The social construction of HIV: A narrative study of Israeli Arabs. Issue 2 (7th October 2021)

• Record Type: Journal Article
• Authors: Soffer, Michal
• Other Names: Brawner Bridgette M. guestEditor.; Brooks Carthon J. Margo guestEditor.; Perez G. Adriana guestEditor.
• Is Part Of: Research in nursing & health. Volume 45:Issue 2(2022)
• Page Start: 240
• Page End: 248
• Publication Date: 2021-10-07
• Subjects: Arabs -- culture -- HIV -- Israel -- qualitative research; Nursing -- Research -- Periodicals; Nursing -- Periodicals; 610.7305
• DOI: 10.1002/nur.22191
• Languages: English
• ISSNs: 0160-6891

Abstract

Abstract: "Social determinants of health"—that is, nonmedical care‐related factors, forces, and structures that have a strong influence on health—play a vital role in HIV prevention and treatment. In this study, we focused on one such key factor: culture. Israeli Arabs, the largest minority group in Israel, share a unique culture. Although the incidence of HIV/AIDS is lower among Israeli Arabs than among Jews, Arabs account for only 1% of HIV tests in Israel and report poorer HIV‐related knowledge, whereas the majority of newly diagnosed Arabs are usually diagnosed with full‐blown AIDS. This study explored how HIV/AIDS is socially constructed in Israeli Arab society. A sample of 31 HIV‐negative Israeli Arab participants wrote stories about a man living with HIV. Thematic analysis was used to analyze the data. The analysis identified two themes. The first, "HIV and 'forbidden' sexual practices, " constructed HIV/AIDS as a sexually transmitted disease associated primarily with premarital sex (a norm transgression in Arab culture). The second theme, "living with HIV, " involved two opposing subthemes: "life goes on" and "a ruined life." The former portrayed the life of men with HIV as moving on, at times into a successful future. The latter depicted the point of diagnosis as signifying a turn for the worst—a bleak and hopeless future. The findings suggest that HIV/AIDS is stigmatized among Israeli Arabs and the nature and extent of the stigma corresponds with cultural norms, stressing the importance of designing culturally informed interventions for HIV/AIDS prevention and treatment.