Family context |
Family always knows the patient’s diagnosis. |
Community Advisory Board |
Lack of family understanding about HIV transmission affects the care and treatment of the patient. |
Community Advisory Board |
Family members are worried about neighbors learning that a member is HIV-infected. This anxiety affects patients’ willingness to take medication and to participate in the intervention. |
Community Advisory Board |
Families have a responsibility to care for sick family members. |
Li’s study of stigma (Li et al., 2011) |
Patients feel a responsibility to maintain the honor of the family. |
Li’s study of stigma (Li et al., 2011) |
Environmental context |
Travel to homes in rural villages is limited by long distances and muddy roads. |
Chinese adaptation team |
Most Chinese patients have very limited contact with physicians and there are no well defined systems for patients to report side effects or ask questions. |
Chinese adaptation team |
Social context |
Stigma associated with HIV is extremely prevalent and severe. |
Community Advisory Board; Chinese adaptation team; Li’s study of stigma (Li et al., 2011) |
Stigma associated with injection drug use amplifies HIV-associated stigma. |
Li’s study of stigma (Li et al., 2011) |