ArticleJournal of the International Association of Providers of AIDS Care
"It Was as Though My Spirit Left, Like They Killed Me": The Disruptive Impact of an HIV-Positive Diagnosis among Women in the Dominican Republic.
Article in Journal of the International Association of Providers of AIDS Care. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers.
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Who cites it
13 citing papers in PubMed.
- Factors Associated With Stigma and Depression Among People Living With HIV and Food Insecurity in the Dominican Republic.Community health equity research & policy · 2026Article
- Psychological distress experiences among patients living with HIV: a qualitative systematic review.Frontiers in psychiatry · 2026Review
- Psychosocial experiences of pregnant and postpartum women living with HIV in Ibadan, Oyo State.BMC public health · 2025Article
- Exploring the role of motherhood in healthcare engagement for women living with HIV in the USA.Culture, health & sexuality · 2025Article
- HIV self-management perceptions and experiences of students at one university in South Africa.Curationis · 2024Article
- Coincidental discovery of HIV and pregnancy positive status in primary healthcare facilities.Curationis · 2024Article
- Trajectories of HIV management among virally suppressed and unsuppressed female sex workers in the Dominican Republic: A comparative qualitative analysis.International journal of qualitative studies on health and well-being · 2023Article
- Article
- The co-management of HIV and chronic non-communicable diseases in the Dominican Republic: A qualitative study.PloS one · 2023Article
- When Pregnancy Coincides with Positive Diagnosis of HIV: Accounts of the Process of Acceptance of Self and Motherhood among Women in South Africa.International journal of environmental research and public health · 2021Article
- Perceptions and determinants of healthy eating for people with HIV in the Dominican Republic who experience food insecurity.Public health nutrition · 2021Article
- Public health counselling following an HIV diagnosis among men who have sex with men: tensions between individual needs and health protection mandates.Journal of research in nursing : JRN · 2021Article
- Not a Cure but a Comfort: The Role of Spiritual Coping in Responding to Anxiety among Women Living with Human Immunodeficiency Virus.Indian journal of palliative careArticle
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Authors and funding
5 authors.
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Abstract
An HIV diagnosis may be associated with severe emotional and psychological distress, which can contribute to delays in care or poor self-management. Few studies have explored the emotional, psychological, and psychosocial impacts of an HIV diagnosis on women in low-resource settings. We conducted in-depth interviews with 30 women living with HIV in the Dominican Republic. Interviews were audio-recorded, transcribed, and analyzed using the biographical disruption framework. Three disruption phases emerged (impacts of a diagnosis, postdiagnosis turning points, and integration). Nearly all respondents described the news as deeply distressful and feelings of depression and loss of self-worth were common. Several reported struggling with the decision to disclose-worrying about stigma. Postdiagnosis turning points consisted of a focus on survival and motherhood; social support (family members, friends, HIV community) promoted integration. The findings suggest a need for psychological resources and social support interventions to mitigate the negative impacts of an HIV diagnosis.
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