The authors examine the psychosocial concerns, needs, and strengths of 67 adult women living with HIV in the Philadelphia area. Personal interviews revealed that the majority of women in the study were nonwhite mothers who relied on public assistance, had a drug-abuse history, and had a T-cell count less than 500/mm. More than half reported some utilization of social services (i.e., social work case management, support groups, drug treatment). Informal supports tended to come from extended family, friends, parents, and partners. Financial concerns and housing were more often ranked as one of the three primary concerns than was HIV disease. Many respondents were able to use their HIV diagnosis to reestablish priorities, especially with regard to their parenting roles, relationships, and drug use. Implications for social services are suggested.
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References
1.
AlexanderV. (1991). Black women and HIV/AIDS. SIECUS REPORT, 19(2), 8–10.
2.
BarlowJ. (1992). Social issues: An overview. In BuryJ., MorrisonV., & McLachlanS. (Eds.), Working with women and AIDS (pp. 23–31). New York: Routledge.
3.
BuckinghamS. L., & RehmS. J. (1987). AIDS and women at risk. Health and Social Work, 12(1), 5–11.
4.
CampbellC. (1990). Women and AIDS. Social Science and Medicine, 30, 407–415.
5.
Centers for Disease Control. (1995, June). HIV/AIDS Surveillance Report, p. 10.
6.
CohenF. L. (1993). The epidemiology of HIV infection and AIDS in women. In CohenF. L., & DurhamJ. D., Women, children, and HIV/AIDS (pp. 43–59). New York: Springer.
7.
CollinsH. (1994, March 29). AIDS orphans in U.S. may total 126,000 by the end of this decade. Philadelphia Inquirer, p. 2.
8.
EllerbrockT. V., BushT., ChamberlandM. E., & OxtobyM. J. (1991). Epidemiology of women with AIDS in the United States, 1981 through 1990. Journal of the American Medical Association, 265, 2971–2975.
9.
GillmanR. (1991). From resistance to rewards: Social workers' experiences and attitudes toward AIDS. Families in Society, 72, 593–601.
10.
GoldfingerS. M. (Ed.). (1990). Psychiatric aspects of AIDS and HIV infection.San Francisco: Jossey-Bass.
11.
KasparB. (1989). Women and AIDS: A psycho-social perspective. Affilia, 4(4), 7–22.
12.
KneislC. R. (1993). Psychosocial and economic concerns of women affected by HIV infection. In CohenF. L., & DurhamJ. D. (Eds.), Women, children, and HIV/AIDS (pp. 241–250). New York: Springer.
13.
LandH. (1994). AIDS and women of color. Families in Society, 75, 355–361.
14.
LindhorstT. (1988). Women and AIDS: Scapegoats or a social problem?Affilia, 3(4), 51–59.
15.
Lutheran Social Services of Illinois. (1993). Second family program brochure.Oak Park, IL: Child Welfare Services.
New York State Department of Social Services. (1991). Dynamics of substance abuse: An overview. AIDS Update, 3(2), 1–4.
18.
NicholasS. W., & AbramsE. J. (1992). The “silent” legacy of AIDS: Children who survive their parents. Journal of the American Medical Association, 23, 3478–3479.
19.
OsbornJ. E. (1991). Women and HIV/AIDS: The silent epidemic?SIECUS Report, 19(2), 1–4.
20.
PerezE. (1991). Why women wait to be tested for HIV infection. SIECUS Report, 19(2), 6–7.
21.
SeibertJ. M., GarciaA., KaplanM., & SeptimusA. (1989). Three model pediatric AIDS programs: Meeting the needs of children, families and communities. In SeibertJ., & OlsonR. A. (Eds.), Children, adolescents and AIDS (pp. 25–60). Lincoln, NE: University of Nebraska Press.
22.
ShayneV. T., & KaplanB. J. (1991). Double victims: Poor women and AIDS. Women and Health, 17(1), 21–37.
23.
Stuntzner-GibsonD. (1991). Women and HIV disease: An emerging social crisis. Social Work, 36, 22–28.
24.
Taylor–BrownS., & GarciaA. (1995). Social work and HIV-affected families: Is the profession prepared?Social Work, 40, 14–15.
25.
WienerL. (1991). Women and human immunodeficiency virus: A historical and personal psychosocial perspective. Social Work, 36, 375–378.
26.
Wood WetzelJ. (1986). A feminist world view conceptual framework. Social Casework, 67, 166–173.
27.
WoodruffG. (1993). Women and children and HIV. Readings: A Journal of Reviews and Commentary in Mental Health, 8(2), 18–22.
28.
YbarraS. (1991). Women and AIDS: Implications for counseling. Journal of Counseling and Development, 69, 285–287.
