1995, June). Increasing HIV infection among Aboriginal people in northern Alberta. Paper presented at the Fifth Annual Conference on HIV/AIDS Research, Winnipeg, Canada.
23.
Houston, S. , & Reese, H. (1996, July). HIV infection among Aboriginals in northern Alberta. Poster presentation at the Eleventh International Conference on AIDS, Vancouver, Canada.
24.
Ing, N. R. (1991). The effects of residential schools on native child-rearing practices. Canadian Journal of Native Education, 18(Suppl.), 65-118.
25.
Jenness, D. (1977). Indians of Canada. Ottawa, Canada: Minister of Supply and Services.
26.
Johnsen, L. W. , & Harlow, L. L. (1996). Childhood sexual abuse linked with adult substance use, victimization and AIDS-risk. AIDS Education and Prevention, 8(1), 44-57.
27.
Kane, S. , & Mason, T. (1992). "IV drug users" and "sex partners": The limits of epidemiological categories and ethnography of risk. In G. Herdt & S. Lindenbaum (Eds.), The time of AIDS, social analysis, theory, and method (pp. 199-222). Newbury Park, CA: Sage.
28.
Krieger, N. , & Fee, E. (1994). Man-made medicine and women's health: The biopolitics of sex/gender and race/ethnicity. International Journal of Health Services, 24(2), 265-283.
29.
Mandelbaum, D. G. (1940). The Plains Cree. Anthropological Papers of the American Museum of Natural History, 37(2), 245-247.
30.
Miles, M. B. , & Huberman, A. M. (1994). Qualitative data analysis: An expanded sourcebook. Thousand Oaks, CA: Sage.
31.
Miller, B. A. , Downs, W. R., Gondoli, D. M., & Keil, A. (1987). The role of childhood sexual abuse in the development of alcoholism in women. Violence and Victims, 2(3), 157-172.
32.
Nyamathi, A. , Stein, J. A., & Brecht, M. (1995). Psychosocial predictors of AIDS risk behavior and drug use behavior in homeless and drug addicted women of color. Health Psychology, 14(3), 265-273.
33.
Panos Institute . (1990). The 3rd epidemic: Repercussions of the fear of AIDS. London: Author.
34.
Pearlberg, G. (1991). Women, AIDS and communities. Metuchen, NJ: Scarecrow Press.
35.
Pepper, F. C. , & Henry, S. L. (1991). An Indian perspective of self-esteem. Canadian Journal of Native Education, 8(2), 145-160.
36.
Rosenstock, I. M. , Strecher, V. J., & Becker, M. H. (1994). The health belief model and HIV risk behavior change. In R. J. Di Clemente & J. L. Peterson (Eds.), Preventing AIDS: Theories and methods of behavioral interventions (pp. 2-24). New York: Plenum.
37.
Simpson, D. D. , Knight, K., & Ray, S. (1993). Psychosocial correlates of AIDS-risk drug use and sexual behaviors. AIDS Education and Prevention, 5(2), 121-130.
38.
Sinclair, B. J. (1993). Aboriginal street youth and sex trade workers study. Report prepared for the Joint National Committee on Aboriginal AIDS Education and Prevention. Edmonton, Canada: Alberta Indian Health Care Commission.
39.
Smeltzer, S. C. , & Whipple, B. (1991). Women and HIV infection. Image: Journal of Nursing Scholarship, 23(4), 249-256.
Statistics Canada . (1994). Census 1991: Profile of census divisions and subdivisions in Alberta-Part B. Ottawa, Canada: Author.
42.
Waldrum, J. B. , Herring, D. A., & Young, T. K. (1995). Aboriginal health in Canada: Historical, cultural, and epidemiological perspectives. Toronto, Canada: University of Toronto.
43.
Walker, J. (1994, December). HIV/AIDS in the Aboriginal community. Keynote address at the Third Canadian Conference on HIV/AIDS and Related Issues in Aboriginal Communities. Toronto, Canada.
44.
World Health Organization . (1990). World AIDS Day 1990 to focus on women. AIDS Health Promotion Exchange, 2, 1-2.
45.
World Health Organization . (1992). Why women and HIV? It takes two to tango. AIDS Health Promotion Exchange, 3, 1-3.
46.
Wotherspoon, T. , & Satzewich, V. (1993). First Nations: Race, class and gender relations. Scarborough, Canada: Nelson.
47.
Zierler, S. , Feingold, L., Laufer, D., Velentgas, P., Kantrowitz-Gordon, I., & Mayer, K. (1991). Adult survivors of childhood sexual abuse and subsequent risk of HIV infection. American Journal of Public Health, 81(5), 572-575.
48.
Zwi, A. B. (1993). Reassessing priorities: Identifying the determinants of HIV transmission. Social Science and Medicine, 36(5), iii-viii.
