[The social relegation of widows living with HIV in the time of ART in Senegal]

Bull Soc Pathol Exot. 2014 Oct;107(4):273-8. doi: 10.1007/s13149-014-0334-4. Epub 2014 Feb 21.
[Article in French]

Abstract

While prolonged widowhood is unusual in Senegalese society, some women living with HIV receiving antiretroviral therapy for ten years remained widows. Are they maintained in this situation for refusing or being unable to remarry? To understand the conditions and the reasons for this lack of "matrimonial normalization", a qualitative interview study was conducted in Dakar with 31 widows. Their living conditions are mostly marked by economic difficulties, dependence on host families, and responsibilities visà-vis their children. They refuse to remarry, regret not being able to, or wish to without success, despite the existence locally of social forms of marital union that would respond to their situation. The refusal to disclose their HIV status combined with self-stigma prevent them from improving their condition. This form of social vulnerability that remains beyond the restoration of health is ignored by public policy and HIV/AIDS community based organizations claims. It should be acknowledged and considered for defending PLWAs' rights.

Publication types

  • English Abstract
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adult
  • Anti-HIV Agents / therapeutic use
  • Antiretroviral Therapy, Highly Active
  • Child
  • Female
  • HIV Infections / drug therapy
  • HIV Infections / epidemiology*
  • HIV Infections / psychology*
  • HIV-1
  • Humans
  • Marriage / psychology
  • Marriage / statistics & numerical data
  • Senegal / epidemiology
  • Sex Ratio
  • Social Alienation / psychology
  • Social Stigma*
  • Socioeconomic Factors
  • Vulnerable Populations / psychology
  • Vulnerable Populations / statistics & numerical data
  • Widowhood* / psychology
  • Widowhood* / statistics & numerical data

Substances

  • Anti-HIV Agents