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Logics of control and self-management in narratives of people living with HIV, hepatitis C and hepatitis B

Bibliographic Data

ID15098682
AuthorsJ Bryant (0000-0002-5271-2881, UNSW Sydney, corresponding author), A K Smith (0000-0002-0005-9542, UNSW Sydney), A Persson (0000-0002-1173-4697, UNSW Sydney), Kylie Valentine (0000-0003-4785-484X, Social Policy Research Centre, UNSW, Sydney, NSW, Australia), K Drysdale (0000-0001-5545-290X, UNSW Sydney), Jack Wallace (0000-0002-4738-7316, Burnet Institute, Melbourne, VIC, Australia), Myra Hamilton (0000-0001-5999-6568, University of Sydney Business School, Sydney, NSW, Australia), Christy E Newman (0000-0002-5482-2822, UNSW Sydney)
Year2023
Volume25
Issue9
Pages1214-1229
Publication date2023-09-01
Peer ReviewedYes
Open AccessNo
TypeARTICLE
VenueCulture Health & Sexuality (JOURNAL)
Journal identifiersISSN: 1369-1058 • E-ISSN: 1464-5351
PublisherInforma UK Limited (PUBLISHER • GB)
DOI10.1080/13691058.2022.2149858
PMID36476229
OpenAlexW4310955219
LanguageEN
Citations received6
References cited37

In Australia, the response to HIV, hepatitis C and hepatitis B has largely been through the constructed category of 'blood borne viruses' which treats these viruses as an interconnected set of conditions with respect to their mode of transmission. In this paper, we explore how people understand their viral infection, and compare the logics underpinning these different understandings. In-depth interviews were conducted with 61 participants who were either living with a blood borne virus or were the family members of people living with them. Our analysis reveals that the viral infection was often described as 'just a condition that needs to be managed', albeit in potentially exhausting ways. This understanding hinged upon a biomedical logic in which viral invasion was seen as causing illness and in turn necessitating biomedical intervention. In contrast, some participants with hepatitis B presented their infection as a condition unintelligible through Western biomedical logics, defined instead by symptomology - in terms of 'liver disease', and/or 'liver inflammation'. This focus on symptomology calls into question the soundness of prevention and management responses to hepatitis B based in biomedical logics and reveals the extent to which living with a virus involves multiple, sometimes incompatible, cultural logics. The different logics underpinning HIV, hepatitis C and hepatitis B reveal shortcomings of framing these viruses together as a coherent single construct

Construct (python library · Framing (construction · Geography · Hepatitis · Hepatitis B · Underpinning · Viral hepatitis · Computer Science · Hepatitis B Virus Studies · Hepatitis C virus research · HIV, Drug Use, Sexual Risk · Medicine · Immunology · Virology

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Unique citing works6
Citations per year2
Citation span2023 - 2025 (3)
Citation velocityrecent
Highly citedNo
Citation typesNeutral: 6

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