Adherence to medicines tends to be envisaged as a matter of actors’ reasoned actions, though there is increasing emphasis on situating adherence as a practice materialised in everyday routines. Drawing on the qualitative interview accounts of Black African women living with HIV in London, UK, we treat adherence to HIV medicines as not only situated in the practices of the immediate and everyday but also relating to a hinterland of historical and social relations. We move from accounts which situate adherence as an embodied matter of affect in the present, to accounts which locate adherence as a condition of precarity, which also trace to enactments of time and place in the past. Adherence is therefore envisaged as a multiple and fluid effect which is made-up in-the-now and in relation to a hinterland of practices which locate elsewhere.

中文翻译：

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坚持用药：艾滋病抗逆转录病毒药物的具体实践和腹地

对药物的依从性往往被视为行为者理性行动的问题，尽管越来越强调将依从性视为日常生活中的一种实践。借鉴英国伦敦感染艾滋病毒的非洲黑人妇女的定性访谈记录，我们将坚持服用艾滋病毒药物视为不仅位于直接和日常的实践中，而且还与历史和社会关系的腹地有关。我们从将依从性作为当下情感的具体化事物的叙述转移到将依从性定位为不稳定条件的叙述，这些叙述也追溯到过去的时间和地点的制定。因此，坚持被设想为一种多重和流动的效果，它是在当下形成的，并且与位于其他地方的实践腹地有关。