By Kapit W., Elson M.

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HIVIAIDS affects entire families, but some members, including women, children and older persons, are more vulnerable than others regardless of their serostatus. The social and economic vulnerability of certain groups, such as minorities, migrants, refugees, the landless and the unemployed, compound the intrinsic vulnerability of the family. Within the context of the present analysis, the vulnerability of a family can be assessed at three levels: The family's ability to function in a variety of stressful and adverse settings and circumstances; The risk of a member of the family becoming infected with and transmitting HIV; The risk of relatively rapid progression of the disease in a family member and the death of that member, which accelerates the onset of an adverse impact on the family.

The relationship component represents the foundation of this concept; in its absence there is no family capital, and individuals are left to draw upon other sources of social capital or their own resources. The relationship component is largely defined by a combination of demographic variables and cultural characteristics that articulate levels of kinship, particularly in traditional societies. In urban settings, and especially in industrialized societies with a plurality of cultures, the relationship component of family capital is either defined by the family itself-at a minimum identified as the nuclear family but more often as the multigenerational nuclear fami1y-a established by the particular culture within the plural society.

This approach takes the following into account: The epidemiological and trend analysis of HIVIAIDS, with particular notice taken of the numbers and characteristics of families affected by HIVIAIDS; The structure and functions of the family and intrafamily relations-particularly as they affect and are affected by HIVIAIDS; The economic, social and cultural contexts and the specific impact of HNIAIDS in those contexts. The family provides an additional perspective from which to measure the full impact and multiplier effect of the epidemic; For the vast majority of those living with HIVIAIDS, the family is the main unit of care and support; HNIAIDS has an adverse impact on many family functions, though the nature and extent of this impact varies according to the age or stage of development of the family members and to the stage reached in the family life cycle; The analysis of the implications of the relationship between HIVIAIDS and the family takes into account not only the family household, but also the family network and the concept of family capital; The indicators of the impact of AIDS on the family may serve as additional indicators of community vulnerability.

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