{"title":"Family Health Conversations in HIV Nursing Care: A Qualitative Case Study on Supporting a Closeted Gay Filipino Man in the Philippines.","authors":"Noriel P Calaguas","doi":"10.1097/JNC.0000000000000588","DOIUrl":null,"url":null,"abstract":"<p><strong>Abstract: </strong>This article examines the use of Family Health Conversations (FamHC) in the care of a closeted gay Filipino man recently diagnosed with advanced HIV. In the Philippines, stigma rooted in religious and cultural conservatism presents significant barriers to care for men who have sex with men. Cultural values such as kapwa (shared identity), hiya (shame), and utang na loob (debt of gratitude) shape disclosure decisions and caregiving dynamics. FamHC, a relational nursing intervention, supports open dialogue, emotional validation, and collaborative caregiving. In this case, FamHC facilitated HIV disclosure, improved sibling relationships, and supported treatment adherence and nutritional recovery. The client regained emotional stability, resumed social functioning, and re-established a sense of autonomy. This case highlights how culturally grounded family nursing interventions can reduce stigma, strengthen support systems, and improve clinical and psychosocial outcomes for closeted men who have sex with men living with HIV in collectivist contexts like the Philippines.</p>","PeriodicalId":520809,"journal":{"name":"The Journal of the Association of Nurses in AIDS Care : JANAC","volume":" ","pages":"515-526"},"PeriodicalIF":1.5000,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"The Journal of the Association of Nurses in AIDS Care : JANAC","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.1097/JNC.0000000000000588","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"2025/9/30 0:00:00","PubModel":"Epub","JCR":"","JCRName":"","Score":null,"Total":0}
引用次数: 0
Abstract
Abstract: This article examines the use of Family Health Conversations (FamHC) in the care of a closeted gay Filipino man recently diagnosed with advanced HIV. In the Philippines, stigma rooted in religious and cultural conservatism presents significant barriers to care for men who have sex with men. Cultural values such as kapwa (shared identity), hiya (shame), and utang na loob (debt of gratitude) shape disclosure decisions and caregiving dynamics. FamHC, a relational nursing intervention, supports open dialogue, emotional validation, and collaborative caregiving. In this case, FamHC facilitated HIV disclosure, improved sibling relationships, and supported treatment adherence and nutritional recovery. The client regained emotional stability, resumed social functioning, and re-established a sense of autonomy. This case highlights how culturally grounded family nursing interventions can reduce stigma, strengthen support systems, and improve clinical and psychosocial outcomes for closeted men who have sex with men living with HIV in collectivist contexts like the Philippines.
摘要：本文探讨了家庭健康对话（FamHC）在照顾一名最近被诊断为晚期艾滋病毒的未出柜的菲律宾男同性恋者中的使用。在菲律宾，根植于宗教和文化保守主义的耻辱给照顾男男性行为者带来了重大障碍。kapwa（共享身份）、hiya（羞耻）和utang na loob（感激之债）等文化价值观塑造了信息披露的决定和关怀的动力。FamHC是一种关系护理干预，支持公开对话、情感确认和协作式护理。在这种情况下，FamHC促进了艾滋病毒的披露，改善了兄弟姐妹关系，并支持治疗依从性和营养恢复。病人恢复了情绪稳定，恢复了社会功能，并重新建立了自主意识。这个案例突出了在菲律宾这样的集体主义背景下，基于文化的家庭护理干预措施如何能够减少耻辱感，加强支持系统，并改善与艾滋病毒感染者发生性行为的未出柜男性的临床和社会心理结果。
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