- Title
- Cultural perspectives on health decision making of HIV positive Xhosa males
- Creator
- Tebekana, Aviwe Zuziwe Nomalibongwe
- Subject
- Port Elizabeth (South Africa)
- Subject
- Eastern Cape (South Africa)
- Subject
- South Africa
- Date Issued
- 2020-12
- Date
- 2020-12
- Type
- Master's theses
- Type
- text
- Identifier
- http://hdl.handle.net/10948/53769
- Identifier
- vital:45835
- Description
- In 1998, following a recommendation made by the United Nations Educational, Scientific and Cultural Organisation (UNESO), the Joint United Nations programme on HIV and AIDS (UNAIDS) adopted a cultural approach to HIV and AIDS prevention and treatment for sustainable development. Cultural identity, values and norms are all influential factors in health decision making and may be especially important in the context of HIV infection. The research aim of this study was to explore and describe the experiences of HIV positive Xhosa males in relation to understanding how cultural identity, cultural values and norms influence the health decision making behaviour of Xhosa males. A qualitative study design was adopted. A descriptive and interpretative approach was applied. Semi-structured interviews were conducted with 10 HIV positive Xhosa males aged 25 to 49 years in four primary healthcare clinics in the Nelson Mandela Bay. Thematic data analysis was utilised to analyse the data through the lens of literature and the bio-ecological model. The data was coded by the researcher and an independent coder. Three themes and six sub themes emerged from the study. Theme one is: significance of culture for HIV positive Xhosa males. Theme two is: perspectives on factors that have an influence on health decision making. Theme three is: perceived beliefs and perceptions about HIV and AIDS in the Xhosa ethnic group. The study indicated that cultural factors such as ancestral beliefs regarding illness, traditional circumcision, initiation school and masculine roles and expectations influenced health decision making of the Xhosa males. In addition, there are other factors that have an influence on health decision making such as psycho-social factors of peer pressure and biological factors which include physical developmental changes. In addition to factors that have an influence to health decision making, it became apparent in the study that there was perceived stigma attached to HIV and AIDS from family members and the Xhosa community. Participants also experienced internalised stigma and expressed a v fear of not having an heir; thus, influencing risk taking health decision in fear of being stigmatised. Perceptions of HIV positive Xhosa males on cultural factors that have an influence on health decision making such as risk behaviour and adherence to treatment are: ancestral belief of protection against illness, traditional circumcision, initiation school and masculine roles and expectations.
- Description
- Thesis (MA) -- Faculty of Health Sciences, School of Behavioural Sciences, 2020
- Format
- computer
- Format
- online resource
- Format
- application/pdf
- Format
- 1 online resource (xii, 129 pages)
- Format
- Publisher
- Nelson Mandela University
- Publisher
- Faculty of Health Sciences
- Language
- English
- Rights
- Nelson Mandela University
- Rights
- All Rights Reserved
- Rights
- Open Access
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| Thumbnail | File | Description | Size | Format | |||
|---|---|---|---|---|---|---|---|
| View Details Download | SOURCE1 | Tebekana, A.pdf | 1 MB | Adobe Acrobat PDF | View Details Download |