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Self-determination theory examines the needs of people adopting new behaviors but has not been applied to the adoption of HIV healthcare behaviors. The current study applied self-determination theory to descriptions of healthcare behaviors adopted by ethnic minority women after an HIV diagnosis. Women of color were asked to describe their experiences with HIV testing, entry, and engagement-in-care in qualitative interviews and focus groups. Participants were mostly African-American (88%), over 40 years old (70%), had been diagnosed for more than 6 years (87%) and had disclosed their HIV infection to more than 3 people (73%). Women described unmet self-determination needs at different time points along the HIV Continuum of Care. Women experienced a significant loss of autonomy at the time of HIV diagnosis. Meeting competency and relatedness needs assisted women in entry and engagement-in-care. However, re-establishing autonomy was a key element for long-term engagement-in-care. Interventions that satisfy these needs at the optimal time point in care could improve diagnosis, entry-to-care, and retention-in-care for women living with HIV. [ABSTRACT FROM AUTHOR]

Demonstrates the centrality of peasant women's work in sericulture in the evolution of one form of early twentieth century Chinese capitalism. Nature of Chinese capitalism in the twentieth century; Comparison of capitalism among Third World locales; How income is generated by male and female labor; Information on capitalism and women's labor in the Wuxi farming system; Why women work in sericulture.

Analyzes women's work in Chinese rural society. Significance of culture; Farm economy of Wuxi in the early twentieth century; Working conditions in the 1920's; Hazards of working conditions.