2023-09-28 14:46:10 +00:00
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abstract: 'As people living with HIV/AIDS (PHAs) achieve more stable health, many
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have taken on active peer support and professional roles within AIDS
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service organizations. Although the increased engagement has been
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associated with many improved health outcomes, emerging program and
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research evidence have identified new challenges associated with such
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transition. This paper reports on the results of a qualitative
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interpretive study that explored the effect of this role transition on
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PHA service providers'' access to mental health support and self care. A
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total of 27 PHA service providers of diverse ethno-racial backgrounds
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took part in the study. Results show that while role transition often
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improves access to financial and health-care benefits, it also leads to
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new stress from workload demands, emotional triggers from client''s
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narratives, feeling of burnout from over-immersion in HIV at both
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personal and professional levels, and diminished self care. Barriers to
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seeking support included: concerns regarding confidentiality;
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self-imposed and enacted stigma associated with accessing mental health
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services; and boundary issues resulting from changes in relationships
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with peers and other service providers. Evolving support mechanisms
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included: new formal and informal peer support networks amongst
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colleagues or other PHA service providers to address both personal and
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professional challenges, and having access to professional support
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offered through the workplace. The findings suggest the need for
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increased organizational recognition of HIV support work as a form of
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emotional labor that places complex demands on PHA service providers.
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Increased access to employer-provided mental health services, supportive
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workplace policies, and adequate job-specific training will contribute
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to reduced work-related stress. Community level strategies that support
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expansion of social networks amongst PHA service providers would reduce
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isolation. Systemic policies to increase access to insurance benefits
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and enhance sector-wide job preparedness and post-employment support
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will sustain long-term and meaningful involvement of PHAs in service
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provision.'
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affiliation: 'Li, ATW (Corresponding Author), Regent Pk Community Hlth Ctr, Toronto,
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ON, Canada.
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Li, Alan Tai-Wai, Regent Pk Community Hlth Ctr, Toronto, ON, Canada.
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Li, Alan Tai-Wai; Owino, Maureen, Comm Accessible AIDS Treatment, Toronto, ON, Canada.
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Li, Alan Tai-Wai, Ontario HIV Treatment Network, Toronto, ON, Canada.
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Wales, Joshua; Guiang, Charlie, St Michaels Hosp, Toronto, ON M5B 1W8, Canada.
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Wong, Josephine Pui-Hing, Ryerson Univ, Daphne Cockwell Sch Nursing, Toronto, ON,
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Canada.
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Perreault, Yvette, AIDS Bereavement \& Resiliency Program Ontario, Toronto, ON,
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Canada.
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Miao, Andrew, Asian Community AIDS Serv, Toronto, ON, Canada.
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Maseko, Precious, African \& Caribbean Council HIV AIDS Ontario, Toronto, ON, Canada.'
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author: Li, Alan Tai-Wai and Wales, Joshua and Wong, Josephine Pui-Hing and Owino,
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Maureen and Perreault, Yvette and Miao, Andrew and Maseko, Precious and Guiang,
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Charlie
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author-email: alanl@regentparkchc.org
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author_list:
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- family: Li
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given: Alan Tai-Wai
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- family: Wales
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given: Joshua
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- family: Wong
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given: Josephine Pui-Hing
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- family: Owino
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given: Maureen
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- family: Perreault
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given: Yvette
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- family: Miao
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given: Andrew
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- family: Maseko
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given: Precious
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- family: Guiang
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given: Charlie
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da: '2023-09-28'
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doi: 10.1080/09540121.2014.940269
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eissn: 1360-0451
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files: []
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issn: 0954-0121
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journal: AIDS CARE-PSYCHOLOGICAL AND SOCIO-MEDICAL ASPECTS OF AIDS/HIV
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keywords: 'PHA service providers; employment transition; work-related stress;
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principles of GIPA/MEIPA; emotional labor'
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keywords-plus: INVOLVEMENT; HIV/AIDS; ORGANIZATIONS
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language: English
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month: FEB 1
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number: '2'
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number-of-cited-references: '22'
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orcid-numbers: Wong, Josephine Pui-Hing/0000-0002-8262-7725
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pages: 176-181
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papis_id: ba82060d1c7bb99c9a4103c94be341d3
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ref: Li2015changingaccess
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times-cited: '8'
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title: Changing access to mental health care and social support when People living
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with HIV/AIDS become service providers
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2023-10-01 08:15:07 +00:00
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type: article
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2023-09-28 14:46:10 +00:00
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unique-id: WOS:000347523300006
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usage-count-last-180-days: '0'
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usage-count-since-2013: '16'
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volume: '27'
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web-of-science-categories: 'Health Policy \& Services; Public, Environmental \& Occupational
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Health;
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Psychology, Multidisciplinary; Respiratory System; Social Sciences,
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Biomedical'
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year: '2015'
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