More than 60,000 women in the United States have been diagnosed with A
IDS, and millions of women worldwide are infected with HIV. Most of th
ese women will die at an early age, leaving their children motherless.
During their HN illness, women confront the challenge of being both p
atient and family caregiver. Little research has explored this dual ch
allenge. The authors conducted semistructured one-hour interviews with
HIV-positive women that focused on the impact of the HN diagnosis on
the women's lives. Significant factors emerging from the interviews in
cluded the impact of stigma associated with HIV/AIDS, disbelief of the
diagnosis, the lack of a guardian for their children, the paucity of
women's support groups, and barriers associated with seeking services.
All women exhibited evidence of clinical depression. A model for mult
idisciplinary intervention is proposed that focuses on women's needs w
ithin their family systems.