Reconnecting to Spirituality: Christian-Identified Adolescents and Emerging Adult Young Men’s Journey from Diagnosis of HIV to Coping
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Spirituality is important to holistic health, yet little is known about its impact on young people with HIV. To address this knowledge deficit, a grounded theory study used semi-structured interviews of 20 Christian-identified adolescent and emerging adult gay males and one perinatally infected male. This study revealed that, to cope with HIV health issues, participants used a process of reconnecting with their spirituality. In order to successfully reconnect with their spirituality, study participants reported a need to re-embrace and re-engage in spiritual practices, hold onto hope, believe they are normal, and commit to beliefs and practices despite rejection from the church.
KeywordsAdolescent Emerging adults HIV Spirituality
The first author would like to thank the participants and staff at both clinical sites who participated in this research. She would also like to thank Bruce Smith for editing the manuscript and JoAnn Walls for professional transcriptionist services. This research was support by Sigma Theta Tau International Dr. Sandra Wise Founder’s Scholarship, the University of California San Francisco Alumni Century Club Fund, and the University of California San Francisco Graduate Research Award.
- American Fact finder (2010). Fact sheets. Bureau of the Census. Retrieved from www.factfinder.census.gov.
- Anandarajah, G. & Hight, E. (2001). Spirituality and medical practice: Using the hope questions as a practice tool for spiritual assessment. Journal of the American Academy of Family Physicians, 63, 81–89. Retrieved from www.aafp.org.
- Centers for Disease Control and Prevention. (2012). HIV among youth. Retrieved www.cdc.gov/vitalsigns/HIVAmongYouth.
- Centers for Disease Control and Prevention. (2013). Youth risk behavior surveillance. Retrieved www.cdc.gov/healtyyouth/yrbs/index.html.
- Centers for Disease Control and Prevention. (2014). HIV/AIDS statistics and surveillance in “What CDC is Saying about Surveillance.” Retrieved www.cdc.gov/hiv/statistics/surveillance/index.html.
- Charmaz, K. (2006). Constructing grounded theory: A practical guide through qualitative analysis. Los Angeles, CA: Sage Publication.Google Scholar
- Ehrlich, S. D. (2013). Spirituality. University Maryland Medical Center, Retrieved from http://health.marylandgeneral.org/altmed/articles/spirituality-000360.htm.
- Harawa, N. T., Williams, J. K., Ramamurthi, H. C., Manago, C., Avina, S., & Jones, M. (2008). Sexual behavior, sexual identity, and substance abuse among low-income bisexual and non-gay-identifying African American men who have sex with men. Archives of Sexual Behavior, 37, 748–762.CrossRefPubMedPubMedCentralGoogle Scholar
- Holloway, I., & Wheeler, S. (2010). Qualitative research in nursing and healthcare (3rd ed.). Oxford, United Kingdom: Wiley-Blackwell.Google Scholar
- Ironson, G., Stuetzle, R., & Fletcher, M. A. (2006). An increase in religiousness/spirituality occurs after HIV diagnosis and predicts slower disease progression over 4 years in people with HIV. Journal of General Internal Medicine, 21, 62–68. doi: 10.1111/j.1525-1497.2006.00648x.CrossRefGoogle Scholar
- Koenig, H. G. (2011). Spirituality and health research: Methods, measurements, statistics and resources. West Conshohocken, PA: Templeton Press.Google Scholar
- Lyon, M. E., Garvie, P. A., Kao, E., Briggs, L., He, J., Malow, R., & McCarter, R. (2011). Spirituality in HIV-infected adolescents and their families: FAmily CEntered (FACE) Advance Care Planning and medication adherence. Journal of Adolescent Health, 48, 633–636. doi: 10.1016/j.jadohealth.2010.09.00697.2006.00642.CrossRefPubMedGoogle Scholar
- Pew Research Center. (2015). Religious Landscape Study. Retrieved from http://www.pewforum.org/religious-landscape-study/.
- Roehlkepartain, E. C., Benson, P. L., King, P. E., & Wagener, L. M. (2005). The Handbook of spiritual development in children and adolescence. Thousand Oaks, CA: Sage Publication.Google Scholar
- Saldaña, J. (2009). The coding manual for qualitative researchers. Los Angeles, CA: Sage Publication.Google Scholar
- Strauss, A., & Corbin, J. (1990). Basics of qualitative research: Grounded theory procedures and techniques. Newbury Park, CA: Sage Publication.Google Scholar
- Szaflarski, M., Ritchey, P. N., Leonard, A. C., Mrus, J. M., Peterman, A. H., Ellison, C. G., & Tsevat, J. (2006). Modeling the effects of spirituality/religion on patients’ perceptions of living with HIV/AIDS. Journal of General Internal Medicine, 21, 26–38. doi: 10.1111/j.1525-1497.2006.00646.x.
- Trevino, K. M., Pargament, K. I., Cotton, S., Leonard, A. C., Hahn, J., Caprini-Faigin, C. A., & Tsevat, J. (2010). Religious coping and physiological, psychological, social and spiritual outcomes in patients with HIV/AIDS: Cross-sectional and longitudinal findings. AIDS Behavior, 14, 379–389. doi: 10.1007/s10461-007-9332-6.CrossRefPubMedGoogle Scholar